ANCC AGACNP - Frances Guide Review Questions and
Answers Rated A
You want to get more funding for your hospital's Answers are worded differently. "decrease bias in
Rapid Response Team. How should you present healthcare" "create in-servises in healthcare"
this issue to the committee? "obtain funding to increase access"
a. Stress importance of the team (look up
evidence about how team affects outcomes)
b. Describe how to improve and expand the team Which of the following is most important to
- ANSWER -a. stress importance of team evaluate statistical significance when reviewing
the literature?
a. consider the sample size
What is the best way for the AGACNP to get b. make sure the confidence interval is tight
involved in policy making? c. see if the p-value is less than the alpha-
a. attend legislative days at the state capitol coefficient
b. join a hospital committee d. determine the error rate - ANSWER -a.
c. write your local congressman consider the sample size
d. review literature and give more in-services -
ANSWER -b. join a hospital committee
When closing a practice, the NP is required to do
all of the following except
What is the best way for the AGACNP to a. give the patient adequate time to find another
demonstrate and advocate for full scope of provder
practice? b. keep all of the patient's records for a minimum
a. join a hospital committee of five years
b. petition the government c. send a certified letter with a return receipt
c. bill for independent services requested
d. start your own practice - ANSWER -c. bill d. provide names of other providers for future
for independent services care - ANSWER -c. send a certified letter
with a return receipt requested
Which of the following is considered a high acuity
role for the AGACNP? Which of the following components of an
a. primary care clinic evidenced based research process is the most
b. cardiology office important for NP to participate in?
c. community health department a. specifying methods of data collection
d. minute clinic - ANSWER -b. cardiology b. formulating the hypothesis
office c. carefully reviewing the literature
d. formulating the research problem -
ANSWER -d. formulating the research
What is the best way to advocate for gay and problem
lesbian population?
a. participate in a high state or national level
b. join a non-profit advocacy group A former pt of an NP is writing blog posts,
c. consider lobbying the government sending emails, and distributing false, accusatory
d. start at your facility - ANSWER -d. start statements about the NP's practice. Which of the
at your facility following forms of defamation is this?
,ANCC AGACNP - Frances Guide Review Questions and
Answers Rated A
a. libel
b. slander - ANSWER -a. libel CPI - ANSWER -Measures structure,
processes, and outcomes
Can you tell the patient's wife, for her protection,
that her husband has HIV? - ANSWER -No, A root cause analysis of a crisis situation in the
not without his permission ICU identified a lack of clinician-family
communication as the basis for the resulting
adverse outcome. As part of the performance
How can the ANCP prepare to get involved in improvement plan, the NP is asked to develop
future mass casualty event? - ANSWER - evidence-based policies to establish clinician-
Pre enroll in disaster volunteer program family communication standards in the unit.
These policies should include: - ANSWER -
Guidelines for having discussions with family
An 80 year old male patient with dementia members that are geared toward establishing
requires long-term care placement. To which treatment goals
funding agency does the patient apply after
"spending down" to qualify? - ANSWER -
Medicaid Which clinical scenario does the NP evaluate for
a quality improvement process change? -
ANSWER -An increased incidence of
Your patient is worried about insurance coverage postoperative sternal wound infections
and asks you for advice on Medicaid. You
instruct the patient that Medicaid: -
ANSWER -Pays after insurance and 3rd Goals set forth in healthy people 2020 by the US
party payers have paid department of Health and Human services
include: - ANSWER -elimination of health
disparities (and increased QOL/LOL)
You are giving a dinner presentation to a group.
The pharmaceutical rep calls you the night
before and wants you to say that their drug is the Based on the individual's culture, ethnicity, and
only one that workds. What ethical principles personal choices, the NP can optimize the
does this challenge? - ANSWER -Veracity therapeutic partnership with the patient by: -
and fidelity ANSWER -Tailoring his or her
communication style to the patient's preference
Health literacy - ANSWER -Average
american: 8th grade level A 70 year old patient with a history of DM, HTN,
OAs, and a new diagnosis of CAD, is being
discharged. The adult-gerontology acute care NP
teaches the patient that the first point of contact
Quality assurance - ANSWER -A process
for evaluating the care of patients using for health care needs is the: - ANSWER -
established standards of care to ensure quality PCP
,ANCC AGACNP - Frances Guide Review Questions and
Answers Rated A
The NP is asked to provide evidence to the Doc calls from another center asking if you can
hospital administration about the safety of NP tell him what kind of orders he should give for
placing central lines. Which resource provides maintenance of patient... - ANSWER -No,
the strongest level of evidence? - HIPPA
ANSWER -A systematic review (meta
analysis)
Patient in ER not doing well, primary MD calls: -
ANSWER -Give him info
What legislation allowed NPs to be recognized
Medicare providers in all geographical areas with
their own provider number? - ANSWER - NP working on ESRD research project. A
Balanced Budget act colleague renal specialist asks for patient info on
your patients: - ANSWER -HIPAA breach
True/false: restraining an unwilling patient is
grounds for malpractice? - ANSWER - Who enforces HIPAA? - ANSWER -Office
False, if they are a danger you can restrain of Civil Rights/Dept Health and Human Services
Patient presents to the clinic for routine f/u and Who isn't covered by HIPAA? - ANSWER -
passes out. You revive the patient and admit Law enforcment/municipal offices, CPS/Schools,
overnight. Which of the following would qualify as employers/workman's comp, life insurance
incident to billing? - ANSWER -
Temperature and weight recording
Insurance company calling to verify some patient
appointments? - ANSWER -Answer by
The NP program initiated, primarily, because of picking out that there is already a medical release
what issue in healthcare at the time? - signed by the patient and give the requested
ANSWER -Pediatric physician shortage information to them
Elderly patient takes a turn for the worse. The Benchmarking - ANSWER -How institution
husband is crying when you enter the room and compares with similar organizations
begins telling you what end-of-life care he
prefers. What do you do? - ANSWER -Ask
him to speak candidly with you Managed care - ANSWER -Know what this
is and how it has improved costs, something
about putting caps on payments
Patient calls to complain about bills and states
he has Medicare, which should cover all costs.
You explain: - ANSWER -Since you are Peer review - ANSWER -Timely, not
healthy, exams are not covered anonymous, and NP knows how peer review will
, ANCC AGACNP - Frances Guide Review Questions and
Answers Rated A
impact yearly evaluation indicating patient has received adequate
instruction/information regarding aspects of care
to make a prudent, personal choice regarding
Sensitivity vs specificity - ANSWER - such, includes risks and benefits, competence:
Sensitivity: true positives, specificity: true ability to communicate, understand, reason,
negatives differentiate good and bad
There was a question where a patient had a
multinodular goiter and wanted to know why the Case management - ANSWER -Mobilize,
NP was not going to do periodic US and fine mointor, and control resources that a patient uses
needle biopsy in monitoring for some kind of during course of an illness while balancing quality
cancer or complication. The answer I picked was and cost, "move patients through the system
that these tests were not very specific to detect appropriately"
the cancer
50-60 year old patient ith a new diagnosis of
Reliability - ANSWER -When implementing cancer. To appropriately plan for discharge, what
a new study, tested over and over, the should the NP do?
consistency of a measurement or the degree to a. consult CM
which an instrument measures the same way b. Consult SW
over time c. refer to Oncology
d. refer to Hospice - ANSWER -a. consult
CM
Validity of results in an article - ANSWER -
P-value, probability of falsely rejecting the null
hypothesis, want it to be <0.05 Nondisclosure - ANSWER -Not disclosing
patient PHI without permission
Statistical significance - ANSWER -Look at
sample size and p value Negligence - ANSWER -Failure of individual
to do what any reasonable person would do,
resulting in injury to the patient
Privileging - ANSWER -May be granted in
full or part by the hospital, credentialing
committee is made of physicians When serving as a nurse researcher, the NP is
guided by which ethical principle to ensure that
research participants are protected from harm or
Who determines scope of practice? - exploitation? - ANSWER -Nonmaleficence
ANSWER -State practice acts but
institutional bylaws may further restrict practice
(facility limited scope of practice) Living will - ANSWER -Health care
proxy/POA
Informed consent - ANSWER -A state
Answers Rated A
You want to get more funding for your hospital's Answers are worded differently. "decrease bias in
Rapid Response Team. How should you present healthcare" "create in-servises in healthcare"
this issue to the committee? "obtain funding to increase access"
a. Stress importance of the team (look up
evidence about how team affects outcomes)
b. Describe how to improve and expand the team Which of the following is most important to
- ANSWER -a. stress importance of team evaluate statistical significance when reviewing
the literature?
a. consider the sample size
What is the best way for the AGACNP to get b. make sure the confidence interval is tight
involved in policy making? c. see if the p-value is less than the alpha-
a. attend legislative days at the state capitol coefficient
b. join a hospital committee d. determine the error rate - ANSWER -a.
c. write your local congressman consider the sample size
d. review literature and give more in-services -
ANSWER -b. join a hospital committee
When closing a practice, the NP is required to do
all of the following except
What is the best way for the AGACNP to a. give the patient adequate time to find another
demonstrate and advocate for full scope of provder
practice? b. keep all of the patient's records for a minimum
a. join a hospital committee of five years
b. petition the government c. send a certified letter with a return receipt
c. bill for independent services requested
d. start your own practice - ANSWER -c. bill d. provide names of other providers for future
for independent services care - ANSWER -c. send a certified letter
with a return receipt requested
Which of the following is considered a high acuity
role for the AGACNP? Which of the following components of an
a. primary care clinic evidenced based research process is the most
b. cardiology office important for NP to participate in?
c. community health department a. specifying methods of data collection
d. minute clinic - ANSWER -b. cardiology b. formulating the hypothesis
office c. carefully reviewing the literature
d. formulating the research problem -
ANSWER -d. formulating the research
What is the best way to advocate for gay and problem
lesbian population?
a. participate in a high state or national level
b. join a non-profit advocacy group A former pt of an NP is writing blog posts,
c. consider lobbying the government sending emails, and distributing false, accusatory
d. start at your facility - ANSWER -d. start statements about the NP's practice. Which of the
at your facility following forms of defamation is this?
,ANCC AGACNP - Frances Guide Review Questions and
Answers Rated A
a. libel
b. slander - ANSWER -a. libel CPI - ANSWER -Measures structure,
processes, and outcomes
Can you tell the patient's wife, for her protection,
that her husband has HIV? - ANSWER -No, A root cause analysis of a crisis situation in the
not without his permission ICU identified a lack of clinician-family
communication as the basis for the resulting
adverse outcome. As part of the performance
How can the ANCP prepare to get involved in improvement plan, the NP is asked to develop
future mass casualty event? - ANSWER - evidence-based policies to establish clinician-
Pre enroll in disaster volunteer program family communication standards in the unit.
These policies should include: - ANSWER -
Guidelines for having discussions with family
An 80 year old male patient with dementia members that are geared toward establishing
requires long-term care placement. To which treatment goals
funding agency does the patient apply after
"spending down" to qualify? - ANSWER -
Medicaid Which clinical scenario does the NP evaluate for
a quality improvement process change? -
ANSWER -An increased incidence of
Your patient is worried about insurance coverage postoperative sternal wound infections
and asks you for advice on Medicaid. You
instruct the patient that Medicaid: -
ANSWER -Pays after insurance and 3rd Goals set forth in healthy people 2020 by the US
party payers have paid department of Health and Human services
include: - ANSWER -elimination of health
disparities (and increased QOL/LOL)
You are giving a dinner presentation to a group.
The pharmaceutical rep calls you the night
before and wants you to say that their drug is the Based on the individual's culture, ethnicity, and
only one that workds. What ethical principles personal choices, the NP can optimize the
does this challenge? - ANSWER -Veracity therapeutic partnership with the patient by: -
and fidelity ANSWER -Tailoring his or her
communication style to the patient's preference
Health literacy - ANSWER -Average
american: 8th grade level A 70 year old patient with a history of DM, HTN,
OAs, and a new diagnosis of CAD, is being
discharged. The adult-gerontology acute care NP
teaches the patient that the first point of contact
Quality assurance - ANSWER -A process
for evaluating the care of patients using for health care needs is the: - ANSWER -
established standards of care to ensure quality PCP
,ANCC AGACNP - Frances Guide Review Questions and
Answers Rated A
The NP is asked to provide evidence to the Doc calls from another center asking if you can
hospital administration about the safety of NP tell him what kind of orders he should give for
placing central lines. Which resource provides maintenance of patient... - ANSWER -No,
the strongest level of evidence? - HIPPA
ANSWER -A systematic review (meta
analysis)
Patient in ER not doing well, primary MD calls: -
ANSWER -Give him info
What legislation allowed NPs to be recognized
Medicare providers in all geographical areas with
their own provider number? - ANSWER - NP working on ESRD research project. A
Balanced Budget act colleague renal specialist asks for patient info on
your patients: - ANSWER -HIPAA breach
True/false: restraining an unwilling patient is
grounds for malpractice? - ANSWER - Who enforces HIPAA? - ANSWER -Office
False, if they are a danger you can restrain of Civil Rights/Dept Health and Human Services
Patient presents to the clinic for routine f/u and Who isn't covered by HIPAA? - ANSWER -
passes out. You revive the patient and admit Law enforcment/municipal offices, CPS/Schools,
overnight. Which of the following would qualify as employers/workman's comp, life insurance
incident to billing? - ANSWER -
Temperature and weight recording
Insurance company calling to verify some patient
appointments? - ANSWER -Answer by
The NP program initiated, primarily, because of picking out that there is already a medical release
what issue in healthcare at the time? - signed by the patient and give the requested
ANSWER -Pediatric physician shortage information to them
Elderly patient takes a turn for the worse. The Benchmarking - ANSWER -How institution
husband is crying when you enter the room and compares with similar organizations
begins telling you what end-of-life care he
prefers. What do you do? - ANSWER -Ask
him to speak candidly with you Managed care - ANSWER -Know what this
is and how it has improved costs, something
about putting caps on payments
Patient calls to complain about bills and states
he has Medicare, which should cover all costs.
You explain: - ANSWER -Since you are Peer review - ANSWER -Timely, not
healthy, exams are not covered anonymous, and NP knows how peer review will
, ANCC AGACNP - Frances Guide Review Questions and
Answers Rated A
impact yearly evaluation indicating patient has received adequate
instruction/information regarding aspects of care
to make a prudent, personal choice regarding
Sensitivity vs specificity - ANSWER - such, includes risks and benefits, competence:
Sensitivity: true positives, specificity: true ability to communicate, understand, reason,
negatives differentiate good and bad
There was a question where a patient had a
multinodular goiter and wanted to know why the Case management - ANSWER -Mobilize,
NP was not going to do periodic US and fine mointor, and control resources that a patient uses
needle biopsy in monitoring for some kind of during course of an illness while balancing quality
cancer or complication. The answer I picked was and cost, "move patients through the system
that these tests were not very specific to detect appropriately"
the cancer
50-60 year old patient ith a new diagnosis of
Reliability - ANSWER -When implementing cancer. To appropriately plan for discharge, what
a new study, tested over and over, the should the NP do?
consistency of a measurement or the degree to a. consult CM
which an instrument measures the same way b. Consult SW
over time c. refer to Oncology
d. refer to Hospice - ANSWER -a. consult
CM
Validity of results in an article - ANSWER -
P-value, probability of falsely rejecting the null
hypothesis, want it to be <0.05 Nondisclosure - ANSWER -Not disclosing
patient PHI without permission
Statistical significance - ANSWER -Look at
sample size and p value Negligence - ANSWER -Failure of individual
to do what any reasonable person would do,
resulting in injury to the patient
Privileging - ANSWER -May be granted in
full or part by the hospital, credentialing
committee is made of physicians When serving as a nurse researcher, the NP is
guided by which ethical principle to ensure that
research participants are protected from harm or
Who determines scope of practice? - exploitation? - ANSWER -Nonmaleficence
ANSWER -State practice acts but
institutional bylaws may further restrict practice
(facility limited scope of practice) Living will - ANSWER -Health care
proxy/POA
Informed consent - ANSWER -A state
