Frances Guide Review 3
(500+ Practice Qs w/ Correct Ans)
(For board Certification Exam)
This Document Description:
• The Frances Guide is a popular study resource specifically
designed for the ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP) board exam.
• This guide focus heavily on high-yield clinical content and the
professional role/non-clinical domain questions (theory, ethics,
healthcare policy) that the ANCC is known for.
• used as a final "sanity check" or a way to identify weak areas in
the weeks leading up to the test.
,Which of the following is most important to evaluate statistical significance when
reviewing the literature?
-Consider the sample size
-Make sure the confidence interval is tight
-See if the p-value is less than the α-coefficient
-Determine the error rate
(Answers are worded differently. "Ensure confounding variables were eliminated" & "P
value is less than null hypothesis" were two of them.
Consider the sample size
-higher sample size; more likely to get an appropriate p-value (low p-value)
When closing a practice, the NP is required to do all of the following except:
-Give the pt adequate time to find another provider (2 months)
-Keep all of the patient's records for a minimum of five years
-Send a certified letter with a return receipt requested
-Provide names of other providers for future care
Send a certified letter with a return receipt requested
-this is for discharging/firing a patient from your practice
Which of the following components of an evidenced based research process is
the most important for NP to participate in?
-Specifying methods of data collection
-Formulating the hypothesis
-Carefully reviewing the literature
-Formulating the research problem
Formulating the research problem
-highest level of research; develop own research problem as a Master's degree
,1. identify problem
2. literature review
3. specify hypothesis
4. data collection
A former pt of an NP is writing blog posts, sending emails, and distributing false,
accusatory statements about the NP's practice. Which of the following forms of
defamation is this?
-libel
-slander
Libel
-Libel = literature (written)
-Slander = spoken (verbal)
Can you tell the pt's wife, for her protection, that her husband has HIV?
No, not without his permission.
-HIPPA violation
-reportable disease: chlamydia, gonorrhea, Syphilis, TB, HIV - report to health
department only
How can the ANCP prepare to get involved in future mass casualty event?
Pre-enroll in disaster volunteer program
An 80-year-old male patient with dementia requires long-term care placement. To
which funding agency does the patient apply after "spending down" to qualify?
Medicaid
-Medicaid to help poor
-Medicare to help retired
-"spending down" - become poor to qualify
, You want to get more funding for your hospital's Rapid Response Team. How
should you present this issue to the committee?
-Stress importance of the team
-Describe how to improve and expand the team.
Stress importance of the team
(answer is worded as looking up evidence about how the team affects outcomes, like
a meta-analysis)
-highest level of research: meta-analysis (multiple studies)
What is the best way for the AGACNP to get involved in policy making?
-Attend legislative days at the state capitol
-Join a hospital committee
-Write to your local congressman
-Review literature and give more in-services
Join a hospital committee
-start at local level
What is the best way for the AGACNP to demonstrate and advocate for full scope
of practice?
-Join a hospital committee
-Petition the government
-Bill for independent services
-Start your own practice
Bill for independent services
-"demonstrate and advocate"; proving you are your own provider
Which of the following is considered a high acuity role for the AGACNP?
-Primary care clinic