AGACNP Actual Exam 2026-2027 100% Verified Questions & Detailed Correct
Answers A+ Graded – Walden University
Prescriptive authority Ability and extent of NPs ability to prescribe meds << correct answer >>DEA has
ruled that nurses in advanced practice may obtain.. registration numbers, state practice acts dictate
level of prescriptive authority allowed << correct answer >>Credentials encompass... required
education, licensure and certification to practice as an NP << correct answer >>Credentials establish...
minimal levels of acceptable performance << correct answer >>Credentialing is necessary to:
ensure that safe healthcare is provided by qualified individuals; comply with federal and state
laws r/t APN << correct answer >>Credentials also... acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice << correct answer >>Licensure
establishes that a person is qualified to perform in a particular professional role << correct
answer >>Licensure is granted as defined by rules and regulations set forth by a governmental
regulatory body (ie. state board of nursing) << correct answer >>Certification Person has met certain
standards that signify mastery of specialized knowledge << correct answer >>Certification is granted by
nongovernmental agencies such as ANCC, AANP << correct answer >>Admitting privileges to
hospitals (non physican) were granted 1983 by JC << correct answer >>Credentialing and privileging
process which an NP is granted permission to practice in an inpt setting << correct answer
>>Credentialing with hospital privileges is granted by a Hospital Credentialing Committee << correct
answer >>Pt Medical Abandoment When caregiver-pt relationship is terminated w/o making
reasonable arrangements w an appropriate person so that care can be continued << correct answer
>>Determination of pt abandonment depends on factors such as: Whether NP accepted pt
assignment, whether NP provided reasonable notice before termination, whether reasonable
arrangements could have been made << correct answer >>Following do not constitute pt abandonment
NP refuses to accept responsibility for pt assignment when NP has given reasonable notice to
proper authority that NP lacks competence to carry out assignment; NP refuses assignment of a double
shift or addtl hrs beyond posted work schedule when proper notification has been given..latter phrase
can be controversial << correct answer >>Risk Mgmt Systematic effort to reduce risk begins w formal
written risk mgmt plan that includes: organizations goals, delineation of program's scope, components,
methods; delegating responsibility for implementation and enforcement; demonstrating commitment
by the board; confidentiality and immunity from retaliation for those who report sensitive info <<
correct answer >> Most common method of documentation for risk mgmt incident reports <<
correct answer >> Policies regarding incident reports should address: ppl authorized to complete
report; ppl responsible for review of a report, immediate actions needed to minimize the effects of the
event; ppl responsible for follow up; plan for monitoring aftermath; security/storage of completed
report << correct answer >>Risk mgmt - Satisfaction surveys Important for identifying problems
before they develop into incidents or claims; for pts and employees << correct answer >>Risk mgmt -
Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing complaints by clearly
identifying: ppl notified after receiving complaint; ppl responsible for responding; ppl responsible
for monitoring follow up << correct answer >>Action taking initiatives: Prevention, correction
(corrective steps must be monitored and audited), documentation, education, departmental
,coordination << correct answer >>Medical Futility Interventions that are unlikely to produce
significant benefit for pt - "Does the intervention have any reasonable prospect of helping this pt?" <<
correct answer >>Two kind of medical futility: Quantitative futility: likelihood that intervention will
benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor << correct answer
>>Informed consent - competence (decisional capability) state that pt is able to make personal
decisions about their care << correct answer >>competence implies that ability to: understand,
reason, differentiate good and bad, and communicate << correct answer >>informed consent pt has
received adequate instruction or info regarding aspects of care to make prudent, personal choice
regarding such tx << correct answer >>Informed consent includes: discussing benefits and risk <<
correct answer >>consent is assumed if... pt's condition is life threatening << correct answer
>>Danforth Amendment 1991 pts are informed at time of admission to federally funded institution
(such as hospital, nursing home, hospice, HMO, etc) that they have the right to refuse care as long as the
pt has decisional capability (competence) << correct answer >>Ethics study of moral conduct and
behavior protecting the rights of an individual << correct answer >>1st priority is the most salvagable
pts. Most critically injured cared for last. << correct answer >>Key ethical principles are:
nonmaleficence, utilitarianism, beneficence, justice, fidelity, veracity, autonomy << correct
answer >>Nonmaleficence duty to do no harm << correct answer >>Utilitarianism the right act is
the one that produces the greatest good for the greatest number << correct answer >>Beneficence
duty to prevent harm and promote good << correct answer >>Justice duty to be fair <<
correct answer >>Fidelity duty to be faithful << correct answer >>Veracity duty to be truthful
(tends to be in conflict with fidelity) << correct answer >>Autonomy duty to respect an individual's
thoughts and actions (tend to be in conflict with beneficence) << correct answer
>>Dismissing/discharging a pt or closing practice NP cannot withdraw from caring for a pt
without notification << correct answer >>Examples of reasons for discharging a pt from practice: abuse,
refusal to pay, persistent non-adherence to care << correct answer >>Steps for discharging a pt from
practice: send a certified letter with return receipt (copy for chart), provide general healthcare
coverage for 1st 15-30 days post termination deadline, obtain release of info to provide copies of all
needed records for next care provider << correct answer >>Obligations in closing practice d/t relocation,
retirement give pt adequate time to find another provider, keep all files for min 5 years, provide
timely notification and names of other providers and resources for future care << correct answer >>Role
of NP developed in the early... 1960s as a result of physician shortages in the area of peds << correct
answer >>First NP program was peds, begun in... 1964 by Dr. Loretta Ford and Dr. Henry Silver at
CU Health Sciences mainly focusing on ambulatory and outpt care << correct answer >>Historical service
of NPs in primary care resulted in part from the... availability of federal funding for preventive and
primary care NP education << correct answer >>Movement of NPs expanded to the... inpt setting as a
result of managed care, hospital restructuring, and decreases in medical residency programs << correct
answer >>4 distinct roles for NPs: clinician, consultant/collaborator, educator, researcher <<
correct answer >>Crisis/Acute Grief Communication Acknowledge feelings
Offer self << correct answer >>Crisis Intervention Boundaries
Security if necessary, NOT police
,Establish trust/rapport << correct answer >>Advance Directive Written statement of patient's intent
regarding medical treatment << correct answer >>The Patient Self-Determination Act of 1990 All
patients in a hospital setting are required to be advised of their right to execute an advance directive <<
correct answer >>Living Will Compilation of statements that specify which life-prolonging measures
one does and does not want if they become incapacitated << correct answer >>Durable Power of
Attourney Individual designated in the living will that is authorized to make medical decisions in
the event patient is incapacitated << correct answer >>Title I of HIPPA Protects health insurance
coverage for workers and their families in the event they change or lose their jobs
COBRA << correct answer >>COBRA protects health insurance coverage for workers and their
families in the event worker loses or changes jobs << correct answer >>Who enforces HIPPA Office
for Civil Rights << correct answer >>Patient Safety Rule Protects patient information to analyze patient
safety events and improve << correct answer >>True or False: A patient has the right to see their
medical record True << correct answer >>The Privacy Rule: Patient's Rights See/have their medical
record
Corrections added to medical record << correct answer >>Patient Safety and Quality Improvement Act
(PSQIA) Voluntary reporting system
improve patient safety outcomes through anonymous reporting by providers of patient safety outcomes
and events << correct answer >>Duty to Warn Patient's condition may endanger others overrides
confidentiality << correct answer >>Patient is diagnosed with HIV. Duty to Warn applies how? Can
notify providers not family << correct answer >>Invasion of Privacy Damaging one's reputation as a
result of sharing patient information without their permission << correct answer >>When can invasion
of privacy charge not be made in good faith
accurate information
receiver has valid reason to obtain information << correct answer >>Initiating any change in heathcare
Begin at most local level and expand outward << correct answer >>What comes first when
treating a patient with a medical and psychosocial condition Medical condition << correct answer
>>strongest method to evaluate teaching returned demonstration << correct answer >>when to
transfer to teritary care facility seriously ill or injured patients that cannot be cared for at your
institution
stabilize and ship << correct answer >>Patient reluctant to undergo procedure. you should? Fully
educate patient and tell them why << correct answer >>Primary care screening exams that are not
emergent do not delay hospital discharge refer to PCP << correct answer >>most powerful data
collected from patient subjective or data you observed as the np << correct answer >>RN calls you as
the night shift NP and states patient is decompensating. You would? Call primary MD when patient
status changes << correct answer >>Code goes bad and all involved are talking badly about it on the
unit. You should? Hold a one time debriefing with everyone invovled << correct answer >>What is
a response that would suggest admitting a patient to a SNF would be the best action? Needing
assistance with ADLs << correct answer >>Goals of Healthy People 2020 increase the quality and years
of healthy life
, eliminate health disparities among americans << correct answer >>Healthy People 2020 purpose used to
understand health status of the nation and plan prevention programs << correct answer >>NP must
notify department of health with what dx Gonorrhea
Chlamydia
Syphillis
HIV
TB << correct answer >>NPs must report to state Criminal acts and injury from dangerous
weapon (GSW)
Gonorrhea
Chlamydia
Syphillis
HIV
TB
Animal bites
Suspected/actual child abuse
Domestic violence << correct answer >>Physical Therapy Strength training
coordination << correct answer >>Occupational TherapyADLs << correct answer >>Medicare Third
party payers
sets the standard for reimbursement and cutting costs
>65 yo.
Disabled << correct answer >>Medicaid Third party payers
Poverty << correct answer >>Medicare A Covers inpatient hospitalizations
SNF
home health
hospice
>65 yo. << correct answer >>Medicare BCovers physician services
outpatient hospital services
labs/diagnostic procedures
medical equipment
Answers A+ Graded – Walden University
Prescriptive authority Ability and extent of NPs ability to prescribe meds << correct answer >>DEA has
ruled that nurses in advanced practice may obtain.. registration numbers, state practice acts dictate
level of prescriptive authority allowed << correct answer >>Credentials encompass... required
education, licensure and certification to practice as an NP << correct answer >>Credentials establish...
minimal levels of acceptable performance << correct answer >>Credentialing is necessary to:
ensure that safe healthcare is provided by qualified individuals; comply with federal and state
laws r/t APN << correct answer >>Credentials also... acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice << correct answer >>Licensure
establishes that a person is qualified to perform in a particular professional role << correct
answer >>Licensure is granted as defined by rules and regulations set forth by a governmental
regulatory body (ie. state board of nursing) << correct answer >>Certification Person has met certain
standards that signify mastery of specialized knowledge << correct answer >>Certification is granted by
nongovernmental agencies such as ANCC, AANP << correct answer >>Admitting privileges to
hospitals (non physican) were granted 1983 by JC << correct answer >>Credentialing and privileging
process which an NP is granted permission to practice in an inpt setting << correct answer
>>Credentialing with hospital privileges is granted by a Hospital Credentialing Committee << correct
answer >>Pt Medical Abandoment When caregiver-pt relationship is terminated w/o making
reasonable arrangements w an appropriate person so that care can be continued << correct answer
>>Determination of pt abandonment depends on factors such as: Whether NP accepted pt
assignment, whether NP provided reasonable notice before termination, whether reasonable
arrangements could have been made << correct answer >>Following do not constitute pt abandonment
NP refuses to accept responsibility for pt assignment when NP has given reasonable notice to
proper authority that NP lacks competence to carry out assignment; NP refuses assignment of a double
shift or addtl hrs beyond posted work schedule when proper notification has been given..latter phrase
can be controversial << correct answer >>Risk Mgmt Systematic effort to reduce risk begins w formal
written risk mgmt plan that includes: organizations goals, delineation of program's scope, components,
methods; delegating responsibility for implementation and enforcement; demonstrating commitment
by the board; confidentiality and immunity from retaliation for those who report sensitive info <<
correct answer >> Most common method of documentation for risk mgmt incident reports <<
correct answer >> Policies regarding incident reports should address: ppl authorized to complete
report; ppl responsible for review of a report, immediate actions needed to minimize the effects of the
event; ppl responsible for follow up; plan for monitoring aftermath; security/storage of completed
report << correct answer >>Risk mgmt - Satisfaction surveys Important for identifying problems
before they develop into incidents or claims; for pts and employees << correct answer >>Risk mgmt -
Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing complaints by clearly
identifying: ppl notified after receiving complaint; ppl responsible for responding; ppl responsible
for monitoring follow up << correct answer >>Action taking initiatives: Prevention, correction
(corrective steps must be monitored and audited), documentation, education, departmental
,coordination << correct answer >>Medical Futility Interventions that are unlikely to produce
significant benefit for pt - "Does the intervention have any reasonable prospect of helping this pt?" <<
correct answer >>Two kind of medical futility: Quantitative futility: likelihood that intervention will
benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor << correct answer
>>Informed consent - competence (decisional capability) state that pt is able to make personal
decisions about their care << correct answer >>competence implies that ability to: understand,
reason, differentiate good and bad, and communicate << correct answer >>informed consent pt has
received adequate instruction or info regarding aspects of care to make prudent, personal choice
regarding such tx << correct answer >>Informed consent includes: discussing benefits and risk <<
correct answer >>consent is assumed if... pt's condition is life threatening << correct answer
>>Danforth Amendment 1991 pts are informed at time of admission to federally funded institution
(such as hospital, nursing home, hospice, HMO, etc) that they have the right to refuse care as long as the
pt has decisional capability (competence) << correct answer >>Ethics study of moral conduct and
behavior protecting the rights of an individual << correct answer >>1st priority is the most salvagable
pts. Most critically injured cared for last. << correct answer >>Key ethical principles are:
nonmaleficence, utilitarianism, beneficence, justice, fidelity, veracity, autonomy << correct
answer >>Nonmaleficence duty to do no harm << correct answer >>Utilitarianism the right act is
the one that produces the greatest good for the greatest number << correct answer >>Beneficence
duty to prevent harm and promote good << correct answer >>Justice duty to be fair <<
correct answer >>Fidelity duty to be faithful << correct answer >>Veracity duty to be truthful
(tends to be in conflict with fidelity) << correct answer >>Autonomy duty to respect an individual's
thoughts and actions (tend to be in conflict with beneficence) << correct answer
>>Dismissing/discharging a pt or closing practice NP cannot withdraw from caring for a pt
without notification << correct answer >>Examples of reasons for discharging a pt from practice: abuse,
refusal to pay, persistent non-adherence to care << correct answer >>Steps for discharging a pt from
practice: send a certified letter with return receipt (copy for chart), provide general healthcare
coverage for 1st 15-30 days post termination deadline, obtain release of info to provide copies of all
needed records for next care provider << correct answer >>Obligations in closing practice d/t relocation,
retirement give pt adequate time to find another provider, keep all files for min 5 years, provide
timely notification and names of other providers and resources for future care << correct answer >>Role
of NP developed in the early... 1960s as a result of physician shortages in the area of peds << correct
answer >>First NP program was peds, begun in... 1964 by Dr. Loretta Ford and Dr. Henry Silver at
CU Health Sciences mainly focusing on ambulatory and outpt care << correct answer >>Historical service
of NPs in primary care resulted in part from the... availability of federal funding for preventive and
primary care NP education << correct answer >>Movement of NPs expanded to the... inpt setting as a
result of managed care, hospital restructuring, and decreases in medical residency programs << correct
answer >>4 distinct roles for NPs: clinician, consultant/collaborator, educator, researcher <<
correct answer >>Crisis/Acute Grief Communication Acknowledge feelings
Offer self << correct answer >>Crisis Intervention Boundaries
Security if necessary, NOT police
,Establish trust/rapport << correct answer >>Advance Directive Written statement of patient's intent
regarding medical treatment << correct answer >>The Patient Self-Determination Act of 1990 All
patients in a hospital setting are required to be advised of their right to execute an advance directive <<
correct answer >>Living Will Compilation of statements that specify which life-prolonging measures
one does and does not want if they become incapacitated << correct answer >>Durable Power of
Attourney Individual designated in the living will that is authorized to make medical decisions in
the event patient is incapacitated << correct answer >>Title I of HIPPA Protects health insurance
coverage for workers and their families in the event they change or lose their jobs
COBRA << correct answer >>COBRA protects health insurance coverage for workers and their
families in the event worker loses or changes jobs << correct answer >>Who enforces HIPPA Office
for Civil Rights << correct answer >>Patient Safety Rule Protects patient information to analyze patient
safety events and improve << correct answer >>True or False: A patient has the right to see their
medical record True << correct answer >>The Privacy Rule: Patient's Rights See/have their medical
record
Corrections added to medical record << correct answer >>Patient Safety and Quality Improvement Act
(PSQIA) Voluntary reporting system
improve patient safety outcomes through anonymous reporting by providers of patient safety outcomes
and events << correct answer >>Duty to Warn Patient's condition may endanger others overrides
confidentiality << correct answer >>Patient is diagnosed with HIV. Duty to Warn applies how? Can
notify providers not family << correct answer >>Invasion of Privacy Damaging one's reputation as a
result of sharing patient information without their permission << correct answer >>When can invasion
of privacy charge not be made in good faith
accurate information
receiver has valid reason to obtain information << correct answer >>Initiating any change in heathcare
Begin at most local level and expand outward << correct answer >>What comes first when
treating a patient with a medical and psychosocial condition Medical condition << correct answer
>>strongest method to evaluate teaching returned demonstration << correct answer >>when to
transfer to teritary care facility seriously ill or injured patients that cannot be cared for at your
institution
stabilize and ship << correct answer >>Patient reluctant to undergo procedure. you should? Fully
educate patient and tell them why << correct answer >>Primary care screening exams that are not
emergent do not delay hospital discharge refer to PCP << correct answer >>most powerful data
collected from patient subjective or data you observed as the np << correct answer >>RN calls you as
the night shift NP and states patient is decompensating. You would? Call primary MD when patient
status changes << correct answer >>Code goes bad and all involved are talking badly about it on the
unit. You should? Hold a one time debriefing with everyone invovled << correct answer >>What is
a response that would suggest admitting a patient to a SNF would be the best action? Needing
assistance with ADLs << correct answer >>Goals of Healthy People 2020 increase the quality and years
of healthy life
, eliminate health disparities among americans << correct answer >>Healthy People 2020 purpose used to
understand health status of the nation and plan prevention programs << correct answer >>NP must
notify department of health with what dx Gonorrhea
Chlamydia
Syphillis
HIV
TB << correct answer >>NPs must report to state Criminal acts and injury from dangerous
weapon (GSW)
Gonorrhea
Chlamydia
Syphillis
HIV
TB
Animal bites
Suspected/actual child abuse
Domestic violence << correct answer >>Physical Therapy Strength training
coordination << correct answer >>Occupational TherapyADLs << correct answer >>Medicare Third
party payers
sets the standard for reimbursement and cutting costs
>65 yo.
Disabled << correct answer >>Medicaid Third party payers
Poverty << correct answer >>Medicare A Covers inpatient hospitalizations
SNF
home health
hospice
>65 yo. << correct answer >>Medicare BCovers physician services
outpatient hospital services
labs/diagnostic procedures
medical equipment
