ANCC FNP ACTUAL TEST PAPER FULL
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● Health People 2020
Answer: The program is an initiative that develops evidence-based
practice objectives designed to improve the health of all Americans. The
objectives are targeted to be followed over a 10-year period.
4 Foundational Healthcare measures:
1) General health status.
2) Health-related quality of life and well being.
3) Determinants of Health - aim to create social & physical
environments that promote good health for all.
4) Reduce Health Disparities.
●● Electronic Medical Record (EMR)
Answer: Pros: allows for sharing of health information between
healthcare entities & with patients, thereby reducing the cost of care,
improving care efficiency, avoiding readmission and decreasing
duplicate testing. Cons: the potential for data loss in the event of
computer or system failure.
●● Medicaid
,Answer: A federal and state assistance program that pays for health care
services for people who cannot afford them. Varies from state to state.
●● Medicare
Answer: A federal program of health insurance for persons 65 years of
age and older. Those with severe disability no matter income level or
those with ESRD. Qualifying conditions must be a US Citizen, non-US
citizens after 5 years of permanent residency. US Veterans are eligible
after 65 years.
* Medicare Part A covers medically necessary inpatient care and
supplies; skilled nursing facility.
* Medicare Part B covers nursing home/custodial care (ADL's), home
health services, durable medical equipment, outpatient care & preventive
services (i.e. 1 mammogram every 12 months) in women 40 and older.
Part B does not include routine dental care of eyeglasses.
* Part C - HMO
* Part D covers prescriptions.
●● Single payer healthcare system
Answer: refers to a system where in essence the government runs a
nationwide insurance plan that pays all healthcare cost for its members.
●● Peer Review / 360 degree Evaluation
,Answer: employees rate other employees in the same job classification,
through the use of established criteria. The system has the potential to
offer honest & specific feedback that allows the individual to make
improvements or adjustments to meet objectives and performance
standards.
●● Fidelity
Answer: Loyalty & dedication; keeping a promise.
●● Beneficence
Answer: promote good and prevent harm.
●● Non-Maleficence
Answer: duty to do no harm
●● Justice
Answer: Right to fair and equitable treatment.
●● Automony
Answer: The right of the patient to make clinical decisions about their
medical care, assuming the patient is rational & can make informed
decisions about care.
●● Veracity
, Answer: truthfulness
●● Utilitarianism
Answer: Greatest good for the greatest number of people
●● State Nurse Practice Act
Answer: (NPA) approved by vote through the processes of each
individuals states legislature. The act delineates the legal scope of
practice within the geographical boundaries of the jurisdiction. The
purpose of the state nurse practice act is to protect the public.
●● State Board of Nursing
Answer: (BON) determines laws governing nurse practice authority; has
the authority to develop administrative rules or regulations that clarify
the NPA & make scope of practice interpretations more specific. The
state BON rules and regulations must be consistent with the legislature.
●● Emergency Medical Treatment & Labor Act (EMTALA)
Answer: designated to prevent inappropriate transfers and "patient
dumping" for indigent patients. Requires hospitals to access and treat
patients regardless of ability to pay and provides specific provisions on
when transfers are allowed.
●● Genetic Information Nondiscriminatory Act (GINA)
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● Health People 2020
Answer: The program is an initiative that develops evidence-based
practice objectives designed to improve the health of all Americans. The
objectives are targeted to be followed over a 10-year period.
4 Foundational Healthcare measures:
1) General health status.
2) Health-related quality of life and well being.
3) Determinants of Health - aim to create social & physical
environments that promote good health for all.
4) Reduce Health Disparities.
●● Electronic Medical Record (EMR)
Answer: Pros: allows for sharing of health information between
healthcare entities & with patients, thereby reducing the cost of care,
improving care efficiency, avoiding readmission and decreasing
duplicate testing. Cons: the potential for data loss in the event of
computer or system failure.
●● Medicaid
,Answer: A federal and state assistance program that pays for health care
services for people who cannot afford them. Varies from state to state.
●● Medicare
Answer: A federal program of health insurance for persons 65 years of
age and older. Those with severe disability no matter income level or
those with ESRD. Qualifying conditions must be a US Citizen, non-US
citizens after 5 years of permanent residency. US Veterans are eligible
after 65 years.
* Medicare Part A covers medically necessary inpatient care and
supplies; skilled nursing facility.
* Medicare Part B covers nursing home/custodial care (ADL's), home
health services, durable medical equipment, outpatient care & preventive
services (i.e. 1 mammogram every 12 months) in women 40 and older.
Part B does not include routine dental care of eyeglasses.
* Part C - HMO
* Part D covers prescriptions.
●● Single payer healthcare system
Answer: refers to a system where in essence the government runs a
nationwide insurance plan that pays all healthcare cost for its members.
●● Peer Review / 360 degree Evaluation
,Answer: employees rate other employees in the same job classification,
through the use of established criteria. The system has the potential to
offer honest & specific feedback that allows the individual to make
improvements or adjustments to meet objectives and performance
standards.
●● Fidelity
Answer: Loyalty & dedication; keeping a promise.
●● Beneficence
Answer: promote good and prevent harm.
●● Non-Maleficence
Answer: duty to do no harm
●● Justice
Answer: Right to fair and equitable treatment.
●● Automony
Answer: The right of the patient to make clinical decisions about their
medical care, assuming the patient is rational & can make informed
decisions about care.
●● Veracity
, Answer: truthfulness
●● Utilitarianism
Answer: Greatest good for the greatest number of people
●● State Nurse Practice Act
Answer: (NPA) approved by vote through the processes of each
individuals states legislature. The act delineates the legal scope of
practice within the geographical boundaries of the jurisdiction. The
purpose of the state nurse practice act is to protect the public.
●● State Board of Nursing
Answer: (BON) determines laws governing nurse practice authority; has
the authority to develop administrative rules or regulations that clarify
the NPA & make scope of practice interpretations more specific. The
state BON rules and regulations must be consistent with the legislature.
●● Emergency Medical Treatment & Labor Act (EMTALA)
Answer: designated to prevent inappropriate transfers and "patient
dumping" for indigent patients. Requires hospitals to access and treat
patients regardless of ability to pay and provides specific provisions on
when transfers are allowed.
●● Genetic Information Nondiscriminatory Act (GINA)
