AGACNP Based on Frances Guide
Review Materials Questions with
Verified Answers 2026/2027 Latest &
Already Graded A
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 for health care
needs is the:
PCP
A 32 yo patient who underwent an open splenectomy for a ruptured spleen is preparing for discharge.
An ACNp review the potential complications with the patient. The NP emphasizes which instruction to
the patient?
F/u with PCP for vaccinations
32 yo presents with c/o fever, night sweats, and unexplained weight loss. Upon exam you note a
swollen cervical lymph node. A subsequent CXR reveals mediastinal adenopathy. What is the
diagnosis?
Hodgkin's lymphoma
The NP is asked to provide evidence to the hospital administration about the safety of NP placing
central lines. Which resource provides the strongest level of evidence?
A systematic review (meta analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their
own provider number?
Balanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice?
False, if they are a danger you can restrain
,Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit overnight.
Which of the following would qualify as incident to billing?
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time?
Pediatric physician shortage
Elderly patient takes a turn for the worse. The husband is crying when you enter the room and begins
telling you what end-of-life care he prefers. What do you do?
Ask him to speak candidly with you
Patient calls to complain about bills and states he has Medicare, which should cover all costs. You
explain:
Since you are healthy, exams are not covered
Doc calls from another center asking if you can tell him what kind of orders he should give for
maintenance of patient...
No, HIPPA
Patient in ER not doing well, primary MD calls:
Give him info
NP working on ESRD research project. A colleague renal specialist asks for patient info on your
patients:
HIPAA breach
,Who enforces HIPAA?
Office of Civil Rights/Dept Health and Human Services
Who isn't covered by HIPAA?
Law enforcment/municipal offices, CPS/Schools, employers/workman's comp, life insurance
Insurance company calling to verify some patient appointments?
Answer by picking out that there is already a medical release signed by the patient and give the
requested information to them
Benchmarking
How institution compares with similar organizations
Managed care
Know what this is and how it has improved costs, something about putting caps on payments
Peer review
Timely, not anonymous, and NP knows how peer review will impact yearly evaluation
Sensitivity vs specificity
Sensitivity: true positives, specificity: true negatives
There was a question where a patient had a multinodular goiter and wanted to know why the NP was
not going to do periodic US and fine needle biopsy in monitoring for some kind of cancer or
complication. The answer I picked was that these tests were not very specific to detect the cancer
, Reliability
When implementing a new study, tested over and over, the consistency of a measurement or the
degree to which an instrument measures the same way over time
Validity of results in an article
P-value, probability of falsely rejecting the null hypothesis, want it to be <0.05
Statistical significance
Look at sample size and p value
Privileging
May be granted in full or part by the hospital, credentialing committee is made of physicians
Who determines scope of practice?
State practice acts but institutional bylaws may further restrict practice (facility limited scope of
practice)
Informed consent
A state indicating patient has received adequate instruction/information regarding aspects of care to
make a prudent, personal choice regarding such, includes risks and benefits, competence: ability to
communicate, understand, reason, differentiate good and bad
Case management
Mobilize, mointor, and control resources that a patient uses during course of an illness while balancing
quality and cost, "move patients through the system appropriately"
Review Materials Questions with
Verified Answers 2026/2027 Latest &
Already Graded A
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 for health care
needs is the:
PCP
A 32 yo patient who underwent an open splenectomy for a ruptured spleen is preparing for discharge.
An ACNp review the potential complications with the patient. The NP emphasizes which instruction to
the patient?
F/u with PCP for vaccinations
32 yo presents with c/o fever, night sweats, and unexplained weight loss. Upon exam you note a
swollen cervical lymph node. A subsequent CXR reveals mediastinal adenopathy. What is the
diagnosis?
Hodgkin's lymphoma
The NP is asked to provide evidence to the hospital administration about the safety of NP placing
central lines. Which resource provides the strongest level of evidence?
A systematic review (meta analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their
own provider number?
Balanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice?
False, if they are a danger you can restrain
,Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit overnight.
Which of the following would qualify as incident to billing?
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time?
Pediatric physician shortage
Elderly patient takes a turn for the worse. The husband is crying when you enter the room and begins
telling you what end-of-life care he prefers. What do you do?
Ask him to speak candidly with you
Patient calls to complain about bills and states he has Medicare, which should cover all costs. You
explain:
Since you are healthy, exams are not covered
Doc calls from another center asking if you can tell him what kind of orders he should give for
maintenance of patient...
No, HIPPA
Patient in ER not doing well, primary MD calls:
Give him info
NP working on ESRD research project. A colleague renal specialist asks for patient info on your
patients:
HIPAA breach
,Who enforces HIPAA?
Office of Civil Rights/Dept Health and Human Services
Who isn't covered by HIPAA?
Law enforcment/municipal offices, CPS/Schools, employers/workman's comp, life insurance
Insurance company calling to verify some patient appointments?
Answer by picking out that there is already a medical release signed by the patient and give the
requested information to them
Benchmarking
How institution compares with similar organizations
Managed care
Know what this is and how it has improved costs, something about putting caps on payments
Peer review
Timely, not anonymous, and NP knows how peer review will impact yearly evaluation
Sensitivity vs specificity
Sensitivity: true positives, specificity: true negatives
There was a question where a patient had a multinodular goiter and wanted to know why the NP was
not going to do periodic US and fine needle biopsy in monitoring for some kind of cancer or
complication. The answer I picked was that these tests were not very specific to detect the cancer
, Reliability
When implementing a new study, tested over and over, the consistency of a measurement or the
degree to which an instrument measures the same way over time
Validity of results in an article
P-value, probability of falsely rejecting the null hypothesis, want it to be <0.05
Statistical significance
Look at sample size and p value
Privileging
May be granted in full or part by the hospital, credentialing committee is made of physicians
Who determines scope of practice?
State practice acts but institutional bylaws may further restrict practice (facility limited scope of
practice)
Informed consent
A state indicating patient has received adequate instruction/information regarding aspects of care to
make a prudent, personal choice regarding such, includes risks and benefits, competence: ability to
communicate, understand, reason, differentiate good and bad
Case management
Mobilize, mointor, and control resources that a patient uses during course of an illness while balancing
quality and cost, "move patients through the system appropriately"
