AGACNP 106 DOCUMENT EXPECTED QUESTIONS WITH
VERIFIED ANSWERS
Question 1.
Levels of Evidence Hierarchy (highest to lowest)
ANSWER
1. Meta analysis
2. Systematic Review
3. RCTs (quantitative designs)
4. Quasi-experimental (lack randomization or a control group)
5. Qualitative cohort Studies
6. Case controlled studies
7. Editorial/expert opinion
Question 2.
Standardized Assessment Tool: Confusion Assessment Method for the ICU (CAM-ICU)
ANSWER
-Tool designed to be used in the critical care unit to assess for delirium, including AMS and
disorganized thinking
-4 features: acute onset of mental status changes or fluctuating course, inattention,
disorganized thinking, altered level of consciousness
-Should be conducted every day/shift
Question 3.
Mammogram Screening
ANSWER
-Annually for aged 45-54
-Every 2 years after age 50-74
-For aged 75 years and older, no specific recommendations to D/C
,Question 4.
What side effect to watch for Metoclopramide (Reglan)?
ANSWER
-EPS - tardive dyskinesia
-Black Box warning
Question 5.
What ethnicity like to have DM and not seek treatment?
ANSWER
Hispanics
Question 6.
Thalassemia what type of anemia?
Problem with what?
TIBC/Ferritin are?
Thalassemia minor is what?
ANSWER
-Microcytic, hypochromic anemia
-Decreased alpha/beta Hgb chains
-Abnormal Hgb production
-TIBC/ferritin are normal
-Minor = heterozygous
Question 7.
What is specificity?
ANSWER
-True negatives
-The degree to which those who do not have a disease screen/test negative
,Question 8.
Certification
ANSWER
-Establishes that a person has met certain standards in a particular profession which signify
mastery of specialized knowledge and skills
-Granted by nongovernmental agencies (ANCC, AACN, AANP, PNCB, NCC)
Question 9.
Pheochromocytoma Treatment
ANSWER
1. Surgical removal is treatment of choice
2. Alpha adrenergic preoperativelty = phentolamine (regitine) then convert to PO
phenoxybenzamine (dibenzyline)
Question 10.
What are the 6 competencies of QSEN?
ANSWER
-Patient-Centered Care
-Teamwork and Collaboration
-Evidence-Based Practice
-Quality Improvement
-Safety
-Informatics
Question 11.
Diverticulitis Treatment
ANSWER
1. NPO
2. IVF to maintain hydration
3. Significant GI bleeding is present, treat like PUD
4. 20-30% of patients will require surgical management: Surgical consult
UpToDate: ATB cipro/flagyl or levo/flagyl
surgical consult on admit
, Question 12.
Standards of Practice
ANSWER
-Developed by the ANA
-Provides guidelines for nursing practice
-Rules/definitions what it means to provide competent care
-Governed by the nurse practice act
Question 13.
AGACNP cardio gives presentation lipid lowering drug. drug company pay presenter ask them limit
remarks to their drug what is this?
ANSWER
Conflict of interest
Question 14.
PSA/DRE Screening
ANSWER
-Start at 40 yrs for men with family history or AA
-Annually for everyone else >50
Question 15.
Vaccines after splenectomy most important?
Others?
ANSWER
-Meningococcal: conjugate (MenACWY) and serogroup B (MenB) and pneumococcal conjugate
(PCV13) and polysaccharide (PPSV23)
-Hib
-Influenza each year
-Tdap
-Zoster
-HPV
-MMR
-Varicella
VERIFIED ANSWERS
Question 1.
Levels of Evidence Hierarchy (highest to lowest)
ANSWER
1. Meta analysis
2. Systematic Review
3. RCTs (quantitative designs)
4. Quasi-experimental (lack randomization or a control group)
5. Qualitative cohort Studies
6. Case controlled studies
7. Editorial/expert opinion
Question 2.
Standardized Assessment Tool: Confusion Assessment Method for the ICU (CAM-ICU)
ANSWER
-Tool designed to be used in the critical care unit to assess for delirium, including AMS and
disorganized thinking
-4 features: acute onset of mental status changes or fluctuating course, inattention,
disorganized thinking, altered level of consciousness
-Should be conducted every day/shift
Question 3.
Mammogram Screening
ANSWER
-Annually for aged 45-54
-Every 2 years after age 50-74
-For aged 75 years and older, no specific recommendations to D/C
,Question 4.
What side effect to watch for Metoclopramide (Reglan)?
ANSWER
-EPS - tardive dyskinesia
-Black Box warning
Question 5.
What ethnicity like to have DM and not seek treatment?
ANSWER
Hispanics
Question 6.
Thalassemia what type of anemia?
Problem with what?
TIBC/Ferritin are?
Thalassemia minor is what?
ANSWER
-Microcytic, hypochromic anemia
-Decreased alpha/beta Hgb chains
-Abnormal Hgb production
-TIBC/ferritin are normal
-Minor = heterozygous
Question 7.
What is specificity?
ANSWER
-True negatives
-The degree to which those who do not have a disease screen/test negative
,Question 8.
Certification
ANSWER
-Establishes that a person has met certain standards in a particular profession which signify
mastery of specialized knowledge and skills
-Granted by nongovernmental agencies (ANCC, AACN, AANP, PNCB, NCC)
Question 9.
Pheochromocytoma Treatment
ANSWER
1. Surgical removal is treatment of choice
2. Alpha adrenergic preoperativelty = phentolamine (regitine) then convert to PO
phenoxybenzamine (dibenzyline)
Question 10.
What are the 6 competencies of QSEN?
ANSWER
-Patient-Centered Care
-Teamwork and Collaboration
-Evidence-Based Practice
-Quality Improvement
-Safety
-Informatics
Question 11.
Diverticulitis Treatment
ANSWER
1. NPO
2. IVF to maintain hydration
3. Significant GI bleeding is present, treat like PUD
4. 20-30% of patients will require surgical management: Surgical consult
UpToDate: ATB cipro/flagyl or levo/flagyl
surgical consult on admit
, Question 12.
Standards of Practice
ANSWER
-Developed by the ANA
-Provides guidelines for nursing practice
-Rules/definitions what it means to provide competent care
-Governed by the nurse practice act
Question 13.
AGACNP cardio gives presentation lipid lowering drug. drug company pay presenter ask them limit
remarks to their drug what is this?
ANSWER
Conflict of interest
Question 14.
PSA/DRE Screening
ANSWER
-Start at 40 yrs for men with family history or AA
-Annually for everyone else >50
Question 15.
Vaccines after splenectomy most important?
Others?
ANSWER
-Meningococcal: conjugate (MenACWY) and serogroup B (MenB) and pneumococcal conjugate
(PCV13) and polysaccharide (PPSV23)
-Hib
-Influenza each year
-Tdap
-Zoster
-HPV
-MMR
-Varicella
