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NT Test Prep - AGACNPThe AGACNP is speaking to a group of healthcare executives to promote the NP role at a facility. Which of the following provides the strongest support for NP practice? A. Number of academic credits earned during the NP program B. NP practice outcomes C. The quantity of clinical hours and type of clinical rotations in the NP program D. The professional experience of the person prior to entering the NP program - correct answer B. NP practice outcomes The AGACNP is evaluating a quantitative research study on a new pharmacotherapeutic agent to prevent patients from going through acute alcohol withdrawal. The research questions is: "Does the pharmacotherapeutic agent prevent acute alcohol withdrawal in hospitalized patients?" The results of the study indicate that there is a correlation between preventing acute alcohol withdrawal in hospitalized patients and the pharmacotherapeutic agent with a p-value of < 0.05. How should the AGACNP interpret these results? A. The new agents is not effective in preventing acute alcohol withdrawal B. The new agents is effective in preventing acute alcohol withdrawal C. More statistical data are needed prior to reaching a conclusion D. The research study is biased - correct answer B. The new agents is effective in preventing acute alcohol withdrawal The AGACNP is conducting a qualitative research study to evaluate the experience of pain control in patients with end-stage pancreatic cancer. The research question is: "What experiences do end-stage pancreatic cancer patients describe as being associated with their pain control?" How does the AGACNP know they have successfully completed data collection and analysis? A. A power analysis proves there is a sufficient number of participants for the study B. The researcher identified that common themes have emerged from the data and no new ideas are emerging C. The researcher has gathered data from every participant recruited D. Statistical data show a correlation between end-stage pancreatic cancer and adequate pain control - correct answer B. The researcher identified that common themes have emerged from the data and no new ideas are emerging The AGACNP demonstrates fulfillment of the advanced practice nursing leadership role by participating in which of the following activities? A. Teaching a 56 year old man with newly-diagnosed type 2 diabetes mellitus about the importance of self-glucose monitoring B. Volunteering to teach a class on contraceptive methods to a group of teen mothers C. Discussing barriers to achieving blood pressure control with a 65 year old woman with hypertension who "does not want to take any medicine" D. Collaborating with the regional public health department on a n initiative to combat obesity through a community-based exercise program - correct answer D. Collaborating with the regional public health department on an initiative to combat obesity through a community-based exercise program A 50 year old male is admitted to the hospital after suffering a motor vehicle accident and is diagnosed with a fractured pelvis requiring surgical repair. The medical resident obtains informed consent for the surgical procedure. When the AGACNP enters the room, the patient's wife states that she is concerned because her husband was given "a sleeping pill" and she is not sure he understood what he has signed. The most appropriate action by the AGACNP would be to: A. Call the operating room and cancel the surgery B. Discuss the situation with the medical resident C. Obtain a new OR consent from the patient's wife D. Obtain an ethics consult to determine your next action - correct answer B. Discuss the situation with the medical resident Which of the following scenarios would constitute malpractice? A. A 32 year old female patient who suffers a stroke while undergoing a tubal ligation. The AGACNP did not identify any cerebrovascular abnormalities during the preoperative history and physical examination. B. A 16 year old male who loses consciousness during a school-related baseball game. The patient is found to have profound anemia due to an undiagnosed condition, which is not discovered during a routine sports physical examination. C. A 54 year old male who presents to the emergency department with vague, substernal/epigastric chest pressure and states he has experienced "indigestion" for the last few weeks, which seems to get worse when he cuts his lawn and goes on his daily run. The patient's symptoms are relieved with rest and calcium carbonate/magnesium carbonate (Mylanta). An EKG was not preformed. The patient is discharged home and dies of a fa - correct answer B. A 16 year old male who loses consciousness during a school-related baseball game. The patient is found to have profound anemia due to an undiagnosed condition, which is not discovered during a routine sports physical examination. The AGACNP is expected to diagnose and treat a wide variety of acute and chronic illnesses, while collaborating with other health care providers, registered nurses, and allied health professionals. This is an example of: A. Professional Standards of Clinical Practice B. Scope of Practice C. Ethical Principles of Practice D. Standards of Professional Performance - correct answer A. Professional Standards of Clinical Practice A 37 year old female patient presents to the emergency department with a complaint of right foot pain. During your examination of this patient, you notice multiple bruises in various stages of healing. The patient retracts when you reach out to touch her. When her husband appears in the waiting room, she becomes anxious. The patient reveals to you that she is physically abused by her husband and was raped by him tonight prior to coming in. During the rape, she was struggling and hit her foot. The patient does not want to press charges and wants to return home with her husband after being treated. The AGACNP's next action is to: A. Notify the police of the physical assault B. Place the patient on a 24 hour psychiatric hold C. Counsel the patient regarding her options D. Have the patient sign out against medical advice - correct answer C. Counsel the patient regarding her options You are preparing a presentation for a local nurse practitioner conference on safe medication prescribing and administration. Which of the following must be included in your presentation as best practices for medication safety? Select all that apply: A. Prescribing using a preprinted checklist B. Performing a medication reconciliation at each visit C. Calling all prescriptions into the pharmacy D. Utilizing electronic prescribing

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