AGPCNP
ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP-BC) Exam Review 2025
Scope of Practice -Correct Answer ✔Based on legal allowances in each state, individual
state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include -Correct Answer ✔integration of care across the
acute illness continuum with collaboration and coordination of care; research based
clinical practices, clinical leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... -Correct Answer ✔American Nurses
Association which measure quality of practice, service, or education
State Practice Acts -Correct Answer ✔Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
State Practice Acts - authority includes: -Correct Answer ✔use of title, authorization for
scope of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as -Correct Answer ✔certification
Prescriptive authority -Correct Answer ✔Ability and extent of NPs ability to prescribe
meds
DEA has ruled that nurses in advanced practice may obtain.. -Correct Answer
✔registration numbers, state practice acts dictate level of prescriptive authority allowed
AGPCNP
,AGPCNP
Credentials encompass... -Correct Answer ✔required education, licensure and
certification to practice as an NP
Credentials establish... -Correct Answer ✔minimal levels of acceptable performance
Credentialing is necessary to: -Correct Answer ✔ensure that safe healthcare is provided
by qualified individuals; comply with federal and state laws r/t APN
Credentials also... -Correct Answer ✔acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice
Licensure -Correct Answer ✔establishes that a person is qualified to perform in a
particular professional role
Licensure is granted as defined by rules and regulations set forth by -Correct Answer ✔a
governmental regulatory body (ie. state board of nursing)
Certification -Correct Answer ✔Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by nongovernmental agencies such as -Correct Answer ✔ANCC,
AANP
Admitting privileges to hospitals (non physican) were granted -Correct Answer ✔1983 by
JC
Credentialing and privileging -Correct Answer ✔process which an NP is granted
permission to practice in an inpt setting
AGPCNP
,AGPCNP
Credentialing with hospital privileges is granted by a -Correct Answer ✔Hospital
Credentialing Committee
Pt Medical Abandoment -Correct Answer ✔When caregiver-pt relationship is terminated
w/o making reasonable arrangements w an appropriate person so that care can be
continued
Determination of pt abandonment depends on factors such as: -Correct Answer
✔Whether NP accepted pt assignment, whether NP provided reasonable notice before
termination, whether reasonable arrangements could have been made
Following do not constitute pt abandonment -Correct Answer ✔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
Risk Mgmt -Correct Answer ✔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
Most common method of documentation for risk mgmt -Correct Answer ✔incident
reports
Policies regarding incident reports should address: -Correct Answer ✔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
AGPCNP
, AGPCNP
Risk mgmt - Satisfaction surveys -Correct Answer ✔Important for identifying problems
before they develop into incidents or claims; for pts and employees
Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and
managing complaints by clearly identifying: -Correct Answer ✔ppl notified after
receiving complaint; ppl responsible for responding; ppl responsible for monitoring
follow up
Action taking initiatives: -Correct Answer ✔Prevention, correction (corrective steps must
be monitored and audited), documentation, education, departmental coordination
Medical Futility -Correct Answer ✔Interventions that are unlikely to produce significant
benefit for pt - "Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: -Correct Answer ✔Quantitative futility: likelihood that
intervention will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
Informed consent - competence (decisional capability) -Correct Answer ✔state that pt is
able to make personal decisions about their care
competence implies that ability to: -Correct Answer ✔understand, reason, differentiate
good and bad, and communicate
informed consent -Correct Answer ✔pt has received adequate instruction or info
regarding aspects of care to make prudent, personal choice regarding such tx
AGPCNP
ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP-BC) Exam Review 2025
Scope of Practice -Correct Answer ✔Based on legal allowances in each state, individual
state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include -Correct Answer ✔integration of care across the
acute illness continuum with collaboration and coordination of care; research based
clinical practices, clinical leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... -Correct Answer ✔American Nurses
Association which measure quality of practice, service, or education
State Practice Acts -Correct Answer ✔Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
State Practice Acts - authority includes: -Correct Answer ✔use of title, authorization for
scope of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as -Correct Answer ✔certification
Prescriptive authority -Correct Answer ✔Ability and extent of NPs ability to prescribe
meds
DEA has ruled that nurses in advanced practice may obtain.. -Correct Answer
✔registration numbers, state practice acts dictate level of prescriptive authority allowed
AGPCNP
,AGPCNP
Credentials encompass... -Correct Answer ✔required education, licensure and
certification to practice as an NP
Credentials establish... -Correct Answer ✔minimal levels of acceptable performance
Credentialing is necessary to: -Correct Answer ✔ensure that safe healthcare is provided
by qualified individuals; comply with federal and state laws r/t APN
Credentials also... -Correct Answer ✔acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice
Licensure -Correct Answer ✔establishes that a person is qualified to perform in a
particular professional role
Licensure is granted as defined by rules and regulations set forth by -Correct Answer ✔a
governmental regulatory body (ie. state board of nursing)
Certification -Correct Answer ✔Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by nongovernmental agencies such as -Correct Answer ✔ANCC,
AANP
Admitting privileges to hospitals (non physican) were granted -Correct Answer ✔1983 by
JC
Credentialing and privileging -Correct Answer ✔process which an NP is granted
permission to practice in an inpt setting
AGPCNP
,AGPCNP
Credentialing with hospital privileges is granted by a -Correct Answer ✔Hospital
Credentialing Committee
Pt Medical Abandoment -Correct Answer ✔When caregiver-pt relationship is terminated
w/o making reasonable arrangements w an appropriate person so that care can be
continued
Determination of pt abandonment depends on factors such as: -Correct Answer
✔Whether NP accepted pt assignment, whether NP provided reasonable notice before
termination, whether reasonable arrangements could have been made
Following do not constitute pt abandonment -Correct Answer ✔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
Risk Mgmt -Correct Answer ✔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
Most common method of documentation for risk mgmt -Correct Answer ✔incident
reports
Policies regarding incident reports should address: -Correct Answer ✔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
AGPCNP
, AGPCNP
Risk mgmt - Satisfaction surveys -Correct Answer ✔Important for identifying problems
before they develop into incidents or claims; for pts and employees
Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and
managing complaints by clearly identifying: -Correct Answer ✔ppl notified after
receiving complaint; ppl responsible for responding; ppl responsible for monitoring
follow up
Action taking initiatives: -Correct Answer ✔Prevention, correction (corrective steps must
be monitored and audited), documentation, education, departmental coordination
Medical Futility -Correct Answer ✔Interventions that are unlikely to produce significant
benefit for pt - "Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: -Correct Answer ✔Quantitative futility: likelihood that
intervention will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
Informed consent - competence (decisional capability) -Correct Answer ✔state that pt is
able to make personal decisions about their care
competence implies that ability to: -Correct Answer ✔understand, reason, differentiate
good and bad, and communicate
informed consent -Correct Answer ✔pt has received adequate instruction or info
regarding aspects of care to make prudent, personal choice regarding such tx
AGPCNP
