C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
Profession 3rd Edition Denisco Test Bank
c. Evaluating patients for safety and efficacy of interventions
d. Assessing patients for urgent and emergent conditions
ANS: B
In 2012, the ANCC surveyed ACNP clinicians and identified top work activities for the AG-
ACNP role. These activities were organized by criticality, or importance of the skill and
determined by the requirement to perform the skill accurately each time, as a novice NP, and
based on the risk of harm by performing the skill incorrectly. Maintaining patient privacy and
confidentiality scored at the top.
173. Based on a survey of ACNPs, the following procedures are performed in a hospital-
based setting most commonly by ACNPs except:
a. Vasoactive intravenous drips
b. Lumbar puncture
c. Sutures
d. Radiologic studies
ANS: B
Based on survey data, procedures that are formed least routinely by ACNPs include lumbar
punctures, surgical first assist, thoracostomy tubes, cutdowns, paracentesis, joint aspirations, and
bladder aspirations.
174. Based on a survey of ACNPs, which of the following procedures are performed in
a hospital-based setting most commonly by ACNPs?
a. Defibrillation
b. Lumbar puncture
c. Pacemakers
d. Chest tubes
ANS: A
Based on survey data, procedures that are formed most commonly by ACNPs include radiologic
studies, vasoactive intravenous drips, resuscitative efforts, defibrillation, wound care, sutures,
incisions, and ventilation.
175. Which of the following is more commonly attributed to the AG-ACNP role versus that
of a CNS?
a. Patient-centered care
b. System change responsibilities
c. Performing procedures
d. Staff education and development
This study source was downloaded by 100000899507370 from CourseHero.com on 06-08-2025 07:05:18 GMT -05:00
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, C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
Profession 3rd Edition Denisco Test Bank
ANS: C
The AG-ACNP and CNS both focus on patient-centered care. The AG-ACNP is more likely to
spend a larger percentage of his or her time at the bedside using clinical skills to assess,
diagnose, and treat patients with complex or acute medical conditions including performing
procedures. Staff education and development and system change responsibilities are typically a
larger portion of the CNS role.
176. Which of the following locations would be most appropriate for an AG-ACNP?
a. Tertiary care management
b. Billing and coding
c. Primary care management
d. Secondary care management
ANS: A
Tertiary care management includes the intensive care unit or emergency department and would
be the best choice for this question. Although secondary care management is common, such as an
inpatient unit or hospitalist position, most acute scenarios are encountered in the ICU or ED and
more appropriate for the specialized skills of the AG-ACNP. It is important to note that any NP
should have working knowledge of all practice areas, regardless of clinical specialty.
177. Educational programs that prepare students for AG-ACNP practice adhere to which of
the following?
a. Incorporates graduate core and NP curricula and adds AG-ACNP specialtycurricula
b. Incorporates graduate core but replaces NP curricula with AG-ACNP specialtycurricula
c. Requires additional training that is separate and in addition to the Adult-
Gerontology curriculum and is only provided in DNP programs
d. Deviates from the graduate core allowing full specialization of the AG-ACNP specialty
curricula
ANS: A
The AG-ACNP curriculum incorporates the graduate core, advanced practice core, NP
population curricula, and AG-ACNP specialty curricula. Programs that prepare AG-ACNPs at
the DNP level do not negate the master’s core but, rather, build on it (AACN, 2006).
178. Which of the following organizations issue certification for AG-ACNPs?
a. American Nurses Credentialing Center and the American Association of Gerontology
b. The state where he or she intends to practice
c. American Nurses Credentialing Center and the American Association of Critical-Care
d. American Association of Critical-Care and the Emergency Nurses Association
This study source was downloaded by 100000899507370 from CourseHero.com on 06-08-2025 07:05:18 GMT -05:00
https://www.coursehero.com/file/250007881/20230323160925-64iuytrer1c79b509289-c157-test-bankpdf-1-docx-1-pdf/
Profession 3rd Edition Denisco Test Bank
c. Evaluating patients for safety and efficacy of interventions
d. Assessing patients for urgent and emergent conditions
ANS: B
In 2012, the ANCC surveyed ACNP clinicians and identified top work activities for the AG-
ACNP role. These activities were organized by criticality, or importance of the skill and
determined by the requirement to perform the skill accurately each time, as a novice NP, and
based on the risk of harm by performing the skill incorrectly. Maintaining patient privacy and
confidentiality scored at the top.
173. Based on a survey of ACNPs, the following procedures are performed in a hospital-
based setting most commonly by ACNPs except:
a. Vasoactive intravenous drips
b. Lumbar puncture
c. Sutures
d. Radiologic studies
ANS: B
Based on survey data, procedures that are formed least routinely by ACNPs include lumbar
punctures, surgical first assist, thoracostomy tubes, cutdowns, paracentesis, joint aspirations, and
bladder aspirations.
174. Based on a survey of ACNPs, which of the following procedures are performed in
a hospital-based setting most commonly by ACNPs?
a. Defibrillation
b. Lumbar puncture
c. Pacemakers
d. Chest tubes
ANS: A
Based on survey data, procedures that are formed most commonly by ACNPs include radiologic
studies, vasoactive intravenous drips, resuscitative efforts, defibrillation, wound care, sutures,
incisions, and ventilation.
175. Which of the following is more commonly attributed to the AG-ACNP role versus that
of a CNS?
a. Patient-centered care
b. System change responsibilities
c. Performing procedures
d. Staff education and development
This study source was downloaded by 100000899507370 from CourseHero.com on 06-08-2025 07:05:18 GMT -05:00
https://www.coursehero.com/file/250007881/20230323160925-64iuytrer1c79b509289-c157-test-bankpdf-1-docx-1-pdf/
, C157 test bank. Advanced Practice Nursing: Essential Knowledge for the
Profession 3rd Edition Denisco Test Bank
ANS: C
The AG-ACNP and CNS both focus on patient-centered care. The AG-ACNP is more likely to
spend a larger percentage of his or her time at the bedside using clinical skills to assess,
diagnose, and treat patients with complex or acute medical conditions including performing
procedures. Staff education and development and system change responsibilities are typically a
larger portion of the CNS role.
176. Which of the following locations would be most appropriate for an AG-ACNP?
a. Tertiary care management
b. Billing and coding
c. Primary care management
d. Secondary care management
ANS: A
Tertiary care management includes the intensive care unit or emergency department and would
be the best choice for this question. Although secondary care management is common, such as an
inpatient unit or hospitalist position, most acute scenarios are encountered in the ICU or ED and
more appropriate for the specialized skills of the AG-ACNP. It is important to note that any NP
should have working knowledge of all practice areas, regardless of clinical specialty.
177. Educational programs that prepare students for AG-ACNP practice adhere to which of
the following?
a. Incorporates graduate core and NP curricula and adds AG-ACNP specialtycurricula
b. Incorporates graduate core but replaces NP curricula with AG-ACNP specialtycurricula
c. Requires additional training that is separate and in addition to the Adult-
Gerontology curriculum and is only provided in DNP programs
d. Deviates from the graduate core allowing full specialization of the AG-ACNP specialty
curricula
ANS: A
The AG-ACNP curriculum incorporates the graduate core, advanced practice core, NP
population curricula, and AG-ACNP specialty curricula. Programs that prepare AG-ACNPs at
the DNP level do not negate the master’s core but, rather, build on it (AACN, 2006).
178. Which of the following organizations issue certification for AG-ACNPs?
a. American Nurses Credentialing Center and the American Association of Gerontology
b. The state where he or she intends to practice
c. American Nurses Credentialing Center and the American Association of Critical-Care
d. American Association of Critical-Care and the Emergency Nurses Association
This study source was downloaded by 100000899507370 from CourseHero.com on 06-08-2025 07:05:18 GMT -05:00
https://www.coursehero.com/file/250007881/20230323160925-64iuytrer1c79b509289-c157-test-bankpdf-1-docx-1-pdf/
