ANCC AGACNP FRANCES GUIDE FINAL
EXAM 2026 BANK CURRENTLY TESTING
COMPLETE 500 ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXPERT VERIFIED /ALREADY
GRADED A+
You are the NP on call for the night. The nurse calls you
to report the patient is decompensating. Who do you
direct her to call?
a. the ER physician
b. anesthesia
c. an NP present on another unit currently
d. the attending MD who is at home - ....ANSWER...d. the
attending MD who is at home
A code you are in does not go well, and staff members
afterwards are criticizing each other. How do you deal
with the situation?
a. schedule an in service to discuss common code mistakes
b. meet with each team member individually
c. set up exercises to increase collaboration during a code
,d. meet with all who participated in the code and have a
one-time briefing - ....ANSWER...d. meet with all who
participated in the code and have a one-time briefing
Your patient is not doing well and family/wife is at bedside
crying. Yo are preparing to talk to the family. What do
you do first?
a. place a social work consult
b. explicitly explain the situation, the outcomes and care
involved
c. ask if the patient has an advanced directive
d. set up a family meeting in a room with a specific time
and date - ....ANSWER...c. ask if the patient has an
advance directive
Your patient is not conscious. HIs advance directive states
he wants to be a DNR, but his family says they want him
to be a full code. How do you respond?
a. tell her the decision goes to the next of kin
b. call the ethics committee
c. comply with her wishes and make him a full code
,d. tell her you can't go against the advance directive -
....ANSWER...d. tell her you can't go against the advance
directive
A patient comes to the ED at a community hospital who is
29 weeks pregnant. She says her water has broken. Her VS
are stable. What do you do?
a. transfer her to a tertiary facility
b. contact her OB/GYN for treatment advice
c. admit to l/d
d. consult the nurse midwife - ....ANSWER...a. transfer
her to a tertiary facility
Your 51F patient is getting ready to discharge when she
tells you she hasn't had a mammogram in 3 years. What
do you do? - ....ANSWER...Refer to PCP for outpatient
discharge
Your patient's imaging reveals he has metastatic cancer.
The family, in accordance with their culture, request that
you not share the test results to spare him distress. How
do you respond? - ....ANSWER...Ask the patient what he
wants to know about his prognosis
, 35yo F presents with c/o bilateral wrist pain. You suspect
spouse abuse. You notice a handgun in her purse. What
would be your next action? - ....ANSWER...Call security to
ensure safety
Adult child of a patient reports that her father has
expressed desire to commit suicide and has a hx of ETOH
and depression. The best response would be to? -
....ANSWER...Hospitalize the patient and start
pscyhotherapy
You notice that another NP in your group is frequently
contact by pharmacy for prescription errors. How do you
handle the situation? - ....ANSWER...Address it directly
with the NP
Your patient voices concerns because he has lost his
insurance and worries his children will no longer have
coverage for medical expenses. What do you do? -
....ANSWER...Consult case management
EXAM 2026 BANK CURRENTLY TESTING
COMPLETE 500 ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXPERT VERIFIED /ALREADY
GRADED A+
You are the NP on call for the night. The nurse calls you
to report the patient is decompensating. Who do you
direct her to call?
a. the ER physician
b. anesthesia
c. an NP present on another unit currently
d. the attending MD who is at home - ....ANSWER...d. the
attending MD who is at home
A code you are in does not go well, and staff members
afterwards are criticizing each other. How do you deal
with the situation?
a. schedule an in service to discuss common code mistakes
b. meet with each team member individually
c. set up exercises to increase collaboration during a code
,d. meet with all who participated in the code and have a
one-time briefing - ....ANSWER...d. meet with all who
participated in the code and have a one-time briefing
Your patient is not doing well and family/wife is at bedside
crying. Yo are preparing to talk to the family. What do
you do first?
a. place a social work consult
b. explicitly explain the situation, the outcomes and care
involved
c. ask if the patient has an advanced directive
d. set up a family meeting in a room with a specific time
and date - ....ANSWER...c. ask if the patient has an
advance directive
Your patient is not conscious. HIs advance directive states
he wants to be a DNR, but his family says they want him
to be a full code. How do you respond?
a. tell her the decision goes to the next of kin
b. call the ethics committee
c. comply with her wishes and make him a full code
,d. tell her you can't go against the advance directive -
....ANSWER...d. tell her you can't go against the advance
directive
A patient comes to the ED at a community hospital who is
29 weeks pregnant. She says her water has broken. Her VS
are stable. What do you do?
a. transfer her to a tertiary facility
b. contact her OB/GYN for treatment advice
c. admit to l/d
d. consult the nurse midwife - ....ANSWER...a. transfer
her to a tertiary facility
Your 51F patient is getting ready to discharge when she
tells you she hasn't had a mammogram in 3 years. What
do you do? - ....ANSWER...Refer to PCP for outpatient
discharge
Your patient's imaging reveals he has metastatic cancer.
The family, in accordance with their culture, request that
you not share the test results to spare him distress. How
do you respond? - ....ANSWER...Ask the patient what he
wants to know about his prognosis
, 35yo F presents with c/o bilateral wrist pain. You suspect
spouse abuse. You notice a handgun in her purse. What
would be your next action? - ....ANSWER...Call security to
ensure safety
Adult child of a patient reports that her father has
expressed desire to commit suicide and has a hx of ETOH
and depression. The best response would be to? -
....ANSWER...Hospitalize the patient and start
pscyhotherapy
You notice that another NP in your group is frequently
contact by pharmacy for prescription errors. How do you
handle the situation? - ....ANSWER...Address it directly
with the NP
Your patient voices concerns because he has lost his
insurance and worries his children will no longer have
coverage for medical expenses. What do you do? -
....ANSWER...Consult case management
