ANCC FNP Study Guide 2025 – Latest Exam
Prep & Review Materials
Health People 2010 - correct answerto improve access to comprehensive quality,
primary care services.
* Increase the quality and years of healthy life.
* Eliminate health disparities among Americans.
Health People 2020 - correct answerThe program is an initiative that develops
evidence-based practice objectives designed to improve the health of all Americans.
The objectives are targeted to be followed over a 10-year period.
4 Foundational Healthcare measures:
1) General health status.
2) Health-related quality of life and well being.
3) Determinants of Health - aim to create social & physical environments that promote
good health for all.
4) Reduce Health Disparities.
Electronic Medical Record (EMR) - correct answerPros: allows for sharing of health
information between healthcare entities & with patients, thereby reducing the cost of
care, improving care efficiency, avoiding readmission and decreasing duplicate testing.
Cons: the potential for data loss in the event of computer or system failure.
Medicaid - correct answerA federal and state assistance program that pays for health
care services for people who cannot afford them. Varies from state to state.
Medicare - correct answerA federal program of health insurance for persons 65 years of
age and older. Those with severe disability no matter income level or those with ESRD.
Qualifying conditions must be a US Citizen, non-US citizens after 5 years of permanent
residency. US Veterans are eligible after 65 years.
* Medicare Part A covers medically necessary inpatient care and supplies; skilled
nursing facility.
* Medicare Part B covers nursing home/custodial care (ADL's), home health services,
durable medical equipment, outpatient care & preventive services (i.e. 1 mammogram
every 12 months) in women 40 and older. Part B does not include routine dental care of
eyeglasses.
* Part C - HMO
* Part D covers prescriptions.
,Single payer healthcare system - correct answerrefers to a system where in essence
the government runs a nationwide insurance plan that pays all healthcare cost for its
members.
Peer Review / 360 degree Evaluation - correct answeremployees rate other employees
in the same job classification, through the use of established criteria. The system has
the potential to offer honest & specific feedback that allows the individual to make
improvements or adjustments to meet objectives and performance standards.
Fidelity - correct answerLoyalty & dedication; keeping a promise.
Beneficence - correct answerpromote good and prevent harm.
Non-Maleficence - correct answerduty to do no harm
Justice - correct answerRight to fair and equitable treatment.
Automony - correct answerThe right of the patient to make clinical decisions about their
medical care, assuming the patient is rational & can make informed decisions about
care.
Veracity - correct answertruthfulness
Utilitarianism - correct answerGreatest good for the greatest number of people
State Nurse Practice Act - correct answer(NPA) approved by vote through the
processes of each individuals states legislature. The act delineates the legal scope of
practice within the geographical boundaries of the jurisdiction. The purpose of the state
nurse practice act is to protect the public.
State Board of Nursing - correct answer(BON) determines laws governing nurse
practice authority; has the authority to develop administrative rules or regulations that
clarify the NPA & make scope of practice interpretations more specific. The state BON
rules and regulations must be consistent with the legislature.
Emergency Medical Treatment & Labor Act (EMTALA) - correct answerdesignated to
prevent inappropriate transfers and "patient dumping" for indigent patients. Requires
hospitals to access and treat patients regardless of ability to pay and provides specific
provisions on when transfers are allowed.
Genetic Information Nondiscriminatory Act (GINA) - correct answerprohibits the use of
genetic information for health insurance and hiring decisions.
Health Information Technology for Economic & Clinical Health Act of 2009 (HITECH) -
correct answerhealthcare providers would be offered financial incentives for
, demonstrating meaningful use of EHR until 2015 after which penalties may be levied for
failing to demonstrate such use. ** delayed until 2017.
Affordable Care Act of 2010 - correct answerexpands health coverage using a variety of
mechanisms on the state and federal level.
*Only US citizens can purchase through the marketplace.
*Expands Medicaid for low income families.
*Tax penalties for those who do not purchase.
The Patient Protection & Affordable Care Act (PPACA) - correct answerrequires people
to have coverage.
Consensus Model for Advanced Practice Registered Nurse - correct answermultifaceted
proposal established by the National Counsel of the state BON in conjunction with
numerous professional organizations. Advocates the the APRN title, independent
prescriptive authority & establishes certain minimum standards for NP's. NP's are not
required to have a collaborative agreement under this model.
Medical Home Model - correct answera model aimed at reorganizing the delivery of
primary healthcare. Purpose is to improve healthcare in America by transforming how
healthcare is delivered.
Institute of Medicine (IOM) Core Competencies for providers - correct answer1) patient-
centered care
2) work in interprofessional teams
3) employ evidence-based practice
4) apply quality improvement
5) utilize informatics
National Institute of Medicine (PPEETE) - correct answer1) Patient Safety
2) Patient Centeredness
3) Effectiveness
4) Efficiency
5) Timeliness
6) Equity
National Practitioner Data Bank (NPDB) - correct answerdatabank for medical
malpractice claims & specifically defined adverse actions associated with providers.
State licensure and certification action is reportable.
Prescriptions Must Include - correct answer1) date of issue
2) patients name & address
3) practitioners name and address, DEA#
4) drug name, dosage form, quantity, direction for use.
5) # of refills
6) manual signature
Prep & Review Materials
Health People 2010 - correct answerto improve access to comprehensive quality,
primary care services.
* Increase the quality and years of healthy life.
* Eliminate health disparities among Americans.
Health People 2020 - correct answerThe program is an initiative that develops
evidence-based practice objectives designed to improve the health of all Americans.
The objectives are targeted to be followed over a 10-year period.
4 Foundational Healthcare measures:
1) General health status.
2) Health-related quality of life and well being.
3) Determinants of Health - aim to create social & physical environments that promote
good health for all.
4) Reduce Health Disparities.
Electronic Medical Record (EMR) - correct answerPros: allows for sharing of health
information between healthcare entities & with patients, thereby reducing the cost of
care, improving care efficiency, avoiding readmission and decreasing duplicate testing.
Cons: the potential for data loss in the event of computer or system failure.
Medicaid - correct answerA federal and state assistance program that pays for health
care services for people who cannot afford them. Varies from state to state.
Medicare - correct answerA federal program of health insurance for persons 65 years of
age and older. Those with severe disability no matter income level or those with ESRD.
Qualifying conditions must be a US Citizen, non-US citizens after 5 years of permanent
residency. US Veterans are eligible after 65 years.
* Medicare Part A covers medically necessary inpatient care and supplies; skilled
nursing facility.
* Medicare Part B covers nursing home/custodial care (ADL's), home health services,
durable medical equipment, outpatient care & preventive services (i.e. 1 mammogram
every 12 months) in women 40 and older. Part B does not include routine dental care of
eyeglasses.
* Part C - HMO
* Part D covers prescriptions.
,Single payer healthcare system - correct answerrefers to a system where in essence
the government runs a nationwide insurance plan that pays all healthcare cost for its
members.
Peer Review / 360 degree Evaluation - correct answeremployees rate other employees
in the same job classification, through the use of established criteria. The system has
the potential to offer honest & specific feedback that allows the individual to make
improvements or adjustments to meet objectives and performance standards.
Fidelity - correct answerLoyalty & dedication; keeping a promise.
Beneficence - correct answerpromote good and prevent harm.
Non-Maleficence - correct answerduty to do no harm
Justice - correct answerRight to fair and equitable treatment.
Automony - correct answerThe right of the patient to make clinical decisions about their
medical care, assuming the patient is rational & can make informed decisions about
care.
Veracity - correct answertruthfulness
Utilitarianism - correct answerGreatest good for the greatest number of people
State Nurse Practice Act - correct answer(NPA) approved by vote through the
processes of each individuals states legislature. The act delineates the legal scope of
practice within the geographical boundaries of the jurisdiction. The purpose of the state
nurse practice act is to protect the public.
State Board of Nursing - correct answer(BON) determines laws governing nurse
practice authority; has the authority to develop administrative rules or regulations that
clarify the NPA & make scope of practice interpretations more specific. The state BON
rules and regulations must be consistent with the legislature.
Emergency Medical Treatment & Labor Act (EMTALA) - correct answerdesignated to
prevent inappropriate transfers and "patient dumping" for indigent patients. Requires
hospitals to access and treat patients regardless of ability to pay and provides specific
provisions on when transfers are allowed.
Genetic Information Nondiscriminatory Act (GINA) - correct answerprohibits the use of
genetic information for health insurance and hiring decisions.
Health Information Technology for Economic & Clinical Health Act of 2009 (HITECH) -
correct answerhealthcare providers would be offered financial incentives for
, demonstrating meaningful use of EHR until 2015 after which penalties may be levied for
failing to demonstrate such use. ** delayed until 2017.
Affordable Care Act of 2010 - correct answerexpands health coverage using a variety of
mechanisms on the state and federal level.
*Only US citizens can purchase through the marketplace.
*Expands Medicaid for low income families.
*Tax penalties for those who do not purchase.
The Patient Protection & Affordable Care Act (PPACA) - correct answerrequires people
to have coverage.
Consensus Model for Advanced Practice Registered Nurse - correct answermultifaceted
proposal established by the National Counsel of the state BON in conjunction with
numerous professional organizations. Advocates the the APRN title, independent
prescriptive authority & establishes certain minimum standards for NP's. NP's are not
required to have a collaborative agreement under this model.
Medical Home Model - correct answera model aimed at reorganizing the delivery of
primary healthcare. Purpose is to improve healthcare in America by transforming how
healthcare is delivered.
Institute of Medicine (IOM) Core Competencies for providers - correct answer1) patient-
centered care
2) work in interprofessional teams
3) employ evidence-based practice
4) apply quality improvement
5) utilize informatics
National Institute of Medicine (PPEETE) - correct answer1) Patient Safety
2) Patient Centeredness
3) Effectiveness
4) Efficiency
5) Timeliness
6) Equity
National Practitioner Data Bank (NPDB) - correct answerdatabank for medical
malpractice claims & specifically defined adverse actions associated with providers.
State licensure and certification action is reportable.
Prescriptions Must Include - correct answer1) date of issue
2) patients name & address
3) practitioners name and address, DEA#
4) drug name, dosage form, quantity, direction for use.
5) # of refills
6) manual signature
