AGACNP final1
1. Your collaborating physician has asked you to present a credible source of evidence
at the next staff meeting. Which statement is true of clinical practice guidelines?
A.) Clinical practice guidelines produced by specialty associations are always
dependable.
B.) Clinical practice guidelines formed from collective opinion of experts in the field are
considered evidence based.
C.) Clinical practice guidelines are evidence-based when conducted systematically and
recommendations formed using the evidence.
D.) All clinical practice guidelines are evidence-based regardless of who produces them.
- answers-C.) Clinical practice guidelines are evidence-based when conducted
systematically and recommendations formed using the evidence.
1. You are assigned to a team working on reducing central line-associated infections
and have been asked to search for primary sources of evidence. Which of the following
represents a primary source of evidence?
A.) A qualitative analysis.
B.) An individual study.
C.) A systematic review.
D.) A micro-analysis. - answers-B.) An individual study.
1. Evidence comes from many sources. Which source of evidence would best support a
practice change?
A.) An editorial report in a specialty journal.
B.) Published protocol in peer reviewed journal.
C.) Peer reviewed systematic reviews.
D.) Opinions from internationally renowned experts. - answers-C.) Peer reviewed
systematic reviews.
1. Which statement best describes the AGACNPs contribution to evidence-based
nursing (EBN)?
A.) The APP's main contribution is scanning the clinical literature for articles about new
evidence-based practice related to the unit's or agency's area of practice.
B.) APPs can identify gaps in care, help in developing evidence-based protocols, and
follow evidence-based protocols.
,C.) The APP's main contribution to EBN is to follow evidence-based protocols.
D.) APPs should lead evidence-based nursing projects. - answers-B.) APPs can identify
gaps in care, help in developing evidence-based protocols, and follow evidence-based
protocols.
1. The adult-gerontology acute care nurse practitioner is asked to join a team to obtain
information about the benefit of seniors, 65 years and older, receiving the flu vaccine for
the prevention of pneumonia during flu season. When writing a PICOT question for this
scenario, where would receiving the flu vaccine be indicated in the acronym?
A.) Comparison
B.) Intervention
C.) Patient
D.) Outcome - answers-B.) Intervention
1. You are seeing a 72-year-old woman admitted with pneumonia. She is generally
active and still plays golf despite a history of hypertension and heart failure. What is the
priority for this patient?
A.) Order complete bed rest to reduce falls.
B.) Assess the client's ability to perform ADLs.
C.) Perform a fall assessment.
D.) Maintain mobility. - answers-C.) Perform a fall assessment.
1. Which of the following are considerations by the AGACNP when conducting a
culturally competent patient assessment? Select all that apply.
A.) Plan of care should reflect diversity.
B.) Patients cultural, ethnic, and racial identity.
C.) Factors influencing decision making.
D.) Patient's preferred language. - answers-B.) Patients cultural, ethnic, and racial
identity.
C.) Factors influencing decision making.
D.) Patient's preferred language.
1. When evaluating illness symptoms in older patients, the disease often presents in a
manner different or "atypical" from younger adults because of:
A.) normal age-related decline.
B.) polypharmacy.
C.) increased physiological response to illness.
D.) increased compensatory mechanisms. - answers-A.) normal age-related decline.
1. Which of the following are true about geriatric syndromes? Select all that apply.
A.) They are a normal part of aging.
B.) They often have multiple causes.
, C.) They predispose to worse outcomes.
D.) They are common in older adults. - answers-B.) They often have multiple causes.
C.) They predispose to worse outcomes.
D.) They are common in older adults.
1. Which group of older adults had the highest rate of growth between 1980-2017?
A.) 65-74
B.) 75-84
C.) 100 and over
D.) 85-94 - answers-C.) 100 and over
1. The nurse practitioner is caring for a patient who received a heart transplant two
weeks ago. Which statement is true regarding administering a pneumococcal vaccine in
the post-transplant period?
A.) The vaccine should be administered immediately after transplant because this is
when the patient is at highest risk for pneumonia.
B.) The vaccine should be given annually with the influenza vaccine.
C.) The vaccine should be held indefinitely since it's a live vaccine.
D.) The vaccine should be administered 3-6 months post transplantation and once the
patient has a stabilized immunosuppression regimen. - answers-D.) The vaccine should
be administered 3-6 months post transplantation and once the patient has a stabilized
immunosuppression regimen.
1. In the older adult, prevention strategies should have a focus on all the following
EXCEPT
A.) iatrogenesis.
B.) morbidity.
C.) quality of life.
D.) mortality. - answers-D.) mortality.
1. The AGACNP is working in a busy Emergency Department and is caring for a patient
with a deep penetrating wound sustained while doing yard work. Upon inquiry, the NP
learns that the patient's last Tdap was 12 years ago. What would be the appropriate
next step prior to discharging the patient?
A.) Explain that a tetanus (Tdap) booster is not needed since the patient has received
one in the past.
B.) Instruct the patient to see his primary provider to obtain the tetanus (Tdap) booster.
C.) Order a tetanus (Tdap) to be administered before discharge since it has been longer
than 10 years since the last booster.
D.) Order the tetanus (Tdap) booster only if the wound was caused by a rusty metal
object. - answers-C.) Order a tetanus (Tdap) to be administered before discharge since
it has been longer than 10 years since the last booster.
1. Your collaborating physician has asked you to present a credible source of evidence
at the next staff meeting. Which statement is true of clinical practice guidelines?
A.) Clinical practice guidelines produced by specialty associations are always
dependable.
B.) Clinical practice guidelines formed from collective opinion of experts in the field are
considered evidence based.
C.) Clinical practice guidelines are evidence-based when conducted systematically and
recommendations formed using the evidence.
D.) All clinical practice guidelines are evidence-based regardless of who produces them.
- answers-C.) Clinical practice guidelines are evidence-based when conducted
systematically and recommendations formed using the evidence.
1. You are assigned to a team working on reducing central line-associated infections
and have been asked to search for primary sources of evidence. Which of the following
represents a primary source of evidence?
A.) A qualitative analysis.
B.) An individual study.
C.) A systematic review.
D.) A micro-analysis. - answers-B.) An individual study.
1. Evidence comes from many sources. Which source of evidence would best support a
practice change?
A.) An editorial report in a specialty journal.
B.) Published protocol in peer reviewed journal.
C.) Peer reviewed systematic reviews.
D.) Opinions from internationally renowned experts. - answers-C.) Peer reviewed
systematic reviews.
1. Which statement best describes the AGACNPs contribution to evidence-based
nursing (EBN)?
A.) The APP's main contribution is scanning the clinical literature for articles about new
evidence-based practice related to the unit's or agency's area of practice.
B.) APPs can identify gaps in care, help in developing evidence-based protocols, and
follow evidence-based protocols.
,C.) The APP's main contribution to EBN is to follow evidence-based protocols.
D.) APPs should lead evidence-based nursing projects. - answers-B.) APPs can identify
gaps in care, help in developing evidence-based protocols, and follow evidence-based
protocols.
1. The adult-gerontology acute care nurse practitioner is asked to join a team to obtain
information about the benefit of seniors, 65 years and older, receiving the flu vaccine for
the prevention of pneumonia during flu season. When writing a PICOT question for this
scenario, where would receiving the flu vaccine be indicated in the acronym?
A.) Comparison
B.) Intervention
C.) Patient
D.) Outcome - answers-B.) Intervention
1. You are seeing a 72-year-old woman admitted with pneumonia. She is generally
active and still plays golf despite a history of hypertension and heart failure. What is the
priority for this patient?
A.) Order complete bed rest to reduce falls.
B.) Assess the client's ability to perform ADLs.
C.) Perform a fall assessment.
D.) Maintain mobility. - answers-C.) Perform a fall assessment.
1. Which of the following are considerations by the AGACNP when conducting a
culturally competent patient assessment? Select all that apply.
A.) Plan of care should reflect diversity.
B.) Patients cultural, ethnic, and racial identity.
C.) Factors influencing decision making.
D.) Patient's preferred language. - answers-B.) Patients cultural, ethnic, and racial
identity.
C.) Factors influencing decision making.
D.) Patient's preferred language.
1. When evaluating illness symptoms in older patients, the disease often presents in a
manner different or "atypical" from younger adults because of:
A.) normal age-related decline.
B.) polypharmacy.
C.) increased physiological response to illness.
D.) increased compensatory mechanisms. - answers-A.) normal age-related decline.
1. Which of the following are true about geriatric syndromes? Select all that apply.
A.) They are a normal part of aging.
B.) They often have multiple causes.
, C.) They predispose to worse outcomes.
D.) They are common in older adults. - answers-B.) They often have multiple causes.
C.) They predispose to worse outcomes.
D.) They are common in older adults.
1. Which group of older adults had the highest rate of growth between 1980-2017?
A.) 65-74
B.) 75-84
C.) 100 and over
D.) 85-94 - answers-C.) 100 and over
1. The nurse practitioner is caring for a patient who received a heart transplant two
weeks ago. Which statement is true regarding administering a pneumococcal vaccine in
the post-transplant period?
A.) The vaccine should be administered immediately after transplant because this is
when the patient is at highest risk for pneumonia.
B.) The vaccine should be given annually with the influenza vaccine.
C.) The vaccine should be held indefinitely since it's a live vaccine.
D.) The vaccine should be administered 3-6 months post transplantation and once the
patient has a stabilized immunosuppression regimen. - answers-D.) The vaccine should
be administered 3-6 months post transplantation and once the patient has a stabilized
immunosuppression regimen.
1. In the older adult, prevention strategies should have a focus on all the following
EXCEPT
A.) iatrogenesis.
B.) morbidity.
C.) quality of life.
D.) mortality. - answers-D.) mortality.
1. The AGACNP is working in a busy Emergency Department and is caring for a patient
with a deep penetrating wound sustained while doing yard work. Upon inquiry, the NP
learns that the patient's last Tdap was 12 years ago. What would be the appropriate
next step prior to discharging the patient?
A.) Explain that a tetanus (Tdap) booster is not needed since the patient has received
one in the past.
B.) Instruct the patient to see his primary provider to obtain the tetanus (Tdap) booster.
C.) Order a tetanus (Tdap) to be administered before discharge since it has been longer
than 10 years since the last booster.
D.) Order the tetanus (Tdap) booster only if the wound was caused by a rusty metal
object. - answers-C.) Order a tetanus (Tdap) to be administered before discharge since
it has been longer than 10 years since the last booster.
