1|Page
(AGACNP-BC) ANCC ADULT-GERONTOLOGY
ACUTE CARE NURSE PRACTITIONER
ACTUAL EXAM
RN calls you as the night shift NP and states patient is decompensating. You
would? - ANSWER Call primary MD when patient status changes
Code goes bad and all involved are talking badly about it on the unit. You should? -
ANSWER Hold a one time debriefing with everyone invovled
What is a response that would suggest admitting a patient to a SNF would be the
best action? - ANSWER Needing assistance with ADLs
Goals of Healthy People 2020 - ANSWER increase the quality and years of healthy
life
eliminate health disparities among americans
Healthy People 2020 purpose - ANSWER used to understand health status of the
nation and plan prevention programs
NP must notify department of health with what dx - ANSWER Gonorrhea
Chlamydia
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Syphillis
HIV
TB
NPs must report to state - ANSWER Criminal acts and injury from dangerous
weapon (GSW)
Gonorrhea
Chlamydia
Syphillis
HIV
TB
Animal bites
Suspected/actual child abuse
Domestic violence
Physical Therapy - ANSWER Strength training
coordination
Occupational Therapy - ANSWER ADLs
Medicare - ANSWER Third party payers
sets the standard for reimbursement and cutting costs
>65 yo.
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Disabled
Medicaid - ANSWER Third party payers
Poverty
Medicare A - ANSWER Covers inpatient hospitalizations
SNF
home health
hospice
>65 yo.
Medicare B - ANSWER Covers physician services
outpatient hospital services
labs/diagnostic procedures
medical equipment
Pay premium
NPs 85% physician scheduled fee
Medicare B pays how much of bill - ANSWER Medicare pays 80% and patient
pays 20%
Medicare D - ANSWER Limited prescription drug coverage
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Monthly premium required
Co-pay on each prescription required
Incident-to-Billing - ANSWER Services billed under MD provider number to get
the full physician fee
Under MD direct supervision
Does direct supervision require MD to be physically in the room with NP to be
eligible for incident-to-billing - ANSWER no same office suite and easily accesible
does incident-to-billing apply to the inpatient hospital setting - ANSWER No. NP
must bill under their NPI in the hospital setting
Root Cause Analysis - ANSWER Tool for identifying prevention strategies to
ensure safety
Culture of safety and not culture of blame
Root Cause Analysis involves - ANSWER Interdisciplinary experts
those who are most familiar with the situation
continually asking why at each level of cause and effect
Identifying changes
Impartial process
(AGACNP-BC) ANCC ADULT-GERONTOLOGY
ACUTE CARE NURSE PRACTITIONER
ACTUAL EXAM
RN calls you as the night shift NP and states patient is decompensating. You
would? - ANSWER Call primary MD when patient status changes
Code goes bad and all involved are talking badly about it on the unit. You should? -
ANSWER Hold a one time debriefing with everyone invovled
What is a response that would suggest admitting a patient to a SNF would be the
best action? - ANSWER Needing assistance with ADLs
Goals of Healthy People 2020 - ANSWER increase the quality and years of healthy
life
eliminate health disparities among americans
Healthy People 2020 purpose - ANSWER used to understand health status of the
nation and plan prevention programs
NP must notify department of health with what dx - ANSWER Gonorrhea
Chlamydia
,2|Page
Syphillis
HIV
TB
NPs must report to state - ANSWER Criminal acts and injury from dangerous
weapon (GSW)
Gonorrhea
Chlamydia
Syphillis
HIV
TB
Animal bites
Suspected/actual child abuse
Domestic violence
Physical Therapy - ANSWER Strength training
coordination
Occupational Therapy - ANSWER ADLs
Medicare - ANSWER Third party payers
sets the standard for reimbursement and cutting costs
>65 yo.
,3|Page
Disabled
Medicaid - ANSWER Third party payers
Poverty
Medicare A - ANSWER Covers inpatient hospitalizations
SNF
home health
hospice
>65 yo.
Medicare B - ANSWER Covers physician services
outpatient hospital services
labs/diagnostic procedures
medical equipment
Pay premium
NPs 85% physician scheduled fee
Medicare B pays how much of bill - ANSWER Medicare pays 80% and patient
pays 20%
Medicare D - ANSWER Limited prescription drug coverage
, 4|Page
Monthly premium required
Co-pay on each prescription required
Incident-to-Billing - ANSWER Services billed under MD provider number to get
the full physician fee
Under MD direct supervision
Does direct supervision require MD to be physically in the room with NP to be
eligible for incident-to-billing - ANSWER no same office suite and easily accesible
does incident-to-billing apply to the inpatient hospital setting - ANSWER No. NP
must bill under their NPI in the hospital setting
Root Cause Analysis - ANSWER Tool for identifying prevention strategies to
ensure safety
Culture of safety and not culture of blame
Root Cause Analysis involves - ANSWER Interdisciplinary experts
those who are most familiar with the situation
continually asking why at each level of cause and effect
Identifying changes
Impartial process
