ANCC AGACNP ADULT GERONTOLOGY
ACUTE CARE NURSE PRACTITIONER
BOARD EXAM QUESTIONS AND
ANSWERS GRADED A+ 2026
Scope of Practice - ANS Based on legal allowances in each state, individual state nurse
practice acts providing guidelines for nursing practice
Key elements of the NP role include - ANS integration of care across the acute illness
continuum with collaboration and coordination of care; research based clinical practices, clinical
leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... - ANS American Nurses Association which
measure quality of practice, service, or education
State Practice Acts - ANS Authorize Boards of Nursing in each state to establish statutory
authority for licensure of RNs
State Practice Acts - authority includes: - ANS use of title, authorization for scope of practice
including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - ANS certification
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,Prescriptive authority - ANS Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - ANS registration numbers,
state practice acts dictate level of prescriptive authority allowed
Credentials encompass... - ANS required education, licensure and certification to practice as
an NP
Credentials establish... - ANS minimal levels of acceptable performance
Credentialing is necessary to: - ANS ensure that safe healthcare is provided by qualified
individuals; comply with federal and state laws r/t APN
Credentials also... - ANS acknowledges the scope of practice of NP, mandates accountability,
enforces professional standards for practice
Licensure - ANS establishes that a person is qualified to perform in a particular professional
role
Licensure is granted as defined by rules and regulations set forth by - ANS a governmental
regulatory body (ie. state board of nursing)
Certification - ANS Person has met certain standards that signify mastery of specialized
knowledge
Certification is granted by nongovernmental agencies such as - ANS ANCC, AANP
Admitting privileges to hospitals (non physican) were granted - ANS 1983 by JC
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,Credentialing and privileging - ANS process which an NP is granted permission to practice in
an inpt setting
Credentialing with hospital privileges is granted by a - ANS Hospital Credentialing Committee
Pt Medical Abandoment - ANS When caregiver-pt relationship is terminated w/o making
reasonable arrangements w an appropriate person so that care can be continued
Determination of pt abandonment depends on factors such as: - ANS Whether NP accepted
pt assignment, whether NP provided reasonable notice before termination, whether reasonable
arrangements could have been made
Following do not constitute pt abandonment - ANS NP refuses to accept responsibility for pt
assignment when NP has given reasonable notice to proper authority that NP lacks competence
to carry out assignment; NP refuses assignment of a double shift or addtl hrs beyond posted
work schedule when proper notification has been given..latter phrase can be controversial
Risk Mgmt - ANS Systematic effort to reduce risk begins w formal written risk mgmt plan that
includes: organizations goals, delineation of program's scope, components, methods; delegating
responsibility for implementation and enforcement; demonstrating commitment by the board;
confidentiality and immunity from retaliation for those who report sensitive info
Most common method of documentation for risk mgmt - ANS incident reports
Policies regarding incident reports should address: - ANS ppl authorized to complete report;
ppl responsible for review of a report, immediate actions needed to minimize the effects of the
event; ppl responsible for follow up; plan for monitoring aftermath; security/storage of
completed report
Risk mgmt - Satisfaction surveys - ANS Important for identifying problems before they
develop into incidents or claims; for pts and employees
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing
complaints by clearly identifying: - ANS ppl notified after receiving complaint; ppl responsible
for responding; ppl responsible for monitoring follow up
Action taking initiatives: - ANS Prevention, correction (corrective steps must be monitored
and audited), documentation, education, departmental coordination
Medical Futility - ANS Interventions that are unlikely to produce significant benefit for pt -
"Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: - ANS Quantitative futility: likelihood that intervention will
benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
Informed consent - competence (decisional capability) - ANS state that pt is able to make
personal decisions about their care
competence implies that ability to: - ANS understand, reason, differentiate good and bad,
and communicate
informed consent - ANS pt has received adequate instruction or info regarding aspects of
care to make prudent, personal choice regarding such tx
Informed consent includes: - ANS discussing benefits and risk
consent is assumed if... - ANS pt's condition is life threatening
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
ACUTE CARE NURSE PRACTITIONER
BOARD EXAM QUESTIONS AND
ANSWERS GRADED A+ 2026
Scope of Practice - ANS Based on legal allowances in each state, individual state nurse
practice acts providing guidelines for nursing practice
Key elements of the NP role include - ANS integration of care across the acute illness
continuum with collaboration and coordination of care; research based clinical practices, clinical
leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... - ANS American Nurses Association which
measure quality of practice, service, or education
State Practice Acts - ANS Authorize Boards of Nursing in each state to establish statutory
authority for licensure of RNs
State Practice Acts - authority includes: - ANS use of title, authorization for scope of practice
including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - ANS certification
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,Prescriptive authority - ANS Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - ANS registration numbers,
state practice acts dictate level of prescriptive authority allowed
Credentials encompass... - ANS required education, licensure and certification to practice as
an NP
Credentials establish... - ANS minimal levels of acceptable performance
Credentialing is necessary to: - ANS ensure that safe healthcare is provided by qualified
individuals; comply with federal and state laws r/t APN
Credentials also... - ANS acknowledges the scope of practice of NP, mandates accountability,
enforces professional standards for practice
Licensure - ANS establishes that a person is qualified to perform in a particular professional
role
Licensure is granted as defined by rules and regulations set forth by - ANS a governmental
regulatory body (ie. state board of nursing)
Certification - ANS Person has met certain standards that signify mastery of specialized
knowledge
Certification is granted by nongovernmental agencies such as - ANS ANCC, AANP
Admitting privileges to hospitals (non physican) were granted - ANS 1983 by JC
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,Credentialing and privileging - ANS process which an NP is granted permission to practice in
an inpt setting
Credentialing with hospital privileges is granted by a - ANS Hospital Credentialing Committee
Pt Medical Abandoment - ANS When caregiver-pt relationship is terminated w/o making
reasonable arrangements w an appropriate person so that care can be continued
Determination of pt abandonment depends on factors such as: - ANS Whether NP accepted
pt assignment, whether NP provided reasonable notice before termination, whether reasonable
arrangements could have been made
Following do not constitute pt abandonment - ANS NP refuses to accept responsibility for pt
assignment when NP has given reasonable notice to proper authority that NP lacks competence
to carry out assignment; NP refuses assignment of a double shift or addtl hrs beyond posted
work schedule when proper notification has been given..latter phrase can be controversial
Risk Mgmt - ANS Systematic effort to reduce risk begins w formal written risk mgmt plan that
includes: organizations goals, delineation of program's scope, components, methods; delegating
responsibility for implementation and enforcement; demonstrating commitment by the board;
confidentiality and immunity from retaliation for those who report sensitive info
Most common method of documentation for risk mgmt - ANS incident reports
Policies regarding incident reports should address: - ANS ppl authorized to complete report;
ppl responsible for review of a report, immediate actions needed to minimize the effects of the
event; ppl responsible for follow up; plan for monitoring aftermath; security/storage of
completed report
Risk mgmt - Satisfaction surveys - ANS Important for identifying problems before they
develop into incidents or claims; for pts and employees
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing
complaints by clearly identifying: - ANS ppl notified after receiving complaint; ppl responsible
for responding; ppl responsible for monitoring follow up
Action taking initiatives: - ANS Prevention, correction (corrective steps must be monitored
and audited), documentation, education, departmental coordination
Medical Futility - ANS Interventions that are unlikely to produce significant benefit for pt -
"Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: - ANS Quantitative futility: likelihood that intervention will
benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
Informed consent - competence (decisional capability) - ANS state that pt is able to make
personal decisions about their care
competence implies that ability to: - ANS understand, reason, differentiate good and bad,
and communicate
informed consent - ANS pt has received adequate instruction or info regarding aspects of
care to make prudent, personal choice regarding such tx
Informed consent includes: - ANS discussing benefits and risk
consent is assumed if... - ANS pt's condition is life threatening
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
