ANCC AGACNP - Frances Guide
Review Questions and Answers
Updated 2026
You want to get more funding for your hospital's Rapid Response Team. How should you present this
issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team - Answera. stress importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
c. write your local congressman
d. review literature and give more in-services - Answerb. join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice - Answerc. bill for independent services
Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic - Answerb. cardiology office
What is the best way to advocate for gay and lesbian population?
a. participate in a high state or national level
b. join a non-profit advocacy group
c. consider lobbying the government
d. start at your facility - Answerd. start at your facility
,Answers are worded differently. "decrease bias in healthcare" "create in-servises in healthcare"
"obtain funding to increase access"
Which of the following is most important to evaluate statistical significance when reviewing the
literature?
a. consider the sample size
b. make sure the confidence interval is tight
c. see if the p-value is less than the alpha-coefficient
d. determine the error rate - Answera. consider the sample size
When closing a practice, the NP is required to do all of the following except
a. give the patient adequate time to find another provder
b. keep all of the patient's records for a minimum of five years
c. send a certified letter with a return receipt requested
d. provide names of other providers for future care - Answerc. send a certified letter with a return
receipt requested
Which of the following components of an evidenced based research process is the most important
for NP to participate in?
a. specifying methods of data collection
b. formulating the hypothesis
c. carefully reviewing the literature
d. formulating the research problem - Answerd. formulating the research problem
A former pt of an NP is writing blog posts, sending emails, and distributing false, accusatory
statements about the NP's practice. Which of the following forms of defamation is this?
a. libel
b. slander - Answera. libel
Can you tell the patient's wife, for her protection, that her husband has HIV? - AnswerNo, not
without his permission
,How can the ANCP prepare to get involved in future mass casualty event? - AnswerPre enroll in
disaster volunteer program
An 80 year old male patient with dementia requires long-term care placement. To which funding
agency does the patient apply after "spending down" to qualify? - AnswerMedicaid
Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct
the patient that Medicaid: - AnswerPays after insurance and 3rd party payers have paid
You are giving a dinner presentation to a group. The pharmaceutical rep calls you the night before
and wants you to say that their drug is the only one that workds. What ethical principles does this
challenge? - AnswerVeracity and fidelity
Health literacy - AnswerAverage american: 8th grade level
Quality assurance - AnswerA process for evaluating the care of patients using established standards
of care to ensure quality
CPI - AnswerMeasures structure, processes, and outcomes
A root cause analysis of a crisis situation in the ICU identified a lack of clinician-family
communication as the basis for the resulting adverse outcome. As part of the performance
improvement plan, the NP is asked to develop evidence-based policies to establish clinician-family
communication standards in the unit. These policies should include: - AnswerGuidelines for having
discussions with family members that are geared toward establishing treatment goals
Which clinical scenario does the NP evaluate for a quality improvement process change? - AnswerAn
increased incidence of postoperative sternal wound infections
Goals set forth in healthy people 2020 by the US department of Health and Human services include:
- Answerelimination of health disparities (and increased QOL/LOL)
Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the
therapeutic partnership with the patient by: - AnswerTailoring his or her communication style to the
patient's preference
, A 70 year old patient with a history of DM, HTN, OAs, and a new diagnosis of CAD, is being
discharged. The adult-gerontology acute care NP teaches the patient that the first point of contact
for health care needs is the: - AnswerPCP
The NP is asked to provide evidence to the hospital administration about the safety of NP placing
central lines. Which resource provides the strongest level of evidence? - AnswerA systematic review
(meta analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with
their own provider number? - AnswerBalanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice? - AnswerFalse, if they are a
danger you can restrain
Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit
overnight. Which of the following would qualify as incident to billing? - AnswerTemperature and
weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? -
AnswerPediatric physician shortage
Elderly patient takes a turn for the worse. The husband is crying when you enter the room and
begins telling you what end-of-life care he prefers. What do you do? - AnswerAsk him to speak
candidly with you
Patient calls to complain about bills and states he has Medicare, which should cover all costs. You
explain: - AnswerSince you are healthy, exams are not covered
Doc calls from another center asking if you can tell him what kind of orders he should give for
maintenance of patient... - AnswerNo, HIPPA
Patient in ER not doing well, primary MD calls: - AnswerGive him info
NP working on ESRD research project. A colleague renal specialist asks for patient info on your
patients: - AnswerHIPAA breach
Review Questions and Answers
Updated 2026
You want to get more funding for your hospital's Rapid Response Team. How should you present this
issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team - Answera. stress importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
c. write your local congressman
d. review literature and give more in-services - Answerb. join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice - Answerc. bill for independent services
Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic - Answerb. cardiology office
What is the best way to advocate for gay and lesbian population?
a. participate in a high state or national level
b. join a non-profit advocacy group
c. consider lobbying the government
d. start at your facility - Answerd. start at your facility
,Answers are worded differently. "decrease bias in healthcare" "create in-servises in healthcare"
"obtain funding to increase access"
Which of the following is most important to evaluate statistical significance when reviewing the
literature?
a. consider the sample size
b. make sure the confidence interval is tight
c. see if the p-value is less than the alpha-coefficient
d. determine the error rate - Answera. consider the sample size
When closing a practice, the NP is required to do all of the following except
a. give the patient adequate time to find another provder
b. keep all of the patient's records for a minimum of five years
c. send a certified letter with a return receipt requested
d. provide names of other providers for future care - Answerc. send a certified letter with a return
receipt requested
Which of the following components of an evidenced based research process is the most important
for NP to participate in?
a. specifying methods of data collection
b. formulating the hypothesis
c. carefully reviewing the literature
d. formulating the research problem - Answerd. formulating the research problem
A former pt of an NP is writing blog posts, sending emails, and distributing false, accusatory
statements about the NP's practice. Which of the following forms of defamation is this?
a. libel
b. slander - Answera. libel
Can you tell the patient's wife, for her protection, that her husband has HIV? - AnswerNo, not
without his permission
,How can the ANCP prepare to get involved in future mass casualty event? - AnswerPre enroll in
disaster volunteer program
An 80 year old male patient with dementia requires long-term care placement. To which funding
agency does the patient apply after "spending down" to qualify? - AnswerMedicaid
Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct
the patient that Medicaid: - AnswerPays after insurance and 3rd party payers have paid
You are giving a dinner presentation to a group. The pharmaceutical rep calls you the night before
and wants you to say that their drug is the only one that workds. What ethical principles does this
challenge? - AnswerVeracity and fidelity
Health literacy - AnswerAverage american: 8th grade level
Quality assurance - AnswerA process for evaluating the care of patients using established standards
of care to ensure quality
CPI - AnswerMeasures structure, processes, and outcomes
A root cause analysis of a crisis situation in the ICU identified a lack of clinician-family
communication as the basis for the resulting adverse outcome. As part of the performance
improvement plan, the NP is asked to develop evidence-based policies to establish clinician-family
communication standards in the unit. These policies should include: - AnswerGuidelines for having
discussions with family members that are geared toward establishing treatment goals
Which clinical scenario does the NP evaluate for a quality improvement process change? - AnswerAn
increased incidence of postoperative sternal wound infections
Goals set forth in healthy people 2020 by the US department of Health and Human services include:
- Answerelimination of health disparities (and increased QOL/LOL)
Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the
therapeutic partnership with the patient by: - AnswerTailoring his or her communication style to the
patient's preference
, A 70 year old patient with a history of DM, HTN, OAs, and a new diagnosis of CAD, is being
discharged. The adult-gerontology acute care NP teaches the patient that the first point of contact
for health care needs is the: - AnswerPCP
The NP is asked to provide evidence to the hospital administration about the safety of NP placing
central lines. Which resource provides the strongest level of evidence? - AnswerA systematic review
(meta analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with
their own provider number? - AnswerBalanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice? - AnswerFalse, if they are a
danger you can restrain
Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit
overnight. Which of the following would qualify as incident to billing? - AnswerTemperature and
weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? -
AnswerPediatric physician shortage
Elderly patient takes a turn for the worse. The husband is crying when you enter the room and
begins telling you what end-of-life care he prefers. What do you do? - AnswerAsk him to speak
candidly with you
Patient calls to complain about bills and states he has Medicare, which should cover all costs. You
explain: - AnswerSince you are healthy, exams are not covered
Doc calls from another center asking if you can tell him what kind of orders he should give for
maintenance of patient... - AnswerNo, HIPPA
Patient in ER not doing well, primary MD calls: - AnswerGive him info
NP working on ESRD research project. A colleague renal specialist asks for patient info on your
patients: - AnswerHIPAA breach
