ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP-BC) 2026 Exam Review
Questions With Correct Answers 2026
Scope of Practice - CORRECT ANSWER -Based on legal allowances in each state, individual state
nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - CORRECT ANSWER -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... - CORRECT ANSWER -American Nurses
Association which measure quality of practice, service, or education
State Practice Acts - CORRECT ANSWER -Authorize Boards of Nursing in each state to establish
statutory authority for licensure of RNs
State Practice Acts - authority includes: - CORRECT ANSWER -use of title, authorization for scope
of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - CORRECT ANSWER -certification
Prescriptive authority - CORRECT ANSWER -Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - CORRECT ANSWER -registration
numbers, state practice acts dictate level of prescriptive authority allowed
Credentials encompass... - CORRECT ANSWER -required education, licensure and certification to
practice as an NP
,Credentials establish... - CORRECT ANSWER -minimal levels of acceptable performance
Credentialing is necessary to: - CORRECT ANSWER -ensure that safe healthcare is provided by
qualified individuals; comply with federal and state laws r/t APN
Credentials also... - CORRECT ANSWER -acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
Licensure - CORRECT ANSWER -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 - CORRECT ANSWER -a
governmental regulatory body (ie. state board of nursing)
Certification - CORRECT ANSWER -Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by nongovernmental agencies such as - CORRECT ANSWER -ANCC, AANP
Admitting privileges to hospitals (non physican) were granted - CORRECT ANSWER -1983 by JC
Credentialing and privileging - CORRECT ANSWER -process which an NP is granted permission to
practice in an inpt setting
Credentialing with hospital privileges is granted by a - CORRECT ANSWER -Hospital Credentialing
Committee
,Pt Medical Abandoment - CORRECT ANSWER -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: - CORRECT ANSWER -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 - CORRECT ANSWER -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 - CORRECT ANSWER -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 - CORRECT ANSWER -incident reports
Policies regarding incident reports should address: - CORRECT ANSWER -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 - CORRECT ANSWER -Important for identifying problems before
they develop into incidents or claims; for pts and employees
, Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing
complaints by clearly identifying: - CORRECT ANSWER -ppl notified after receiving complaint; ppl
responsible for responding; ppl responsible for monitoring follow up
Action taking initiatives: - CORRECT ANSWER -Prevention, correction (corrective steps must be
monitored and audited), documentation, education, departmental coordination
Medical Futility - CORRECT ANSWER -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: - CORRECT ANSWER -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) - CORRECT ANSWER -state that pt is able
to make personal decisions about their care
competence implies that ability to: - CORRECT ANSWER -understand, reason, differentiate good
and bad, and communicate
informed consent - CORRECT ANSWER -pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
Informed consent includes: - CORRECT ANSWER -discussing benefits and risk
consent is assumed if... - CORRECT ANSWER -pt's condition is life threatening
Practitioner (AGACNP-BC) 2026 Exam Review
Questions With Correct Answers 2026
Scope of Practice - CORRECT ANSWER -Based on legal allowances in each state, individual state
nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - CORRECT ANSWER -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... - CORRECT ANSWER -American Nurses
Association which measure quality of practice, service, or education
State Practice Acts - CORRECT ANSWER -Authorize Boards of Nursing in each state to establish
statutory authority for licensure of RNs
State Practice Acts - authority includes: - CORRECT ANSWER -use of title, authorization for scope
of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - CORRECT ANSWER -certification
Prescriptive authority - CORRECT ANSWER -Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - CORRECT ANSWER -registration
numbers, state practice acts dictate level of prescriptive authority allowed
Credentials encompass... - CORRECT ANSWER -required education, licensure and certification to
practice as an NP
,Credentials establish... - CORRECT ANSWER -minimal levels of acceptable performance
Credentialing is necessary to: - CORRECT ANSWER -ensure that safe healthcare is provided by
qualified individuals; comply with federal and state laws r/t APN
Credentials also... - CORRECT ANSWER -acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
Licensure - CORRECT ANSWER -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 - CORRECT ANSWER -a
governmental regulatory body (ie. state board of nursing)
Certification - CORRECT ANSWER -Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by nongovernmental agencies such as - CORRECT ANSWER -ANCC, AANP
Admitting privileges to hospitals (non physican) were granted - CORRECT ANSWER -1983 by JC
Credentialing and privileging - CORRECT ANSWER -process which an NP is granted permission to
practice in an inpt setting
Credentialing with hospital privileges is granted by a - CORRECT ANSWER -Hospital Credentialing
Committee
,Pt Medical Abandoment - CORRECT ANSWER -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: - CORRECT ANSWER -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 - CORRECT ANSWER -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 - CORRECT ANSWER -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 - CORRECT ANSWER -incident reports
Policies regarding incident reports should address: - CORRECT ANSWER -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 - CORRECT ANSWER -Important for identifying problems before
they develop into incidents or claims; for pts and employees
, Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing
complaints by clearly identifying: - CORRECT ANSWER -ppl notified after receiving complaint; ppl
responsible for responding; ppl responsible for monitoring follow up
Action taking initiatives: - CORRECT ANSWER -Prevention, correction (corrective steps must be
monitored and audited), documentation, education, departmental coordination
Medical Futility - CORRECT ANSWER -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: - CORRECT ANSWER -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) - CORRECT ANSWER -state that pt is able
to make personal decisions about their care
competence implies that ability to: - CORRECT ANSWER -understand, reason, differentiate good
and bad, and communicate
informed consent - CORRECT ANSWER -pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
Informed consent includes: - CORRECT ANSWER -discussing benefits and risk
consent is assumed if... - CORRECT ANSWER -pt's condition is life threatening
