AGACNP Exam Review Questions and
Answers
1. You want to get more funding for your hospital's Rapid Response Team. How should
you present this issue to the committee? - ANSWER-Stress importance of the team
(answer is worded as looking up evidence about how the team affects outcomes, like a
meta-analysis)
What is the best way for the AGACNP to get involved in policy making? - ANSWER-Join
a hospital committee
A 70-year-old pt with a hx of DM, HTN, OAs, and a new diagnosis of coronary artery
disease, is being discharged. The adult-gerontology acute care nurse practitioner
teaches the patient that the first point of contact for health care needs is the: -
ANSWER-primary care provider and cardiologist
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? -
ANSWER-A systematic review (meta-analysis is even stronger) handwashing
techniques was the other one***
What legislation allowed nurse practitioners to be recognized Medicare providers in all
geographical areas with their own provider number? - ANSWER-Balanced Budget Act
True/False: restraining an unwilling patient is grounds for malpractice? - ANSWER-
False, if they are a danger you can restrain
Pt presents to the clinic for routine f/u and passes out. You revive the pt and admit
overnight. Which of the following would qualify as incident-to-billing? - ANSWER-
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? -
ANSWER-Pediatric physician shortage
Elderly F pt 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? - ANSWER-
Ask for advance directives or Ask to speak candidly with you
Pt calls to complain about bills and states he has Medicare, which should cover all
costs. You explain: - ANSWER-Since 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... - ANSWER-HIPPA. Tell to consult other Dr at SNF
Pt in ER not doing well, primary md calls: - ANSWER-Give him info
NP working on ESRD research project . A colleague renal specialist asks for pt info on
your patients: - ANSWER-HIPPA breach.
Who enforces HIPPA- - ANSWER-Office of Civil Rights /Dept. Health and Human
Services
Who ISN'T covered by HIPPA? - ANSWER-Law enforcement/Municipal Offices,
CPS/Schools, Employers/Workman's Comp, Life insurance
Question about an insurance company calling to verify some patient appointments. -
ANSWER-You have to pick out that there is already a medical release An insurance
company is calling regarding appointment info for a patient. Do you give them the info?
The answer is to give the requested information to them.
Root Cause Analysis - - ANSWER-very basic question where RCA is the answer and
the question is the definition
Benchmarking- - ANSWER-how institution compares with similar organizations
Managed Care - ANSWER-: know what this is and how it has improved costs.
Something about putting caps on payments...
Peer review- - ANSWER-timely, not anonymous, and NP knows how peer review will
impact yearly evaluation
Sensitivity vs specificity... - ANSWER-sensitivity is positive and specificity is negative.
Reliability: - ANSWER-When implementing a new study... tested over and over. The
consistency of a measurement, or the degree to which an instrument measures the
same way over time
Validity of results in an article - ANSWER-: P-value. Probability of falsely rejecting the
null hypothesis. Want it to be low
Statistical significance - ANSWER-look at sample size & p value.
- ANSWER-Medical futility- unlikely to produce any significant good for the pt
Privileging - - ANSWER-may be granted in full or part by the hospital. Credentialing
committee is made of physicians. Institutional bylaws may further
Answers
1. You want to get more funding for your hospital's Rapid Response Team. How should
you present this issue to the committee? - ANSWER-Stress importance of the team
(answer is worded as looking up evidence about how the team affects outcomes, like a
meta-analysis)
What is the best way for the AGACNP to get involved in policy making? - ANSWER-Join
a hospital committee
A 70-year-old pt with a hx of DM, HTN, OAs, and a new diagnosis of coronary artery
disease, is being discharged. The adult-gerontology acute care nurse practitioner
teaches the patient that the first point of contact for health care needs is the: -
ANSWER-primary care provider and cardiologist
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? -
ANSWER-A systematic review (meta-analysis is even stronger) handwashing
techniques was the other one***
What legislation allowed nurse practitioners to be recognized Medicare providers in all
geographical areas with their own provider number? - ANSWER-Balanced Budget Act
True/False: restraining an unwilling patient is grounds for malpractice? - ANSWER-
False, if they are a danger you can restrain
Pt presents to the clinic for routine f/u and passes out. You revive the pt and admit
overnight. Which of the following would qualify as incident-to-billing? - ANSWER-
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? -
ANSWER-Pediatric physician shortage
Elderly F pt 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? - ANSWER-
Ask for advance directives or Ask to speak candidly with you
Pt calls to complain about bills and states he has Medicare, which should cover all
costs. You explain: - ANSWER-Since 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... - ANSWER-HIPPA. Tell to consult other Dr at SNF
Pt in ER not doing well, primary md calls: - ANSWER-Give him info
NP working on ESRD research project . A colleague renal specialist asks for pt info on
your patients: - ANSWER-HIPPA breach.
Who enforces HIPPA- - ANSWER-Office of Civil Rights /Dept. Health and Human
Services
Who ISN'T covered by HIPPA? - ANSWER-Law enforcement/Municipal Offices,
CPS/Schools, Employers/Workman's Comp, Life insurance
Question about an insurance company calling to verify some patient appointments. -
ANSWER-You have to pick out that there is already a medical release An insurance
company is calling regarding appointment info for a patient. Do you give them the info?
The answer is to give the requested information to them.
Root Cause Analysis - - ANSWER-very basic question where RCA is the answer and
the question is the definition
Benchmarking- - ANSWER-how institution compares with similar organizations
Managed Care - ANSWER-: know what this is and how it has improved costs.
Something about putting caps on payments...
Peer review- - ANSWER-timely, not anonymous, and NP knows how peer review will
impact yearly evaluation
Sensitivity vs specificity... - ANSWER-sensitivity is positive and specificity is negative.
Reliability: - ANSWER-When implementing a new study... tested over and over. The
consistency of a measurement, or the degree to which an instrument measures the
same way over time
Validity of results in an article - ANSWER-: P-value. Probability of falsely rejecting the
null hypothesis. Want it to be low
Statistical significance - ANSWER-look at sample size & p value.
- ANSWER-Medical futility- unlikely to produce any significant good for the pt
Privileging - - ANSWER-may be granted in full or part by the hospital. Credentialing
committee is made of physicians. Institutional bylaws may further
