ANCC AGACNP ADULT GERONTOLOGY ACUTE CARE
NURSE
PRACTITIONER BOARD EXAM QUESTIONS WITH VERIFIED
ANSWERS
Scope of Practice - correct answers-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 answers-
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 answersAmerican Nurses Association which
measure quality of practice, service, or education
State Practice Acts - correct answers-Authorize Boards of
Nursing in each state to establish statutory authority for
licensure of RNs
State Practice Acts - authority includes: - correct answers-
use of title, authorization for scope of practice including
prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - correct
answerscertification
Prescriptive authority - correct answers-Ability and extent
of NPs ability to prescribe meds
x
x
, ANCC
DEA has ruled that nurses in advanced practice may
obtain.. - correct answers-registration numbers, state
practice acts dictate level of prescriptive authority
allowed
Credentials encompass... - correct answers-required
education, licensure and certification to practice as an NP
Credentials establish... - correct answers-minimal levels of
acceptable performance
Credentialing is necessary to: - correct answers-ensure
that safe healthcare is provided by qualified individuals;
comply with federal and state laws r/t APN
Credentials also... - correct answers-acknowledges the
scope of practice of NP, mandates accountability, enforces
professional standards for practice
Licensure - correct answers-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 answers-a governmental regulatory
body (ie. state board of nursing)
Certification - correct answers-Person has met certain
standards that signify mastery of specialized knowledge
x
x
, ANCC
Certification is granted by nongovernmental agencies such
as - correct answers-ANCC, AANP
Admitting privileges to hospitals (non physican) were
granted - correct answers-1983 by JC
Credentialing and privileging - correct answers-process
which an NP is granted permission to practice in an inpt
setting
Credentialing with hospital privileges is granted by a -
correct answersHospital Credentialing Committee
Pt Medical Abandoment - correct answers-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 answers-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
answers-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
x
x
, ANCC
Risk Mgmt - correct answers-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 answersincident reports
Policies regarding incident reports should address: -
correct answers-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 answers-
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 answers-ppl notified after receiving
complaint; ppl responsible for responding; ppl responsible
for monitoring follow up
Action taking initiatives: - correct answers-Prevention,
correction (corrective steps must be monitored and
audited), documentation, education, departmental
coordination
x
x