AGACNP - Based on Frances Guide Review Materials
Exam Questions With 100% Verified Answers
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
d. 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
a. 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
c. 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
d. formulating the research problem
Can you tell the patient's wife, for her protection, that her husband has HIV?
No, not without his permission
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?
Medicaid
Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct
the patient that Medicaid:
Pays 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?
Veracity and fidelity
,Health literacy
Average american: 8th grade level
Quality assurance
A process for evaluating the care of patients using established standards of care to ensure quality
CPI
Measures 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:
Guidelines 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?
An increased incidence of postoperative sternal wound infections
.Goals set forth in healthy people 2020 by the US department of Health and Human services include:
elimination 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:
Tailoring 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:
PCP
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?
A systematic review (meta analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their
own provider number?
Balanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice?
False, 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?
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time?
,Pediatric 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?
Ask him to speak candidly with you
.Patient calls to complain about bills and states he has Medicare, which should cover all costs. You
explain:
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...
No, HIPPA
Patient in ER not doing well, primary MD calls:
Give him info
NP working on ESRD research project. A colleague renal specialist asks for patient info on your
patients:
HIPAA breach
Who enforces HIPAA?
Office of Civil Rights/Dept Health and Human Services
Who isn't covered by HIPAA?
Law enforcment/municipal offices, CPS/Schools, employers/workman's comp, life insurance
Insurance company calling to verify some patient appointments?
Answer by picking out that there is already a medical release signed by the patient and give the
requested information to them
Benchmarking
How institution compares with similar organizations
Managed care
Know what this is and how it has improved costs, something about putting caps on payments
Peer review
Timely, not anonymous, and NP knows how peer review will impact yearly evaluation
Sensitivity vs specificity
Sensitivity: true positives, specificity: true negatives
There was a question where a patient had a multinodular goiter and wanted to know why the NP was
not going to do periodic US and fine needle biopsy in monitoring for some kind of cancer or
complication. The answer I picked was that these tests were not very specific to detect the cancer
, Reliability
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
P-value, probability of falsely rejecting the null hypothesis, want it to be <0.05
Statistical significance
Look at sample size and and low p value
Privileging
May be granted in full or part by the hospital, credentialing committee is made of physicians
Who determines scope of practice?
State practice acts but institutional bylaws may further restrict practice (facility limited scope of
practice)
Informed consent
A state indicating patient has received adequate instruction/information regarding aspects of care to
make a prudent, personal choice regarding such, includes risks and benefits, competence: ability to
communicate, understand, reason, differentiate good and bad
Case management
Mobilize, mointor, and control resources that a patient uses during course of an illness while
balancing quality and cost, "move patients through the system appropriately"
50-60 year old patient ith a new diagnosis of cancer. To appropriately plan for discharge, what should
the NP do?
a. consult CM
b. Consult SW
c. refer to Oncology
d. refer to Hospice
a. consult CM
Nondisclosure
Not disclosing patient PHI without permission
Negligence
Failure of individual to do what any reasonable person would do, resulting in injury to the patient
When serving as a nurse researcher, the NP is guided by which ethical principle to ensure that
research participants are protected from harm or exploitation?
Nonmaleficence
Living will
Exam Questions With 100% Verified Answers
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
d. 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
a. 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
c. 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
d. formulating the research problem
Can you tell the patient's wife, for her protection, that her husband has HIV?
No, not without his permission
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?
Medicaid
Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct
the patient that Medicaid:
Pays 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?
Veracity and fidelity
,Health literacy
Average american: 8th grade level
Quality assurance
A process for evaluating the care of patients using established standards of care to ensure quality
CPI
Measures 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:
Guidelines 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?
An increased incidence of postoperative sternal wound infections
.Goals set forth in healthy people 2020 by the US department of Health and Human services include:
elimination 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:
Tailoring 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:
PCP
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?
A systematic review (meta analysis)
What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their
own provider number?
Balanced Budget act
True/false: restraining an unwilling patient is grounds for malpractice?
False, 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?
Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time?
,Pediatric 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?
Ask him to speak candidly with you
.Patient calls to complain about bills and states he has Medicare, which should cover all costs. You
explain:
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...
No, HIPPA
Patient in ER not doing well, primary MD calls:
Give him info
NP working on ESRD research project. A colleague renal specialist asks for patient info on your
patients:
HIPAA breach
Who enforces HIPAA?
Office of Civil Rights/Dept Health and Human Services
Who isn't covered by HIPAA?
Law enforcment/municipal offices, CPS/Schools, employers/workman's comp, life insurance
Insurance company calling to verify some patient appointments?
Answer by picking out that there is already a medical release signed by the patient and give the
requested information to them
Benchmarking
How institution compares with similar organizations
Managed care
Know what this is and how it has improved costs, something about putting caps on payments
Peer review
Timely, not anonymous, and NP knows how peer review will impact yearly evaluation
Sensitivity vs specificity
Sensitivity: true positives, specificity: true negatives
There was a question where a patient had a multinodular goiter and wanted to know why the NP was
not going to do periodic US and fine needle biopsy in monitoring for some kind of cancer or
complication. The answer I picked was that these tests were not very specific to detect the cancer
, Reliability
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
P-value, probability of falsely rejecting the null hypothesis, want it to be <0.05
Statistical significance
Look at sample size and and low p value
Privileging
May be granted in full or part by the hospital, credentialing committee is made of physicians
Who determines scope of practice?
State practice acts but institutional bylaws may further restrict practice (facility limited scope of
practice)
Informed consent
A state indicating patient has received adequate instruction/information regarding aspects of care to
make a prudent, personal choice regarding such, includes risks and benefits, competence: ability to
communicate, understand, reason, differentiate good and bad
Case management
Mobilize, mointor, and control resources that a patient uses during course of an illness while
balancing quality and cost, "move patients through the system appropriately"
50-60 year old patient ith a new diagnosis of cancer. To appropriately plan for discharge, what should
the NP do?
a. consult CM
b. Consult SW
c. refer to Oncology
d. refer to Hospice
a. consult CM
Nondisclosure
Not disclosing patient PHI without permission
Negligence
Failure of individual to do what any reasonable person would do, resulting in injury to the patient
When serving as a nurse researcher, the NP is guided by which ethical principle to ensure that
research participants are protected from harm or exploitation?
Nonmaleficence
Living will
