ANCC AGACNP ADULT-GERONTOLOGY ACUTE
CARE NURSE PRACTITIONER (AGACNP-BC) EXAM
REVIEW WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS NEW MODIFIED 2026 LATEST
UPDATE
Pt Medical Abandoment --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: --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 --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 --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
Page 1 of 173
,Most common method of documentation for risk mgmt --ANSWER--incident
reports
Policies regarding incident reports should address: --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 --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: --ANSWER--ppl notified after
receiving complaint; ppl responsible for responding; ppl responsible for
monitoring follow up
Action taking initiatives: --ANSWER--Prevention, correction (corrective steps
must be monitored and audited), documentation, education, departmental
coordination
Medical Futility --ANSWER--Interventions that are unlikely to produce
significant benefit for pt - "Does the intervention have any reasonable prospect
of helping this pt?"
Page 2 of 173
,Two kind of medical futility: --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) --ANSWER--state that pt
is able to make personal decisions about their care
Scope of Practice --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 --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... --ANSWER--American
Nurses Association which measure quality of practice, service, or education
State Practice Acts --ANSWER--Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
Page 3 of 173
, State Practice Acts - authority includes: --ANSWER--use of title, authorization
for scope of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as --ANSWER--certification
Prescriptive authority --ANSWER--Ability and extent of NPs ability to
prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. --ANSWER--
registration numbers, state practice acts dictate level of prescriptive authority
allowed
Credentials encompass... --ANSWER--required education, licensure and
certification to practice as an NP
Credentials establish... --ANSWER--minimal levels of acceptable performance
Credentialing is necessary to: --ANSWER--ensure that safe healthcare is
provided by qualified individuals; comply with federal and state laws r/t APN
Credentials also... --ANSWER--acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice
Page 4 of 173
CARE NURSE PRACTITIONER (AGACNP-BC) EXAM
REVIEW WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS NEW MODIFIED 2026 LATEST
UPDATE
Pt Medical Abandoment --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: --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 --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 --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
Page 1 of 173
,Most common method of documentation for risk mgmt --ANSWER--incident
reports
Policies regarding incident reports should address: --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 --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: --ANSWER--ppl notified after
receiving complaint; ppl responsible for responding; ppl responsible for
monitoring follow up
Action taking initiatives: --ANSWER--Prevention, correction (corrective steps
must be monitored and audited), documentation, education, departmental
coordination
Medical Futility --ANSWER--Interventions that are unlikely to produce
significant benefit for pt - "Does the intervention have any reasonable prospect
of helping this pt?"
Page 2 of 173
,Two kind of medical futility: --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) --ANSWER--state that pt
is able to make personal decisions about their care
Scope of Practice --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 --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... --ANSWER--American
Nurses Association which measure quality of practice, service, or education
State Practice Acts --ANSWER--Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
Page 3 of 173
, State Practice Acts - authority includes: --ANSWER--use of title, authorization
for scope of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as --ANSWER--certification
Prescriptive authority --ANSWER--Ability and extent of NPs ability to
prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. --ANSWER--
registration numbers, state practice acts dictate level of prescriptive authority
allowed
Credentials encompass... --ANSWER--required education, licensure and
certification to practice as an NP
Credentials establish... --ANSWER--minimal levels of acceptable performance
Credentialing is necessary to: --ANSWER--ensure that safe healthcare is
provided by qualified individuals; comply with federal and state laws r/t APN
Credentials also... --ANSWER--acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice
Page 4 of 173
