AGACNP final
1. 1. Your collaborating physician has asked you to present a credible source of evidence at the next staff meeting. Which
statement is true of clinical practice guidelines?
A.) Clinical practice guidelines produced by specialty associations are always dependable.
B.) Clinical practice guidelines formed from collective opinion of experts in the field are considered evidence based.
C.) Clinical practice guidelines are evidence-based when conducted systemati-cally and recommendations formed using the
evidence.
D.) All clinical practice guidelines are evidence-based regardless of who pro-
duces them.: C.) Clinical practice guidelines are evidence-based when conducted systematically and recommendations formed
using the evidence.
2. 1. You are assigned to a team working on reducing central line-associated infections and have been asked to search for primary
sources of evidence.
Which of the following represents a primary source of evidence?
A.) A qualitative analysis.
B.) An individual study.
C.) A systematic review.
D.) A micro-analysis.: B.) An individual study.
3. 1. Evidence comes from many sources. Which source of evidence would best support a practice change?
A.) An editorial report in a specialty journal.
B.) Published protocol in peer reviewed journal.
C.) Peer reviewed systematic reviews.
D.) Opinions from internationally renowned experts.: C.) Peer reviewed systematic reviews.
4. 1. Which statement best describes the AGACNPs contribution to evidence-based nursing (EBN)?
A.) The APP's main contribution is scanning the clinical literature for articles about new evidence-based practice related to
the unit's or agency's area of practice.
B.) APPs can identify gaps in care, help in developing evidence-based protocols, and follow evidence-based protocols.
C.) The APP's main contribution to EBN is to follow evidence-based protocols.
,D.) D.) APPs should lead evidence-based nursing projects.: B.) APPs can identify gaps in care, help in developing evidence-
based protocols, and follow evidence-based protocols.
5. 1. The adult-gerontology acute care nurse practitioner is asked to join a team to obtain information about the benefit of seniors
65 years and older, receiving the flu vaccine for the prevention of pneumonia during flu season. When writing a PICOT question for
this scenario, where would receiving the flu vaccine be indicated in the acronym?
A.) Comparison
B.) Intervention
C.) Patient
D.) Outcome: B.) Intervention
6. 1. You are seeing a 72-year-old woman admitted with pneumonia. She is generally active and still plays golf despite a history o
hypertension and heart failure. What is the priority for this patient?
A.) Order complete bed rest to reduce falls.
B.) Assess the client's ability to perform ADL's.
C.) Perform a fall assessment.
D.) Maintain mobility.: C.) Perform a fall assessment.
7. 1. Which of the following are considerations by the AGACNP when conducting a culturally competent patient assessment?
Select all that apply.
A.) Plan of care should reflect diversity.
B.) Patients cultural, ethnic, and racial identity.
C.) Factors influencing decision making.
D.) Patient's preferred language.: B.) Patients cultural, ethnic, and racial identity.
C.) Factors influencing decision making.
D.) Patient's preferred language.
8. 1. When evaluating illness symptoms in older patients, the disease often presents in a manner different or "atypical" from
younger adults because of:
A.) normal age-related decline.
B.) polypharmacy.
, AGACNP final
C.) increased physiological response to illness.
D.) increased compensatory mechanisms.: A.) normal age-related decline.
9. 1. Which of the following are true about geriatric syndromes? Select all that apply.
A.) They are a normal part of aging.
B.) They often have multiple causes.
C.) They predispose to worse outcomes.
D.) They are common in older adults.: B.) They often have multiple causes.
C.) They predispose to worse outcomes.
D.) They are common in older adults.
10. 1. Which group of older adults had the highest rate of growth between 1980-2017?
A.) 65-74
B.) 75-84
C.) 100 and over
D.) 85-94: C.) 100 and over
11. 1. The nurse practitioner is caring for a patient who received a heart transplant two weeks ago. Which statement is true regarding
administering a pneumococcal vaccine in the post-transplant period?
A.) The vaccine should be administered immediately after transplant because this is when the patient is at highest risk for
pneumonia.
B.) The vaccine should be given annually with the influenza vaccine.
C.) The vaccine should be held indefinitely since it's a live vaccine.
D.) The vaccine should be administered 3-6 months post transplantation and once the patient has a stabilized
immunosuppression regimen.: D.) The vaccine should be administered 3-6 months post transplantation and once the patient
has a stabilized immunosuppression regimen.
12. 1. In the older adult, prevention strategies should have a focus on all the following EXCEPT
1. 1. Your collaborating physician has asked you to present a credible source of evidence at the next staff meeting. Which
statement is true of clinical practice guidelines?
A.) Clinical practice guidelines produced by specialty associations are always dependable.
B.) Clinical practice guidelines formed from collective opinion of experts in the field are considered evidence based.
C.) Clinical practice guidelines are evidence-based when conducted systemati-cally and recommendations formed using the
evidence.
D.) All clinical practice guidelines are evidence-based regardless of who pro-
duces them.: C.) Clinical practice guidelines are evidence-based when conducted systematically and recommendations formed
using the evidence.
2. 1. You are assigned to a team working on reducing central line-associated infections and have been asked to search for primary
sources of evidence.
Which of the following represents a primary source of evidence?
A.) A qualitative analysis.
B.) An individual study.
C.) A systematic review.
D.) A micro-analysis.: B.) An individual study.
3. 1. Evidence comes from many sources. Which source of evidence would best support a practice change?
A.) An editorial report in a specialty journal.
B.) Published protocol in peer reviewed journal.
C.) Peer reviewed systematic reviews.
D.) Opinions from internationally renowned experts.: C.) Peer reviewed systematic reviews.
4. 1. Which statement best describes the AGACNPs contribution to evidence-based nursing (EBN)?
A.) The APP's main contribution is scanning the clinical literature for articles about new evidence-based practice related to
the unit's or agency's area of practice.
B.) APPs can identify gaps in care, help in developing evidence-based protocols, and follow evidence-based protocols.
C.) The APP's main contribution to EBN is to follow evidence-based protocols.
,D.) D.) APPs should lead evidence-based nursing projects.: B.) APPs can identify gaps in care, help in developing evidence-
based protocols, and follow evidence-based protocols.
5. 1. The adult-gerontology acute care nurse practitioner is asked to join a team to obtain information about the benefit of seniors
65 years and older, receiving the flu vaccine for the prevention of pneumonia during flu season. When writing a PICOT question for
this scenario, where would receiving the flu vaccine be indicated in the acronym?
A.) Comparison
B.) Intervention
C.) Patient
D.) Outcome: B.) Intervention
6. 1. You are seeing a 72-year-old woman admitted with pneumonia. She is generally active and still plays golf despite a history o
hypertension and heart failure. What is the priority for this patient?
A.) Order complete bed rest to reduce falls.
B.) Assess the client's ability to perform ADL's.
C.) Perform a fall assessment.
D.) Maintain mobility.: C.) Perform a fall assessment.
7. 1. Which of the following are considerations by the AGACNP when conducting a culturally competent patient assessment?
Select all that apply.
A.) Plan of care should reflect diversity.
B.) Patients cultural, ethnic, and racial identity.
C.) Factors influencing decision making.
D.) Patient's preferred language.: B.) Patients cultural, ethnic, and racial identity.
C.) Factors influencing decision making.
D.) Patient's preferred language.
8. 1. When evaluating illness symptoms in older patients, the disease often presents in a manner different or "atypical" from
younger adults because of:
A.) normal age-related decline.
B.) polypharmacy.
, AGACNP final
C.) increased physiological response to illness.
D.) increased compensatory mechanisms.: A.) normal age-related decline.
9. 1. Which of the following are true about geriatric syndromes? Select all that apply.
A.) They are a normal part of aging.
B.) They often have multiple causes.
C.) They predispose to worse outcomes.
D.) They are common in older adults.: B.) They often have multiple causes.
C.) They predispose to worse outcomes.
D.) They are common in older adults.
10. 1. Which group of older adults had the highest rate of growth between 1980-2017?
A.) 65-74
B.) 75-84
C.) 100 and over
D.) 85-94: C.) 100 and over
11. 1. The nurse practitioner is caring for a patient who received a heart transplant two weeks ago. Which statement is true regarding
administering a pneumococcal vaccine in the post-transplant period?
A.) The vaccine should be administered immediately after transplant because this is when the patient is at highest risk for
pneumonia.
B.) The vaccine should be given annually with the influenza vaccine.
C.) The vaccine should be held indefinitely since it's a live vaccine.
D.) The vaccine should be administered 3-6 months post transplantation and once the patient has a stabilized
immunosuppression regimen.: D.) The vaccine should be administered 3-6 months post transplantation and once the patient
has a stabilized immunosuppression regimen.
12. 1. In the older adult, prevention strategies should have a focus on all the following EXCEPT
