ANCC AGACNP Adult Gerontology Acute Care Nurse
Practitioner Board EXAM 2024 LATEST VERIFIED EXAM
WITH ANSWERS 400 QUESTIONS
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
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
Licensure - ANSWER: 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 - ANSWER: a
governmental regulatory body (ie. state board of nursing)
Certification - ANSWER: Person has met certain standards that signify mastery of
specialized knowledge
,Certification is granted by nongovernmental agencies such as - ANSWER: ANCC,
AANP
Admitting privileges to hospitals (non physican) were granted - ANSWER: 1983 by JC
Credentialing and privileging - ANSWER: process which an NP is granted permission
to practice in an inpt setting
Credentialing with hospital privileges is granted by a - ANSWER: Hospital
Credentialing Committee
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
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?"
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
competence implies that ability to: - ANSWER: understand, reason, differentiate
good and bad, and communicate
informed consent - ANSWER: pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
Informed consent includes: - ANSWER: discussing benefits and risk
consent is assumed if... - ANSWER: pt's condition is life threatening
Danforth Amendment 1991 - ANSWER: pts are informed at time of admission to
federally funded institution (such as hospital, nursing home, hospice, HMO, etc) that
they have the right to refuse care as long as the pt has decisional capability
(competence)
Ethics - ANSWER: study of moral conduct and behavior protecting the rights of an
individual
1st priority is the - ANSWER: most salvagable pts. Most critically injured cared for
last.
Key ethical principles are: - ANSWER: nonmaleficence, utilitarianism, beneficence,
justice, fidelity, veracity, autonomy
Nonmaleficence - ANSWER: duty to do no harm
Utilitarianism - ANSWER: the right act is the one that produces the greatest good for
the greatest number
Beneficence - ANSWER: duty to prevent harm and promote good
Justice - ANSWER: duty to be fair
, Fidelity - ANSWER: duty to be faithful
Veracity - ANSWER: duty to be truthful (tends to be in conflict with fidelity)
Autonomy - ANSWER: duty to respect an individual's thoughts and actions (tend to
be in conflict with beneficence)
Dismissing/discharging a pt or closing practice - ANSWER: NP cannot withdraw from
caring for a pt without notification
Examples of reasons for discharging a pt from practice: - ANSWER: abuse, refusal to
pay, persistent non-adherence to care
Steps for discharging a pt from practice: - ANSWER: send a certified letter with return
receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post
termination deadline, obtain release of info to provide copies of all needed records
for next care provider
Obligations in closing practice d/t relocation, retirement - ANSWER: give pt adequate
time to find another provider, keep all files for min 5 years, provide timely
notification and names of other providers and resources for future care
Role of NP developed in the early... - ANSWER: 1960s as a result of physician
shortages in the area of peds
First NP program was peds, begun in... - ANSWER: 1964 by Dr. Loretta Ford and Dr.
Henry Silver at CU Health Sciences mainly focusing on ambulatory and outpt care
Historical service of NPs in primary care resulted in part from the... - ANSWER:
availability of federal funding for preventive and primary care NP education
Movement of NPs expanded to the... - ANSWER: inpt setting as a result of managed
care, hospital restructuring, and decreases in medical residency programs
4 distinct roles for NPs: - ANSWER: clinician, consultant/collaborator, educator,
researcher
Crisis/Acute Grief Communication - ANSWER: Acknowledge feelings
Offer self
Crisis Intervention - ANSWER: Boundaries
Security if necessary, NOT police
Establish trust/rapport
Advance Directive - ANSWER: Written statement of patient's intent regarding
medical treatment
Practitioner Board EXAM 2024 LATEST VERIFIED EXAM
WITH ANSWERS 400 QUESTIONS
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
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
Licensure - ANSWER: 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 - ANSWER: a
governmental regulatory body (ie. state board of nursing)
Certification - ANSWER: Person has met certain standards that signify mastery of
specialized knowledge
,Certification is granted by nongovernmental agencies such as - ANSWER: ANCC,
AANP
Admitting privileges to hospitals (non physican) were granted - ANSWER: 1983 by JC
Credentialing and privileging - ANSWER: process which an NP is granted permission
to practice in an inpt setting
Credentialing with hospital privileges is granted by a - ANSWER: Hospital
Credentialing Committee
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
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?"
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
competence implies that ability to: - ANSWER: understand, reason, differentiate
good and bad, and communicate
informed consent - ANSWER: pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
Informed consent includes: - ANSWER: discussing benefits and risk
consent is assumed if... - ANSWER: pt's condition is life threatening
Danforth Amendment 1991 - ANSWER: pts are informed at time of admission to
federally funded institution (such as hospital, nursing home, hospice, HMO, etc) that
they have the right to refuse care as long as the pt has decisional capability
(competence)
Ethics - ANSWER: study of moral conduct and behavior protecting the rights of an
individual
1st priority is the - ANSWER: most salvagable pts. Most critically injured cared for
last.
Key ethical principles are: - ANSWER: nonmaleficence, utilitarianism, beneficence,
justice, fidelity, veracity, autonomy
Nonmaleficence - ANSWER: duty to do no harm
Utilitarianism - ANSWER: the right act is the one that produces the greatest good for
the greatest number
Beneficence - ANSWER: duty to prevent harm and promote good
Justice - ANSWER: duty to be fair
, Fidelity - ANSWER: duty to be faithful
Veracity - ANSWER: duty to be truthful (tends to be in conflict with fidelity)
Autonomy - ANSWER: duty to respect an individual's thoughts and actions (tend to
be in conflict with beneficence)
Dismissing/discharging a pt or closing practice - ANSWER: NP cannot withdraw from
caring for a pt without notification
Examples of reasons for discharging a pt from practice: - ANSWER: abuse, refusal to
pay, persistent non-adherence to care
Steps for discharging a pt from practice: - ANSWER: send a certified letter with return
receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post
termination deadline, obtain release of info to provide copies of all needed records
for next care provider
Obligations in closing practice d/t relocation, retirement - ANSWER: give pt adequate
time to find another provider, keep all files for min 5 years, provide timely
notification and names of other providers and resources for future care
Role of NP developed in the early... - ANSWER: 1960s as a result of physician
shortages in the area of peds
First NP program was peds, begun in... - ANSWER: 1964 by Dr. Loretta Ford and Dr.
Henry Silver at CU Health Sciences mainly focusing on ambulatory and outpt care
Historical service of NPs in primary care resulted in part from the... - ANSWER:
availability of federal funding for preventive and primary care NP education
Movement of NPs expanded to the... - ANSWER: inpt setting as a result of managed
care, hospital restructuring, and decreases in medical residency programs
4 distinct roles for NPs: - ANSWER: clinician, consultant/collaborator, educator,
researcher
Crisis/Acute Grief Communication - ANSWER: Acknowledge feelings
Offer self
Crisis Intervention - ANSWER: Boundaries
Security if necessary, NOT police
Establish trust/rapport
Advance Directive - ANSWER: Written statement of patient's intent regarding
medical treatment
