AGACNP Test Prep Barkley / Francis 48 Questions with Verified Answers
1. You want to get more funding for your hospital's Rapid Response Team. How
... [Show More] should you present this issue to the committee?
a. Stress importance of the team (answer is worded as looking up evidence about how the team affects outcomes, like a meta-analysis)
b. Describe how to improve and expand the team. - CORRECT ANSWER a. Stress importance of the team (answer is worded as looking up evidence about how the team affects outcomes, like a meta-analysis)
1. What is the best way for the AGACNP to get involved in policy making?
a. Attend legislative days at the state capitol
b. Join a hospital committee
c. Write to your local congressman
d. Review literature and give more in-services - CORRECT ANSWER b. Join a hospital committee
1. What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. Join a hospital committee
b. Petition the government
c. Bill for independent services
d. Start your own practice - CORRECT ANSWER c. Bill for independent services
1. Which of the following is considered a high acuity role for the AGACNP?
a. Primary care clinic
b. Cardiology office
c. Community health department
d. Minute Clinic - CORRECT ANSWER b. Cardiology office
1. What is the best way to advocate for gay and lesbian population in your area?
a. Participate at a high state or national level
b. Join a non-profit advocacy group
c. Consider lobbying the government
d. Start at your facility
(answers are worded differently. One of them is "decrease bias in healthcare" and another is something like "create inservices in healthcare" and another is "obtain funding to increase access." - CORRECT ANSWER d. Start at your facility
1. 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 α-coefficient
d. Determine the error rate
(Answers are worded differently. "Ensure confounding variables were eliminated" & "P value is less than null hypothesis" were two of them. - CORRECT ANSWER a. Consider the sample size
1. When closing a practice, the NP is required to do all of the following except
a. Give the pt adequate time to find another provider
b. Keep all of the patient's records for a minimum of five years
c. Send a certified letter with a return receipt requested (this is for discharging/firing a patient from your practice)
d. Provide names of other providers for future care - CORRECT ANSWER c. Send a certified letter with a return receipt requested (this is for discharging/firing a patient from your practice)
1. 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 - CORRECT ANSWER d. Formulating the research problem
1. A former pt of an NP is writing blog posts, sending emails, and distributing false, accusatory statements about the NP's practice. Which of the following forms of defamation is this?
a. libel
b. slander - CORRECT ANSWER a. libel
Can you tell the pt's wife, for her protection, that her husband has HIV? - CORRECT ANSWER No, not without his permission.
How can the ANCP prepare to get involved in future mass casualty event? - CORRECT ANSWER Pre-enroll in disaster volunteer program
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? - CORRECT ANSWER Medicaid
1. Your pt is worried about insurance coverage and asks you for advice on Medicaid. You instruct the patient that Medicaid: - CORRECT ANSWER 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 works. What ethical principles does this challenge? - CORRECT ANSWER Veracity and Fidelity
• Health Literacy: Average American- what grade level of education? - CORRECT ANSWER 8th grade education level
Know your QA/QI/CPI basic definitions and goals - CORRECT ANSWER
Know your QI basic definitions and goals - CORRECT ANSWER
Know your CPI basic definitions and goals - CORRECT ANSWER
• One question had Quality Assurance as one answer, then CPI as another option! It sounded more like CPI to me. - CORRECT ANSWER
• Quality assurance- - CORRECT ANSWER a process for evaluating the care of pts using established standards of care to ensure quality
• CPI measures what 3 measures to improve nursing? - CORRECT ANSWER 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 polices to establish clinician-family communication standards in the unit. These policies should include: - CORRECT ANSWER 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? - CORRECT ANSWER An increased incidence of postoperative sternal wound infections
• Goals set forth in "Healthy People 2020" by the United States Department of Health and Human Services include: - CORRECT ANSWER elimination of health disparities. (and ↑QOL/LOL)
• Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the therapeutic partnership w/the patient by: - CORRECT ANSWER Tailoring his or her communication style to the patient's preference.
• A 70-year-old pt with a hx of DM, HTN, OAs, and a new diagnosis of coronary artery disease, is being discharged. The adult-gerontology acute care nurse practitioner teaches the patient that the first point of contact for health care needs is the: - CORRECT ANSWER primary care provider
• 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? - CORRECT ANSWER A systematic review (meta-analysis is even stronger)
• What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number? - CORRECT ANSWER Balanced Budget Act
True/False: restraining an unwilling patient is grounds for malpractice? - CORRECT ANSWER False, if they are a danger you can restrain
• Pt presents to the clinic for routine f/u and passes out. You revive the pt and admit overnight. Which of the following would qualify as incident-to-billing? - CORRECT ANSWER Temperature and weight recording
• The NP program initiated, primarily, because of what issue in healthcare at the time? - CORRECT ANSWER Pediatric physician shortage
Elderly F pt 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? - CORRECT ANSWER Ask him to speak candidly with you
Pt calls to complain about bills and states he has Medicare, which should cover all costs. You explain: - CORRECT ANSWER • 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... HIPPA. - CORRECT ANSWER
Pt in ER not doing well, primary md calls: - CORRECT ANSWER Give him info
NP working on ESRD research project . A colleague renal specialist asks for pt info on your patients: - CORRECT ANSWER • HIPPA breach.
Who enforces HIPPA - CORRECT ANSWER Office of Civil Rights /Dept. Health and Human Services
What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number? - CORRECT ANSWER Affordable Care Act
A patient has fully recovered from septic shock due to bacteremia. The patient has been accepted to a long-term acute care facility for continuation of antibiotic therapy. The infectious disease physician has not seen the patient in two days. The adult-gerontology acute care nurse practitioner:
contacts the physician to determine the appropriate duration of antibiotic therapy.
notifies medical staff services that the physician has not seen the patient.
waits for the physician to come see the patient.
writes transfer orders for the patient. - CORRECT ANSWER contacts the physician to determine the appropriate duration of antibiotic therapy.
A 70-year-old patient with a history of diabetes, hypertension, arthritis, and a new diagnosis of coronary artery disease, is being discharged. The adult-gerontology acute care nurse practitioner teaches the patient that the first point of contact for health care needs is the:
cardiologist.
endocrinologist.
primary care provider.
rheumatologist. - CORRECT ANSWER primary care provider
An 80-year-old patient has macular degeneration and is seen on the surgical unit for postoperative care after repair of a hip fracture. To prepare the patient for discharge, the adult-gerontology acute care nurse practitioner:
gives the patient illustrative pictures that instruct him or her on body alignment during activity.
has the patient watch a video about surgeries and preoperative care for hip fractures.
provides the patient with an audio tape for care of hip fractures and range-of-motion activities.
provides verbal reinforcement to the patient on how to keep proper body alignment following hip surgery. - CORRECT ANSWER provides verbal reinforcement to the patient on how to keep proper body alignment following hip surgery.
When serving as a nurse researcher, the adult-gerontology acute care nurse practitioner is guided by which ethical principle to ensure that research participants are protected from harm or exploitation? - CORRECT ANSWER Nonmaleficence
The adult-gerontology acute care nurse practitioner is asked to provide evidence to the hospital administration about the safety of nurse practitioners placing central lines. Which resource provides the strongest level of evidence? - CORRECT ANSWER A systematic review.
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?
American Association of Retired Persons.
Medicaid.
Medicare.
United States Social Security Administration. - CORRECT ANSWER Medicaid.
Goals set forth in Healthy People 2020 by the United States Department of Health and Human Services include the:
elimination of health disparities.
empowerment of health care delivery systems.
increase in life span of older adults.
treatment of acute diseases. - CORRECT ANSWER elimination of health disparities
Based on the individual's culture, ethnicity, and personal choices, the adult-gerontology acute care nurse practitioner can optimize the therapeutic partnership with the patient by:
assuming most patients want to rely on family members or care providers to make treatment decisions.
communicating with the patient using minimal to no medical terminology.
developing the patient's communication skills to a more advanced level.
tailoring his or her communication style to the patient's preference. - CORRECT ANSWER tailoring his or her communication style to the patient's preference.
Which clinical scenario does the adult-gerontology acute care nurse practitioner evaluate for a quality improvement process change?
A new case of necrotizing fasciitis in an immunocompromised patient.
A projected increase in the number of influenza cases requiring hospitalization
An expected rate of ventilator-associated pneumonia in pulmonary disease patients
An increased incidence of postoperative sternal wound infections. - CORRECT ANSWER An increased incidence of postoperative sternal wound infections.
What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number? - CORRECT ANSWER Balanced Budget Act [Show Less]