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AGACNP CERTIFICATION EXAM|| 2025 - 2026||ACTUAL
EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS
At what grade level would health literature be written at - Correct Answer-6th-8th grade Accreditation guidelines are laid out by - Correct Answer-the joint commission QI is the management process of - Correct Answer-Monitoring Evaluating Continuously reviewing Improving the quality of healthcare delivery and safety of the system If patient has a 0 on the RASS, then the patient is - Correct Answer-alert and calm If the patient has a +4 on the RASS, then the patient is - Correct Answer-combative What is used as pain assessment for pain in intubated patients? - Correct Answer- CPOT Using the MMSE, when does the patient have cognitive disfunction - Correct Answer- < 24 Nursing informatics role - Correct Answer-Practice Education Government Industry
This is the comparison and measurement of a healthcare organization's services against other national healthcare organizations - Correct Answer-Benchmarking Process by which practiced RNs systematically access, monitor, and make judgements about the quality of nursing care provided by peers measured against professional standards of practiced - Correct Answer-Peer review Written statement of patient's intent regarding medical treatment - Correct Answer- Advance directive This Act requires that all patients entering a hospital should be advised of their right to execute an advance directive - Correct Answer-Patient Self-Determination Act of 1990 Written compilation of statements in document format that specifies which life- proloninging measures one does and does not want to be taken if he or she becomes incapacitated - Correct Answer-Living Will
Animal bites Suspected or actual child/elder abuse What is collaboration - Correct Answer-True partnership If a patient is receiving comfort measures and death is imminent within 6 months or less, then the patient can be placed on - Correct Answer-hospice Sets the standard for reimbursement and cutting costs - Correct Answer-Medicare Varies from state to state - Correct Answer-Medicaid A limited examination of the affected body area or organ system - Correct Answer- Problem focused A limited examination of the affected body area or organ system and any other symptomatic or related body areas or organ systems - Correct Answer-Expanded problem focused
An extended examination of the affected body area or organ system and any other symptomatic or related body area or organ - Correct Answer-Detailed A general multi-system examination - Correct Answer-Comprehensive Covers inpatient hospitalizations, skilled nursing facilities, home health, and most individuals may qualify to receive at 65 years of age - Correct Answer-Medicare Part A Patients must pay for which two types of Medicare - Correct Answer-Part B and D New patient always requires what kind of assessment - Correct Answer-Comprehensive Covers physician services, outpatient hospital services, lab and diagnostics - Correct Answer-Medicare part B NPs receive what percentage of physician reimbursement? - Correct Answer-85% Which things are not covered as physician services under Medicare? - Correct Answer- Regular physical exams, health maintenance screenings, counseling for well patients What is the purpose of case managers? - Correct Answer-Mobilize, monitor, and control resources that a patient uses during a course of an illness while balancing quality and cost A process for evaluating the care of patients using established standards of care to ensure quality - Correct Answer-Quality assurance
Admitting privileges were given to NPs in 1983 by which organization - Correct Answer- The joint commission Process by which an NP is granted permission to practice in an inpatient setting - Correct Answer-Privileges Refers to interventions that are unlikely to produce any significant benefit for the patient
- Correct Answer-Medical futility A state indicating that a patient has received adequate instruction or information regarding aspects of care to make a prudent, persona choice regarding such treatment - Correct Answer-Informed consent Danforth Amendment of 1991 states that - Correct Answer-patient can refuse care Study of moral conduct and behavior which serves to govern conduct, thereby protecting the rights of an individual - Correct Answer-ethics The duty to do no harm - Correct Answer-Nonmaleficience The right act is the one that produces the greatest good for the greatest number - Correct Answer-Utilitarianism The duty to prevent harm and promote good - Correct Answer-Beneficence The duty to be fair - Correct Answer-Justice
The duty to be faithful - Correct Answer-Fidelity The duty to be truthful - Correct Answer-Veracity The duty to respect an individual's thoughts and actions - Correct Answer-Autonomy Who developed the first NP program - Correct Answer-Silver and Ford Where was the first NP program - Correct Answer-University of Colorado When was the first NP program developed - Correct Answer-1960s Why was the first NP program developed - Correct Answer-Hospital restructuring and decrease in medical residency programs Distinct roles of the NP - Correct Answer-Clinician Educator Consultant
An interval with limits at either end with a specified probability of including the parameter being estimated - Correct Answer-Confidence interval Indicates the average amount of deviation of values from the mean - Correct Answer- Standard deviation Probability level of which the results of statistical analyses are judged to indicate a statistically significant difference between groups - Correct Answer-Level of significance If the P <.05 then - Correct Answer-experimental and control groups are considered to be significantly different Statistical test to evaluate the difference in means between two groups - Correct Answer-T-test Consistency of a measurement, or the degree to which an instrument measures the same way over time - Correct Answer-Reliability
The degree to which a variable measures what it is intended to measure - Correct Answer-Validity Legal responsibility that a nurse practitioner has for actions that fail to meet the standards of care, resulting in actual or potential harm to a patient - Correct Answer- Liability Used as criteria to measure whether negligence has occurred - Correct Answer- Standards of care Failure of an individual to do what a reasonable person would do, resulting in injury to the patient - Correct Answer-Negligence Failure of a professional to render services with the degree of care, diligence and precaution that another member of the same profession under similar circumstances would render to prevent injury - Correct Answer-Malpractice This may involve: professional misconduct, unreasonable lack of skill, illegal/immoral conduct, other allegations resulting in harm to a patient - Correct Answer-Malpractice Intentional act by one person that creates an apprehension in another or an imminent harmful or offensive contact - Correct Answer-Assault Illegal, willful, angry, violent or negligent striking or a person, his clothes or anything with which he has in contact - Correct Answer-Battery Defaming, distributed written material - Correct Answer-Libel
Pap smear screening, prostate cancer screening and cholesterol screening are examples of - Correct Answer-Secondary prevention Cardiac rehabilitation, kidney screening after a diagnosis of DM is an example of - Correct Answer-Tertiary prevention Pain that is localized on the skin or surface of the body - Correct Answer-Cutaneous Poor localized pain such as with internal organs - Correct Answer-Visceral Non-localized pain that originates in muscle, bone, nerves, blood vessels and supporting tissue - Correct Answer-Somatic Pain that is frequently caused by a tumor and involves nerve pathway injury or compression - Correct Answer-Neuropathic What is recommended for breakthrough cancer pain - Correct Answer-Fentanyl patches What is considered a fever - Correct Answer-Temp greater than 37 C oral or rectal temp greater than 99. Most important history item for a headache - Correct Answer-Chronology Vice-like or tight in quality headache, that is generalized with no focal symptoms - Correct Answer-Tension headache What is treatment for tension headache - Correct Answer-OTC analgesics
Unilateral, throbbing headache that occurs episodically. It is dull and throbbing with neurological deficits - Correct Answer-Migraine Treatment for migraines? - Correct Answer-ASA right away Sumatriptan Precipitated by alcohol ingestion and characterized by severe, unilateral periorbital pain occurring daily for serval weeks - Correct Answer-Cluster headache This headache may include ipsilateral nasal congestion, rhinorrhea and eye redness - Correct Answer-Cluster headache Treatment for cluster headache - Correct Answer-Inhalation of O Sumatriptan Albumin levels less than indicate malnutrition - Correct Answer-3. With albumin levels less than you will see edema - Correct Answer-2.
What electrolytes should you watch for with refeeding syndrome? - Correct Answer- Phos and K With diarrhea which electrolyte imbalance will you have? - Correct Answer- Hyperkalemia What is normal urine Na - Correct Answer- 10 - 20 What is normal serum osmolality - Correct Answer- 275 - 285 Patient has serum osmo of 275 and sodium of 125. What is the treatment? - Correct Answer-Cut down on fat What are causes of hypovolemic hyponatremia and a urine Na <10? - Correct Answer- Dehydration Diarrhea Vomiting
What are causes of hypovolemic hyponatremia and a urine Na >20? - Correct Answer- Diuretics Ace inhibitors Mineralcorticoid deficiency What are the causes of hypervolemic, hypotonic, hyponatemia? - Correct Answer- Edematous states CHF Liver disease What is the treatment of hypervolemic, hypotonic, hyponatremia? - Correct Answer- Restrict water Patient has a serum osmo of 300 and sodium of 125. What is cause? - Correct Answer- Hyperglycemia If the patient is hyponatremic with a urine Na >20, then how do you treat? - Correct Answer-Treat the cause If the patient is hypervolemic, how do you treat? - Correct Answer-Water restriction If the patient has a sodium of 115 and has neuro signs and symptoms, then how do you treat? - Correct Answer-3% NS with loop diuretics Electrolyte imbalance due to excess water loss - Correct Answer-Hypernatremia How do you treat hypovolemic hypernatremia? - Correct Answer-NS followed by ½
What electrolyte deficiency frequency impairs K correction - Correct Answer-Magnesium What are some causes of hyperkalemia - Correct Answer-Excess intake Renal failure Hypoaldosternoism NSAIDs Heparin Acidosis Weakness, flaccid paralysis, abdominal distention and diarrhea are signs of which electrolyte imbalance - Correct Answer-Hyperkalemia Which EKG changes would you expect to find with hyperkalemia - Correct Answer-Tall, peaked T waves Major cellular ion and important as a mediator of neuromuscular and cardiac function - Correct Answer-Calcium What is normal total calcium? - Correct Answer-2.2-2.6 mmol/L OR 8.5-10.5 mg/dl What is normal ionized calcium? - Correct Answer-1.1-1.4 mmol/L Why would you get ionized calcium over total calcium? - Correct Answer-Ionized calcium does not vary with albumin If there is a normal calcium level in the presence of a low albumin level, it suggest -
Correct Answer-Hypercalcemia What are some causes of hypocalcemia? - Correct Answer-Hypoparathyroidism Hypomagnesemia Pancreatitis Renal failure Multiple blood transfusions Increased DTRs, muscle cramps, Trousseau's sign, Ckvostek's sign and prolonged QT interval are manifestations of which electrolyte imbalance - Correct Answer- Hypocalcemia How do you treat hypocalcemia? - Correct Answer-If acute, give IV calcium gluconate If chronic, give PO and vitamin D What is normal BUN - Correct Answer- 10 - 20 What is normal Cr - Correct Answer-0.5-1.
