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A compilation of questions and answers related to the agacnp (adult gerontology acute care nurse practitioner) certification exam. It covers various topics relevant to the exam, including pain assessment, patient rights, healthcare quality, and ethical considerations. Useful for individuals preparing for the agacnp certification exam, offering a glimpse into the types of questions they may encounter.
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AGACNP CERTIFICATION EXAM 1 ................................................................................................................................................ 1 AGACNP EXAM- RISK ASSESSMENT, HERBAL AGENTS ................................................................................................. 84 NURS 642 /AGACNP EXAM 1 ........................................................................................................................................................ 95 AGACNP EXAM 3............................................................................................................................................................................... 126 AGACNP NT TEST PREP EXAM ................................................................................................................................................. 165 AGACNP 106 FINAL EXAM .......................................................................................................................................................... 181 AGACNP FINAL EXAM REVIEW ................................................................................................................................................ 215 ANCC AGACNP CERTIFICATION FINAL EXAM VERSION 1 ........................................................................................ 273 ANCC AGACNP FINAL EXAM VERSION 2 ............................................................................................................................. 332
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 judgementsabout 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-
Criminal acts and injury from a dangerous weapon 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 orless, 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 toensure quality - Correct Answer-Quality assurance A tool for identifying prevention strategies to ensure safety - Correct Answer-Root cause analysis What is the purpose of RCA? - Correct Answer-Build a culture of safety Unexpected occurrences involving death or serious physical or psychological injury orrisk
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 Researcher What are the two categories of non-experimental research - Correct Answer-Descriptive research and correlational research Study that examines a population with a very similar attribute, but differ in one specific variable. Used to find relationships between variables at a certain point in time - Correct Answer-Cross sectional Research study that compares a particular outcome in groups of individuals who are alike in many ways but differ by a certain characteristic - Correct Answer-Cohort Study that involves taking multiple measures of a group/population over an extended period of time to find relationships between variables - Correct Answer-Longitudinal What two things to experimental studies need? - Correct Answer-Randomization andcontrol Involves manipulation of variables but lacks a comparison group or randomization - Correct Answer-Quasi experimental Includes case studies, open ended questions, participant observations - Correct
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 circumstanceswould 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 Spoken defamation - Correct Answer-Slander
The degree to which those who have a disease screen/test positive - Correct Answer- Sensitivity The degree to which those who have a disease screen/test negative - Correct Answer- Specificity The frequency with which a disease or disorder appears in a particular population or area at a given time - Correct Answer-Incidence The proportion of a population that is affected by a disease or disorder at a particular time - Correct Answer-Prevalence Healthy diet, exercise, avoiding tobacco, wearing seat belts and immunizations areexamples of - Correct Answer-Primary prevention 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 andsupporting tissue - Correct Answer-Somatic
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. Imitrex is used for treatment in which two headaches? - Correct Answer-Cluster and migraine What are normal albumin levels - Correct Answer-3.5- 5 What are normal potassium levels - Correct Answer-3.5- 5 What are normal phosphorus levels - Correct Answer-3.5- 5 What are normal magnesium levels - Correct Answer-1.5-2. If the patient can use the GI tract, but is at risk for aspiration, what kind of feeding tube should be NP use? - Correct Answer-duodenal The following are complications of what kind of feeding: Aspiration Diarreha Emesis Bleeding
Hypernatremia Dehydration - Correct Answer-Enteral (through tube) The following are complications of what kind of feeding: Hyperglycemia HHNK Air emboli - Correct Answer-Parenterl (through vein) 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
How do you treat hypovolemic hypernatremia? - Correct Answer-NS followed by ½ normal saline How do you treat euvolemic hypernatremia? - Correct Answer-D5W How do you treat hypervolemic hypernatremia? - Correct Answer-D5W and loop diuretics What are some causes of hypokalemia - Correct Answer-DiureticsGI loss Excess renal loss Alkalosis Muscular weakness, fatigue, muscle cramps, constipation signifies which electrolyte imbalance - Correct Answer-Hypokalemia What EKG changes would you expect to see in hypokalemia? - Correct Answer-Broad Twaves Prominent U waves
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 whichelectrolyte 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-Ionizedcalcium does not vary with albumin
These drugs decrease perfusion to renal vasculature - Correct Answer-NSAIDs What are some causes of hypercalcemia? - Correct Answer-Hyperparathyroidism Hyperthyroidism Vitamin D intoxication Prolonged immobilization Fatigue, muscle weakness, anorexia, constipation are manifestations of - Correct Answer-Hypercalcemia How do you treat hypercalcemia - Correct Answer-Calitonin Dialysis At what point is Calcium considered a medical emergency - Correct Answer-> Results from decreased alveolar ventilation - Correct Answer-Respiratory acidosis Formula for anion gap - Correct Answer-(Na + K) - (HCO3 + C1) What is a normal gap? - Correct Answer- 7 - 17 What are some things that cause an increased anion gap? - Correct Answer-DKALactic acidosis What are some things that have a normal anion gap? - Correct Answer-DiarrheaIleostomy Renal tubular acidosis Renal failure
If the patient has an increased anion gap, how do you treat? - Correct Answer-Treat thecause Fluid HCO3 indicated if severe hyperkaemia If the patient has a normal anion gap, how do you treat? - Correct Answer-Bicitra 10 - 30 cc Ng suction and vomiting can cause which acid base imbalance - Correct Answer-Metabolic alkalosis With metabolic alkalosis, which electrolyte imbalance will you see - Correct Answer- Hypokalemia What is acetazolamide? - Correct Answer-Diamox; diuretic