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ANCC AGACNP CERTIFICATION QUESTIONS
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ANCC AGACNP CERTIFICATION QUESTIONS
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ANCC AGACNPCERTIFICATION
QUESTIONS
When should adults get the PNA vaccine? - answer- Age 19-64: smoker, asthma,
COPD, DM, ETOH, is immunocompromised or living in facility
Age 65+: PPSV23 AND PCV13
What is covered in Medicare A? - answer- Hospital, SNF, home care services and
hospice
What is covered by Medicare B? - answer- Known as supplemental medical insurance,
pays for physicians visits, outpatient services, lab and diagnostics, medical equipment
and flu shots
Medicare pays 80% and patient pays 20%
What is Medicare C? - answer- Medicare Advantage - combines A B into one plan
What is Medicare D? - answer- Limited prescription drug coverage
Monthly premium required, only available if you have part A
What do the State Practice Acts do? - answer- - authorize boards of nursing in each to
establish authority for licensure
- define scope of practice and prescriptive authority
,How is licensure and certification different? - answer- Certification is granted by
nongovernmental agencies once mastery of specialized knowledge is demonstrated.
Licensure is by the state when a person is qualified.
What are the components of decisional capacity? - answer- The ability to understand,
reason, differentiate good and bad, and communicate
Who was the first NP in the US? - answer- Loretta Ford, who worked with Dr. Henry
Silver at the University of Colorado and began the NP in pediatrics in 1964 due to
physician shortages
How did the inpatient NP develop? - answer- As a result of managed care, hospital
restructuring and decreases in medical residency programs
Roles of NP - answer- Clinicians, consultants, educators, and researchers
What makes an experiment study? - answer- Randomization and control group
What is deductive reasoning? Vs. inductive - answer- Deductive reasoning uses general
premises to make specific predictions
Inductive is the process of developing a generalization after specific information has
been studied
What are the USPSTF recommendation grades? - answer- A recommended with high
evidence of benefit, B recommended with moderate net benefit, C recommended in
select individuals with small benefits, D not recommended due to harm, I insufficient
evidence
What does a sensitive test mean? - answer- - identifies those who have the disease
(true positives)
- it will have minimal false negatives
- it helps rule out disease
What does a test with high specificity mean? - answer- - identifies the true negatives
- has minimal false positives
- rules in the positive disease
What is Nightingale's theory of nursing - answer- Based on creating a restorative
environment
Fresh air, light, nutrition, cleanliness, warmth
What is Fay Abdullah's theory of nursing? - answer- Care for the whole person including
physical, spiritual and social
What is Orem's theory of nursing? - answer- Focused on professional and technological
operations. The nurse diagnoses and plans the care and then manages it.
,What is Roger's theory of nursing? - answer- Individual is seen as an energy field
existing within the universe
What is Leininger's theory of nursing? - answer- Culture care
Describe the WHO's ladder for pain management - answer- Step 1: aspirin, apap, or
NSAID +|- adjuvants
Step 1: maintain step 2 and add low opioid (codeine, hydrocodone, oxy, tramadol)
Step 3: add stronger opioids
What is a fever? What numbers should you watch for? - answer- - elevated body
temperature above normal (37 Celsius)
- 101.5 F = 38.3 C
Tension headaches - answer- Most common type in adults. Mechanism is uncertain but
though to be related to muscle contraction. Produces generalized bilateral pain that is
described as frontotemporal band like discomfort. Pain is described as mild to
moderate, non-throbbing pain, tightness, or pressure with a gradual onset that may last
hours. It is associated with hunger, depression or stress. Treatment is over the counter
analgesics and relaxation.
Migraine headache description - answer- Unilateral, lateralized throbbing headache that
occurs episodically; May be dull or throbbing. Builds up gradually and may last for
several hours or longer
Types of migraines - answer- classical (with aura) and common (without aura)
How do you manage migraines? - answer- - avoid triggers
- relaxation and stress management
- prophylactic daily meds can be considered if attacks occur more than 3-4 times a
month
- for acute attach, rest in quiet dark room and take sumatriptan
Cluster headaches - answer- Mostly affecting middle aged men
May be precipitated by ETOH
Severe, unilateral, periorbital pain occurring daily for several weeks
Usually last less than 2 hours
What is critical thinking in nursing practice? - answer- Patient driven, purposeful,
outcome-focused thought based on both knowledge and experience
What drug is used as PEP for anthrax? - answer- Doxycycline
, What are the symptoms and treatment of organophosphate poisoning? - answer-
Symptoms: AMS, diaphoresis, lacrimation, miosis, urination, defecation, bradycardia
and diffuse wheezing
Treatment: atropine to block muscarinic effects, pralidoxime chloride reactivates the
enzyme cholinesterase (reversing muscle paralysis and CNS depression)
What do you use in cyanide poisoning? - answer- sodium nitrite
What clinical features increase the likelihood of MI? - answer- Radiation of pain to both
arms, a third heart sound, and hypotension
What is the most likely finding in lab on a person with diarrhea - answer- Metabolic
acidosis as the stool due to the loss of alkaline salts
A pregnant woman comes in with a soft 2/6 ejection systolic murmur. When should you
be concerned? - answer- This is normal along with an S3. Do not be concerned unless
symptoms of HF develop. Diastolic murmurs and S4 are abnormal however.
What should you recommend for an incidental adrenal mass? - answer- Overnight
dexamethasone suppression test
What symptoms and monitoring indices are consistent with cardiac tamponade? -
answer- - Diastolic equalization of right atrial, pulmonary artery diastolic and PAWP
- distant heart sounds, pulsus paradoxus, distended jugular veins
Which ion is primarily responsible for rapid depolarization if the cardiac myocyte? -
answer- Sodium
What findings are associated with pericarditis? - answer- Sharp, pleuritic chest pain that
is improved with leaning forward or sitting up, widespread ST Elevation or PR
depression and a pericardial friction rub
The length of time recommended for fibrinolytic therapy in a thrombotic CVA is: -
answer- 3.5-4 hours
What is the optimal hemoglobin level? - answer- 11-12
What is HBsAg, and what does it indicate? - answer- Hep B surface antigen. Protein on
the surface of the virus. Detected in both acute and chronic Hep B infections.
INDICATES THAT THE PERSON IS INFECTIOUS.
what is Anti-HBs? - answer- Antibody to HBsAg; indicates recovery and immunity to
hepatitis B.
What is anti-HBc? - answer- Total Hep B core antibody. Appears at onset of infection
and persists for life.
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