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ANCC AGACNP Certification Questions and answers | Latest 2024/25 RATED A+
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ANCC AGACNP Certification Questions and answers | Latest 2024/25 RATED A+
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ANCC AGACNP Certification Questionsand answers | Latest 2024/25 RATED A+
When should adults get the PNA vaccine? - Age 19-64: smoker, asthma, COPD, DM,
ETOH, is immunocompromised or living in facility
Age 65+: PPSV23 AND PCV13
How often should you get a physical exam? - Once from 11-14, 15-17, 18-21
Every 5-6 years from ages 20-59
Every 2 years from age 60+
When should you check lipid panel? - Starting at age 20 and every 5 years unless >
200 mg/dL
When should mammography and prostate screening begin? - Mammography:
starting between 40-50 and continue as long as she has 10+ more years
Prostate: At 40 if family hx of AA. At 50 for everyone else
When should you have baseline ECG in place? - Age 40
When should colorectal screening start? - Age 50. Annual FOBT with flex sig q 5
years and colonoscopy q 10 years
When should glaucoma testing start? - Age 40 and yearly
When should herpes zoster be given? - Age 50-60
When can Pap smear be discontinued? - Age > 65-70 with three consecutive normal
tests and no abnormal tests in last 10 years
Top 4 killers in the US of everyone - Heart disease, colorectal cancer, Lowe
respiratory disease (COPD, asthma, flu, PNA), CVA stroke
Cancer with highest mortality in both men and women? - Lung
What is the most common cancer in women in the US? - Breast
What is the most common cancer in men in the US? - Prostate
Who should get hep A vaccine? - Military, travelers, men who have sex with men
Who should have hep B vaccine? - Healthcare workers and high risk patients
What is ginger used for and what should you watch for? - Nausea, dyspepsia,
constipation, colic
,INCREASED RISK OF BLEEDING
What is ginseng used for and what should you watch for? - Increase overall well-
being, Lower cholesterol, reduce fatigue, enhance libido
INCREASED RISK OF BLEEDING, mania with MAOIs, May inhibit opioids
What is St. John's wort used for and what should you watch for? - Depression,
anxiety, sleep disorders, BPH
INCREASED RISK OF CLOTTING, many drug interactions, may increase efficacy of
opioids
What is echinacea used for and what should you watch for? - Common cold
Anaphylaxis, hepatotoxicity, nephrotoxicity, increased sedation during anesthesia
What is gingko Biloba used for and what should you watch for? - Memory and
concentration, claudication and glaucoma
INCREASED RISK OF BLEEDING, increased blood pressure
Black cohosh use and warning - Menopausal discomfort
INCREASED RISK OF BLEEDING
Large amounts may cause seizures, visual changes and bradycardia
What is evening primrose used for and what should you watch for? - Menopausal
discomfort
May elevate blood glucose
May increase the risk of seizures
What is kava kava used for and what should you watch for? - Improve relaxation
without messing with clarity
High doses can lead to HTN, liver damage, visual impairment and dry skin
Do not use with ETOH
May worsen Parkinson's
What is garlic used for and what should you watch for? - Indigestion, respiratory
complaints, increase energy
INCREASED RISK OF BLEEDING
What are the two titles of HIPAA? - Title 1: projects health insurance coverage for
workers and their families when they lose their job (Cobra)
Title 2: requires the establishment of national standards for electronic health care
transactions and national identifiers for providers, health insurance plans and employers
Who is required to follow HIPAA? - Health care providers, clearinghouses, and health
plans
, What are the two goals of healthy people 2020? - 1) Increase the quality and years of
healthy life
2) Eliminate health disparities among Americans
What diagnoses must NPs report to the Department of Health? - Gonorrhea
Chlamydia
Syphilis
HIV
TB
Animal bites to animal control
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II IIWhat is covered in Medicare A? - Hospital, SNF, home care services and hospice
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What is covered by Medicare B? - Known as supplemental medical insurance, pays for
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physicians visits, outpatient services, lab and diagnostics, medical equipment and flu
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shots
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Medicare pays 80% and patient pays 20% II II II II II II
II IIWhat is Medicare C? - Medicare Advantage - combines A B into one plan
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What is Medicare D? - Limited prescription drug coverage
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Monthly premium required, only available if you have part A
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What do the State Practice Acts do? - - authorize boards of nursing in each to establish
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authority for licensure
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- define scope of practice and prescriptive authority
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How is licensure and certification different? - Certification is granted by
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nongovernmental agencies once mastery of specialized knowledge is demonstrated.
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Licensure is by the state when a person is qualified.
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What are the components of decisional capacity? - The ability to understand, reason,
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differentiate good and bad, and communicate
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Who was the first NP in the US? - Loretta Ford, who worked with Dr. Henry Silver at the
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University of Colorado and began the NP in pediatrics in 1964 due to physician shortages
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How did the inpatient NP develop? - As a result of managed care, hospital restructuring
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and decreases in medical residency programs
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II IIRoles of NP - Clinicians, consultants, educators, and researchers
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II IIWhat makes an experiment study? - Randomization and control group
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, What is deductive reasoning? Vs. inductive - Deductive reasoning uses general
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premises to make specific predictions
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Inductive is the process of developing a generalization after specific information has been
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studied
II
What are the USPSTF recommendation grades? - A recommended with high evidence
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of benefit, B recommended with moderate net benefit, C recommended in select
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individuals with small benefits, D not recommended due to harm, I insufficient evidence
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What does a sensitive test mean? - - identifies those who have the disease (true
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positives)
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- it will have minimal false negatives
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- it helps rule out disease
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What does a test with high specificity mean? - - identifies the true negatives
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- has minimal false positives
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- rules in the positive disease
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What is Nightingale's theory of nursing - Based on creating a restorative environment
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Fresh air, light, nutrition, cleanliness, warmth
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What is Fay Abdullah's theory of nursing? - Care for the whole person including
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physical, spiritual and social
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What is Orem's theory of nursing? - Focused on professional and technological
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operations. The nurse diagnoses and plans the care and then manages it.
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What is Roger's theory of nursing? - Individual is seen as an energy field existing within
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the universe
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II IIWhat is Leininger's theory of nursing? - Culture care
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Describe the WHO's ladder for pain management - Step 1: aspirin, apap, or NSAID +|-
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adjuvants
II
Step 1: maintain step 2 and add low opioid (codeine, hydrocodone, oxy, tramadol)
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Step 3: add stronger opioids
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What is a fever? What numbers should you watch for? - - elevated body temperature
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above normal (37 Celsius)
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- 101.5 F = 38.3 C
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Tension headaches - Most common type in adults. Mechanism is uncertain but though
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to be related to muscle contraction. Produces generalized bilateral pain that is described
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as frontotemporal band like discomfort. Pain is described as mild to moderate, non-
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throbbing pain, tightness, or pressure with a gradual onset that may last hours. It is
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