AGACNP EXAM REVIEW QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
ScopeHofHPracticeH-
HANSWERHBasedHonHlegalHallowancesHinHeachHstate,HindividualHstateHnurseHpracticeHactsHprovidingHguideli
nesHforHnursingHpractice
KeyHelementsHofHtheHNPHroleHincludeH-
HANSWERHintegrationHofHcareHacrossHtheHacuteHillnessHcontinuumHwithHcollaborationHandHcoordinationHof
Hcare;HresearchHbasedHclinicalHpractices,HclinicalHleadership,HfamilyHassessment,HandHdischargeHplanning
StandardsHofHAdvancedHPracticeHareHdelineatedHby...H-
HANSWERHAmericanHNursesHAssociationHwhichHmeasureHqualityHofHpractice,Hservice,HorHeducation
StateHPracticeHActsH-
HANSWERHAuthorizeHBoardsHofHNursingHinHeachHstateHtoHestablishHstatutoryHauthorityHforHlicensureHofHRN
s
StateHPracticeHActsH-HauthorityHincludes:H-
HANSWERHuseHofHtitle,HauthorizationHforHscopeHofHpracticeHincludingHprescriptiveHauthority,HandHdisciplina
ryHgrounds
StatesHvaryHinHpracticeHrequirements,HsuchHasH-HANSWERHcertification
PrescriptiveHauthorityH-HANSWERHAbilityHandHextentHofHNPsHabilityHtoHprescribeHmeds
DEAHhasHruledHthatHnursesHinHadvancedHpracticeHmayHobtain..H-
HANSWERHregistrationHnumbers,HstateHpracticeHactsHdictateHlevelHofHprescriptiveHauthorityHallowed
CredentialsHencompass...H-HANSWERHrequiredHeducation,HlicensureHandHcertificationHtoHpracticeHasHanHNP
CredentialsHestablish...H-HANSWERHminimalHlevelsHofHacceptableHperformance
,CredentialingHisHnecessaryHto:H-
HANSWERHensureHthatHsafeHhealthcareHisHprovidedHbyHqualifiedHindividuals;HcomplyHwithHfederalHandHstat
eHlawsHr/tHAPN
CredentialsHalso...H-
HANSWERHacknowledgesHtheHscopeHofHpracticeHofHNP,HmandatesHaccountability,HenforcesHprofessionalHsta
ndardsHforHpractice
LicensureH-HANSWERHestablishesHthatHaHpersonHisHqualifiedHtoHperformHinHaHparticularHprofessionalHrole
LicensureHisHgrantedHasHdefinedHbyHrulesHandHregulationsHsetHforthHbyH-
HANSWERHaHgovernmentalHregulatoryHbodyH(ie.HstateHboardHofHnursing)
CertificationH-HANSWERHPersonHhasHmetHcertainHstandardsHthatHsignifyHmasteryHofHspecializedHknowledge
CertificationHisHgrantedHbyHnongovernmentalHagenciesHsuchHasH-HANSWERHANCC,HAANP
AdmittingHprivilegesHtoHhospitalsH(nonHphysican)HwereHgrantedH-HANSWERH1983HbyHJC
CredentialingHandHprivilegingH-
HANSWERHprocessHwhichHanHNPHisHgrantedHpermissionHtoHpracticeHinHanHinptHsetting
CredentialingHwithHhospitalHprivilegesHisHgrantedHbyHaH-HANSWERHHospitalHCredentialingHCommittee
PtHMedicalHAbandomentH-HANSWERHWhenHcaregiver-
ptHrelationshipHisHterminatedHw/oHmakingHreasonableHarrangementsHwHanHappropriateHpersonHsoHthatHca
reHcanHbeHcontinued
DeterminationHofHptHabandonmentHdependsHonHfactorsHsuchHas:H-
HANSWERHWhetherHNPHacceptedHptHassignment,HwhetherHNPHprovidedHreasonableHnoticeHbeforeHtermin
ation,HwhetherHreasonableHarrangementsHcouldHhaveHbeenHmade
,FollowingHdoHnotHconstituteHptHabandonmentH-
HANSWERHNPHrefusesHtoHacceptHresponsibilityHforHptHassignmentHwhenHNPHhasHgivenHreasonableHnoticeHt
oHproperHauthorityHthatHNPHlacksHcompetenceHtoHcarryHoutHassignment;HNPHrefusesHassignmentHofHaHdou
bleHshiftHorHaddtlHhrsHbeyondHpostedHworkHscheduleHwhenHproperHnotificationHhasHbeenHgiven..latterHphr
aseHcanHbeHcontroversial
RiskHMgmtH-
HANSWERHSystematicHeffortHtoHreduceHriskHbeginsHwHformalHwrittenHriskHmgmtHplanHthatHincludes:Horgani
zationsHgoals,HdelineationHofHprogram'sHscope,Hcomponents,Hmethods;HdelegatingHresponsibilityHforHimpl
ementationHandHenforcement;HdemonstratingHcommitmentHbyHtheHboard;HconfidentialityHandHimmunityH
fromHretaliationHforHthoseHwhoHreportHsensitiveHinfo
MostHcommonHmethodHofHdocumentationHforHriskHmgmtH-HANSWERHincidentHreports
PoliciesHregardingHincidentHreportsHshouldHaddress:H-
HANSWERHpplHauthorizedHtoHcompleteHreport;HpplHresponsibleHforHreviewHofHaHreport,HimmediateHactionsH
neededHtoHminimizeHtheHeffectsHofHtheHevent;HpplHresponsibleHforHfollowHup;HplanHforHmonitoringHafterma
th;Hsecurity/storageHofHcompletedHreport
RiskHmgmtH-HSatisfactionHsurveysH-
HANSWERHImportantHforHidentifyingHproblemsHbeforeHtheyHdevelopHintoHincidentsHorHclaims;HforHptsHandH
employees
RiskHmgmtH-
HComplaints:HRiskHmgmtHplanHshouldHdelineateHtracking,Hanalyzing,HandHmanagingHcomplaintsHbyHclearlyHi
dentifying:H-
HANSWERHpplHnotifiedHafterHreceivingHcomplaint;HpplHresponsibleHforHresponding;HpplHresponsibleHforHmo
nitoringHfollowHup
ActionHtakingHinitiatives:H-
HANSWERHPrevention,HcorrectionH(correctiveHstepsHmustHbeHmonitoredHandHaudited),Hdocumentation,Hed
ucation,HdepartmentalHcoordination
MedicalHFutilityH-HANSWERHInterventionsHthatHareHunlikelyHtoHproduceHsignificantHbenefitHforHptH-
H"DoesHtheHinterventionHhaveHanyHreasonableHprospectHofHhelpingHthisHpt?"
, TwoHkindHofHmedicalHfutility:H-
HANSWERHQuantitativeHfutility:HlikelihoodHthatHinterventionHwillHbenefitHptHisHextremelyHpoor
QualitativeHfutility:HqualityHofHbenefitHanHinterventionHwillHproduceHisHextremelyHpoor
InformedHconsentH-HcompetenceH(decisionalHcapability)H-
HANSWERHstateHthatHptHisHableHtoHmakeHpersonalHdecisionsHaboutHtheirHcare
competenceHimpliesHthatHabilityHto:H-
HANSWERHunderstand,Hreason,HdifferentiateHgoodHandHbad,HandHcommunicate
informedHconsentH-
HANSWERHptHhasHreceivedHadequateHinstructionHorHinfoHregardingHaspectsHofHcareHtoHmakeHprudent,Hpers
onalHchoiceHregardingHsuchHtx
InformedHconsentHincludes:H-HANSWERHdiscussingHbenefitsHandHrisk
consentHisHassumedHif...H-HANSWERHpt'sHconditionHisHlifeHthreatening
DanforthHAmendmentH1991H-
HANSWERHptsHareHinformedHatHtimeHofHadmissionHtoHfederallyHfundedHinstitutionH(suchHasHhospital,Hnursin
gHhome,Hhospice,HHMO,Hetc)HthatHtheyHhaveHtheHrightHtoHrefuseHcareHasHlongHasHtheHptHhasHdecisionalHcap
abilityH(competence)
EthicsH-HANSWERHstudyHofHmoralHconductHandHbehaviorHprotectingHtheHrightsHofHanHindividual
1stHpriorityHisHtheH-HANSWERHmostHsalvagableHpts.HMostHcriticallyHinjuredHcaredHforHlast.
KeyHethicalHprinciplesHare:H-
HANSWERHnonmaleficence,Hutilitarianism,Hbeneficence,Hjustice,Hfidelity,Hveracity,Hautonomy
NonmaleficenceH-HANSWERHdutyHtoHdoHnoHharm