ANCC AGACNP FRANCES GUIDE REVIEW NEWEST

• | P a g e

pg. 1

ANCC AGACNP – FRANCES GUIDE REVIEW NEWEST

UPDATE 2025 TEST BANK| COMPLETE 530

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) ALREADY GRADED A+||

BRAND NEW!!

Your patient is brain dead on the ventilator. The family wants all possible treatment measures done to preserves life, but states that the patient would not want to be on a ventilator. What should you do?

• consult neurology to come interview the family
• document the situation carefully in the chart
• call a clergy member to offer support
• call the ethics committee - Correct Answer - d. call the ethics

committee

A patient visits your clinic for sinusitis. She requests a PAP smear since

she has not had one in "years". You:

• refer her to a gynecologist
• schedule her to come back next week for the PAP at another appt
• perform the pap today
• do a vaginal exam only, and refer the PAP to a gyno - Correct Answer
• schedule her to come back next week for the PAP at another appt

A patient visits your cardiology clinic. She requests a PAP smear since

she has not had one in "years." You:

• refer her to gynecologist 1 / 4

• | P a g e

pg. 2

• schedule her to come back
• perform the PAP today
• do a vaginal exam only, and refer the PAP to a gyno - Correct Answer
• refer to gynecologist

Discharge planning is udnerway for a patient who has been very dehabilitated after treatment for end-stage liver cancer. His wife is also debilitated and the children live out of state. What is the best choice?

• hospice
• home health care
• SNF
• private duty RN - Correct Answer - c. SNF

Your patient presents to ED w/ R wrist pain. She states, "it's my fault; I should have had dinner ready on time." What do you do?

• Tell her not to go home bc it's not safe
• XR the wrist
• call the police
• consult psych - Correct Answer - b. XR the wrist

Now the husband presents to the ED with drug overdose. What is your action?

• Hand him off to another practitioner
• call the police
• consult psych 2 / 4

• | P a g e

pg. 3

• treat him without prejudice - Correct Answer - d. treat him without

prejudice

The medical resident obtained consent for an operative procedure. on your visit, the patient is confused/ refusing the procedure

• cancel the surgery
• have the wife sign another consent
• call the resident to clarify the patient was not confused when he

signed the first consent

• consult neurology - Correct Answer - c. call the resident to clarify the

patient was not confused when he signed the first consent

Your HIV positive patient is preparing to discharge when he tells you not only that he has passed the virus to his wife, but also that he plans to kill her when he gets home. How do you respond?

• call the police
• consult psych
• consult social work
• document his statements - Correct Answer - b. consult psych

Your clinical student breaks the sterile field. HOw do you handle this situation?

• discuss it with the student
• report it to the charge nurse
• report it to the unit manager 3 / 4

• | P a g e

pg. 4

• inform the faculty in charge of the student - Correct Answer - a.

discuss it with the student

You are the NP on call for the night. The nurse calls you to report the patient is decompensating. Who do you direct her to call?

• the ER physician
• anesthesia
• an NP present on another unit currently
• the attending MD who is at home - Correct Answer - d. the attending

MD who is at home

A code you are in does not go well, and staff members afterwards are criticizing each other. How do you deal with the situation?

• schedule an in service to discuss common code mistakes
• meet with each team member individually
• set up exercises to increase collaboration during a code
• meet with all who participated in the code and have a one-time

briefing - Correct Answer - d. meet with all who participated in the code and have a one-time briefing

Your patient is not doing well and family/wife is at bedside crying. Yo are preparing to talk to the family. What do you do first?

• place a social work consult
• explicitly explain the situation, the outcomes and care involved
• ask if the patient has an advanced directive
• / 4