TEST BANK FOR ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION BY JOEL LATEST UPDATED 2024 QUESTIONS AND DETAILED ANSWERS WITH RATIONALE

TEST BANK FOR ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION BY JOEL LATEST UPDATED 2024 QUESTIONS AND DETAILED ANSWERS WITH RATIONALE


Chapter. Advanced Practice Nurses and Prescriptive Authority

1. All of the following are reasons that attributed to the rise of AG-ACNP except:

a. Intensivist physician shortages
b. Rising cost of malpractice insurance for physicians
c. Changes to medical resident work hour restrictions
d. Increase in patients with complex medical conditions

ANS: B
The role of AG-ACNP rose out of an increased demand for practitioners to manage patients with complex medical conditions, shortages of intensivist physicians, and changes to medical resident and fellows work hour restrictions.


2. An increased spectrum of care affords the AG-ACNP the ability to provide medical care to a broader age group. Which of the following is age-range appropriate for an AG-ACNP to treat?

a. Age 7 and older
b. Age 13 and older
c. Age 18 and older
d. Age 21 and older

ANS: B
An AG-ACNP can provide care to patients aged 13 and older unless additional state or facility- specific restrictions exist. The age ranges are grouped into young adults, middle-age adults, and older adults.


3. As identified in a 2012 study by the ANCC, which of the following top workactivities for the AG-ACNP was number one when arranged by criticality?

a. Conducting history and physical examinations
b. Maintaining patient privacy and confidentiality



c. Evaluating patients for safety and efficacy of interventions
d. Assessing patients for urgent and emergent conditions

ANS: B
In 2012, the ANCC surveyed ACNP clinicians and identified top work activities for the AG-ACNP role. These activities were organized by criticality, or importance of the skill and determined by the requirement to perform the skill accurately each time, as a novice NP, and based on the risk of harm by performing the skill incorrectly. Maintaining patient privacy and confidentiality scored at the top.


4. Based on a survey of ACNPs, the following procedures are performed in a hospital-based setting most commonly by ACNPs except:

a. Vasoactive intravenous drips
b. Lumbar puncture
c. Sutures
d. Radiologic studies

ANS: B
Based on survey data, procedures that are formed least routinely by ACNPs include lumbar punctures, surgical first assist, thoracostomy tubes, cutdowns, paracentesis, joint aspirations, and bladder aspirations.


5. Based on a survey of ACNPs, which of the following procedures are performed in a hospital- based setting most commonly by ACNPs?

a. Defibrillation
b. Lumbar puncture
c. Pacemakers
d. Chest tubes

ANS: A
Based on survey data, procedures that are formed most commonly by ACNPs include radiologic studies, vasoactive intravenous drips, resuscitative efforts, defibrillation, wound care, sutures, incisions, and ventilation.