ANP-BC - ANCC Adult Nurse Practitioner 2020 Update Question Bank

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Test Number : ANP-BC
Test Name : ANCC Adult Nurse Practitioner
Vendor Name : Medical
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ANP-BC test Format | ANP-BC Course Contents | ANP-BC Course Outline | ANP-BC test Syllabus | ANP-BC test Objectives


Category Content Domain Number of Questions Percentage
I Assessment 31 21%
II Diagnosis 39 26%
III Clinical Management 65 43%
IV Professional Role 15 10%
TOTAL 150 100%

Body Systems Drug Agents Age Group
1. Cardiovascular 1. Analgesic 1. Infant
2. Endocrine 2. Anti-Infective 2. Preschool
3. Gastrointestinal 3. Cardiovascular 3. School-Age
4. Genitourinary and Renal 4. Endocrine 4. Adolescent
5. Head, Eyes, Ears, Nose, and Throat 5. Eye, Ear, Nose and Skin 5. Young Adult (including late adolescent and emancipated minors)
6. Hematopoietic* 6. Gastrointestinal 6. Adult
7. Immune* 7. Genitourologic 7. Older Adult
8. Integumentary 8. Musculoskeletal 8. Frail Elderly
9. Musculoskeletal 9. Neurological
10. Neurological 10. Psychiatric
11. Psychiatric 11. Reproductive
12. Reproductive 12. Respiratory
13. Respiratory

Assessment
A. Knowledge
1. Evidence-based population health promotion and screening
B. Skill
1. Comprehensive history and physical assessment
2. Focused history and physical assessment
3. Risk assessment (e.g., genetic, behavioral, lifestyle)
4. Functional assessment (e.g., cognitive, developmental, physical capacity)
II Diagnosis
A. Knowledge
1. Pathogenesis and clinical manifestations of disease states
B. Skill
1. Differentiating between normal and abnormal physiologic or psychiatric changes
2. Diagnostic test selection and evaluation
III Clinical Management
A. Knowledge
1. Pharmacotherapeutics, pharmacokinetics, pharmacodynamics, and pharmacogenetics
2. Anticipatory guidance (e.g., developmental, behavioral, disease progression, crisis management, end-of-life care)
3. Age-appropriate primary, secondary, and tertiary prevention interventions
B. Skill
1. Pharmacotherapeutic intervention selection (e.g., interactions, contraindications)
2. Pharmacotherapeutic intervention evaluation (e.g., monitoring, side/adverse effects, patient outcomes)
3. Non-pharmacologic intervention selection and evaluation
4. Therapeutic communication (e.g., motivational interviewing, shared decision making)
5. Culturally congruent practice
6. Resource management (e.g., accessibility, coordination, cost effectiveness)
IV Professional Role
A. Knowledge
1. Legal and ethical considerations for health care informatics and technology (e.g., confidentiality, accessibility)
2. Scope and standards for advanced practice registered nurses
3. Regulatory guidelines (e.g., reportable diseases, abuse reporting)
4. Evidence-based clinical guidelines and standards of care
5. Ethical and legal principles and issues for patients, populations, and systems (e.g., justice, consent, guardianship, bioethics)
B. Skill
1. Research appraisal (e.g., design, results, clinical applicability)

The ANCC Family Nurse Practitioner board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of nurse practitioners. This certification aligns with the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Family Nurse Practitioner-Board Certified (FNP-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification.

The ANCC certification examinations are developed consistent with the technical guidelines recommended by the American Educational Research Association, the American Psychological Association, and the National Council on Measurement in Education (AERA, APA, NCME; 1999). Additionally, the ANCC certification examinations meet accreditation standards of the Accreditation Board for Specialty Nursing Certification(ABSNC) and the National Commission for Certifying Agencies (NCCA). Each examination is developed by ANCC in cooperation with a Content Expert Panel (CEP) composed ofcarefully selected experts in the field. CEPs analyze the professional skills and abilities from role delineationstudies, which provide the evidence for the test content outline (also called the test blueprint).

Test questions or �items� are written by certified nurses and interprofessional content experts in their discipline who have received training by ANCC staff in writing items. The items are then reviewed by the CEP with the ANCC staff and pilot-tested to ensure validity and psychometric quality before being used as scored items on the real examinations. ANCC adheres to a variety of guidelines during the development of items to ensure that the items are appropriate for the specialty and certification level (e.g., APRN vs. RN). This includes editing and coding items, referencing items to the approved test content outlines and reference books, and screening items for bias and stereotypes. Items for the examinations are selected that reflect the test content outline and item distributions. The validity and reliability of the exams are monitored by ANCC staff. Certification examinations are updated approximately every three to five years.

ANCC reports its examinees test score results as pass or fail. If an examinee fails, the score report includes diagnostic feedback for each of the major content areas covered on the examination.
ANCC examinations are criterion-referenced tests, which means that an examinees performance on the examination is not compared to that of other examinees in determining the examinees pass/fail status.
In a criterion-referenced test, an examinee must achieve a score equal to or greater than the minimum passing score for the examination. The minimum passing score represents the absolute minimum standards that the examinee must achieve to demonstrate the ability to practice the profession safely and competently. With the guidance of a measurement expert (e.g., a psychometrician), a panel of subject matter experts in the nursing specialty sets the minimum passing score for each ANCC examination. In setting the minimum passing score, ANCC uses the Modified Angoff Method, which is well-recognized within the measurement field.
Each test contains between 150 to 175 scored test items plus 25 pilot test items that do not count towards the final score. For specific information on the number of items each test contains, please refer to the test content outline associated with that exam.
Scores on ANCC examinations are reported on a scale with a maximum possible score of 500. To pass the ANCC examination, an examinee must achieve a scale score of 350 or higher. Prior to conversion of an examinees score to this scale, the examinees raw score on the examination is determined, which is simplythe number of test items that the examinee answered correctly (e.g., 105 out of 150). The raw score is then converted to a scale score, using a conversion formula.
For examinees who do not achieve a scale score of at least 350, the score report will show the scale score achieved, �fail� status, and diagnostic feedback for each of the content areas covered by the examination



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The NBA hasn't had a good check in the bubble, however guests are a concern | ANP-BC examcollection and test Questions

IT HAS BEEN more than a month on the grounds that 22 NBA teams entered the Orlando bubble for one of the vital formidable efforts in activities heritage -- and perhaps modern history.

And for all the considerations about trying to reboot the season all the way through the coronavirus pandemic in a state with soaring instances, and doing so at its peak with greater than a thousand gamers and staffers being tested day by day in a contained campus on the Walt Disney World resort, the league has pronounced five consecutive rounds of no positive checks, with the latest coming Wednesday.

truly, one excessive-rating reliable of a crew inner the bubble mentioned that whereas their members of the family have been at the start panic about their protection in the bubble, that respectable's "biggest be anxious" is now for his or her members of the family in their crew's domestic market.

How the NBA has secured its bubble is a testomony to many factors large and small, each main as much as teams' arrival and in the days and weeks in view that, including several adjustments along the manner. but in talks with crew and league officers, a way of warning and challenge in regards to the fragility of the condition nonetheless permeates whatever thing success has been had to this aspect.

That warning is underscored through the undeniable fact that in the subsequent two weeks, the bubble faces most likely its largest verify yet, one which both league, country wide Basketball gamers affiliation and crew officials point to because the subsequent important hurdle between now and the NBA Finals in mid-October.

on the conclusion of the primary circular of the playoffs, which all started Monday, team guests, similar to family members, are slated to beginning arriving in Orlando over the route of a week.

As first reported with the aid of ESPN's Adrian Wojnarowski, a accurate overview allotted to teams includes guidelines about who and how many guests are allowed (commonly, no greater than 4, and gamers with three or 4 children on campus may also also host up to two adults); what pre-travel clinical and clearance protocols they need to comply with (reminiscent of self-quarantine at home after which at their lodge room on campus), what actions are allowed (comparable to now not being capable of seek advice from any of the Walt Disney World motel Theme Parks) and about their departures.

The earliest clearance date for guests to enter the bubble itself -- after a duration that might include a previous week-lengthy domestic self-isolation, followed by quarantine -- can be Aug. 31.

1 connected

Six teams have departed considering the fact that the seeding round achieved, cutting back the variety of people within the bubble -- a figure that stood at round 1,four hundred -- via at the least 200. The number of visitors that finally arrive is, for now, doubtful as some come to a decision whether to come. nevertheless, league officers have discovered that the coming and going of any one within the bubble -- whether for family unit-related matters or in any other case -- has proved to be a sophisticated count. it will be simpler to contain a static ambiance.

And though rigorous protocols and guidelines had been put in place, the impending arrival of guests even so introduces variables into an atmosphere that has so far been virus-free.

talking of the efforts to hold that atmosphere, Dr. John DiFiori, the NBA's director of sports drugs who has helped coordinate the league's fitness-and-defense efforts from interior the bubble, wrote in an e-mail to ESPN, "Diligence and vigilance stay vital."

"persevered consideration to the protocols, meticulous evaluate and appropriate modification of their methods, and ongoing monitoring of new scientific developments will remain their center of attention as the restart unfolds."

a different high-rating team reliable concerned in player fitness talked about the bubble feels "like a really lengthy road travel at this factor."

That trip is far from over.

more: interior the NBA bubble's unofficial wine membership

"We eventually trust it will be safer on their campus than backyard it," NBA commissioner Adam Silver spoke of on a June 26 call with journalists. AP image/Ashley Landis

an awful lot OF THE NBA's success in the bubble will also be traced to the weeks before groups arrived, when they had been nevertheless in their domestic markets. groups privately complained about the socially-distanced particular person exercises as soon as observe facilities might open, however league officials felt it changed into indispensable to create a relaxed bubble.

"We felt pretty assured that everyone turned into terrible coming into the bubble," pointed out Joe Rogowski, the country wide Basketball avid gamers association's director of sports medication and research.

but before teams arrived, NBA and NBPA officials knew the protocols would deserve to be bendy as a result of for the entire health and infectious disorder experts that they consulted previously, there become no solution to understand how every person would respond to the campus except they have been in it.

Monday via Friday, host Pablo Torre brings you an internal seem at the most wonderful experiences at ESPN, as informed through the true reporters and insiders on the planet. pay attention

One illustration situated on compliance with each day testing for all gamers and body of workers internal the bubble. How would the league reply if someone overlooked their test, both deliberately or if they effectively forgot? Now, if a person hasn't achieved their each day COVID-19 examine by a undeniable element, they are going to acquire a textual content alert notifying them that they must complete it immediately.

The league additionally found that it will be difficult to persuade all and sundry to put on a mask no longer just during certain periods however essentially normally. Inconclusive testing was one more concern, and Wojnarowski and The Undefeated's Marc Spears reported that a Sacramento Kings player had to quarantine for 2 days after an inconclusive test -- or "false high-quality." Successive bad consequences allowed for the player to be available for a online game soon thereafter.

Dr. Jon R. Cohen, the govt chairman of BioReference Laboratories, which is conducting the NBA's on-campus testing, observed the probability of a false look at various effect -- either a false positive or false terrible -- is under 5%. "when you have a positive look at various, it depends on signs, nonsymptoms, all types of different issues [but], in most instances, you might be [going to get re-tested] identical to the rest in drugs," Cohen mentioned.

League officials are assured that their multi-layered strategies will protect in opposition t any false test effects.

Early on, NBA and NBPA officers, together with a considerable number of infectious sickness consultants and consultants, additionally discovered that those that as soon as confirmed wonderful, then confirmed bad after a duration of time, might nonetheless register superb exams later.

DiFiori and Rogowski addressed groups with this finding and on-campus protocols had been amended in order that those that have been caught during this fine-bad-positive cycle may be cleared by assorted checks and hence would not deserve to be perpetually sidelined for the mandated duration that lasts at the least two weeks.

The league has persisted sending memos to groups -- well-nigh 20 from July 9 except mid-August, in line with league sources -- that distinct changes, offering time-honored reminders. They proceed to lean on each and every team's campus health officer in calls and emails, attempting to empower them to remind avid gamers and group of workers on their respective squads to complete their each day checks and observe protocols.

"With any community of americans, if left to their own instruments, compliance would now not be high," talked about the second excessive-rating group reliable panic in participant health, "but the league has truly strengthened and put up checkpoints ... The logistics in the back of it were fantastic."

After the primary circular of the playoffs, crew visitors, such as members of the family, will start arriving in Orlando. Ashley Landis/AP

officials inside THE bubble point to each day trying out -- with outcomes returning in lower than 24 hours and often within a 12-15-hour window -- as being essential in preserving the bubble to this element.

"that's an incredible part of it, because you're gonna capture whatever thing appropriate away," referred to the first high-ranking team legit panic in participant health.

On the one hand, the trying out has definitely helped. it be yet another line of protection, and a key one at that. however, the tests have also strengthened how other methods and tactics are proving valuable, reminiscent of asking each person to continuously put on a mask, wash their palms and admire social distancing. Small nudges even consist of making sure chairs at a table are spaced apart, or telling avid gamers and staff not to take a seat next to each and every different without wearing a mask. League officers believe testing outcomes have shown how all these small particulars add up. The compliance on campus, team officers say, has also been strong.

"The variety of hours a day they all spend in masks, they likely by no means would have thought going into this that americans would do it," the second excessive-rating crew legitimate noted of the campus, "however they do it."

The ambiance helps encourage such compliance. team officers notice how there appears to be hand sanitizer attainable each 10 toes of the campus, how additional masks can be found at every flip, how there are a lot of signals and cameras and cleaning wipes. many of the identical messages which are being relayed now were inspired to players and workforce on account that they had been in their home markets, too.

"we've been right here so long now," the 2nd group respectable mentioned. "it's just variety of ingrained."

The NBA playoffs have arrived! With the seeding video games and Western convention play-in complete, 16 groups are set to compete for the NBA championship at ESPN extensive World of activities.

• real or no longer: issues after online game 1• every little thing to understand concerning the playoffs• certainly upsets in first round• experts' picks for all eight sequence

but security additionally plays a crucial position. ESPN's Tim Bontemps in the past said the unique lengths to which the league would try to both comfortable the campus and its perimeter -- preserving individuals in and outsiders out. And talks with those inner the bubble ascertain a heavy protection presence at numerous places across campus.

"there may be [security] americans each corner I flip," the 2d group reputable mentioned.

it's not to assert that no one can go away, as league officers have made clear, but officers stationed at entrances, exits and different checkpoints would remind anybody who desired to depart of the penalties, such as re-entering quarantine. The robust safety presence alone instills the sense of a contained campus whereas also discouraging departures.

"no person would physically restrain you [from leaving]," the first group official stated. "however you would need to deliberately, intentionally depart."

"it could be enormously complicated [to leave]," the second group official talked about. "I don't believe anything's impossible, however I suppose or not it's problematic."

group officers and excessive-ranking team executives mentioned beforehand that they were involved about gamers or personnel ultimately eager to leave the campus -- in impact, looking for to get away the restrictive nature of it. however the powerful protection presence, some of these same officers have spoke of, has helped quell those issues.

it truly is not to assert that there have not been fumbles. within the early days of the bubble, Sacramento Kings center Richaun Holmes and Houston Rockets center Bruno Cabocolo had to re-enter quarantine after crossing the campus line and leaving the hotel room during the preliminary quarantine duration, respectively. currently, LA Clippers defend Lou Williams turned into investigated about his excused absence off campus when he became photographed at a gents's club in Atlanta.

however there's a belief amongst league officials that people that did not need to be in the bubble opted out before, so people who are there are those that are basically committed.

each MORNING, each person inside the bubble logs right into a smartphone software referred to as NBA MyHealth. There, a regular wellness questionnaire inquires about symptoms one can be experiencing -- a headache, muscle soreness, sore throat and more. people are required to gauge their temperature with a Kinsa sensible Thermometer and their blood oxygen ranges with a Masimo MightySat pulse oximeter, with both instruments transmitting the consequences into the app.

If a person registers a temperature of one hundred.four levels Fahrenheit or bigger, or in the event that they recorded signs corresponding to "loss of taste" or "lack of scent" or if their blood oxygen degrees are trending downward over time, then on-campus clinical officials are alerted to observe up with that individual.

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If any crimson-flag issues are suggested, then a person is counseled towards leaving their lodge room unless clinical officials have assessed the situation. If that particular person does leave, or if they haven't completed any element of the every day three-half screening, they may not get some distance.

There are pretty much 25 health checkpoints on the campus where people are required to swipe their Disney Magic Band to profit entry to high-trafficked areas -- no matter if boarding a bus, entering an arena or leaving a lodge. And if anything else hasn't been accomplished or if it looks awry, then that particular person -- to make use of a phrase in the bubble's lexicon -- will "swipe blue," which is akin to a cease signal.

At that fitness checkpoint, anything difficulty that exists can be addressed, and if a certain part of the screening hasn't been completed, similar to gauging temperature examine or blood oxygen ranges with a pulse oximeter, then an AdventHealth scientific official will arrive to finished it on the spot.

in their home markets, several groups were already the usage of Fusion recreation's questionnaire application -- or equivalent apps -- when players checked into their facility to aid music and display screen indicators.

these routines have carried over, as league officials record that compliance has been "surprising" when it comes to the each day three-step screenings that take place each morning. And officials believe that compliance and buy-in has been essential -- along with different features -- to assisting hold the wonderful circumstances interior the bubble at zero.

"Their purchase-in is crucial because they do not move forward with out it," Rogowski talked about. "And, you comprehend, they can not make changes as we're going alongside devoid of their buy-in, as a result of absolutely, they will study issues week to week that they failed to recognize the week before."

The league and NBPA have already partnered with Yale researchers "to look at the efficacy of a saliva-primarily based system that at once determines if someone is infected with the novel coronavirus." And, ESPN's Zach Lowe said, the U.S. meals and Drug Administration issued an emergency authorization lately permitting public use of a saliva-based mostly test developed at Yale and funded through the NBA and the NBPA.

facts it truly is being amassed now may be used in future experiences. If anything, the success of the bubble is assisting instill what group and league officers hope are lessons for other communities.

"We're learning a great deal," the 2nd group professional talked about. "The epidemiologists and infectious sickness guys are researching a whole lot, and or not it's gonna be beneficial for all and sundry, no longer simply the NBA family unit."

All of these findings, in addition to a careful gauge of procedures at the moment being used, are helping lay the groundwork as a potential blueprint for the 2020-21 season, even though league and crew officers harp on the proven fact that they can not seem to be too some distance ahead or ease up on the daily rituals -- masks, washing arms, social distancing, the morning examine-ins, the COVID-19 checks -- which have led them to this point. they are saying their early success can't lead to overconfidence.

"Vigilance has gotten us here," the second crew reliable said. "and that is the reason the only factor it truly is gonna preserve us right here."

teams have long recited the tired "one video game at a time" approach, but within the bubble, with so a great deal at stake right through such a dangerous time, the adage has certainly not felt extra accurate.

"We cannot let modest brief-term success lead to complacency," DiFiori wrote in an electronic mail. "here is a really difficult circumstance, and they can't let their preserve down."

Or, as a further health reliable interior the bubble brought up, "All it takes is one knucklehead to mess it up for all and sundry."


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