Medical ANP-BC : ANCC Adult Nurse Practitioner Exam

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Exam Number : ANP-BC
Exam Name : ANCC Adult Nurse Practitioner
Vendor Name : Medical
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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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Medical Practitioner Test Prep

Lagging on critical health Checkups? Let This guidelines of Annual physical checks for women Be Your Cheat Sheet | ANP-BC Latest subjects and test dumps

We comprehend, we recognize: We may still go to the doctor greater always to be sure every little thing is in order, but discovering the time isn’t all the time handy. despite the fact, it could keep your life. Prevention, or catching whatever early, is the most advantageous approach to stop many illnesses and prerequisites from fitting critical. right here, we’ve compiled a checklist of tests and exams many girls can also no longer have even realized they want.

1. Mole investigate

each girl should still have a mole assess via a board-licensed dermatologist every year. “i will be able to’t provoke upon you the way crucial here's. I actually have discovered malignant melanomas in young adults, says Debra Jaliman, MD, Assistant Professor of Dermatology at Icahn college of medication at Mount Sinai and author of dermis suggestions. She explains that the examination should be accomplished with magnifiers and will be very thorough, checking all constituents of the dermis including the toes, the scalp, and behind the ears. “In our office, we take images and make a map of the sufferers’ moles. Malignant melanoma is such a major difficulty. a simple biopsy can keep a lifestyles.”

connected: 3 skin cancer Apps doctors suggest—and the way no longer to make use of Them

2. STDS and HIV testing

All sexually active ladies beneath age 25 should still get annual screening for chlamydia and gonorrhea infections, says Antonio Pizarro, MD, a gynecologist in private observe in Shreveport, LA. “This can also be performed with a simple urine look at various and doesn't require a pelvic examination. These infections can result in chronic pain, infertility and dying if no longer recognized.” additionally, HIV blood trying out may still be events for women aged 13-sixty four. “Between 40,000 and 50,000 new HIV infections occur yearly. As many as 1 in 5 ladies with HIV don’t recognize their fame,” he provides. He suggests that HIV trying out be carried out as early as possible in maturity, then annually depending on possibility elements.

3. Pap smear

here's executed to determine for cervical cancer and precancer (dysplasia). Pap trying out should still start at age 21 and may be coupled with DNA trying out for HPV, the cancer virus, says Pizarro. “After average testing, future trying out will also be each three years or less regularly, counting on possibility elements.”

linked: in case you Get the HPV Vaccine if you're Age 35 or Over?

4. Mammogram screening

There is a few controversy in regards to the timing of mammogram screening. “Breast cancer is the quantity two cause of cancer demise among women. The American faculty of Ob-Gyn (ACOG) recommends annual mammograms beginning at age forty. A clinical examination may still be performed every one to a few years for women under forty, yearly after forty. girls should practice routine breast self-exam and recognition starting of their 20s,” says Pizarro.

5. vitamin D screening

“I consider the most underrated screening test is regarding a woman’s vitamin D 25 degree,” says Dr. Eugene Ahn, MD, Hematologist/Oncologist at cancer medication facilities of america at Midwestern Regional scientific center. “here is a essential nutrition it's elaborate to get ample quantities via weight-reduction plan by myself. In my experience, I even have seen that roughly three out of 4 patients are diet D poor.” Dr. Ahn notes that nutrition D is a essential diet for bone and immune gadget health. “loads of epidemiological data indicates massive correlations between low nutrition D ranges and a better cancer chance.”

linked: everything to learn about Telemedicine 

6. Dental exam

each woman should have a dental checkup every year which include bitewing x-rays, screening for oral cancer and checking for gum ailment, says Dr. Kyle Stanley, a dental surgeon in Beverly Hills, California. it's also suggested to get a full set of x-rays each 3-5 years. “We also imply getting two knowledgeable tooth cleanings per yr to maintain most fulfilling oral fitness.”

7. Colonoscopy

The typical woman, without any indicators, may still start getting average colonoscopies between the a long time of 45 and 50, but girls who have a family unit historical past of certain cancers or of polyp growth should still consult their doctors about when a colonoscopy might possibly be correct for them, says Dr. John Marks, the manager of Colorectal surgical procedure for the main Line health device. “signals reminiscent of bleeding or exchange in bowel habits should be evaluated by means of a doctor for screening. Colorectal melanoma is the 2nd most normal melanoma prognosis amongst girls, and yet it’s an entirely preventable melanoma with advantageous screening.”

eight. EKG

“coronary heart attacks are the no 1 killer of ladies,” says Dr. Jennifer Burns, a holistic household practitioner in Phoenix, AZ. She suggests getting an EKG at 30, to determine the coronary heart and get a baseline.

related: What Does Your BMI definitely imply from a fitness Standpoint?

9. CBC blood count

Many girls are anemic and don’t know it; a CBC complete blood count should still be performed annually, says Dr. Michele C. Reed, MD, a family medication general practitioner based in ny. in case you’re feeling tired or have heavy intervals, it can be as a result of anemia.

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10. Hormone stage screening

A blood test can measure estrogen, testosterone and progesterone to look if there are imbalances, says Dr. Gino Tutera, MD, an ob-gyn based mostly in Scottsdale, Arizona. “by way of age forty, most girls are absolutely depleted of common stages of estrogen and have lost practically all their progesterone and greater than half of their testosterone. If left unchecked, hormonal imbalances can cause premature growing older and coronary heart disorder.” Dr. Tutera notes that having this look at various and deciding upon any imbalances can help prevent many general fitness considerations similar to thyroid issues, osteoporosis, melancholy and breast cancer.

Up subsequent, everything you deserve to find out about preventative fitness on your 20s, 30s, and beyond.

Sources
  • Debra Jaliman, MD, Assistant Professor of Dermatology at Icahn college of medication at Mount Sinai
  • Antonio Pizarro, MD, gynecologist in inner most apply in Shreveport, LA
  • Dr. Eugene Ahn, MD, Hematologist/Oncologist at cancer medication centers of the united states at Midwestern Regional clinical center
  • Dr. Kyle Stanley, dental surgeon in Beverly Hills, California
  • Dr. John Marks, Chief of Colorectal surgery for the main Line health equipment
  • Dr. Jennifer Burns, holistic family unit practitioner at the Burns Integrative well being middle in Phoenix, AZ
  • Dr. Michele C. Reed, MD, family medicine medical professional based mostly in new york
  • Dr. Gino Tutera, MD, ob-gyn primarily based in Scottsdale, AZ



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