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Exam Number : ANP-BC
Exam Name : ANCC Adult Nurse Practitioner
Vendor Name : Medical
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ANP-BC exam Format | ANP-BC Course Contents | ANP-BC Course Outline | ANP-BC exam Syllabus | ANP-BC exam 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


A. Knowledge

1. Evidence-based population health promotion and screening

B. Skill

1. Comprehensive history and physical exam

2. Focused history and physical exam

3. Risk exam (e.g., genetic, behavioral, lifestyle)

4. Functional exam (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 exam 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 exam 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 exam 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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What to find out about melanoma genetic testing | Killexams.com Resources

Genetic checking out for melanoma comprises a physician taking a tissue trial from a person and inspecting it for certain gene mutations and genetic changes.

Melanoma is a kind of skin melanoma that may develop and unfold more immediately than other styles of skin melanoma. It starts when melanocytes, or pigment-producing cells within the dermis, begin to grow uncontrollably.

risk elements for establishing melanoma consist of using tanning beds or spending a lot of time in the solar without wearing sunscreen. here is as a result of sunshine and tanning beds are sources of ultraviolet (UV) radiation, which damages the skin cells over time.

this article discusses who could need genetic checking out, what it involves, and what the effects imply. The article additionally explores medicine and prevention for melanoma.

Some families have a higher cost of melanoma than others. here is as a result of they may additionally have inherited a particular genetic mutation that increases the chance of uncontrolled cell division in dermis cells. An example of a gene associated with melanoma that consists of the sort of mutation is the CDKN2A gene, or p16.

earlier than getting any genetic look at various, it is essential to acquire genetic counseling. this may assist put together a person to get hold of their look at various outcomes, whatever thing they can be. additionally, a genetic counselor could be in a position to support with subsequent steps, if the outcomes isn't what a person hoped for.

besides the fact that children, the American cancer Society (ACS) notes that healthcare experts are in doubt about how constructive genetic trying out for melanoma is.

this is because most of the components linked to gene mutations involving melanoma are already commonplace to be possibility factors for constructing the situation. These chance elements consist of:

  • having a family member who has experienced multiple melanoma
  • having several contributors on one side of the family who've experienced melanoma
  • having a family member who has had each pancreatic cancer and melanoma
  • experiencing two or more unusual-looking moles, or Spitz nevi
  • experiencing three or extra melanomas, above all if the first one regarded before the age of forty five years
  • The ACS highlights that consultants don't recommend genetic testing for all and sundry with a family or personal history of melanoma.

    moreover, most people develop melanoma from spending too lots time in the solar without sunscreen and taking other measures to offer protection to the epidermis.

    in reality, in response to the American Academy of Dermatology affiliation (AAD), if someone experiences blistering sunburn at least five times between the a long time of 15 and 20 years, their possibility of melanoma increases by using 80%.

    gain knowledge of extra about genes and genetic cancers.

    individuals may additionally acquire genetic checking out to research any tumors they have or figure out their possibility of setting up melanoma.

    Genetic testing for tumors or loads

    a physician may additionally screen a tissue trial from a tumor to seek any genetic changes inside melanoma cells. This usually occurs after a person has obtained a melanoma analysis.

    The presence or absence of genetic alterations can help a physician determine a few effects, such as how smartly an individual can also reply to treatment and what cures may be most promising.

    These exams are distinctive from people who check for inherited cancer chance. Healthcare gurus may also additionally refer to this as biomarker checking out.

    Genetic trying out for cancer risk

    If an individual has a family unit heritage of cancer, or more in particular melanoma, they may additionally need to recognize if their genetics may boost their chance.

    constantly, step one is tips gathering, the place a doctor or genetic counselor researches someone’s household medical heritage. moreover this, someone may additionally additionally fill out questionnaires and take half in interviews. The counselor will outline any subsequent steps and present tips on a way to proceed, even with the check outcomes.

    When collecting a pattern, most lab tests use blood, cheek cells, or saliva. once in a while, the lab may also want a different trial from a specific tissue. a person can typically predict effects between 2 and three weeks.

    The ACS advises that genetic checking out is not flawless, and often, the consequences don't supply a transparent solution.

    If an individual has received a positive outcomes, this ability the check has detected a genetic variant or mutation. When an individual is aware of their outcomes, they can take motion consequently. If the result is effective, a person can more suitable plan for the longer term. additionally, they may additionally even be capable of entry earlier melanoma screening exams.

    on the other hand, if the examine is poor, it will possibly support alleviate any fitness anxiety round an inherited chance of melanoma.

    That pointed out, if a check is negative, it doesn't mean a person should cease applying sunscreen and retaining their dermis protected from UV radiation with other strategies. in line with the AAD, more than 90% of individuals who acquire a melanoma analysis wouldn't have a genetic mutation that increases their possibility.

    the most large step someone can take to in the reduction of their chance of melanoma is to limit their publicity to UV radiation.

    people can do this by means of:

  • the use of sunscreen
  • donning shielding apparel, reminiscent of a hat, sun shades, and a protracted-sleeved shirt
  • staying within the shade on sunny days
  • warding off sunlamps and tanning beds
  • Melanoma genetic trying out can supply individuals with solutions in the event that they suspect they've a genetic mutation that increases their melanoma possibility.

    however, specialists do not suggest genetic testing for everybody, and most people who strengthen melanoma wouldn't have a genetic mutation that raises their probability of constructing the circumstance.

    To support reduce their chance of melanoma, people can deal with their epidermis by wearing sunscreen, donning protective apparel, and staying in the colour.

    it is surest to communicate with a doctor if someone experiences any symptoms of melanoma or desires to understand more about their chance of establishing it.


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