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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
1. Evidence-based population health promotion and screening
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)
1. Pathogenesis and clinical manifestations of disease states
1. Differentiating between normal and abnormal physiologic or psychiatric changes
2. Diagnostic test selection and evaluation
III Clinical Management
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
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
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)
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 genuine 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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right here is how the information is developing today. All instances jap.7:15 p.m.: 9 Maryland athletes, personnel check superb, football practices halted
The institution of Maryland has halted its football application's offseason practicing after nine athletes or team of workers tested high quality for COVID-19.
The faculty mentioned it had tested 185 college students and team of workers, however didn't specify what number of of folks that proven wonderful had been body of workers or athletes -- or even though those 9 have been a part of the soccer software.
"Contact tracing is ongoing throughout the Prince George's County health branch and all identified individuals will comply with a mandated 14-day self-remark duration, below the supervision of college health officers," the school stated in a press release. "beneath tips from the Prince George's County fitness department, we've quickly suspended voluntary, particular person working towards for the football program."
Maryland, which is part of the huge Ten convention, observed it confirmed 105 individuals in June and no one Tested tremendous.
The big Ten announced past this week it could be canceling all nonconference games for fall activities, together with football.5:46 p.m.: Trump visits Walter Reed hospital; wears mask for 1st time
President Donald Trump wore a mask for the primary time in public on a consult with to Walter Reed clinical core on Saturday afternoon.
Trump briefly answered questions before departing the White condominium to consult with troops at the medical center and observed that he would wear a mask.
"I feel in the event you're in a health facility, particularly in that particular atmosphere the place you might be speakme to lots of soldiers and individuals that in some instances just bought off the operating tables, I think or not it's a good element to put on a mask," Trump advised journalists. "I've by no means been towards masks, however I do consider they've a time and a place."
It became greater than three months in the past that the centers for disorder handle and Prevention advised americans wear masks in public, however the president at all times spoke of he changed into consistently demonstrated so it was no longer indispensable he wear one.
President Donald Trump wears a mask as he walks down the hallway all through his talk over with to Walter Reed national armed forces scientific middle in Bethesda, Md., Saturday, July 11, 2020.President Donald Trump wears a masks as he walks down the hallway all over his seek advice from to Walter Reed countrywide armed forces clinical core in Bethesda, Md., Saturday, July eleven, 2020. Patrick Semansky/AP
The mask covered the presidential seal. Face coverings are required at Walter Reed clinical core, per its coverage.
"President Trump is at Walter Reed countrywide military medical core to talk over with courageous combat wounded carrier members and their families as well as healthcare body of workers who had been caring for COVID-19 sufferers all the way through the pandemic," White house spokesman Judd Deere spoke of in a press release.
Trump did wear a mask at a behind-the-scenes tour of a Ford plant in late may, however now not in entrance of the media, announcing he "did not are looking to provide the click the pleasure of seeing it."
Trump has constantly come below criticism for not donning a mask, including ultimate week from big apple Gov. Andrew Cuomo: "he is enabling the virus. How did this develop into a political statement? ... i have been asking him to do it for weeks. just wear the masks and say to the American individuals, 'here is real. And or not it's an issue.'"5:16 p.m.: Texas sets new checklist for cases
Texas set a brand new list of COVID-19 each day instances with 10,351 in the closing 24 hours, in accordance with the branch of State health services.
Gov. Greg Abbott informed local news retailers Friday he thinks the condition will most effective worsen and is willing to accept as true with additional restrictions if necessary.
There have now been 250,462 instances thus far. Of those, 119,470 are lively, whereas an estimated 127,800 have recovered.
in the Rio Grande Valley, an area principally tough hit, there are simplest 4 purchasable ICU beds and 353 obtainable hospitals beds, based on officers. The Rio Grande Valley has a inhabitants of about 1.3 million.
the whole dying toll in Texas rose to 3,112, with ninety nine deaths said due to the fact that Friday -- 4 greater than the previous day, but six shy of the each day checklist set Thursday.
more than 2.7 million exams have been administered, with the positivity fee these days of 15.eighty one%.
in this Friday, July 10, 2020 file photograph, lab technicians work with COVID-19 testing pattern on the UT fitness RGV clinical Lab on the UTRGV campus in Edinburg, Texas.during this Friday, July 10, 2020 file photo, lab technicians work with COVID-19 testing pattern at the UT fitness RGV medical Lab on the UTRGV campus in Edinburg, Texas. Denise Cathey/AP four:55 p.m.: Louisiana to mandate masks, shut bars after upward push in circumstances
Louisiana would require the public to wear a masks when social distancing cannot be observed, Gov. John Bel Edwards introduced.
â€śWhen outside in close proximity to others, youâ€™re going to need to have your mask on. ... They recognize that face masks work," he noted.
The mandate comes a day after the state reported seventy five new instances, its maximum number up to now. it's going to go into impact Monday after dead night.
All bars devoid of food permits will even be closed. Edwards stated 36 outbreaks, which affected greater than 500 people, had been as a result of bars.
Edwards brought that these steps were now not ones he desired to take. although, he said, "We have no intent to accept as true with that the numbers they pronounced nowadays are going to get superior over the next week."
a few month in the past there have been 542 proven cases of COVID-19 in the state. On Friday, there was a total of 1,182 confirmed situations.4:forty one p.m.: Wisconsin units a further case record
Wisconsin has set a listing for most daily circumstances for the second day in a row, in response to its fitness department.
The state mentioned 926 circumstances in the past day to deliver the overall variety of confirmed situations within the state to 35,679.
there were also seven more deaths in the state yesterday to bring the total to 821 on the grounds that the delivery of the pandemic.3:15 p.m.: Boston moves to section three reopening
Boston joined the relaxation of Massachusetts in relocating to its part three of reopening from COVID-19 lockdown, reported the Boston Globe.
In section three, gyms, film theaters, casinos and other actions are allowed to resume, with restrictions.
As of Friday, the state's dying toll reached 8,081 and the number of proven cases turned into 105,290.
932,796 individuals were demonstrated in Massachusetts. The state is providing free, no-symptoms required trying out in its hardest-hit communities including Chelsea, Everett, Fall River, Lawrence, Lynn, Lowell, Marlborough and New Bedford, the Boston Globe mentioned.2:31 p.m.: DeSantis would like to see the rest 'in contemporary times' Tested like Florida
In a press conference Saturday, Florida Gov. DeSantis insisted his state is a pacesetter in coronavirus trying out.
"Florida had more assessments yesterday than the nation as a whole did in March."
He brought that he'd want to see anything else "in up to date instances" demonstrated like Florida is currently checking out for coronavirus.
Senate President invoice Galvano noted Florida is "frankly superior than most states within the union."
The Kash & Karry supermarket gift shop discovered near the Walt Disney World theme park is selling masks and hand sanitizers for shoppers on July eleven, 2020, in Lake Buena Vista, Fla.The Kash & Karry grocery store present shop found close the Walt Disney World theme park is selling masks and hand sanitizers for shoppers on July eleven, 2020, in Lake Buena Vista, Fla. Octavio Jones/Getty images
The governor referred to the state said ninety five,000 tests on Friday and that it was getting shipments of remdesivir, the anti-viral drug getting used to combat COVID-19. big apple Gov. Cuomo introduced Friday that he become sending a shipment of the drug to Florida.
"There are in fact areas where they suppose they may be seeing some declining positivity [rates] and a few other areas the place they're consistently 20%," DeSantis pointed out. "We may be seeing some decline during this a part of the Tampa Bay enviornment," he said however spoke of there may be greater positivity in Pasco County.
"we've a far better thought now versus March about what the viruses likes versus would not like," DeSantis observed.
The governor stated he's working with the White house to get greater Lab Reagents in Florida. "The U.S. is checking out more than any nation by means of some distance and the lab materials are backed up."
He talked about the state signed contracts with companies that could deliver exams in 48 hours and observed it truly is simply now not occurring any place within the country.1:41 p.m.: Arizona studies list excessive hospitalizations
There are 3,485 individuals at present hospitalized in Arizona because of COVID-19, a list high, in line with the state's branch of health.
there have been three,038 new circumstances, bringing the overall number of Tested instances to 119,930, the branch said. there have been additionally 69 deaths, pushing that sum to 2,151.
A heath care worker has her blood drawn for an antibody verify for COVID-19 on the university of Arizona in Tucson, Arizona, July 10, 2020.A heath care employee has her blood drawn for an antibody verify for COVID-19 at the college of Arizona in Tucson, Arizona, July 10, 2020. Cheney Orr/Reuters 1:19 p.m.: South Carolina sets new list of daily instances
South Carolina set a brand new checklist of every day tested COVID-19 cases, with 2,239, in keeping with the state's branch of health.
The state's previous listing turned into more than 1,800 instances.
There at the moment are fifty four,538 demonstrated instances of COVID-19 and 940 deaths in South Carolina, in accordance with officers.
the overall number of particular person check results said to the branch of health on Friday was 10,083, with 22.2% of those being effective. The department also Tested the first pediatric death linked to COVID-19.12:25 p.m.: North Carolina reports greater hospitalizations, one more day by day increase in situations
North Carolina set two somber statistics over the final 24 hours, with the state recording its highest number of hospitalizations and optimum daily boost in circumstances so far.
The North Carolina branch of fitness and Human functions reported 1,093 hospitalizations and 2,462 new cases Saturday.
scientific personnel deal with look at various samples at a neighborhood coronavirus trying out web page operated via Cone health and the county health branch in Burlington, N.C., July 9, 2020.scientific personnel address look at various samples at a group coronavirus testing web site operated by Cone health and the county fitness branch in Burlington, N.C., July 9, 2020. Gerry Broome/AP
"listing-excessive numbers like nowadays are concerning," NCDHHS Secretary Mandy Cohen, M.D., noted in an announcement. "all of us have a responsibility to at least one a different to put on a face covering, stay away from crowds and wash their palms frequently to get their trends going lower back within the right course."
North Carolina has eighty three,793 Tested cases from among greater than 1.1 million tests.eleven:23 a.m.: university reverses route, could be faraway this fall
West Chester tuition, one in all Pennsylvania's largest state-owned universities, with 18,000 college students, has reversed direction and mentioned it not plans to convey college students lower back in the fall.
Christopher Fiorentino, the tuition's president, mentioned in an announcement that studying will proceed remotely throughout the fall semester.
"WCU can't ignore the capabilities hazard of bringing heaps again to campus," Fiorentino talked about.
Some courses will be taught in a hybrid structure, which means both in-person and faraway studying for students with clinical placements, scholar academics and certain internships, in response to Fiorentino.
Chester County, where WCU is found, is currently in the eco-friendly part of reopening, meaning that probably the most school's public structures -- a library, a pastime middle, the scholar union -- should be open however constrained to 50% potential.
"The college is familiar with that college students' lives were turned the wrong way up with the aid of a relentless pandemic that continues to brush across the globe," Fiorentino mentioned. "Our assist for their WCU group will now not waiver."10:19 a.m.: big apple hospitalizations drop under 800 for 1st time in 4 months
ny recorded 799 COVID-19 hospitalizations in the closing 24 hours, the lowest quantity considering that March 18, in keeping with Gov. Andrew Cuomo.
The state also posted the bottom three-day common death toll on account that March sixteen, with six over the closing 24 hours, Cuomo noted in a press release.
long island was among the many hardest-hit states in the early ranges of the pandemic, with big apple metropolis specially devastated.
Cuomo applauded the first rate information, asserting New Yorkers who practiced social distancing and wore masks "are important to their skill to slow the unfold and keep lives."
besides the fact that children, Cuomo additionally advised americans no longer to develop into complacent.
"i encourage residents to dwell 'manhattan complicated' and never hand over the floor they have now labored so tough to benefit together, certainly within the face of rising circumstances all through the nation and compliance considerations right here at domestic," he observed.8:39 a.m.: Clusters of US soldiers test high-quality for COVID-19 in Japan
A "few dozen" U.S. Marines stationed at two different bases in Okinawa, Japan, have confirmed effective for COVID-19, in accordance with The associated Press.
After months of no established coronavirus cases, the Marine Corps pointed out it had two clusters of troopers who validated high-quality for the virus this week, based on a statement from Marine Corps Installations Pacific.
The U.S. Marine Corps and U.S. Air force on Okinawa prefecture have now re-imposed strict limits on personnel actions and actions after the new coronavirus situations looked, according to an inner FEMA memo acquired by using ABC news.
each person who validated fantastic is in self-isolation and local commanders have initiated "soft protect-in-region" orders for Camp Hansen and Marine Corps Air Station Futenma.
All orders are in area unless additional word.
officials spoke of cleaning the bottom and make contact with tracing are ongoing.
"As they navigate the present ambiance they can proceed to examine the condition and supply updates as generally as permissible. They ask everyone to observe the social distancing and health insurance policy measures to assist us #KillTheVirus," Marine Corps Installations Pacific wrote on its facebook page.5:28 a.m.: army scientific project force heading to Houston as hospitals replenish
Texas Gov. Greg Abbott introduced late Friday evening that the USA army is sending a clinical task drive to Houston to support with the city's COVID-19 fight.
The additional resources, Abbott pointed out, include an city enviornment medical project drive from the U.S. branch of defense in an effort to arrive on Monday and a disaster medical information team from U.S. health and Human capabilities that has just been deployed.
"Texas is grateful to the federal govt as well because the President and vp for working rapidly to supply extra materials to the state as they work to mitigate COVID-19 and care for their fellow Texans," Abbott talked about in an announcement Friday. "we can continue to work with their native and federal companions to make certain all substances and wishes are met all over the state."
Houston has seen a major rise in coronavirus cases in fresh weeks, which brought about many public health officers and hospitals to challenge warnings that ICU bed availability is working low. Houston's Texas clinical core is at one hundred and five% capacity.
The city pronounced 670 new diagnosed COVID-19 cases Friday, bringing Houston's complete to at least 26,682. The coronavirus dying toll for the metropolis extended by using 9 to 259.
Numbers are only as jarring all through the Lone famous person State. Texas' statewide COVID-19 death toll reached a single-day high of one zero five Friday. The state had a 15.fifty six% positivity examine cost, based on an internal Federal Emergency management company memo obtained by way of ABC information.
well-nigh 14% of all new U.S. coronavirus cases during the past seven days were identified in Texas, the memo said.
the upward push in situations additionally led to Houston Mayor Sylvester Turner to cancel the in-grownup Republican party conference in the city, prompting a lawsuit via the state GOP.What to know about coronavirus:
A specimen is secured at a drive-thru coronavirus testing web site at South Mountain group faculty, July 9, 2020, in Phoenix.A specimen is secured at a pressure-thru coronavirus checking out web site at South Mountain community faculty, July 9, 2020, in Phoenix. Ross D. Franklin/AP
ABC news' Elizabeth Thomas, Josh Margolin, Scott Withers, Joshua Hoyos, Jason Volack, Chris Donovan and Gina Sunseri contributed to this record.
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