Adult-Gerontology Primary Care Nurse Practitioner Exam Quality Control & Assurance 2

Question 1

A geriatric primary care clinic wants to reduce 30-day hospital readmission rates for patients with heart failure. Which quality improvement framework focuses on iterative, small-scale testing cycles before full implementation?

Accepted Answer

Plan-Do-Study-Act (PDSA)

Answer

PDSA cycles involve small, rapid tests of change that are studied before broader implementation, making them ideal for iterative quality improvement in clinical settings.

Question 2

An AGPCNP reviews clinic data showing that 40% of patients aged 75+ are not receiving annual depression screenings. Which metric best describes this finding in a quality improvement context?

Accepted Answer

Process measure gap

Answer

A process measure gap reflects the difference between the recommended care process (annual depression screening) and the actual rate being achieved.

Question 3

A primary care practice participates in HEDIS reporting. Which of the following is MOST directly assessed by HEDIS measures?

Accepted Answer

Health plan quality and performance

Answer

HEDIS (Healthcare Effectiveness Data and Information Set) is used to measure performance of health plans across domains like preventive care and chronic disease management.

Question 4

An elderly patient with type 2 diabetes has an HbA1c of 9.8%. The clinic's quality dashboard flags this as an outlier. What is the MOST appropriate immediate clinical action for an AGPCNP?

Accepted Answer

Review the patient's medication adherence and adjust the treatment plan

Answer

Outlier flags should prompt clinical review of individual patient factors such as adherence, barriers, and therapy optimization rather than administrative actions.

Question 5

A clinic implements a standing-order protocol for pneumococcal vaccination in adults aged 65 and older. This is an example of which quality improvement strategy?

Accepted Answer

Standardization to reduce variation

Answer

Standing orders reduce variation in preventive care delivery by allowing vaccines to be administered without requiring a provider order each time, a core standardization strategy.

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Quality Control & Assurance 2