Sample Questions from ANCC 25 Questions with Verified Answers
Which factor is associated with the highest risk of falls in older persons living in the
... [Show More] community?
A) A history of previous falls
B) Living alone
C) Osteoporosis
D) Use of an assistive device - CORRECT ANSWER A) A history of previous falls
An older adult patient complains of recent lapses in memory and decreased alertness. The patient's laboratory test results indicate a mild, macrocytic anemia. Which additional test does the adult-gerontology acute care nurse practitioner order to confirm a diagnosis?
A reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - CORRECT ANSWER A serum folate level
An 80-year-old male patient with dementia requires long-term care placement. To which funding agency does the patient apply, after "spending down" to qualify?
Medicaid
Medicare
The American Association of Retired Persons
The United States Social Security Administration - CORRECT ANSWER Medicaid
A 70-year-old patient with acute systolic heart failure denies any functional limitations, is able to walk five blocks before tiring, and is euvolemic. Which medication is the first-line therapy for this patient?
Amlodipine (Norvasc)
Digoxin (Lanoxin)
Furosemide (Lasix)
Lisinopril (Zestril) - CORRECT ANSWER Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse practitioner assesses for ankle clonus by:
C) applying a low-pitched tuning fork firmly to the lateral malleolus.
B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
striking the Achilles tendon with the percussion hammer C) after flexing the leg at the knee and rotating it externally.
D) stroking the lateral aspect of the sole with the sharp end of the percussion hammer from the heel to the ball of the foot. - CORRECT ANSWER B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the morning. An adult-gerontology acute care nurse practitioner determines that the patient's hyperglycemia is due to the dawn phenomenon and:
A) increases the insulin dosage at bed time.
B) reduces the insulin dosage at bed time.
C) tests the blood glucose level at 3:00 AM every morning.
D) tests the blood glucose level in the evening. - CORRECT ANSWER A) increases the insulin dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the intensive care unit. The patient is started on fluids and norepinephrine (Levophed) IV. The blood cultures that were drawn 48 hours ago from the tunneled catheter, show preliminary results of gram-negative bacilli. The patient's most recent echocardiogram report reveals an ejection fraction of 40%. The adult-gerontology acute care nurse practitioner determines that:
A) a pulmonary artery catheter insertion is indicated, to manage septic shock.
B) fluid resuscitation will be limited to no more than 4 L
C) indwelling vancomycin (Vancocin) should be placed in the ports of the tunneled catheter.
D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection. - CORRECT ANSWER D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection.
Which research design has the greatest strength in determining if an intervention is effective?
Case control
Clinical trial
Cohort
Cross-sectional - CORRECT ANSWER Clinical trial
A 55-year-old man who has no history of diabetes mellitus, heart disease, hypertension, or thrombotic events is diagnosed with paroxysmal atrial fibrillation. Based on national stroke prevention guidelines, the recommended antithrombotic management for this patient is:
aspirin (Bayer).
aspirin with dipyridamole (Aggrenox).
clopidogrel (Plavix).
warfarin (Coumadin). - CORRECT ANSWER aspirin (Bayer)
An adult-gerontology acute care nurse practitioner who specializes in cardiology is asked to give a presentation on lipid-lowering drugs. A major drug company that markets a lipid-lowering medication plans to pay the presenter an honorarium, but asks the nurse practitioner to limit his or her remarks to its drug. This situation presents a:
breach of contract.
conflict of interest.
personal choice.
reasonable request. - CORRECT ANSWER conflict of interest
32-year-old patient who underwent an open splenectomy for a ruptured spleen, is preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the potential complications with the patient. The nurse practitioner emphasizes which instruction to the patient?
Continue antibiotics for 14 days
Follow up with primary care provider for vaccinations
No international travel for five years
No weight lifting restrictions - CORRECT ANSWER Follow up with primary care provider for vaccinations
A 65-year-old female patient has a confirmed diagnosis of terminal liver disease. The patient's advance directive designates comfort measures, only. An adult-gerontology acute care nurse practitioner's action is to:
A) discuss the patient's decision with the patient's family members.
B) persuade the patient to participate in a hepatitis clinical trial.
C) reconfirm the patient's end-of-life decision.
D) refer the patient for a psychological evaluation. - CORRECT ANSWER C) reconfirm the patient's end-of-life decision.
A 68-year-old patient had surgery three days ago, for repair of an abdominal aortic aneurysm. The patient remains intubated, is neurologically intact, and has active bowel sounds. The patient's liver function is within normal limits and the patient has no signs or symptoms of heart failure. The patient's laboratory values are: blood urea nitrogen of 12 mg/dL, creatinine of 0.8 mg/dL, PaCO2 of 37 mm Hg. The preferred form of nutritional support for this patient is:
A) enteral feeding to the duodenum via a nasogastric small-bore tube.
B) enteral feeding to the stomach via a gastrostomy tube.
C) peripheral parenteral nutrition via an 18-gauge IV catheter.
D) total parenteral nutrition via a central venous line. - CORRECT ANSWER A) enteral feeding to the duodenum via a nasogastric small-bore tube.
A hospital requires adult-gerontology acute care nurse practitioners to submit credentialing applications for the purpose of:
A) authorizing clinical roles and responsibilities.
B) delineating therapeutic and diagnostic services.
C) monitoring the nurse practitioner's clinical activities.
D) verifying education, licensure, and experience. - CORRECT ANSWER D) verifying education, licensure, and experience.
Assessment of which endocrine system response to sepsis-induced hypotension is essential in guiding subsequent therapy?
Adrenal
Pancreatic
Pituitary
Thyroid - CORRECT ANSWER Adrenal
A patient with a history of atrial fibrillation, who has maintained normal sinus rhythm with sotalol (Betapace) is hospitalized for acute pyelonephritis. The appropriate antibiotic regimen for this patient is parenteral:A patient with a history of atrial fibrillation, who has maintained normal sinus rhythm with sotalol (Betapace) is hospitalized for acute pyelonephritis. The appropriate antibiotic regimen for this patient is parenteral:
cefoxitin (Mefoxin).
ceftriaxone (Rocephin).
ciprofloxacin (Proquin).
levofloxacin (Levaquin). - CORRECT ANSWER ceftriaxone (Rocephin).
Generally healthy patients, who are diagnosed with acute bronchitis, inappropriately ask for which category of drugs?
Antibiotics
Beta-agonists
Corticosteroids
Xanthines - CORRECT ANSWER Antibiotics
What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number?
The Affordable Care Act
The Balanced Budget Act
The Civilian Health and Medical Program of the Uniformed Services
The Omnibus Budget and Reconciliation Act - CORRECT ANSWER The Balanced Budget Act
A 19-year-old male patient arrives at the emergency department exhibiting symptoms of lower abdominal pain that radiates to the groin, and that the patient rates as an 8 on a scale of 1 to 10. That patient states that the pain came on suddenly, while he was playing football with friends. The patient's physical examination reveals positive bowel sounds in all quadrants; a soft, non-tender abdomen; no rebounding and no guarding; and no palpable mass in the abdomen or groin. Examination of the patient's genitalia reveals a unilateral cremasteric reflex. What is the adult-gerontology acute care nurse practitioner's leading differential diagnosis, based on the patient's presentation?
Appendicitis
Epididymitis
Inguinal hernia
Testicular torsion - CORRECT ANSWER Testicular torsion
An exception to the practice of maintaining patient confidentiality is when:
A) a family member of the patient gives consent.
B) a family member of the patient is paying for the tx.
C) the patient is unresponsive.
D) the patient plans to hurt someone. - CORRECT ANSWER D) the patient plans to hurt someone.
When reading a systematic review, an adult-gerontology acute care nurse practitioner ensures that the review:
describes the intended audience.
describes the study inclusion criteria.
is published in a peer-reviewed journal.
is written by experts in the field. - CORRECT ANSWER describes the study inclusion criteria.
An adult-gerontology acute care nurse practitioner needs to communicate the findings of HIV to a patient. The nurse practitioner enters the patient's room and the spouse is at the bedside. To discuss the diagnosis, the nurse practitioner:
asks the nurse to step into the room.
asks the spouse to step out of the room.
speaks with the patient and spouse together.
speaks with the spouse privately. - CORRECT ANSWER asks the spouse to step out of the room.
When discharging an 85-year-old patient who has a diagnosis of stasis dermatitis, an adult-gerontology acute care nurse practitioner includes instructions to:
keep legs elevated while seated.
maintain systolic blood pressure greater than 120 mmHg.
soak legs in warm water daily.
wear compression stockings of 65 mmHg below the knee. - CORRECT ANSWER keep legs elevated while seated.
A patient is brought to the emergency department after being found unresponsive in a car. The patient's spouse arrives at the hospital to find the patient comatose, on mechanical ventilation, and brain death has been established. The spouse informs the staff that the patient has an advance directive and did not want to be kept alive, artificially. The spouse struggles with the decision to remove the patient from life support. The adult-gerontology acute care nurse practitioner:
A) consults the ethics committee to help with the decision-making process.
B) discusses with the spouse that removing the patient is the right thing to do.
C) encourages the spouse to have a family meeting to make the decision as a group.
D) reviews the patient's advance directive with the spouse. - CORRECT ANSWER D) reviews the patient's advance directive with the spouse.
A patient with a history of heart failure arrives at the emergency department exhibiting shortness of breath and lower extremity swelling. Both of the patient's symptoms are a result of:
a decrease in plasma oncotic pressure.
an increase in capillary hydrostatic pressure.
an increase in capillary membrane permeability.
an obstruction of lymphatic drainage. - CORRECT ANSWER an increase in capillary hydrostatic pressure. [Show Less]