ANCC PRACTICE QUESTIONS AND FINAL EXAM 2026 OPEN
BOOK UPDATED WITH COMPLETE SOLUTION
The adult-gerontology primary care nurse practitioner reminds a 16-year-old, male patient who
just received his driver's license to wear a seat belt at all times when in a car. The patient replies
that he does not need to wear a seat belt, because nothing will happen to him if he is involved
in an automobile collision. According to the health belief model, what chief component does
the patient lack?
(a) Enabling factors.
(b) Motivation.
(c) Perceived role conflict.
(d) Perceived severity.
Accurate Answer: d
An 84-year-old patient arrives at the office for an initial visit. The patient questions the need for
colorectal screening, since 10 years have passed since the last colonoscopy. The adult-
gerontology primary care nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting.
Accurate Answer: d
,In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
Accurate Answer: a
A 14-year-old, male patient has some general concerns about eczema, as his twin brother was
recently diagnosed with this condition. The patient reports urticaria and a rash on his posterior
knees bilaterally. The three factors that put the patient at risk for eczema are a family history of
eczema, a personal history of allergic rhinitis, and a history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis
Accurate Answer: a
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology primary care
nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
,(b) flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with the
percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position while supporting the knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the foot with the sharp end
of the percussion hammer.
Accurate Answer: c
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology primary
care nurse practitioner gives which physical examination finding the highest priority for
immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
Accurate Answer: c
The adult-gerontology primary care nurse practitioner treats several patients for biological
exposure. In the patients' records, the nurse practitioner documents which epidemiological
factors for each exposure?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
, (c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.
Accurate Answer: c
When disseminating research findings in a peer-reviewed journal, the adult-gerontology
primary care nurse practitioner:
(a) concludes that the study proves the hypothesis.
(b) excludes the discussion section, because the conclusion contains this information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study.
Accurate Answer: d
A patient's adult child telephones the adult-gerontology primary care nurse practitioner to
inquire about the patient's illness. The patient's child reports that the parent relies upon the
child to explain everything to him or her. The nurse practitioner:
(a) asks the child to provide a copy of the patient's advance directive document.
(b) assures the child that the nurse practitioner can disclose requested information.
BOOK UPDATED WITH COMPLETE SOLUTION
The adult-gerontology primary care nurse practitioner reminds a 16-year-old, male patient who
just received his driver's license to wear a seat belt at all times when in a car. The patient replies
that he does not need to wear a seat belt, because nothing will happen to him if he is involved
in an automobile collision. According to the health belief model, what chief component does
the patient lack?
(a) Enabling factors.
(b) Motivation.
(c) Perceived role conflict.
(d) Perceived severity.
Accurate Answer: d
An 84-year-old patient arrives at the office for an initial visit. The patient questions the need for
colorectal screening, since 10 years have passed since the last colonoscopy. The adult-
gerontology primary care nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting.
Accurate Answer: d
,In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
Accurate Answer: a
A 14-year-old, male patient has some general concerns about eczema, as his twin brother was
recently diagnosed with this condition. The patient reports urticaria and a rash on his posterior
knees bilaterally. The three factors that put the patient at risk for eczema are a family history of
eczema, a personal history of allergic rhinitis, and a history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis
Accurate Answer: a
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology primary care
nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
,(b) flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with the
percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position while supporting the knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the foot with the sharp end
of the percussion hammer.
Accurate Answer: c
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology primary
care nurse practitioner gives which physical examination finding the highest priority for
immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
Accurate Answer: c
The adult-gerontology primary care nurse practitioner treats several patients for biological
exposure. In the patients' records, the nurse practitioner documents which epidemiological
factors for each exposure?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
, (c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.
Accurate Answer: c
When disseminating research findings in a peer-reviewed journal, the adult-gerontology
primary care nurse practitioner:
(a) concludes that the study proves the hypothesis.
(b) excludes the discussion section, because the conclusion contains this information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study.
Accurate Answer: d
A patient's adult child telephones the adult-gerontology primary care nurse practitioner to
inquire about the patient's illness. The patient's child reports that the parent relies upon the
child to explain everything to him or her. The nurse practitioner:
(a) asks the child to provide a copy of the patient's advance directive document.
(b) assures the child that the nurse practitioner can disclose requested information.
