ANCC 2024 Sample Questions
Study online at https://quizlet.com/_fad3ge
1. 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: A serum folate level
2. To get more questions with correct answers email jamesdick-
:
3. An 80-year-old male patient with dementia requires long-term care place-
ment. 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: Medicaid
4. 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): Lisinopril (Zestril)
5. A patient has hyperactive reflexes of the lower extremities. The adult-geron-
tology 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 support-
1/7
, ANCC 2024 Sample Questions
Study online at https://quizlet.com/_fad3ge
ing 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.: B) sharply dorsiflexing and maintaining the foot
in this position, while supporting the knee.
6. A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glu-
cose 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.: A) increases the insulin dosage at bed time.
7. A patient with profound hypotension is transferred from the medical-surgical
unit to the intensive care unit. The patient is started on fluids and norepineph-
rine (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.: D)
piperacillin-tazobactam (Zosyn) is indicated for the line-related infection.
8. Which research design has the greatest strength in determining if an inter-
vention is effective?
Case control
Clinical trial
2/7
Study online at https://quizlet.com/_fad3ge
1. 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: A serum folate level
2. To get more questions with correct answers email jamesdick-
:
3. An 80-year-old male patient with dementia requires long-term care place-
ment. 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: Medicaid
4. 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): Lisinopril (Zestril)
5. A patient has hyperactive reflexes of the lower extremities. The adult-geron-
tology 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 support-
1/7
, ANCC 2024 Sample Questions
Study online at https://quizlet.com/_fad3ge
ing 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.: B) sharply dorsiflexing and maintaining the foot
in this position, while supporting the knee.
6. A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glu-
cose 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.: A) increases the insulin dosage at bed time.
7. A patient with profound hypotension is transferred from the medical-surgical
unit to the intensive care unit. The patient is started on fluids and norepineph-
rine (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.: D)
piperacillin-tazobactam (Zosyn) is indicated for the line-related infection.
8. Which research design has the greatest strength in determining if an inter-
vention is effective?
Case control
Clinical trial
2/7
