Walden University \NURS 6501 ANCC ACTUAL
PRACTICE EXAM AND PRACTICE QUESTIONS 2026-
2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION
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.
ANSWERS; (d) watchful waiting.
, To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient with
swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study.
ANSWERS; (b) Brain natriuretic peptide test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count.
ANSWERS; Liver function studies.
,A 30-year-old, female patient has a two-week history of nausea, vomiting,
decreased weight, abdominal pain, and a long-term history of multiple
sexual partners. The patient's physical examination reveals abdominal
tenderness with icteric sclerae and skin. Which laboratory test confirms
active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen.
ANSWERS; (d) Surface antigen.
For two to three months, a 78-year-old patient has not been taking
levothyroxine (Synthroid) as prescribed. The patient now has symptoms
of increasing constipation, lethargy, and weakness. The adult-
gerontology primary care nurse practitioner anticipates that laboratory
tests will show that the patient's:
(a) T4 level decreased, and TSH level increased.
(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased.
ANSWERS; T4 level decreased, and TSH level increased.
, A 68-year-old patient has sustained an unintended weight loss of 15 lb
(6.8 kg) over the last two months but reports feeling well. The patient's
problems include depression, tobacco abuse, obesity, and dyslipidemia.
His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and
famotidine (Pepcid). The adult-gerontology primary care nurse
practitioner performs which THREE actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone.
(b) Conducts a depression screening.
(d) Obtains a chest x-ray.
ANSWERS; (e) Orders a thyroid-stimulating hormone.
PRACTICE EXAM AND PRACTICE QUESTIONS 2026-
2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION
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.
ANSWERS; (d) watchful waiting.
, To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient with
swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study.
ANSWERS; (b) Brain natriuretic peptide test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count.
ANSWERS; Liver function studies.
,A 30-year-old, female patient has a two-week history of nausea, vomiting,
decreased weight, abdominal pain, and a long-term history of multiple
sexual partners. The patient's physical examination reveals abdominal
tenderness with icteric sclerae and skin. Which laboratory test confirms
active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen.
ANSWERS; (d) Surface antigen.
For two to three months, a 78-year-old patient has not been taking
levothyroxine (Synthroid) as prescribed. The patient now has symptoms
of increasing constipation, lethargy, and weakness. The adult-
gerontology primary care nurse practitioner anticipates that laboratory
tests will show that the patient's:
(a) T4 level decreased, and TSH level increased.
(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased.
ANSWERS; T4 level decreased, and TSH level increased.
, A 68-year-old patient has sustained an unintended weight loss of 15 lb
(6.8 kg) over the last two months but reports feeling well. The patient's
problems include depression, tobacco abuse, obesity, and dyslipidemia.
His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and
famotidine (Pepcid). The adult-gerontology primary care nurse
practitioner performs which THREE actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone.
(b) Conducts a depression screening.
(d) Obtains a chest x-ray.
ANSWERS; (e) Orders a thyroid-stimulating hormone.
