ANCC PRACTICE QUESTIONS & ANSWERS
In the early stages of iron decient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
Correct answer: (a) normochromic normocytic
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
Correct answer: (a) asthma
A patient has hyperactive reexes of the lower extremities. The adult-gerontology primary
care nurse practitioner assesses for ankle clonus by:
(a) rmly applying a low-pitched tuning fork to the lateral malleolus.
,(b) exing the leg at the knee, rotating it externally, and striking the Achilles tendon with the
percussion hammer.
(c) sharply dorsiexing 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.
Correct answer: (c) sharply dorsiexing the foot and maintaining this position while
supporting the knee.
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology primary
care nurse practitioner gives which physical examination nding the highest priority for
immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
Correct answer: (c) Palpable ovary.
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 conict.
,(d) Perceived severity.
Correct answer: (d) Perceived severity.
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.
Correct answer: (c) Mode of transmission and incubation.
When disseminating research ndings 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.
Correct answer: (d) uses the methodology section to support the validity of the study.
, 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.
(c) informs the child that he or she must come to the clinic to discuss the parent's case.
(d) tells the child that the nurse practitioner can discuss the information only with the
patient.
Correct answer: (d) tells the child that the nurse practitioner can discuss the information
only with the patient.
The adult-gerontology primary care nurse practitioner is appointed to a hospital's
multidisciplinary medical ethics review committee. The nurse practitioner's role is to:
(a) evaluate standards, risks, benets, and outcomes.
(b) identify how to anticipate and resolve similar future situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution.
Correct answer: (a) evaluate standards, risks, benets, and outcomes.
In the early stages of iron decient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
Correct answer: (a) normochromic normocytic
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
Correct answer: (a) asthma
A patient has hyperactive reexes of the lower extremities. The adult-gerontology primary
care nurse practitioner assesses for ankle clonus by:
(a) rmly applying a low-pitched tuning fork to the lateral malleolus.
,(b) exing the leg at the knee, rotating it externally, and striking the Achilles tendon with the
percussion hammer.
(c) sharply dorsiexing 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.
Correct answer: (c) sharply dorsiexing the foot and maintaining this position while
supporting the knee.
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology primary
care nurse practitioner gives which physical examination nding the highest priority for
immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
Correct answer: (c) Palpable ovary.
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 conict.
,(d) Perceived severity.
Correct answer: (d) Perceived severity.
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.
Correct answer: (c) Mode of transmission and incubation.
When disseminating research ndings 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.
Correct answer: (d) uses the methodology section to support the validity of the study.
, 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.
(c) informs the child that he or she must come to the clinic to discuss the parent's case.
(d) tells the child that the nurse practitioner can discuss the information only with the
patient.
Correct answer: (d) tells the child that the nurse practitioner can discuss the information
only with the patient.
The adult-gerontology primary care nurse practitioner is appointed to a hospital's
multidisciplinary medical ethics review committee. The nurse practitioner's role is to:
(a) evaluate standards, risks, benets, and outcomes.
(b) identify how to anticipate and resolve similar future situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution.
Correct answer: (a) evaluate standards, risks, benets, and outcomes.
