ANCC ACTUAL PAPER SOLVED
QUESTIONS
◉ 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
Answer: (a) asthma
◉ 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.
Answer: (c) sharply dorsiflexing 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 finding the highest priority for
immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
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 conflict.
(d) Perceived severity.
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.
Answer: (c) Mode of transmission and incubation.
, ◉ 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.
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.
QUESTIONS
◉ 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
Answer: (a) asthma
◉ 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.
Answer: (c) sharply dorsiflexing 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 finding the highest priority for
immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
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 conflict.
(d) Perceived severity.
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.
Answer: (c) Mode of transmission and incubation.
, ◉ 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.
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.
