ANCC Exam 15 Questions with Verified Answers,100% CORRECT

ANCC Exam 15 Questions with Verified Answers Which factor is associated with the highest risk of falls in older persons living in the community? A. A history of previous falls B. Living Alone C. Osteoporosis D. Use of an assistive device - CORRECT ANSWER A. A history of previous falls An older adult patient complains of recent lapses in memory and deceased 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. A reticulocyte count B. A serum folate level C. An erythrocyte sedimentation rate D. Iron studies - CORRECT ANSWER B. A serum folate level An 80 year old male patient with dementia requires LTC placement. To which funding agency does the patient apply, after "spending down" to qualify? A. Medicaid B. Medicare C. The American Association of Retired Persons D. The United States Social Security Administration - CORRECT ANSWER A. Medicaid 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 first-line therapy for this patient? A. Amlodipine (Norvasc) B. Digoxin (lanoxin) C. Furosemide (Lasix) D. Lisinopril (Zestril) - CORRECT ANSWER D. Lisinopril (Zestril) A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse practitioner assesses for ankle clonus by A. applying a low-pitched tuning fork firmly to the lateral malleolus B. Sharply dosiflexing and maintaining the foot in this position, while supporting the knee. C. Striking the Achilles tendon with the percussion hammer 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. - CORRECT ANSWER B. Sharply dosiflexing and maintaining the foot in this position, while supporting the knee. A 15-year-old patient with type 1 Diabetes reports elevated blood glucose levels in the morning. An AGACNP 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 3am every morning D. Tests the blood glucose level in the evening - CORRECT ANSWER A. increases the insulin dosage at bedtime A patient with profound hypotension is transferred from the med-surg unit to the ICU. The patient is started on fluids and norepinephrine (Levophed) IV. The blood cultures that were drawn 48h ago from the tunneled catheter, show preliminary results of gram-negative bacilli. The patients most recent ECHO report reveals an ejection fraction of 40%. The AGACNP determines that: A. a pulmonary catheter insertion is indicated, to manage septic shock B. fluid resuscitation will be limited to no more than 4 liters 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 - CORRECT ANSWER D. piperacillin-tazobactam (Zosyn) is indicated for the line-related infection Which research design has the greatest strength in determining if an intervention is effective? A. Case control B. Clinical Trial C. Cohort D. Cross-sectional - CORRECT ANSWER B. Clinical trial A 55-year-old man who has no history of DM, heart disease, HTN or thrombotic events is diagnosed with paroxysmal afib. Based on national stroke prevention guidelines, the recommneded antithrombotic management for this patient is: A. aspirin (bayer) B. aspirin with dipyridamole (aggrenox) C. Clopidogrel (plavix) D. warfarin (coumadin) - CORRECT ANSWER A. Aspirin (bayer) An agacnp who specializes in cardiology is asked to give a presentation on lipid lowering drugs. A major drug company that markets lipid-lowering medication plans to pay the presenter an honorarium, but asks the NP to limit his or her remarks to its drug. This situation presents a: A. breach of contract B. conflict of interest C. personal choice D. reasonable request - CORRECT ANSWER B. Conflict of interest A 32 year old patient who underwent an open splenectomy for a ruptured spleen, is preparing for discharge. An agacnp reviews the potential complications with the patient. The nurse practitioner emphasizes which instruction to the patient? A. continue antibiotics for 14 days B. follow up with primary care provider for vaccinations C. no international travel for five years D. NO weight lifting restrictions - CORRECT ANSWER B. Follow up with primary care provider for vaccinations A 65 year old female patient has confirmed diagnosis of terminal liver disease. The patients advance directive designates comfort measures, only. An AGACNP's action is to: A. Discuss the patient's decision with the patient's family members B. persuade the patient to participate in a hepatitis clinical trial C. reconfirm the patient's end-of-life decision D. refer the patient for psychological evaluation - CORRECT ANSWER C. reconfirm the patient's end-of-life decision A 68-year-old patient had surgery 3 days ago, for repari of an abdominal aortic aneurysm. The patient remains intubated, is neurologically intact, and has active bowel sounds. The patient's liver function is iwithin normal lmits, and the patient has no s/s of heart failure. The patient's laboratory values are: BUN of 12mg/dL, Cr of 0.8mg/dL, PaCO2 of 37mmHg. The preferred form of nutritional support for this patient is: A. enteral feeding to the duodenum via nasogastric small-bore tube B. enteral feeding to the stomach via a gastrostomy tube C. peripheral pareneteral nutrition via an 18-guage IV catheter D. total parenteral nutrition via central venous line - CORRECT ANSWER A. enteral feeding to the duodenum via nasogastric small-bore tube A hospital requires AGACNPs to submit credentialing applications for the purpose of: A. authorizing clinical roles and responsibilities B. delineating therapeutic and diagnostic services C. monitoring the NPs clinical activities D. verifying education, licensure and experience - CORRECT ANSWER D. verifying education, licensure and experience Assessment of which endocrine system response to sepsis-induced hypotension is essential in guiding subsequent therapy? A. Adrenal B. Pancreatic C. Pituitary D. Thyroid - CORRECT ANSWER A. Adrenal