Sample Questions from ANCC
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 - answer A) A history of previous falls
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 - answer A serum folate level
An 80-year-old male patient with dementia requires long-term care placement. 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 - answer 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 the first-line therapy for this patient? Amlodipine (Norvasc) Digoxin (Lanoxin) Furosemide (Lasix) Lisinopril (Zestril) - answer Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology 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 supporting 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. - answer B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose 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. - answer A) increases the insulin dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the intensive care unit. The patient is started on fluids and norepinephrine (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. - 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? Case control Clinical trial Cohort Cross-sectional - answer Clinical trial
A 55-year-old man who has no history of diabetes mellitus, heart disease, hypertension,
or thrombotic events is diagnosed with paroxysmal atrial fibrillation. Based on national stroke prevention guidelines, the recommended antithrombotic management for this patient is: aspirin (Bayer).
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 - answer A) A history of previous falls
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 - answer A serum folate level
An 80-year-old male patient with dementia requires long-term care placement. 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 - answer 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 the first-line therapy for this patient? Amlodipine (Norvasc) Digoxin (Lanoxin) Furosemide (Lasix) Lisinopril (Zestril) - answer Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology 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 supporting 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. - answer B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose 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. - answer A) increases the insulin dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the intensive care unit. The patient is started on fluids and norepinephrine (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. - 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? Case control Clinical trial Cohort Cross-sectional - answer Clinical trial
A 55-year-old man who has no history of diabetes mellitus, heart disease, hypertension,
or thrombotic events is diagnosed with paroxysmal atrial fibrillation. Based on national stroke prevention guidelines, the recommended antithrombotic management for this patient is: aspirin (Bayer).
