ANCC Questions 2024 with Answers

A 68-year-old patient had surgery 3 days ago, for repairing of an abdominal aortic aneurysm. The patient remains intubated, is neurologically intact, and has active bowel sounds. The patient's liver function is within normal limits, 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 ️️ 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 ️️ 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 ️️ A. Adrenal 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 ️️ 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 ️️ 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 ️️ 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) ️️ 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. ️️ 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 ️️ 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 ️️ D. piperacillin-tazobactam (Zosyn) is indicated for the line-related infection