ANCC Advanced Practice Nursing Exam: Achieve A+
Certification Excellence! Questions & Answers Included
for Comprehensive Success
Section 1: Clinical Decision-Making (60 minutes)
Multiple-Choice Questions:
1. A nurse is assessing a patient with chronic obstructive pulmonary
disease (COPD). Which of the following findings would be a priority
concern?
A. Use of accessory muscles for breathing
B. Decreased respiratory rate
C. Clear lung sounds on auscultation
D. A productive cough with green sputum
Answer: A. Use of accessory muscles for breathing
2. Which medication is considered the first-line treatment for
hypertension in a patient with diabetes?
A. Amlodipine
B. Lisinopril
C. Metoprolol
D. Hydrochlorothiazide
Answer: B. Lisinopril
3. A patient presents to the emergency department with chest pain. Which
of the following assessments is the most important to perform first?
A. Obtain a 12-lead ECG
B. Check vital signs
C. Assess the pain level
D. Initiate IV access
Answer: A. Obtain a 12-lead ECG
4. Which of the following is a common side effect of beta-blockers?
A. Weight loss
B. Bradycardia
C. Hypertension
D. Increased appetite
Answer: B. Bradycardia
Certification Excellence! Questions & Answers Included
for Comprehensive Success
Section 1: Clinical Decision-Making (60 minutes)
Multiple-Choice Questions:
1. A nurse is assessing a patient with chronic obstructive pulmonary
disease (COPD). Which of the following findings would be a priority
concern?
A. Use of accessory muscles for breathing
B. Decreased respiratory rate
C. Clear lung sounds on auscultation
D. A productive cough with green sputum
Answer: A. Use of accessory muscles for breathing
2. Which medication is considered the first-line treatment for
hypertension in a patient with diabetes?
A. Amlodipine
B. Lisinopril
C. Metoprolol
D. Hydrochlorothiazide
Answer: B. Lisinopril
3. A patient presents to the emergency department with chest pain. Which
of the following assessments is the most important to perform first?
A. Obtain a 12-lead ECG
B. Check vital signs
C. Assess the pain level
D. Initiate IV access
Answer: A. Obtain a 12-lead ECG
4. Which of the following is a common side effect of beta-blockers?
A. Weight loss
B. Bradycardia
C. Hypertension
D. Increased appetite
Answer: B. Bradycardia
