ANCC Practice
Questions 2024 Final
Exam
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic - ✔✔✔ANSWER-(a) normochromic normocytic
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.
(c) informs the child that he or she must come to the clinic to discuss the parent's
case.
(d) tells the child that the nurse practitioner can discuss the information only with
the patient. - ✔✔✔ANSWER-(d) tells the child that the nurse practitioner can
discuss the information only with the patient.
Questions 2024 Final
Exam
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic - ✔✔✔ANSWER-(a) normochromic normocytic
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.
(c) informs the child that he or she must come to the clinic to discuss the parent's
case.
(d) tells the child that the nurse practitioner can discuss the information only with
the patient. - ✔✔✔ANSWER-(d) tells the child that the nurse practitioner can
discuss the information only with the patient.
