ANCC 2024 SAMPLE QUESTIONS
An55older55adult55patient55complains55of55recent55lapses55in55memory55and55decreased5
5alertness.55The55patient's55laboratory55test55results55indicate55a55mild,55macrocytic55an
emia.55Which55additional55test55does55the55adult-
gerontology55acute55care55nurse55practitioner55order55to55confirm55a55diagnosis?
55A55reticulocyte55count
55A55serum55folate55level
55An55erythrocyte55sedimentation55rate
55Iron55studies55-55answer--A55serum55folate55level
To55get55more55questions55with55correct55answers55email55jamesdickson3161@gmail.c
om55-55answer--
An5580-year-old55male55patient55with55dementia55requires55long-
term55care55placement.55To55which55funding55agency55does55the55patient55apply,55after5
5"spending55down"55to55qualify?
55Medicaid
55Medicare
55The55American55Association55of55Retired55Persons
55The55United55States55Social55Security55Administration55-55answer--Medicaid
A5570-year-
old55patient55with55acute55systolic55heart55failure55denies55any55functional55limitations,55i
s55able55to55walk55five55blocks55before55tiring,55and55is55euvolemic.55Which55medication5
5is55the55first-line55therapy55for55this55patient?
55Amlodipine55(Norvasc)
55Digoxin55(Lanoxin)
55Furosemide55(Lasix)
55Lisinopril55(Zestril)55-55answer--Lisinopril55(Zestril)
A55patient55has55hyperactive55reflexes55of55the55lower55extremities.55The55adult-
gerontology55acute55care55nurse55practitioner55assesses55for55ankle55clonus55by:
C)55applying55a55low-pitched55tuning55fork55firmly55to55the55lateral55malleolus.
, B)55sharply55dorsiflexing55and55maintaining55the55foot55in55this55position,55while55support
ing55the55knee.
55striking55the55Achilles55tendon55with55the55percussion55hammer55C)55after55flexing55the
55leg55at55the55knee55and55rotating55it55externally.
D)55stroking55the55lateral55aspect55of55the55sole55with55the55sharp55end55of55the55percus
sion55hammer55from55the55heel55to55the55ball55of55the55foot.55-55answer--
B)55sharply55dorsiflexing55and55maintaining55the55foot55in55this55position,55while55support
ing55the55knee.
A5515-year-
old55patient55with55type55155diabetes55mellitus55reports55elevated55blood55glucose55level
s55in55the55morning.55An55adult-
gerontology55acute55care55nurse55practitioner55determines55that55the55patient's55hypergl
ycemia55is55due55to55the55dawn55phenomenon55and:
A)55increases55the55insulin55dosage55at55bed55time.
B)55reduces55the55insulin55dosage55at55bed55time.
C)55tests55the55blood55glucose55level55at553:0055AM55every55morning.
D)55tests55the55blood55glucose55level55in55the55evening.55-55answer--
A)55increases55the55insulin55dosage55at55bed55time.
A55patient55with55profound55hypotension55is55transferred55from55the55medical-
surgical55unit55to55the55intensive55care55unit.55The55patient55is55started55on55fluids55and5
5norepinephrine55(Levophed)55IV.55The55blood55cultures55that55were55drawn554855hours5
5ago55from55the55tunneled55catheter,55show55preliminary55results55of55gram-
negative55bacilli.55The55patient's55most55recent55echocardiogram55report55reveals55an55
ejection55fraction55of5540%.55The55adult-
gerontology55acute55care55nurse55practitioner55determines55that:
A)55a55pulmonary55artery55catheter55insertion55is55indicated,55to55manage55septic55shoc
k.
B)55fluid55resuscitation55will55be55limited55to55no55more55than55455L
C)55indwelling55vancomycin55(Vancocin)55should55be55placed55in55the55ports55of55the55tu
nneled55catheter.
D)55piperacillin-tazobactam55(Zosyn)55is55indicated55for55the55line-related55infection.55-
55answer--D)55piperacillin-tazobactam55(Zosyn)55is55indicated55for55the55line-
related55infection.
Which55research55design55has55the55greatest55strength55in55determining55if55an55interve
ntion55is55effective?
55Case55control
55Clinical55trial
55Cohort
55Cross-sectional55-55answer--Clinical55trial
An55older55adult55patient55complains55of55recent55lapses55in55memory55and55decreased5
5alertness.55The55patient's55laboratory55test55results55indicate55a55mild,55macrocytic55an
emia.55Which55additional55test55does55the55adult-
gerontology55acute55care55nurse55practitioner55order55to55confirm55a55diagnosis?
55A55reticulocyte55count
55A55serum55folate55level
55An55erythrocyte55sedimentation55rate
55Iron55studies55-55answer--A55serum55folate55level
To55get55more55questions55with55correct55answers55email55jamesdickson3161@gmail.c
om55-55answer--
An5580-year-old55male55patient55with55dementia55requires55long-
term55care55placement.55To55which55funding55agency55does55the55patient55apply,55after5
5"spending55down"55to55qualify?
55Medicaid
55Medicare
55The55American55Association55of55Retired55Persons
55The55United55States55Social55Security55Administration55-55answer--Medicaid
A5570-year-
old55patient55with55acute55systolic55heart55failure55denies55any55functional55limitations,55i
s55able55to55walk55five55blocks55before55tiring,55and55is55euvolemic.55Which55medication5
5is55the55first-line55therapy55for55this55patient?
55Amlodipine55(Norvasc)
55Digoxin55(Lanoxin)
55Furosemide55(Lasix)
55Lisinopril55(Zestril)55-55answer--Lisinopril55(Zestril)
A55patient55has55hyperactive55reflexes55of55the55lower55extremities.55The55adult-
gerontology55acute55care55nurse55practitioner55assesses55for55ankle55clonus55by:
C)55applying55a55low-pitched55tuning55fork55firmly55to55the55lateral55malleolus.
, B)55sharply55dorsiflexing55and55maintaining55the55foot55in55this55position,55while55support
ing55the55knee.
55striking55the55Achilles55tendon55with55the55percussion55hammer55C)55after55flexing55the
55leg55at55the55knee55and55rotating55it55externally.
D)55stroking55the55lateral55aspect55of55the55sole55with55the55sharp55end55of55the55percus
sion55hammer55from55the55heel55to55the55ball55of55the55foot.55-55answer--
B)55sharply55dorsiflexing55and55maintaining55the55foot55in55this55position,55while55support
ing55the55knee.
A5515-year-
old55patient55with55type55155diabetes55mellitus55reports55elevated55blood55glucose55level
s55in55the55morning.55An55adult-
gerontology55acute55care55nurse55practitioner55determines55that55the55patient's55hypergl
ycemia55is55due55to55the55dawn55phenomenon55and:
A)55increases55the55insulin55dosage55at55bed55time.
B)55reduces55the55insulin55dosage55at55bed55time.
C)55tests55the55blood55glucose55level55at553:0055AM55every55morning.
D)55tests55the55blood55glucose55level55in55the55evening.55-55answer--
A)55increases55the55insulin55dosage55at55bed55time.
A55patient55with55profound55hypotension55is55transferred55from55the55medical-
surgical55unit55to55the55intensive55care55unit.55The55patient55is55started55on55fluids55and5
5norepinephrine55(Levophed)55IV.55The55blood55cultures55that55were55drawn554855hours5
5ago55from55the55tunneled55catheter,55show55preliminary55results55of55gram-
negative55bacilli.55The55patient's55most55recent55echocardiogram55report55reveals55an55
ejection55fraction55of5540%.55The55adult-
gerontology55acute55care55nurse55practitioner55determines55that:
A)55a55pulmonary55artery55catheter55insertion55is55indicated,55to55manage55septic55shoc
k.
B)55fluid55resuscitation55will55be55limited55to55no55more55than55455L
C)55indwelling55vancomycin55(Vancocin)55should55be55placed55in55the55ports55of55the55tu
nneled55catheter.
D)55piperacillin-tazobactam55(Zosyn)55is55indicated55for55the55line-related55infection.55-
55answer--D)55piperacillin-tazobactam55(Zosyn)55is55indicated55for55the55line-
related55infection.
Which55research55design55has55the55greatest55strength55in55determining55if55an55interve
ntion55is55effective?
55Case55control
55Clinical55trial
55Cohort
55Cross-sectional55-55answer--Clinical55trial
