ANCC Practice Questions & Study Guide 2026-2027 | Nurse Practitioner Certification Prep
In the early stages of iron deficient anemias, blood studies (a) normochromic normocytic
show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
A 14-year-old, male patient has some general concerns (a) asthma
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
A patient has hyperactive reflexes of the lower extremities. (c) sharply dorsiflexing the foot and maintaining this position while supporting the
The adult-gerontology primary care nurse practitioner knee.
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.
A 70-year-old, female patient is having her yearly (c) Palpable ovary.
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.
The adult-gerontology primary care nurse practitioner (d) Perceived severity.
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.
, ANCC Practice Questions & Study Guide 2026-2027 | Nurse Practitioner Certification Prep
The adult-gerontology primary care nurse practitioner (c) Mode of transmission and incubation.
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.
When disseminating research findings in a peer-reviewed (d) uses the methodology section to support the validity of the study.
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.
A patient's adult child telephones the adult-gerontology (d) tells the child that the nurse practitioner can discuss the information only with the
primary care nurse practitioner to inquire about the patient.
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.
The adult-gerontology primary care nurse practitioner is (a) evaluate standards, risks, benefits, and outcomes.
appointed to a hospital's multidisciplinary medical ethics
review committee. The nurse practitioner's role is to:
(a) evaluate standards, risks, benefits, and outcomes.
(b) identify how to anticipate and resolve similar future
situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution.
To improve the quality of clinical practice, the adult- (b) disseminates research study results to colleagues.
gerontology primary care nurse practitioner:
(a) charges a fee for patients who arrive late to clinic
appointments.
(b) disseminates research study results to colleagues.
(c) expresses opinions about alternative therapies with
patients who consider such treatments.
(d) schedules time during clinic hours to meet with
pharmaceutical representatives.
, ANCC Practice Questions & Study Guide 2026-2027 | Nurse Practitioner Certification Prep
One effect of using electronic health record applications, (d) open access to care.
such as telemedicine and portable monitoring systems,
has been to:
(a) create stand-alone clinics.
(b) decrease billable visits.
(c) increase risks to patients.
(d) open access to care.
The adult-gerontology primary care nurse practitioner (a) contacts the patient's adult child.
evaluates an 80-year-old patient with cognitive deficits,
who is unaccompanied by the adult child who typically is
present. The patient has urinary symptoms, for which the
nurse practitioner considers ordering sulfamethoxazole-
trimethoprim (Bactrim). The patient's previous medical
record is unavailable. Before prescribing the medication,
the nurse practitioner:
(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available.
The adult-gerontology primary care nurse practitioner (d) worried patient whose son is serving in military conflict.
conducts a small group class on weight management. The
nurse practitioner anticipates that the patient who may
have the greatest difficulty implementing the counseling is
the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner (a) advise the patient to stop smoking.
evaluates a patient with cold symptoms who reports
smoking half a pack of cigarettes a day and shows no
interest in quitting. The nurse practitioner's most
appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine
cigarette.
The adult-gerontology primary care nurse practitioner (b) are more likely to be successful at quitting than younger smokers.
plans to provide smoking cessation education at a
community center to older adults and their families. The
nurse practitioner designs the program based on
knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than
younger smokers.
(c) have a decreased risk of morbidity and mortality than
do younger smokers.
(d) receive more instruction to quit from health care
providers than younger smokers.
In the early stages of iron deficient anemias, blood studies (a) normochromic normocytic
show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
A 14-year-old, male patient has some general concerns (a) asthma
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
A patient has hyperactive reflexes of the lower extremities. (c) sharply dorsiflexing the foot and maintaining this position while supporting the
The adult-gerontology primary care nurse practitioner knee.
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.
A 70-year-old, female patient is having her yearly (c) Palpable ovary.
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.
The adult-gerontology primary care nurse practitioner (d) Perceived severity.
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.
, ANCC Practice Questions & Study Guide 2026-2027 | Nurse Practitioner Certification Prep
The adult-gerontology primary care nurse practitioner (c) Mode of transmission and incubation.
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.
When disseminating research findings in a peer-reviewed (d) uses the methodology section to support the validity of the study.
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.
A patient's adult child telephones the adult-gerontology (d) tells the child that the nurse practitioner can discuss the information only with the
primary care nurse practitioner to inquire about the patient.
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.
The adult-gerontology primary care nurse practitioner is (a) evaluate standards, risks, benefits, and outcomes.
appointed to a hospital's multidisciplinary medical ethics
review committee. The nurse practitioner's role is to:
(a) evaluate standards, risks, benefits, and outcomes.
(b) identify how to anticipate and resolve similar future
situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution.
To improve the quality of clinical practice, the adult- (b) disseminates research study results to colleagues.
gerontology primary care nurse practitioner:
(a) charges a fee for patients who arrive late to clinic
appointments.
(b) disseminates research study results to colleagues.
(c) expresses opinions about alternative therapies with
patients who consider such treatments.
(d) schedules time during clinic hours to meet with
pharmaceutical representatives.
, ANCC Practice Questions & Study Guide 2026-2027 | Nurse Practitioner Certification Prep
One effect of using electronic health record applications, (d) open access to care.
such as telemedicine and portable monitoring systems,
has been to:
(a) create stand-alone clinics.
(b) decrease billable visits.
(c) increase risks to patients.
(d) open access to care.
The adult-gerontology primary care nurse practitioner (a) contacts the patient's adult child.
evaluates an 80-year-old patient with cognitive deficits,
who is unaccompanied by the adult child who typically is
present. The patient has urinary symptoms, for which the
nurse practitioner considers ordering sulfamethoxazole-
trimethoprim (Bactrim). The patient's previous medical
record is unavailable. Before prescribing the medication,
the nurse practitioner:
(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available.
The adult-gerontology primary care nurse practitioner (d) worried patient whose son is serving in military conflict.
conducts a small group class on weight management. The
nurse practitioner anticipates that the patient who may
have the greatest difficulty implementing the counseling is
the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner (a) advise the patient to stop smoking.
evaluates a patient with cold symptoms who reports
smoking half a pack of cigarettes a day and shows no
interest in quitting. The nurse practitioner's most
appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine
cigarette.
The adult-gerontology primary care nurse practitioner (b) are more likely to be successful at quitting than younger smokers.
plans to provide smoking cessation education at a
community center to older adults and their families. The
nurse practitioner designs the program based on
knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than
younger smokers.
(c) have a decreased risk of morbidity and mortality than
do younger smokers.
(d) receive more instruction to quit from health care
providers than younger smokers.
