ANCCerPracticeerQuestions (Latest 2026/ 2027
Update)
Inertheerearlyerstageseroferironerdeficienteranemias,erblooderstudiesershow:
(a)ermacrocyticernormochromic
(b)ermicrocyticerhypochromic
(c)ernormochromicernormocytic
(d)erpancytopenicerhypocyticer-ercorrecteranswer✔ ✔ (a)ernormochromicernormocytic
Aer14-year-
old,ermaleerpatienterhasersomeergeneralerconcernseraboutereczema,eraserhisertwinerbrothererwaserrecentl
yerdiagnosederwitherthisercondition.erTheerpatienterreportserurticariaeranderaerrasheronerhiserposteriorerk
neeserbilaterally.erTheerthreeerfactorserthaterputertheerpatienteraterriskerforereczemaerareeraerfamilyerhisto
ryerofereczema,eraerpersonalerhistoryeroferallergicerrhinitis,eranderaerhistoryerof:
(a)erasthma
(b)erbeeerallergy
(c)erotitisermedia
(d)erpsoriasiser-ercorrecteranswer✔ ✔ (a)erasthma
Aerpatienterhaserhyperactiveerreflexeserofertheerlowererextremities.erTheeradult-
gerontologyerprimaryercareernurseerpractitionererassesseserforerankleerclonuserby:
(a)erfirmlyerapplyingeraerlow-pitchedertuningerforkertoertheerlateralermalleolus.
(b)erflexingertheerlegeratertheerknee,errotatingeriterexternally,eranderstrikingertheerAchillesertendonerwith
theerpercussionerhammer.
er
(c)ersharplyerdorsiflexingertheerfooterandermaintainingerthiserpositionerwhileersupportingertheerknee.
,(d)erstrokingertheerlateraleraspecterofertheersoleerfromertheerheelertoertheerballerofertheerfooterwithertheersh
arperenderofertheerpercussionerhammer.er-ercorrecteranswer✔ ✔
(c)ersharplyerdorsiflexingertheerfooterandermaintainingerthiserpositionerwhileersupportingertheerknee.
Aer70-year-old,erfemaleerpatienteriserhavingerhereryearlyerevaluation.erTheeradult-
gerontologyerprimaryercareernurseerpractitionerergiveserwhicherphysicalerexaminationerfindingertheerh
ighesterpriorityerforerimmediateertreatment?
(a)erAtrophyerofervaginalerrugae.
(b)erCystoceleerpresent.
(c)erPalpableerovary.
(d)erPessaryerinerplace.er-ercorrecteranswer✔ ✔ (c)erPalpableerovary.
Theeradult-gerontologyerprimaryercareernurseerpractitionererremindseraer16-year-
old,ermaleerpatienterwhoerjusterreceivederhiserdriver'serlicenseertoerweareraerseaterbelteraterallertimeserwh
enerineraercar.erTheerpatienterreplieserthaterheerdoesernoterneedertoerweareraerseaterbelt,erbecauseernothing
willerhappenertoerhimeriferheeriserinvolvederineranerautomobileercollision.erAccordingertoertheerhealther
er
beliefermodel,erwhaterchiefercomponenterdoesertheerpatienterlack?
(a)erEnablingerfactors.
(b)erMotivation.
(c)erPerceivederroleerconflict.
(d)erPerceivederseverity.er-ercorrecteranswer✔ ✔ (d)erPerceivederseverity.
Theeradult-
gerontologyerprimaryercareernurseerpractitionerertreatserseveralerpatientserforerbiologicalerexposure.erI
nertheerpatients'errecords,ertheernurseerpractitionererdocumentserwhicherepidemiologicalerfactorserforer
eacherexposure?
(a)erComorbiditieseranderlengtheroferexposure.
,(b)erLocationerandereventerintensity.
(c)erModeerofertransmissioneranderincubation.
(d)erPremorbiderconditionserandersurveillanceerrates.er-ercorrecteranswer✔ ✔
(c)erModeerofertransmissioneranderincubation.
Whenerdisseminatingerresearcherfindingserineraerpeer-reviewederjournal,ertheeradult-
gerontologyerprimaryercareernurseerpractitioner:
(a)erconcludeserthatertheerstudyerprovesertheerhypothesis.
(b)erexcludesertheerdiscussionersection,erbecauseertheerconclusionercontainserthiserinformation.
(c)errecommendserincorporatingertheerresultserdirectlyerintoerclinicalerpractice.
(d)erusesertheermethodologyersectionertoersupportertheervalidityerofertheerstudy.er-ercorrecteranswer✔
✔ (d)erusesertheermethodologyersectionertoersupportertheervalidityerofertheerstudy.
Aerpatient'seradulterchildertelephonesertheeradult-
gerontologyerprimaryercareernurseerpractitionerertoerinquireeraboutertheerpatient'serillness.erTheerpatie
nt'serchilderreportserthatertheerparenterrelieseruponertheerchildertoerexplainereverythingertoerhimerorerher.e
Theernurseerpractitioner:
r
(a)erasksertheerchildertoerprovideeraercopyerofertheerpatient'seradvanceerdirectiveerdocument.
(b)erassuresertheerchilderthatertheernurseerpractitionerercanerdiscloseerrequestederinformation.
(c)erinformsertheerchilderthaterheerorersheermustercomeertoertheerclinicertoerdiscussertheerparent'sercase.
, (d)ertellsertheerchilderthatertheernurseerpractitionerercanerdiscussertheerinformationeronlyerwithertheerpati
ent.er-ercorrecteranswer✔ ✔
(d)ertellsertheerchilderthatertheernurseerpractitionerercanerdiscussertheerinformationeronlyerwithertheerp
atient.
Theeradult-
gerontologyerprimaryercareernurseerpractitionereriserappointedertoeraerhospital'sermultidisciplinaryerm
edicalerethicserreviewercommittee.erTheernurseerpractitioner'serroleeriserto:
(a)erevaluateerstandards,errisks,erbenefits,eranderoutcomes.
(b)eridentifyerhowertoeranticipateeranderresolveersimilarerfutureersituations.
(c)erinvestigateertheerneederforerdisciplinaryeraction.
(d)erobtaineragreementeroferallerpartieserwitheraerchosenersolution.er-ercorrecteranswer✔ ✔
(a)erevaluateerstandards,errisks,erbenefits,eranderoutcomes.
Toerimproveertheerqualityeroferclinicalerpractice,ertheeradult-
gerontologyerprimaryercareernurseerpractitioner:
(a)erchargeseraerfeeerforerpatientserwhoerarriveerlateertoerclinicerappointments.
(b)erdisseminateserresearcherstudyerresultsertoercolleagues.
(c)erexpresseseropinionserabouteralternativeertherapieserwitherpatientserwhoerconsiderersuchertreatmen
ts.
(d)erschedulesertimeerduringerclinicerhoursertoermeeterwitherpharmaceuticalerrepresentatives.er-
correcteranswer✔ ✔ (b)erdisseminateserresearcherstudyerresultsertoercolleagues.
er
Update)
Inertheerearlyerstageseroferironerdeficienteranemias,erblooderstudiesershow:
(a)ermacrocyticernormochromic
(b)ermicrocyticerhypochromic
(c)ernormochromicernormocytic
(d)erpancytopenicerhypocyticer-ercorrecteranswer✔ ✔ (a)ernormochromicernormocytic
Aer14-year-
old,ermaleerpatienterhasersomeergeneralerconcernseraboutereczema,eraserhisertwinerbrothererwaserrecentl
yerdiagnosederwitherthisercondition.erTheerpatienterreportserurticariaeranderaerrasheronerhiserposteriorerk
neeserbilaterally.erTheerthreeerfactorserthaterputertheerpatienteraterriskerforereczemaerareeraerfamilyerhisto
ryerofereczema,eraerpersonalerhistoryeroferallergicerrhinitis,eranderaerhistoryerof:
(a)erasthma
(b)erbeeerallergy
(c)erotitisermedia
(d)erpsoriasiser-ercorrecteranswer✔ ✔ (a)erasthma
Aerpatienterhaserhyperactiveerreflexeserofertheerlowererextremities.erTheeradult-
gerontologyerprimaryercareernurseerpractitionererassesseserforerankleerclonuserby:
(a)erfirmlyerapplyingeraerlow-pitchedertuningerforkertoertheerlateralermalleolus.
(b)erflexingertheerlegeratertheerknee,errotatingeriterexternally,eranderstrikingertheerAchillesertendonerwith
theerpercussionerhammer.
er
(c)ersharplyerdorsiflexingertheerfooterandermaintainingerthiserpositionerwhileersupportingertheerknee.
,(d)erstrokingertheerlateraleraspecterofertheersoleerfromertheerheelertoertheerballerofertheerfooterwithertheersh
arperenderofertheerpercussionerhammer.er-ercorrecteranswer✔ ✔
(c)ersharplyerdorsiflexingertheerfooterandermaintainingerthiserpositionerwhileersupportingertheerknee.
Aer70-year-old,erfemaleerpatienteriserhavingerhereryearlyerevaluation.erTheeradult-
gerontologyerprimaryercareernurseerpractitionerergiveserwhicherphysicalerexaminationerfindingertheerh
ighesterpriorityerforerimmediateertreatment?
(a)erAtrophyerofervaginalerrugae.
(b)erCystoceleerpresent.
(c)erPalpableerovary.
(d)erPessaryerinerplace.er-ercorrecteranswer✔ ✔ (c)erPalpableerovary.
Theeradult-gerontologyerprimaryercareernurseerpractitionererremindseraer16-year-
old,ermaleerpatienterwhoerjusterreceivederhiserdriver'serlicenseertoerweareraerseaterbelteraterallertimeserwh
enerineraercar.erTheerpatienterreplieserthaterheerdoesernoterneedertoerweareraerseaterbelt,erbecauseernothing
willerhappenertoerhimeriferheeriserinvolvederineranerautomobileercollision.erAccordingertoertheerhealther
er
beliefermodel,erwhaterchiefercomponenterdoesertheerpatienterlack?
(a)erEnablingerfactors.
(b)erMotivation.
(c)erPerceivederroleerconflict.
(d)erPerceivederseverity.er-ercorrecteranswer✔ ✔ (d)erPerceivederseverity.
Theeradult-
gerontologyerprimaryercareernurseerpractitionerertreatserseveralerpatientserforerbiologicalerexposure.erI
nertheerpatients'errecords,ertheernurseerpractitionererdocumentserwhicherepidemiologicalerfactorserforer
eacherexposure?
(a)erComorbiditieseranderlengtheroferexposure.
,(b)erLocationerandereventerintensity.
(c)erModeerofertransmissioneranderincubation.
(d)erPremorbiderconditionserandersurveillanceerrates.er-ercorrecteranswer✔ ✔
(c)erModeerofertransmissioneranderincubation.
Whenerdisseminatingerresearcherfindingserineraerpeer-reviewederjournal,ertheeradult-
gerontologyerprimaryercareernurseerpractitioner:
(a)erconcludeserthatertheerstudyerprovesertheerhypothesis.
(b)erexcludesertheerdiscussionersection,erbecauseertheerconclusionercontainserthiserinformation.
(c)errecommendserincorporatingertheerresultserdirectlyerintoerclinicalerpractice.
(d)erusesertheermethodologyersectionertoersupportertheervalidityerofertheerstudy.er-ercorrecteranswer✔
✔ (d)erusesertheermethodologyersectionertoersupportertheervalidityerofertheerstudy.
Aerpatient'seradulterchildertelephonesertheeradult-
gerontologyerprimaryercareernurseerpractitionerertoerinquireeraboutertheerpatient'serillness.erTheerpatie
nt'serchilderreportserthatertheerparenterrelieseruponertheerchildertoerexplainereverythingertoerhimerorerher.e
Theernurseerpractitioner:
r
(a)erasksertheerchildertoerprovideeraercopyerofertheerpatient'seradvanceerdirectiveerdocument.
(b)erassuresertheerchilderthatertheernurseerpractitionerercanerdiscloseerrequestederinformation.
(c)erinformsertheerchilderthaterheerorersheermustercomeertoertheerclinicertoerdiscussertheerparent'sercase.
, (d)ertellsertheerchilderthatertheernurseerpractitionerercanerdiscussertheerinformationeronlyerwithertheerpati
ent.er-ercorrecteranswer✔ ✔
(d)ertellsertheerchilderthatertheernurseerpractitionerercanerdiscussertheerinformationeronlyerwithertheerp
atient.
Theeradult-
gerontologyerprimaryercareernurseerpractitionereriserappointedertoeraerhospital'sermultidisciplinaryerm
edicalerethicserreviewercommittee.erTheernurseerpractitioner'serroleeriserto:
(a)erevaluateerstandards,errisks,erbenefits,eranderoutcomes.
(b)eridentifyerhowertoeranticipateeranderresolveersimilarerfutureersituations.
(c)erinvestigateertheerneederforerdisciplinaryeraction.
(d)erobtaineragreementeroferallerpartieserwitheraerchosenersolution.er-ercorrecteranswer✔ ✔
(a)erevaluateerstandards,errisks,erbenefits,eranderoutcomes.
Toerimproveertheerqualityeroferclinicalerpractice,ertheeradult-
gerontologyerprimaryercareernurseerpractitioner:
(a)erchargeseraerfeeerforerpatientserwhoerarriveerlateertoerclinicerappointments.
(b)erdisseminateserresearcherstudyerresultsertoercolleagues.
(c)erexpresseseropinionserabouteralternativeertherapieserwitherpatientserwhoerconsiderersuchertreatmen
ts.
(d)erschedulesertimeerduringerclinicerhoursertoermeeterwitherpharmaceuticalerrepresentatives.er-
correcteranswer✔ ✔ (b)erdisseminateserresearcherstudyerresultsertoercolleagues.
er