Sample Questions from ANCC

Which factor is associated with the high- est risk of falls in older persons living in the community? A) A history of previous falls B) Living alone C) Osteoporosis D) Use of an assistive device An older adult patient complains of re- cent lapses in memory and decreased alertness. The patient's laboratory test results indicate a mild, macrocytic ane- mia. Which additional test does the adult-gerontology acute care nurse prac￾titioner order to confirm a diagnosis? A reticulocyte count A serum folate level An erythrocyte sedimentation rate Iron studies An 80-year-old male patient with demen￾tia requires long-term care placement.To which funding agency does the patient apply, after "spending down" to qualify? Medicaid Medicare The American Association of Retired Persons The United States Social Security Ad- ministration A 70-year-old patient with acute systolic heart failure denies any functional limita￾tions, is able to walk five blocks before tir￾ing, and is euvolemic. Which medication is the first-line therapy for this patient? Amlodipine (Norvasc) A) A history of previous falls A serum folate level Medicaid Lisinopril (Zestril) Sample Questions from ANCC 2 / 9 Digoxin (Lanoxin) Furosemide (Lasix) Lisinopril (Zestril) A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse practitioner assesses for ankle clonus by: C) applying a low-pitched tuning fork firmly to the lateral malleolus. B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee. striking the Achilles tendon with the per- cussion hammer C) after flexing the leg at the knee and rotating it externally. D) stroking the lateral aspect of the sole with the sharp end of the percussion hammer from the heel to the ball of the foot. A 15-year-old patient with type 1 di- abetes mellitus reports elevated blood glucose levels in the morning. An adult-gerontology acute care nurse practitioner determines that the patient's hy- perglycemia is due to the dawn phenom- enon and: A) increases the insulin dosage at bed time. B) reduces the insulin dosage at bed time. C) tests the blood glucose level at 3:00 AM every morning. D) tests the blood glucose level in the evening. A patient with profound hypotension is transferred from the medical-surgical B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee