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Exam (elaborations)

ANCC (PRIMARY + ACUTE) PRACTICE QUESTIONS | 2026 UPDATE | WITH COMPLETE SOLUTIONS

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This document contains practice questions for the ANCC Primary and Acute Care certification exams. It covers key domains including clinical management, diagnostic reasoning, pharmacology, professional practice, and evidence-based care across primary and acute settings. The material is structured to simulate exam-style questions and strengthen board exam readiness.

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ANCC (PRIMARY + ACUTE) PRACTICE
QUESTIONS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS |

In the early stages of iron deficient anemias, blood studies show:



(a) macrocytic normochromic

(b) microcytic hypochromic

(c) normochromic normocytic

(d) pancytopenia 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 urticarial 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.

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Uploaded on
February 18, 2026
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