ANCC IQ DOMAINS 1 TO 5 FINAL SCRIPT
2026 SOLVED QUESTIONS WITH FULL
SOLUTIONS
◉ Discharge Planning. Answer: A process that includes decisions
about when a patient may need to be discharged from the facility
and what may be needed to make a smooth transition from one level
of care to another or from the facility to living independently.
◉ Dispense. Answer: To deliver a prescribed drug to an ultimate
user, including the compounding, packaging, and labeling necessary
to prepare the prescribed drug.
◉ Do-Not-Resuscitate (DNR) Order. Answer: An advance directive in
which a person specifies that he or she does not wish to have
heartbeat or breathing restored in the event of a cardiac or
respiratory arrest.
◉ Drug. Answer: Any substance intended for use in the diagnosis,
cure, mitigation, treatment, or prevention of disease or other
conditions in persons. Any substance other than a device or food
intended to affect the structure or any function of the body of
persons. In the survey guidelines, drug is used in most cases to mean
medication.
,◉ Drug Irregularity. Answer: A drug that is given without a medical
reason, in an excessive or inadequate dose or duration of therapy,
where side effects indicate that a dose modification or drug
discontinuation is indicated, or inadequate monitoring for effect of
manufacturer's recommendations for laboratory monitoring. This
therapy results in potential negative outcomes or is not achieving
the stated objectives of the prescriber. The consulting pharmacist
should address this potential drug therapy problem at the time of
their drug regimen review.
◉ Drug Regimen Review (DRR). Answer: The review of drugs being
used by a resident (patient) to determine effect and potential for
harmful effects.
◉ Drug Utilization Review (DUR). Answer: The study of drug use
patterns in a facility.
◉ Dysarthria. Answer: Slurred or unintelligible speech due to
muscle weakness or other problem.
◉ Dysphagia. Answer: Difficulty in swallowing due to a dysfunction
in any phase of the swallowing process.
◉ Eden Alternative. Answer: A cultural change that entails viewing
the surroundings in facilities as habitats for human beings rather
,than as facilities for the frail and elderly, as well as applying the
lessons of nature in creating vibrant and vigorous settings.
◉ Emphysema. Answer: A chronic condition characterized by
damaged air sacs in the lungs. The resulting reduction of surface
area available for gas exchange makes breathing difficult and makes
the heart work harder to circulate blood through the lungs. All these
changes make less oxygen available to the body.
◉ Energy metabolism. Answer: The process in the body of breaking
down calories consumed into usable energy to allow the body to
perform normal body functions.
◉ Enforcement Grid. Answer: A table developed by the Center for
Medicare and Medicaid Services that defines severity and scope of
federal deficiencies and indicates whether plans of correction and
remedies are necessary. (See the SHSRA website glossary for more
detailed info).
◉ Enteral Feeding. Answer: Delivery of liquid food through a tube
directly into the stomach.
◉ Epidemic. Answer: Excessive prevalence of a negative health
condition.
, ◉ Epilepsy. Answer: A brain disorder in which signals sent by nerve
cells become disturbed, causing strange sensations, emotions,
convulsions, muscle spasms, or loss of consciousness.
◉ Esophagostomy Tube. Answer: A small tube that enters a surgical
incision on the side of the neck and is generally removed after each
feeding. The tube allows food to enter the esophagus and then flow
down into the stomach.
◉ Ethics Committee. Answer: A multidisciplinary forum that is
generally called upon to make decisions in the patient's best
interest, particularly when legal avenues are not clear-cut.
◉ Evidence-Based Care. Answer: Delivery of services using best
practices that have been established through clinical research.
◉ Exempt Employees. Answer: Salaried workers who are exempt
from overtime provisions of the Fair Labor Standards Act.
◉ Extended Survey. Answer: A federal survey conducted within 14
days of a finding of substandard care during a standard federal
survey (see also STANDARD SURVEY).
◉ Extrapyramidal Symptoms (EPS). Answer: Abnormal movements
of the mouth or tongue, pill rolling, tremors, rigid movements, mask-
2026 SOLVED QUESTIONS WITH FULL
SOLUTIONS
◉ Discharge Planning. Answer: A process that includes decisions
about when a patient may need to be discharged from the facility
and what may be needed to make a smooth transition from one level
of care to another or from the facility to living independently.
◉ Dispense. Answer: To deliver a prescribed drug to an ultimate
user, including the compounding, packaging, and labeling necessary
to prepare the prescribed drug.
◉ Do-Not-Resuscitate (DNR) Order. Answer: An advance directive in
which a person specifies that he or she does not wish to have
heartbeat or breathing restored in the event of a cardiac or
respiratory arrest.
◉ Drug. Answer: Any substance intended for use in the diagnosis,
cure, mitigation, treatment, or prevention of disease or other
conditions in persons. Any substance other than a device or food
intended to affect the structure or any function of the body of
persons. In the survey guidelines, drug is used in most cases to mean
medication.
,◉ Drug Irregularity. Answer: A drug that is given without a medical
reason, in an excessive or inadequate dose or duration of therapy,
where side effects indicate that a dose modification or drug
discontinuation is indicated, or inadequate monitoring for effect of
manufacturer's recommendations for laboratory monitoring. This
therapy results in potential negative outcomes or is not achieving
the stated objectives of the prescriber. The consulting pharmacist
should address this potential drug therapy problem at the time of
their drug regimen review.
◉ Drug Regimen Review (DRR). Answer: The review of drugs being
used by a resident (patient) to determine effect and potential for
harmful effects.
◉ Drug Utilization Review (DUR). Answer: The study of drug use
patterns in a facility.
◉ Dysarthria. Answer: Slurred or unintelligible speech due to
muscle weakness or other problem.
◉ Dysphagia. Answer: Difficulty in swallowing due to a dysfunction
in any phase of the swallowing process.
◉ Eden Alternative. Answer: A cultural change that entails viewing
the surroundings in facilities as habitats for human beings rather
,than as facilities for the frail and elderly, as well as applying the
lessons of nature in creating vibrant and vigorous settings.
◉ Emphysema. Answer: A chronic condition characterized by
damaged air sacs in the lungs. The resulting reduction of surface
area available for gas exchange makes breathing difficult and makes
the heart work harder to circulate blood through the lungs. All these
changes make less oxygen available to the body.
◉ Energy metabolism. Answer: The process in the body of breaking
down calories consumed into usable energy to allow the body to
perform normal body functions.
◉ Enforcement Grid. Answer: A table developed by the Center for
Medicare and Medicaid Services that defines severity and scope of
federal deficiencies and indicates whether plans of correction and
remedies are necessary. (See the SHSRA website glossary for more
detailed info).
◉ Enteral Feeding. Answer: Delivery of liquid food through a tube
directly into the stomach.
◉ Epidemic. Answer: Excessive prevalence of a negative health
condition.
, ◉ Epilepsy. Answer: A brain disorder in which signals sent by nerve
cells become disturbed, causing strange sensations, emotions,
convulsions, muscle spasms, or loss of consciousness.
◉ Esophagostomy Tube. Answer: A small tube that enters a surgical
incision on the side of the neck and is generally removed after each
feeding. The tube allows food to enter the esophagus and then flow
down into the stomach.
◉ Ethics Committee. Answer: A multidisciplinary forum that is
generally called upon to make decisions in the patient's best
interest, particularly when legal avenues are not clear-cut.
◉ Evidence-Based Care. Answer: Delivery of services using best
practices that have been established through clinical research.
◉ Exempt Employees. Answer: Salaried workers who are exempt
from overtime provisions of the Fair Labor Standards Act.
◉ Extended Survey. Answer: A federal survey conducted within 14
days of a finding of substandard care during a standard federal
survey (see also STANDARD SURVEY).
◉ Extrapyramidal Symptoms (EPS). Answer: Abnormal movements
of the mouth or tongue, pill rolling, tremors, rigid movements, mask-
