ANCC Updated Family Nursing
Certification Guide 2026 Practice Questions
and Verified Answers for Guaranteed Pass
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic --Verified--Solution----(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
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 --Verified--Solution----(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.
(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. --Verified--Solution----(c)
sharply dorsiflexing the foot and maintaining this position while supporting
the knee.
A 70-year-old, female patient is having her yearly 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. --Verified--Solution----(c) Palpable ovary.
The adult-gerontology primary care nurse practitioner 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. --Verified--Solution----(d) Perceived severity.
The adult-gerontology primary care nurse practitioner 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. --Verified--Solution----(c)
Mode of transmission and incubation.
When disseminating research findings in a peer-reviewed 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. --
Verified--Solution----(d) uses the methodology section to support the validity
of the study.
A patient's adult child telephones the adult-gerontology primary care nurse
practitioner to inquire about the 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. --Verified--Solution----(d) tells the child that the nurse
practitioner can discuss the information only with the patient.
, The adult-gerontology primary care nurse practitioner is 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. --Verified--
Solution----(a) evaluate standards, risks, benefits, and outcomes.
To improve the quality of clinical practice, the adult-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. --Verified--Solution----(b) disseminates research study results
to colleagues.
One effect of using electronic health record applications, 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. --Verified--Solution----(d) open access to care.
Certification Guide 2026 Practice Questions
and Verified Answers for Guaranteed Pass
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic --Verified--Solution----(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
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 --Verified--Solution----(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.
(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. --Verified--Solution----(c)
sharply dorsiflexing the foot and maintaining this position while supporting
the knee.
A 70-year-old, female patient is having her yearly 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. --Verified--Solution----(c) Palpable ovary.
The adult-gerontology primary care nurse practitioner 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. --Verified--Solution----(d) Perceived severity.
The adult-gerontology primary care nurse practitioner 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. --Verified--Solution----(c)
Mode of transmission and incubation.
When disseminating research findings in a peer-reviewed 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. --
Verified--Solution----(d) uses the methodology section to support the validity
of the study.
A patient's adult child telephones the adult-gerontology primary care nurse
practitioner to inquire about the 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. --Verified--Solution----(d) tells the child that the nurse
practitioner can discuss the information only with the patient.
, The adult-gerontology primary care nurse practitioner is 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. --Verified--
Solution----(a) evaluate standards, risks, benefits, and outcomes.
To improve the quality of clinical practice, the adult-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. --Verified--Solution----(b) disseminates research study results
to colleagues.
One effect of using electronic health record applications, 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. --Verified--Solution----(d) open access to care.
