Page 1 of 42
08 June 2026
PCCN CERTIFICATION EXAM –150 ACCURATE
QUESTIONS WITH CORRECT ANSWER 2026/2027 LATEST
EXAM UPDATE GUARANTEE HIGH PASS MARK COVERING
MOST TESTED QUESTIONS
A 68-year-old patient has sustained an unintended weight loss of 15 lb (6.8 kg) over the last two
months but reports feeling well. The patient's problems include depression, tobacco abuse,
obesity, and dyslipidemia. His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and
famotidine (Pepcid). The adult-gerontology primary care nurse practitioner performs which THREE
actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone. - CORRECT ANSWER-(b) Conducts a depression
screening.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone.
Preparing to implement an incontinence reduction program at a nursing home, the
adultgerontology primary care nurse practitioner reviews several studies. Place the studies in
sequential order of the strength of evidence for this population from strongest to weakest.
(a) A case report of an experimental incontinence reduction program in older adults.
(b) A consensus statement from the urologic association regarding the use of scheduled toileting.
(c) A systematic review of nonrandomized trials concerning the use of vaginal estrogen. - CORRECT
ANSWER-Strongest evidence: (c) a systematic review
...then: (b) a consensus statement
Weakest evidence: (a) a case report
What factors does the adult-gerontology primary care nurse practitioner need to consider when
discussing advanced care planning with a patient?
(a) Autonomy and patient safety are rarely competitive considerations.
(b) Decisions regarding a health care representative are a family group decision.
(c) Family members are not integral components in care planning.
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08 June 2026
(d) Trust and rapport with patients are key to patient satisfaction in decisions for care. - CORRECT
ANSWER-(d) Trust and rapport with patients are key to patient satisfaction in decisions for care.
The adult-gerontology primary care nurse practitioner working in an urban community health
center recognizes that asthma-related health issues commonly result in higher morbidity and
mortality for persons with:
(a) alcohol dependency.
(b) lower socioeconomic status.
(c) persistent social isolation.
(d) recent immigrant status. - CORRECT ANSWER-(b) lower socioeconomic status.
During an annual health visit, a 15-year-old female patient is found to have grown 5 in (12.7 cm)
over the past year. She has not reached menarche. Her mother is concerned because the patient's
sister reached menarche at age 11 and the mother reached menarche at age 12. Examination
reveals that the patient's breasts are enlarged, with the areolae forming a mound above the
general contour of each breast, and that the left breast is larger than the right. Axillary hair is
absent and the pubic hair is dark, coarse, curly, dense, and similar in pattern to that of an adult
female. These findings are consistent with a diagnosis of:
(a) hypothyroidism.
(b) normal development.
(c) polycystic ovary syndrome.
(d) Turner syndrome. - CORRECT ANSWER-(b) normal development.
A pale, thin 54-year-old male patient reports a two-month history of numbness in his feet. Past
medical history includes hypertension and a subtotal gastrectomy. An examination reveals a
decreased vibratory sensation and position sense. Blood tests indicate a hematocrit of 27%, mean
corpuscular volume of 105 fL, mean corpuscular hemoglobin of 45 pg, and reticulocytes of 1.5%.
The diagnosis is:
(a) chronic simple anemia.
(b) folate deficiency anemia.
(c) iron deficiency anemia.
(d) vitamin B12 deficiency anemia. - CORRECT ANSWER-(d) vitamin B12 deficiency anemia
In the early stages of iron deficient anemias, blood studies show: (a)
macrocytic normochromic
(b) microcytic hypochromic
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08 June 2026
(c) normochromic normocytic
(d) pancytopenic hypocytic - CORRECT 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 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 - CORRECT 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.
(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. - CORRECT ANSWER-(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. - CORRECT ANSWER-(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?
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08 June 2026
(a) Enabling factors.
(b) Motivation.
(c) Perceived role conflict.
(d) Perceived severity. - CORRECT ANSWER-(d) Perceived severity.
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient with
cognitive deficits, who is unaccompanied by the adult child who typically is present. The patient
has urinary symptoms, for which the nurse practitioner considers ordering
sulfamethoxazoletrimethoprim (Bactrim). The patient's previous medical record is unavailable.
Before prescribing the medication, the nurse practitioner:
(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available. - CORRECT ANSWER-(a) contacts the patient's adult
child.
The adult-gerontology primary care nurse practitioner conducts a small group class on weight
management. The nurse practitioner anticipates that the patient who may have the greatest
difficulty implementing the counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict. - CORRECT ANSWER-(d) worried
patient whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner evaluates a patient with cold symptoms
who reports smoking half a pack of cigarettes a day and shows no interest in quitting. The nurse
practitioner's most appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette. - CORRECT ANSWER-(a) advise the
patient to stop smoking.
08 June 2026
PCCN CERTIFICATION EXAM –150 ACCURATE
QUESTIONS WITH CORRECT ANSWER 2026/2027 LATEST
EXAM UPDATE GUARANTEE HIGH PASS MARK COVERING
MOST TESTED QUESTIONS
A 68-year-old patient has sustained an unintended weight loss of 15 lb (6.8 kg) over the last two
months but reports feeling well. The patient's problems include depression, tobacco abuse,
obesity, and dyslipidemia. His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and
famotidine (Pepcid). The adult-gerontology primary care nurse practitioner performs which THREE
actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone. - CORRECT ANSWER-(b) Conducts a depression
screening.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone.
Preparing to implement an incontinence reduction program at a nursing home, the
adultgerontology primary care nurse practitioner reviews several studies. Place the studies in
sequential order of the strength of evidence for this population from strongest to weakest.
(a) A case report of an experimental incontinence reduction program in older adults.
(b) A consensus statement from the urologic association regarding the use of scheduled toileting.
(c) A systematic review of nonrandomized trials concerning the use of vaginal estrogen. - CORRECT
ANSWER-Strongest evidence: (c) a systematic review
...then: (b) a consensus statement
Weakest evidence: (a) a case report
What factors does the adult-gerontology primary care nurse practitioner need to consider when
discussing advanced care planning with a patient?
(a) Autonomy and patient safety are rarely competitive considerations.
(b) Decisions regarding a health care representative are a family group decision.
(c) Family members are not integral components in care planning.
, Page 2 of 42
08 June 2026
(d) Trust and rapport with patients are key to patient satisfaction in decisions for care. - CORRECT
ANSWER-(d) Trust and rapport with patients are key to patient satisfaction in decisions for care.
The adult-gerontology primary care nurse practitioner working in an urban community health
center recognizes that asthma-related health issues commonly result in higher morbidity and
mortality for persons with:
(a) alcohol dependency.
(b) lower socioeconomic status.
(c) persistent social isolation.
(d) recent immigrant status. - CORRECT ANSWER-(b) lower socioeconomic status.
During an annual health visit, a 15-year-old female patient is found to have grown 5 in (12.7 cm)
over the past year. She has not reached menarche. Her mother is concerned because the patient's
sister reached menarche at age 11 and the mother reached menarche at age 12. Examination
reveals that the patient's breasts are enlarged, with the areolae forming a mound above the
general contour of each breast, and that the left breast is larger than the right. Axillary hair is
absent and the pubic hair is dark, coarse, curly, dense, and similar in pattern to that of an adult
female. These findings are consistent with a diagnosis of:
(a) hypothyroidism.
(b) normal development.
(c) polycystic ovary syndrome.
(d) Turner syndrome. - CORRECT ANSWER-(b) normal development.
A pale, thin 54-year-old male patient reports a two-month history of numbness in his feet. Past
medical history includes hypertension and a subtotal gastrectomy. An examination reveals a
decreased vibratory sensation and position sense. Blood tests indicate a hematocrit of 27%, mean
corpuscular volume of 105 fL, mean corpuscular hemoglobin of 45 pg, and reticulocytes of 1.5%.
The diagnosis is:
(a) chronic simple anemia.
(b) folate deficiency anemia.
(c) iron deficiency anemia.
(d) vitamin B12 deficiency anemia. - CORRECT ANSWER-(d) vitamin B12 deficiency anemia
In the early stages of iron deficient anemias, blood studies show: (a)
macrocytic normochromic
(b) microcytic hypochromic
, Page 3 of 42
08 June 2026
(c) normochromic normocytic
(d) pancytopenic hypocytic - CORRECT 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 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 - CORRECT 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.
(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. - CORRECT ANSWER-(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. - CORRECT ANSWER-(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?
, Page 4 of 42
08 June 2026
(a) Enabling factors.
(b) Motivation.
(c) Perceived role conflict.
(d) Perceived severity. - CORRECT ANSWER-(d) Perceived severity.
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient with
cognitive deficits, who is unaccompanied by the adult child who typically is present. The patient
has urinary symptoms, for which the nurse practitioner considers ordering
sulfamethoxazoletrimethoprim (Bactrim). The patient's previous medical record is unavailable.
Before prescribing the medication, the nurse practitioner:
(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available. - CORRECT ANSWER-(a) contacts the patient's adult
child.
The adult-gerontology primary care nurse practitioner conducts a small group class on weight
management. The nurse practitioner anticipates that the patient who may have the greatest
difficulty implementing the counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict. - CORRECT ANSWER-(d) worried
patient whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner evaluates a patient with cold symptoms
who reports smoking half a pack of cigarettes a day and shows no interest in quitting. The nurse
practitioner's most appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette. - CORRECT ANSWER-(a) advise the
patient to stop smoking.
