ANCC REVIEW QUESTION SET WITH
ACCURATE ANSWERS
◉ 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.
(d) Trust and rapport with patients are key to patient satisfaction
in decisions for care.
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.
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.
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.
Answer: (d) vitamin B12 deficiency anemia.
◉ Upon referral from a gynecologist, an adult nurse practitioner
evaluates an 89-year-old female nursing home resident for vaginal
bleeding. The patient has a history of occasional periods of
confusion and memory loss. The gynecologist recommended
dilation and curettage and the patient consented to the procedure
after the gynecologist answered her questions, but the patient's
daughter protests. The nurse practitioner's ethical duty is to
support the:
(a) daughter, because she might file a lawsuit over unsatisfactory
care.
, (b) daughter, because the patient is occasionally confused and
incapable of granting informed consent.
(c) nursing home administration, which may choose to support
either the patient or the daughter.
(d) patient, who has given informed consent.
Answer: (d) patient, who has given informed consent.
◉ A 16-year-old patient has been diagnosed with mononucleosis
and has a positive throat culture for group Alpha-hemolytic
streptococcal infection. The medication of choice for this patient
is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim).
Answer: (c) erythromycin (E-Mycin).
◉ A 70-year-old patient reports fatigue and a nonproductive
cough with pain on inspiration and expiration. The patient denies
ACCURATE ANSWERS
◉ 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.
(d) Trust and rapport with patients are key to patient satisfaction
in decisions for care.
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.
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.
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.
Answer: (d) vitamin B12 deficiency anemia.
◉ Upon referral from a gynecologist, an adult nurse practitioner
evaluates an 89-year-old female nursing home resident for vaginal
bleeding. The patient has a history of occasional periods of
confusion and memory loss. The gynecologist recommended
dilation and curettage and the patient consented to the procedure
after the gynecologist answered her questions, but the patient's
daughter protests. The nurse practitioner's ethical duty is to
support the:
(a) daughter, because she might file a lawsuit over unsatisfactory
care.
, (b) daughter, because the patient is occasionally confused and
incapable of granting informed consent.
(c) nursing home administration, which may choose to support
either the patient or the daughter.
(d) patient, who has given informed consent.
Answer: (d) patient, who has given informed consent.
◉ A 16-year-old patient has been diagnosed with mononucleosis
and has a positive throat culture for group Alpha-hemolytic
streptococcal infection. The medication of choice for this patient
is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim).
Answer: (c) erythromycin (E-Mycin).
◉ A 70-year-old patient reports fatigue and a nonproductive
cough with pain on inspiration and expiration. The patient denies
