ANCC Exam 2026/2027 – Practice Test,
Study Guide & Comprehensive Review
Which factor is associated with the highest risk of falls in older persons living in
the community?
A. A history of previous falls
B. Living Alone
C. Osteoporosis
D. Use of an assistive device - correct answer-A. A history of previous falls
An older adult patient complains of recent lapses in memory and deceased
alertness. The patient's laboratory test results indicate a mild, macrocytic anemia.
Which additional test does the adult-gerontology acute care nurse practitioner
order to confirm a diagnosis?
A. A reticulocyte count
B. A serum folate level
C. An erythrocyte sedimentation rate
D. Iron studies - correct answer-B. A serum folate level
An 80 year old male patient with dementia requires LTC placement. To which
funding agency does the patient apply, after "spending down" to qualify?
A. Medicaid
, B. Medicare
C. The American Association of Retired Persons
D. The United States Social Security Administration - correct answer-A. Medicaid
A 70-year-old patient with acute systolic heart failure denies any functional
limitations, is able to walk five blocks before tiring, and is euvolemic. which
medication is first-line therapy for this patient?
A. Amlodipine (Norvasc)
B. Digoxin (lanoxin)
C. Furosemide (Lasix)
D. Lisinopril (Zestril) - correct answer-D. Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology
acute care nurse practitioner assesses for ankle clonus by
A. applying a low-pitched tuning fork firmly to the lateral malleolus
B. Sharply dosiflexing and maintaining the foot in this position, while supporting
the knee.
C. Striking the Achilles tendon with the percussion hammer after flexing the leg at
the knee and rotating it externally.
D. Stroking the lateral aspect of the sole with the sharp end of the percussion
hammer from the heel to the ball of the foot. - correct answer-B. Sharply
dosiflexing and maintaining the foot in this position, while supporting the knee.
A 15-year-old patient with type 1 Diabetes reports elevated blood glucose levels
in the morning. An AGACNP determines that the patient's hyperglycemia is due to
the dawn phenomenon and:
A. increases the insulin dosage at bed time
Study Guide & Comprehensive Review
Which factor is associated with the highest risk of falls in older persons living in
the community?
A. A history of previous falls
B. Living Alone
C. Osteoporosis
D. Use of an assistive device - correct answer-A. A history of previous falls
An older adult patient complains of recent lapses in memory and deceased
alertness. The patient's laboratory test results indicate a mild, macrocytic anemia.
Which additional test does the adult-gerontology acute care nurse practitioner
order to confirm a diagnosis?
A. A reticulocyte count
B. A serum folate level
C. An erythrocyte sedimentation rate
D. Iron studies - correct answer-B. A serum folate level
An 80 year old male patient with dementia requires LTC placement. To which
funding agency does the patient apply, after "spending down" to qualify?
A. Medicaid
, B. Medicare
C. The American Association of Retired Persons
D. The United States Social Security Administration - correct answer-A. Medicaid
A 70-year-old patient with acute systolic heart failure denies any functional
limitations, is able to walk five blocks before tiring, and is euvolemic. which
medication is first-line therapy for this patient?
A. Amlodipine (Norvasc)
B. Digoxin (lanoxin)
C. Furosemide (Lasix)
D. Lisinopril (Zestril) - correct answer-D. Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology
acute care nurse practitioner assesses for ankle clonus by
A. applying a low-pitched tuning fork firmly to the lateral malleolus
B. Sharply dosiflexing and maintaining the foot in this position, while supporting
the knee.
C. Striking the Achilles tendon with the percussion hammer after flexing the leg at
the knee and rotating it externally.
D. Stroking the lateral aspect of the sole with the sharp end of the percussion
hammer from the heel to the ball of the foot. - correct answer-B. Sharply
dosiflexing and maintaining the foot in this position, while supporting the knee.
A 15-year-old patient with type 1 Diabetes reports elevated blood glucose levels
in the morning. An AGACNP determines that the patient's hyperglycemia is due to
the dawn phenomenon and:
A. increases the insulin dosage at bed time
