Revision ANCC Questions 2024 Guide

When reading a systematic review, an adult-gerontology acute care nurse practitioner ensures that the review: describes the intended audience. describes the study inclusion criteria. is published in a peer-reviewed journal. is written by experts in the field. Correct Answer describes the study inclusion criteria. An adult-gerontology acute care nurse practitioner needs to communicate the findings of HIV to a patient. The nurse practitioner enters the patient's room and the spouse is at the bedside. To discuss the diagnosis, the nurse practitioner: asks the nurse to step into the room. asks the spouse to step out of the room. speaks with the patient and spouse together. speaks with the spouse privately. Correct Answer asks the spouse to step out of the room. When discharging an 85-year-old patient who has a diagnosis of stasis dermatitis, an adult-gerontology acute care nurse practitioner includes instructions to: keep legs elevated while seated. maintain systolic blood pressure greater than 120 mmHg. soak legs in warm water daily. wear compression stockings of 65 mmHg below the knee. Correct Answer keep legs elevated while seated. A patient is brought to the emergency department after being found unresponsive in a car. The patient's spouse arrives at the hospital to find the patient comatose, on mechanical ventilation, and brain death has been established. The spouse informs the staff that the patient has an advance directive and did not want to be kept alive, artificially. The spouse struggles with the decision to remove the patient from life support. The adult-gerontology acute care nurse practitioner: A) consults the ethics committee to help with the decision-making process. B) discusses with the spouse that removing the patient is the right thing to do. C) encourages the spouse to have a family meeting to make the decision as a group. D) reviews the patient's advance directive with the spouse. Correct Answer D) reviews the patient's advance directive with the spouse. A patient with a history of heart failure arrives at the emergency department exhibiting shortness of breath and lower extremity swelling. Both of the patient's symptoms are a result of: a decrease in plasma oncotic pressure. an increase in capillary hydrostatic pressure. an increase in capillary membrane permeability. an obstruction of lymphatic drainage. Correct Answer an increase in capillary hydrostatic pressure. 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 decreased 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 reticulocyte count A serum folate level An erythrocyte sedimentation rate Iron studies Correct Answer A serum folate level An 80-year-old male patient with dementia requires long-term care placement. To which funding agency does the patient apply, after "spending down" to qualify? Medicaid Medicare The American Association of Retired Persons The United States Social Security Administration Correct Answer 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 the first-line therapy for this patient? Amlodipine (Norvasc) Digoxin (Lanoxin) Furosemide (Lasix) Lisinopril (Zestril) Correct Answer Lisinopril (Zestril) A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse practitioner assesses for ankle clonus by: C) applying a low-pitched tuning fork firmly to the lateral malleolus. B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee. striking the Achilles tendon with the percussion hammer C) 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 dorsiflexing and maintaining the foot in this position, while supporting the knee.