ANCC 2024 SAMPLE QUESTIONS AND
ANSWERS 100% VERIFIED
m 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 - A serum folate level
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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 - 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) - 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. - B) sharply dorsiflexing and maintaining the foot in this position, while supporting
the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the morning.
An adult-gerontology acute care nurse practitioner determines that the patient's hyperglycemia is due to
the dawn phenomenon and:
A) increases the insulin dosage at bed time.
B) reduces the insulin dosage at bed time.
C) tests the blood glucose level at 3:00 AM every morning.
D) tests the blood glucose level in the evening. - A) increases the insulin dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the intensive care
unit. The patient is started on fluids and norepinephrine (Levophed) IV. The blood cultures that were
drawn 48 hours ago from the tunneled catheter, show preliminary results of gram-negative bacilli. The
patient's most recent echocardiogram report reveals an ejection fraction of 40%. The adult-gerontology
acute care nurse practitioner determines that:
A) a pulmonary artery catheter insertion is indicated, to manage septic shock.
B) fluid resuscitation will be limited to no more than 4 L
C) indwelling vancomycin (Vancocin) should be placed in the ports of the tunneled catheter.
D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection. - D) piperacillin-tazobactam
(Zosyn) is indicated for the line-related infection.
Which research design has the greatest strength in determining if an intervention is effective?
Case control
Clinical trial
Cohort
Cross-sectional - Clinical trial
A 55-year-old man who has no history of diabetes mellitus, heart disease, hypertension, or thrombotic
events is diagnosed with paroxysmal atrial fibrillation. Based on national stroke prevention guidelines,
the recommended antithrombotic management for this patient is:
ANSWERS 100% VERIFIED
m 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 - A serum folate level
To get more questions with correct answers email -
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 - 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) - 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. - B) sharply dorsiflexing and maintaining the foot in this position, while supporting
the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the morning.
An adult-gerontology acute care nurse practitioner determines that the patient's hyperglycemia is due to
the dawn phenomenon and:
A) increases the insulin dosage at bed time.
B) reduces the insulin dosage at bed time.
C) tests the blood glucose level at 3:00 AM every morning.
D) tests the blood glucose level in the evening. - A) increases the insulin dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the intensive care
unit. The patient is started on fluids and norepinephrine (Levophed) IV. The blood cultures that were
drawn 48 hours ago from the tunneled catheter, show preliminary results of gram-negative bacilli. The
patient's most recent echocardiogram report reveals an ejection fraction of 40%. The adult-gerontology
acute care nurse practitioner determines that:
A) a pulmonary artery catheter insertion is indicated, to manage septic shock.
B) fluid resuscitation will be limited to no more than 4 L
C) indwelling vancomycin (Vancocin) should be placed in the ports of the tunneled catheter.
D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection. - D) piperacillin-tazobactam
(Zosyn) is indicated for the line-related infection.
Which research design has the greatest strength in determining if an intervention is effective?
Case control
Clinical trial
Cohort
Cross-sectional - Clinical trial
A 55-year-old man who has no history of diabetes mellitus, heart disease, hypertension, or thrombotic
events is diagnosed with paroxysmal atrial fibrillation. Based on national stroke prevention guidelines,
the recommended antithrombotic management for this patient is:
