Sample Questions from ANCC Exam with Correct Answers

Sample Questions from ANCC Exam with Correct Answers 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 - 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 - ANSWER-A serum folate level Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright ©Stuvia International BV Page 2/11 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 - 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) - 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. Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright ©Stuvia International BV Page 3/11 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. - ANSWER-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. - ANSWER-A) increases the insulin dosage at bed time. A patient with profound hypotension is transferred from the medical-surgical