ANCC PRACTICE QUESTIONS
Inootheooearlyoostagesooofooironoodeficientooanemias,oobloodoostudiesooshow:
(a)oomacrocyticoonormochromic
(b)oomicrocyticoohypochromic
(c)oonormochromicoonormocytic
(d)oopancytopenicoohypocyticoo-ooans--(a)oonormochromicoonormocytic
Aoo14-year-
old,oomaleoopatientoohasoosomeoogeneralooconcernsooaboutooeczema,ooasoohisootwinoobro
theroowasoorecentlyoodiagnosedoowithoothisoocondition.ooTheoopatientooreportsoourticariaoo
andooaoorashooonoohisooposteriorookneesoobilaterally.ooTheoothreeoofactorsoothatooputoothe
oopatientooatooriskooforooeczemaooareooaoofamilyoohistoryooofooeczema,ooaoopersonaloohist
oryooofooallergicoorhinitis,ooandooaoohistoryooof:
(a)ooasthma
(b)oobeeooallergy
(c)oootitisoomedia
(d)oopsoriasisoo-ooans--(a)ooasthma
Aoopatientoohasoohyperactiveooreflexesooofootheoolowerooextremities.ooTheooadult-
gerontologyooprimaryoocareoonurseoopractitionerooassessesooforooankleooclonusooby:
(a)oofirmlyooapplyingooaoolow-pitchedootuningooforkootoootheoolateraloomalleolus.
(b)ooflexingootheoolegooatootheooknee,oorotatingooitooexternally,ooandoostrikingootheooAchille
sootendonoowithootheoopercussionoohammer.
(c)oosharplyoodorsiflexingootheoofootooandoomaintainingoothisoopositionoowhileoosupporting
ootheooknee.
(d)oostrokingootheoolateralooaspectooofootheoosoleoofromootheooheelootoootheooballooofootheo
ofootoowithootheoosharpooendooofootheoopercussionoohammer.oo-ooans--
,(c)oosharplyoodorsiflexingootheoofootooandoomaintainingoothisoopositionoowhileoosupporting
ootheooknee.
Aoo70-year-old,oofemaleoopatientooisoohavingooherooyearlyooevaluation.ooTheooadult-
gerontologyooprimaryoocareoonurseoopractitioneroogivesoowhichoophysicalooexaminationoof
indingootheoohighestoopriorityooforooimmediateootreatment?
(a)ooAtrophyooofoovaginaloorugae.
(b)ooCystoceleoopresent.
(c)ooPalpableooovary.
(d)ooPessaryooinooplace.oo-ooans--(c)ooPalpableooovary.
Theooadult-gerontologyooprimaryoocareoonurseoopractitionerooremindsooaoo16-year-
old,oomaleoopatientoowhooojustooreceivedoohisoodriver'soolicenseootooowearooaooseatoobeltoo
atooallootimesoowhenooinooaoocar.ooTheoopatientoorepliesoothatooheoodoesoonotooneedootooo
wearooaooseatoobelt,oobecauseoonothingoowilloohappenootooohimooifooheooisooinvolvedooinoo
anooautomobileoocollision.ooAccordingootoootheoohealthoobeliefoomodel,oowhatoochiefoocom
ponentoodoesootheoopatientoolack?
(a)ooEnablingoofactors.
(b)ooMotivation.
(c)ooPerceivedooroleooconflict.
(d)ooPerceivedooseverity.oo-ooans--(d)ooPerceivedooseverity.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerootreatsooseveraloopatientsooforoobiologica
looexposure.ooInootheoopatients'oorecords,ootheoonurseoopractitioneroodocumentsoowhichoo
epidemiologicaloofactorsooforooeachooexposure?
(a)ooComorbiditiesooandoolengthooofooexposure.
(b)ooLocationooandooeventoointensity.
(c)ooModeooofootransmissionooandooincubation.
(d)ooPremorbidooconditionsooandoosurveillanceoorates.oo-ooans--
(c)ooModeooofootransmissionooandooincubation.
Whenoodisseminatingooresearchoofindingsooinooaoopeer-reviewedoojournal,ootheooadult-
gerontologyooprimaryoocareoonurseoopractitioner:
(a)ooconcludesoothatootheoostudyooprovesootheoohypothesis.
(b)ooexcludesootheoodiscussionoosection,oobecauseootheooconclusionoocontainsoothisooinfo
rmation.
,(c)oorecommendsooincorporatingootheooresultsoodirectlyoointoooclinicaloopractice.
(d)oousesootheoomethodologyoosectionootooosupportootheoovalidityooofootheoostudy.oo-
ooans--(d)oousesootheoomethodologyoosectionootooosupportootheoovalidityooofootheoostudy.
Aoopatient'sooadultoochildootelephonesootheooadult-
gerontologyooprimaryoocareoonurseoopractitionerootoooinquireooaboutootheoopatient'sooillne
ss.ooTheoopatient'soochildooreportsoothatootheooparentooreliesoouponootheoochildootoooexplai
nooeverythingootooohimooorooher.ooTheoonurseoopractitioner:
(a)ooasksootheoochildootoooprovideooaoocopyooofootheoopatient'sooadvanceoodirectiveoodocu
ment.
(b)ooassuresootheoochildoothatootheoonurseoopractitioneroocanoodiscloseoorequestedooinfor
mation.
(c)ooinformsootheoochildoothatooheoooroosheoomustoocomeootoootheooclinicootooodiscussoothe
ooparent'soocase.
(d)ootellsootheoochildoothatootheoonurseoopractitioneroocanoodiscussootheooinformationooonly
oowithootheoopatient.oo-ooans--
(d)ootellsootheoochildoothatootheoonurseoopractitioneroocanoodiscussootheooinformationooonly
oowithootheoopatient.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerooisooappointedootoooaoohospital'soomultidi
sciplinaryoomedicalooethicsooreviewoocommittee.ooTheoonurseoopractitioner'sooroleooisooto:
(a)ooevaluateoostandards,oorisks,oobenefits,ooandoooutcomes.
(b)ooidentifyoohowootoooanticipateooandooresolveoosimilaroofutureoosituations.
(c)ooinvestigateootheooneedooforoodisciplinaryooaction.
(d)ooobtainooagreementooofooalloopartiesoowithooaoochosenoosolution.oo-ooans--
(a)ooevaluateoostandards,oorisks,oobenefits,ooandoooutcomes.
Toooimproveootheooqualityooofooclinicaloopractice,ootheooadult-
gerontologyooprimaryoocareoonurseoopractitioner:
(a)oochargesooaoofeeooforoopatientsoowhoooarriveoolateootoooclinicooappointments.
(b)oodisseminatesooresearchoostudyooresultsootooocolleagues.
(c)ooexpressesooopinionsooaboutooalternativeootherapiesoowithoopatientsoowhoooconsideroo
suchootreatments.
, (d)ooschedulesootimeooduringooclinicoohoursootooomeetoowithoopharmaceuticaloorepresenta
tives.oo-ooans--(b)oodisseminatesooresearchoostudyooresultsootooocolleagues.
Oneooeffectooofoousingooelectronicoohealthoorecordooapplications,oosuchooasootelemedicin
eooandooportableoomonitoringoosystems,oohasoobeenooto:
(a)oocreateoostand-aloneooclinics.
(b)oodecreaseoobillableoovisits.
(c)ooincreaseoorisksootooopatients.
(d)ooopenooaccessootooocare.oo-ooans--(d)ooopenooaccessootooocare.
Theooadult-gerontologyooprimaryoocareoonurseoopractitionerooevaluatesooanoo80-year-
oldoopatientoowithoocognitiveoodeficits,oowhoooisoounaccompaniedoobyootheooadultoochildoo
whoootypicallyooisoopresent.ooTheoopatientoohasoourinaryoosymptoms,ooforoowhichootheoon
urseoopractitionerooconsidersooorderingoosulfamethoxazole-
trimethoprimoo(Bactrim).ooTheoopatient'soopreviousoomedicaloorecordooisoounavailable.ooB
eforeooprescribingootheoomedication,ootheoonurseoopractitioner:
(a)oocontactsootheoopatient'sooadultoochild.
(b)ooqueriesootheoootheroostaffoomembers.
(c)ooreliesooonootheoopatient'sooself-report.
(d)oowaitsoountilootheoopatient'soochartooisooavailable.oo-ooans--
(a)oocontactsootheoopatient'sooadultoochild.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerooconductsooaoosmalloogroupooclassooonoo
weightoomanagement.ooTheoonurseoopractitionerooanticipatesoothatootheoopatientoowhooo
mayoohaveootheoogreatestoodifficultyooimplementingootheoocounselingooisoothe:
(a)ooextrovertedoopatientooraisingoohisooorooheroograndchildren.
(b)oointrovertedoopatientoowhooodoesoonotoospeakooinootheoogroup.
(c)oopersonableoopatientoowhooolivesoowithoohisooorooheroochildren.
(d)ooworriedoopatientoowhoseoosonooisooservingooinoomilitaryooconflict.oo-ooans--
(d)ooworriedoopatientoowhoseoosonooisooservingooinoomilitaryooconflict.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerooevaluatesooaoopatientoowithoocoldoosym
ptomsoowhoooreportsoosmokingoohalfooaoopackooofoocigarettesooaoodayooandooshowsoonoo
Inootheooearlyoostagesooofooironoodeficientooanemias,oobloodoostudiesooshow:
(a)oomacrocyticoonormochromic
(b)oomicrocyticoohypochromic
(c)oonormochromicoonormocytic
(d)oopancytopenicoohypocyticoo-ooans--(a)oonormochromicoonormocytic
Aoo14-year-
old,oomaleoopatientoohasoosomeoogeneralooconcernsooaboutooeczema,ooasoohisootwinoobro
theroowasoorecentlyoodiagnosedoowithoothisoocondition.ooTheoopatientooreportsoourticariaoo
andooaoorashooonoohisooposteriorookneesoobilaterally.ooTheoothreeoofactorsoothatooputoothe
oopatientooatooriskooforooeczemaooareooaoofamilyoohistoryooofooeczema,ooaoopersonaloohist
oryooofooallergicoorhinitis,ooandooaoohistoryooof:
(a)ooasthma
(b)oobeeooallergy
(c)oootitisoomedia
(d)oopsoriasisoo-ooans--(a)ooasthma
Aoopatientoohasoohyperactiveooreflexesooofootheoolowerooextremities.ooTheooadult-
gerontologyooprimaryoocareoonurseoopractitionerooassessesooforooankleooclonusooby:
(a)oofirmlyooapplyingooaoolow-pitchedootuningooforkootoootheoolateraloomalleolus.
(b)ooflexingootheoolegooatootheooknee,oorotatingooitooexternally,ooandoostrikingootheooAchille
sootendonoowithootheoopercussionoohammer.
(c)oosharplyoodorsiflexingootheoofootooandoomaintainingoothisoopositionoowhileoosupporting
ootheooknee.
(d)oostrokingootheoolateralooaspectooofootheoosoleoofromootheooheelootoootheooballooofootheo
ofootoowithootheoosharpooendooofootheoopercussionoohammer.oo-ooans--
,(c)oosharplyoodorsiflexingootheoofootooandoomaintainingoothisoopositionoowhileoosupporting
ootheooknee.
Aoo70-year-old,oofemaleoopatientooisoohavingooherooyearlyooevaluation.ooTheooadult-
gerontologyooprimaryoocareoonurseoopractitioneroogivesoowhichoophysicalooexaminationoof
indingootheoohighestoopriorityooforooimmediateootreatment?
(a)ooAtrophyooofoovaginaloorugae.
(b)ooCystoceleoopresent.
(c)ooPalpableooovary.
(d)ooPessaryooinooplace.oo-ooans--(c)ooPalpableooovary.
Theooadult-gerontologyooprimaryoocareoonurseoopractitionerooremindsooaoo16-year-
old,oomaleoopatientoowhooojustooreceivedoohisoodriver'soolicenseootooowearooaooseatoobeltoo
atooallootimesoowhenooinooaoocar.ooTheoopatientoorepliesoothatooheoodoesoonotooneedootooo
wearooaooseatoobelt,oobecauseoonothingoowilloohappenootooohimooifooheooisooinvolvedooinoo
anooautomobileoocollision.ooAccordingootoootheoohealthoobeliefoomodel,oowhatoochiefoocom
ponentoodoesootheoopatientoolack?
(a)ooEnablingoofactors.
(b)ooMotivation.
(c)ooPerceivedooroleooconflict.
(d)ooPerceivedooseverity.oo-ooans--(d)ooPerceivedooseverity.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerootreatsooseveraloopatientsooforoobiologica
looexposure.ooInootheoopatients'oorecords,ootheoonurseoopractitioneroodocumentsoowhichoo
epidemiologicaloofactorsooforooeachooexposure?
(a)ooComorbiditiesooandoolengthooofooexposure.
(b)ooLocationooandooeventoointensity.
(c)ooModeooofootransmissionooandooincubation.
(d)ooPremorbidooconditionsooandoosurveillanceoorates.oo-ooans--
(c)ooModeooofootransmissionooandooincubation.
Whenoodisseminatingooresearchoofindingsooinooaoopeer-reviewedoojournal,ootheooadult-
gerontologyooprimaryoocareoonurseoopractitioner:
(a)ooconcludesoothatootheoostudyooprovesootheoohypothesis.
(b)ooexcludesootheoodiscussionoosection,oobecauseootheooconclusionoocontainsoothisooinfo
rmation.
,(c)oorecommendsooincorporatingootheooresultsoodirectlyoointoooclinicaloopractice.
(d)oousesootheoomethodologyoosectionootooosupportootheoovalidityooofootheoostudy.oo-
ooans--(d)oousesootheoomethodologyoosectionootooosupportootheoovalidityooofootheoostudy.
Aoopatient'sooadultoochildootelephonesootheooadult-
gerontologyooprimaryoocareoonurseoopractitionerootoooinquireooaboutootheoopatient'sooillne
ss.ooTheoopatient'soochildooreportsoothatootheooparentooreliesoouponootheoochildootoooexplai
nooeverythingootooohimooorooher.ooTheoonurseoopractitioner:
(a)ooasksootheoochildootoooprovideooaoocopyooofootheoopatient'sooadvanceoodirectiveoodocu
ment.
(b)ooassuresootheoochildoothatootheoonurseoopractitioneroocanoodiscloseoorequestedooinfor
mation.
(c)ooinformsootheoochildoothatooheoooroosheoomustoocomeootoootheooclinicootooodiscussoothe
ooparent'soocase.
(d)ootellsootheoochildoothatootheoonurseoopractitioneroocanoodiscussootheooinformationooonly
oowithootheoopatient.oo-ooans--
(d)ootellsootheoochildoothatootheoonurseoopractitioneroocanoodiscussootheooinformationooonly
oowithootheoopatient.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerooisooappointedootoooaoohospital'soomultidi
sciplinaryoomedicalooethicsooreviewoocommittee.ooTheoonurseoopractitioner'sooroleooisooto:
(a)ooevaluateoostandards,oorisks,oobenefits,ooandoooutcomes.
(b)ooidentifyoohowootoooanticipateooandooresolveoosimilaroofutureoosituations.
(c)ooinvestigateootheooneedooforoodisciplinaryooaction.
(d)ooobtainooagreementooofooalloopartiesoowithooaoochosenoosolution.oo-ooans--
(a)ooevaluateoostandards,oorisks,oobenefits,ooandoooutcomes.
Toooimproveootheooqualityooofooclinicaloopractice,ootheooadult-
gerontologyooprimaryoocareoonurseoopractitioner:
(a)oochargesooaoofeeooforoopatientsoowhoooarriveoolateootoooclinicooappointments.
(b)oodisseminatesooresearchoostudyooresultsootooocolleagues.
(c)ooexpressesooopinionsooaboutooalternativeootherapiesoowithoopatientsoowhoooconsideroo
suchootreatments.
, (d)ooschedulesootimeooduringooclinicoohoursootooomeetoowithoopharmaceuticaloorepresenta
tives.oo-ooans--(b)oodisseminatesooresearchoostudyooresultsootooocolleagues.
Oneooeffectooofoousingooelectronicoohealthoorecordooapplications,oosuchooasootelemedicin
eooandooportableoomonitoringoosystems,oohasoobeenooto:
(a)oocreateoostand-aloneooclinics.
(b)oodecreaseoobillableoovisits.
(c)ooincreaseoorisksootooopatients.
(d)ooopenooaccessootooocare.oo-ooans--(d)ooopenooaccessootooocare.
Theooadult-gerontologyooprimaryoocareoonurseoopractitionerooevaluatesooanoo80-year-
oldoopatientoowithoocognitiveoodeficits,oowhoooisoounaccompaniedoobyootheooadultoochildoo
whoootypicallyooisoopresent.ooTheoopatientoohasoourinaryoosymptoms,ooforoowhichootheoon
urseoopractitionerooconsidersooorderingoosulfamethoxazole-
trimethoprimoo(Bactrim).ooTheoopatient'soopreviousoomedicaloorecordooisoounavailable.ooB
eforeooprescribingootheoomedication,ootheoonurseoopractitioner:
(a)oocontactsootheoopatient'sooadultoochild.
(b)ooqueriesootheoootheroostaffoomembers.
(c)ooreliesooonootheoopatient'sooself-report.
(d)oowaitsoountilootheoopatient'soochartooisooavailable.oo-ooans--
(a)oocontactsootheoopatient'sooadultoochild.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerooconductsooaoosmalloogroupooclassooonoo
weightoomanagement.ooTheoonurseoopractitionerooanticipatesoothatootheoopatientoowhooo
mayoohaveootheoogreatestoodifficultyooimplementingootheoocounselingooisoothe:
(a)ooextrovertedoopatientooraisingoohisooorooheroograndchildren.
(b)oointrovertedoopatientoowhooodoesoonotoospeakooinootheoogroup.
(c)oopersonableoopatientoowhooolivesoowithoohisooorooheroochildren.
(d)ooworriedoopatientoowhoseoosonooisooservingooinoomilitaryooconflict.oo-ooans--
(d)ooworriedoopatientoowhoseoosonooisooservingooinoomilitaryooconflict.
Theooadult-
gerontologyooprimaryoocareoonurseoopractitionerooevaluatesooaoopatientoowithoocoldoosym
ptomsoowhoooreportsoosmokingoohalfooaoopackooofoocigarettesooaoodayooandooshowsoonoo
