ANCC EXAM QUESTIONS WITH 100% ACCURATE
SOLUTIONS 2025
1) 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
2) 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) A reticulocyte count
_ _
B) A serum folate level
_ _ _
C) An erythrocyte sedimentation rate
_ _ _
D) Iron studies -- Correct Answer ✔✔ A serum folate level
_ _ _ _ _ _ _ _ _
3) 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?
_ _ _ _ _ _ _ _ _ _ _
A) Medicaid
B) Medicare
C) The American Association of Retired Persons
_ _ _ _ _
D) The United States Social Security Administration -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _
Medicaid
, 4) 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?
_ _ _ _ _ _ _
A) Amlodipine (Norvasc) _
B) Digoxin (Lanoxin) _
C) Furosemide (Lasix) _
D) Lisinopril (Zestril) -- Correct Answer ✔✔ Lisinopril (Zestril) _ _ _ _ _ _ _
5) 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 dorsiflexing and maintaining the foot in this position, while
_ _ _ _ _ _ _ _ _ _
supporting the knee. _ _
C) 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. _ _
6) 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. -- Correct Answer ✔✔ A)
_ _ _ _ _ _ _ _ _ _ _ _ _
increases the insulin dosage at bed time. _ _ _ _ _ _
7) 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
_ _ _ _ _ _ _ _ _ _
SOLUTIONS 2025
1) 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
2) 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) A reticulocyte count
_ _
B) A serum folate level
_ _ _
C) An erythrocyte sedimentation rate
_ _ _
D) Iron studies -- Correct Answer ✔✔ A serum folate level
_ _ _ _ _ _ _ _ _
3) 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?
_ _ _ _ _ _ _ _ _ _ _
A) Medicaid
B) Medicare
C) The American Association of Retired Persons
_ _ _ _ _
D) The United States Social Security Administration -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _
Medicaid
, 4) 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?
_ _ _ _ _ _ _
A) Amlodipine (Norvasc) _
B) Digoxin (Lanoxin) _
C) Furosemide (Lasix) _
D) Lisinopril (Zestril) -- Correct Answer ✔✔ Lisinopril (Zestril) _ _ _ _ _ _ _
5) 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 dorsiflexing and maintaining the foot in this position, while
_ _ _ _ _ _ _ _ _ _
supporting the knee. _ _
C) 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. _ _
6) 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. -- Correct Answer ✔✔ A)
_ _ _ _ _ _ _ _ _ _ _ _ _
increases the insulin dosage at bed time. _ _ _ _ _ _
7) 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
_ _ _ _ _ _ _ _ _ _
