ANCC DOMAIN 1-5 QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
A .newly .graduated .nurse .practitioner .(NP) .wants .to .open .a .private .psychiatric .practice .in
.her .hometown. .She .wants .to .find .out .about .the .laws .that .cover .her .responsibility .and
.the .legal .liability .that .this .practice .will .encounter .for .her .as .an .independent .psychiatric
.nurse .practitioner. .Her .best .source .of .information .is:
A. .The .State .Statues .on .Nursing .or .Advanced .Nursing .Practice
B. .Her .city .statutes
C. .Local .Psychiatric .Nurse .Practitioners .in .practice
D. .The .American .Academy .of .Nurse .practitioners .- .CORRECT .ANSWER-A. .The .State .Statues
.on .Nursing .or .Advanced .Nursing .Practice
Which .of .the .following .best .depicts .the .Psychiatric-Mental .Health .Nurse .Practitioner .in .a
.grassroots .mental .health .advocacy .role?
A. .Attending .a .town .hall .meeting .to .seek .timely .police .response .to .rising .domestic
.violence .crisis .calls.
B. .Working .on .the .campaign .of .an .individual .running .for .the .state .senate.
C. .Assisting .with .depression .screening .at .a .health .fair .in .a .local .shopping .mall
D. .Meeting .states .legislators .during .RN .lobbying .day .organized .by .the .state .nurses'
.association .- .CORRECT .ANSWER-A. .Attending .a .town .hall .meeting .to .seek .timely .police
.response .to .rising .domestic .violence .crisis .calls.
During .a .medication .follow-up .appointment .at .student .mental .health .clinic, .a .20 .y/o
.college .sophomore .with .depression .and .history .of .binge .drinking .disclosed .that .she .has
.been .struggling .with .recurrent .intrusive .thoughts .of .overdose. .She .recently .broke .up .with
.her .boyfriend .when .she .learned .that .he .was .sleeping .with .her .closest .girlfriend. .She
.admits .taking .a .handful .of .her .sertraline .prescribed .by .the .Psychiatric-mental .Health
,.Nurse .Practitioner .last .weekend .and .was .frustrated .that .it .only .made .her .sleep .for .a .day.
.She's .angry .and .ambivalent .about .the .future, .unwilling .to .make .any .promise .not .to .harm
.herself, .and .has .made .veiled .threats .to ."pay .back .both .of .them .for .cheating" .(referring
.to .her .ex-boyfriend .and .girlfriend). .What .is .the .most .appropriate .intervention .at .this
.juncture?
A. .Counsel .the .student .that .she .would .regret .hurting .herself .and .can .move .beyond .this
.broken .relationship
B. .Ask .the .student .to .promise .- .CORRECT .ANSWER-D. .Ask .the .student .if .she .will .agree .to
.voluntary .admission .and .arrange .involuntary .admission .is .necessary
Per .the .Health .Insurance .Portability .and .Accountability .Act .(HIPAA), .a .nurse .practitioner
.(NP) .who .is .in .an .independent, .single .practitioner .practice .is .considered .a ."Covered
.Entity" .because:
A. .Writers .information .and .generates .protected .health .information
B. .The .NP .transmits .protected .health .information .in .electronic .forms
C. .May .accidentally .release .protected .health .information
D. .Maintains .charts .with .patient .information .that .contains .protected .health .information .-
.CORRECT .ANSWER-B. .The .NP .transmits .protected .health .information .in .electronic .forms
The .Nurse .Practitioner .(NP) .attends .a .local .meeting .where .allocation .of .resources .for
.healthcare .will .be .discussed. .One .of .the .stakeholders .has .a .pamphlet .that .describes .the
.types .of .healthcare .providers .available .to .help .persons .in .need .of .health .care. .The .NP
.notices .that .Nurse .Practitioners .are .labeled .as ."Paraprofessionals". .In .the .meeting, .the
.NP .askes .the .organization .responsible .for .the .pamphlet .why .they .have .identified .the
.Nurse .Practitioners .as .paraprofessionals .when .a .Nurse .Practitioner .is .by .law .working .as
.85-90% .of .the .same .capacity .as .a .Medical .Doctor. .The .NP .goes .on .to .explain .what .a
.Nurse .Practitioner .does .in .various .areas .of .practice. .This .is .an .example .of:
A. .Promoting .nurse .practitioners .in .the .community
B. .Public .education .on .the .NP .scope .and .standards .of .practice
C. .Correcting .misinformation .that .deliberately .misleads .the .public
D. .Advocating .for .the .role .and .value .of .the .Nurse .Practitioner. .- .CORRECT .ANSWER-D.
.Advocating .for .the .role .and .value .of .the .Nurse .Practitioner.
,Your .patient .wants .to .communicate .with .you .through .email. .You .have .a .secure .email
.account .that .is .encrypted .and .will .protect .health .information .as .required .by .the .Health
.Insurance .Portability .and .Accountability .Act .(HIPAA). .Your .patient .does .not .have .an
.encrypted .email .account. .You .reply .is:
A. .I .do .not .like .to .communicate .through .email .I .would .prefer .to .talk .to .you .in .person .or
.over .the .telephone .only
B. .I .can .encrypt .our .email .communications .to .be .sure .that .your .protected .health
.information .(PHI) .is .unavailable .to .others .and .protect .you
C. .I .have .no .problems .with .you .communicating .with .me .through .my .personal .email
D. .In .order .to .communicate .back .and .forth, .you .will .have .to .find .a .way .to .encrypt .you're
.protected .health .information .(PHI) .- .CORRECT .ANSWER-D. .In .order .to .communicate .back
.and .forth, .you .will .have .to .find .a .way .to .encrypt .you're .protected .health .information
.(PHI)
As .an .individual .advanced .practitioner, .you .cannot .afford .to .have .a .standalone .Electronic
.Health .Record .(HER) .system .to .keep .all .of .your .patient's .health .information .on .a
.computer .based .system. .How .could .you .problem-solve .this .dilemma?
A. .Process .your .notes .and .patient .records .in .a .secure .electronic .system .with .a .template
.for .patient .information .and .interactions, .supporting .quick .access .within .your .network
B. .Process .your .notes .and .patient .records .on .a .laptop .that .you .are .able .to .transport
.between .your .office .and .home .office. .You .always .have .the .records .available .if .needed
C. .Process .your .notes .manually .and .keep .them .in .a .locked .file. .The .records .are .available
.for .copy .and .distribution .at .any .time.
D. .Process .your .patient .records .manually, .in .your .current .fashion. .You .are .keeping .a .full
.record .according .to .HIPAA. .- .CORRECT .ANSWER-A. .Process .your .notes .and .patient
.records .in .a .secure .electronic .system .with .a .template .for .patient .information .and
.interactions, .supporting .quick .access .within .your .network
The .nurse .practitioner .(NP) .sees .an .opportunity .to .help .her .patient .who .duffers .from
.anxiety .and .hypertension .by .utilizing .a .medication .that .can .treat .both .issues. .She .talks .to
.her .patient .about .using .Atenolol .25mg .½ .tab .po .Q .HS .to .manage .his .hypertension .and
.his .chronic .anxiety. .To .promote .both .the .patient's .continued .health .and .collaboration,
.the .NP:
A. .Faxes .a .copy .of .her .care .notes .to .the .Primary .Care .Provider .(PCP) .to .inform .the .PCP .of
.her .plan .of .care
, B. .Telephones .the .Primary .Care .Provider's .office .and .leaves .a .message .about .the .change
.in .medication
C. .Tells .the .patient .to .let .his .Primary .Care .Provider .know .about .the .change .in .medication
D. .Telephones .the .patient's .Primary .Care .Provider .to .discuss .the .use .of .the .Atenolol
.before .starting .the .medication .- .CORRECT .ANSWER-D. .Telephones .the .patient's .Primary
.Care .Provider .to .discuss .the .use .of .the .Atenolol .before .starting .the .medication
A .frail .76 .y/o .woman .with .Alzheimer's .type .dementia .in .a .skilled .nursing .facility .has .been
.increasingly .agitated, .combative, .and .has .struck .out .at .other .patients .in .the .dining .room
.and .at .staff .attempting .to .care .for .her. .What .would .be .the .most .appropriate .initial
.intervention .by .the .consulting .Psychiatric-Mental .Health .Nurse .Practitioner .who .receives
.a .call .from .the .nursing .staff .requesting .medication .and .restraint .orders?
A. .Order .close .observation .by .staff .in .quiet .area .secluded .from .other .patients .until .you
.can .evaluate .in .person
B. .Order .soft .wrist .and .vest .restraints .until .you .can .evaluate .in .person
C. .Order .short-acting .benzodiazepine .and .close .observation .until .you .can .evaluate .in
.person
D. .Order .low-dose .atypical .antipsychotic .and .soft .vest .restraint .until .you .can .evaluate .in
.person .- .CORRECT .ANSWER-A. .Order .close .observation .by .staff .in .quiet .area .secluded
.from .other .patients .until .you .can .evaluate .in .person
You .frequently .use .your .iPhone/smart .phone .to .connect .with .your .office, .the .pharmacy
.and .patients. .These .multifunction .devices .assist .you .in .your .practice. .What .needs .to
.happen .to .the .protected/private .health .information .on .your .phone .after .you .conclude .a
.healthcare .interaction?
A. .You .document .an .abbreviated .note .of .the .phone .conversation
B. .You .document .that .you .had .a .telephone .interaction .only
C. .You .document .it .briefly, .only .if .it .is .important
D. .You .document .it .fully .in .the .patient .record .as .a .patient .interaction .- .CORRECT
.ANSWER-D. .You .document .it .fully .in .the .patient .record .as .a .patient .interaction
A .Psychiatric-Mental .Nurse .Practitioner .practices .in .a .state .requiring .a .collaborating
.psychiatrist. .The .Psychiatric-Mental .Health .Nurse .Practitioner .review .all .new .and .complex
GRADED A+ 2025/2026
A .newly .graduated .nurse .practitioner .(NP) .wants .to .open .a .private .psychiatric .practice .in
.her .hometown. .She .wants .to .find .out .about .the .laws .that .cover .her .responsibility .and
.the .legal .liability .that .this .practice .will .encounter .for .her .as .an .independent .psychiatric
.nurse .practitioner. .Her .best .source .of .information .is:
A. .The .State .Statues .on .Nursing .or .Advanced .Nursing .Practice
B. .Her .city .statutes
C. .Local .Psychiatric .Nurse .Practitioners .in .practice
D. .The .American .Academy .of .Nurse .practitioners .- .CORRECT .ANSWER-A. .The .State .Statues
.on .Nursing .or .Advanced .Nursing .Practice
Which .of .the .following .best .depicts .the .Psychiatric-Mental .Health .Nurse .Practitioner .in .a
.grassroots .mental .health .advocacy .role?
A. .Attending .a .town .hall .meeting .to .seek .timely .police .response .to .rising .domestic
.violence .crisis .calls.
B. .Working .on .the .campaign .of .an .individual .running .for .the .state .senate.
C. .Assisting .with .depression .screening .at .a .health .fair .in .a .local .shopping .mall
D. .Meeting .states .legislators .during .RN .lobbying .day .organized .by .the .state .nurses'
.association .- .CORRECT .ANSWER-A. .Attending .a .town .hall .meeting .to .seek .timely .police
.response .to .rising .domestic .violence .crisis .calls.
During .a .medication .follow-up .appointment .at .student .mental .health .clinic, .a .20 .y/o
.college .sophomore .with .depression .and .history .of .binge .drinking .disclosed .that .she .has
.been .struggling .with .recurrent .intrusive .thoughts .of .overdose. .She .recently .broke .up .with
.her .boyfriend .when .she .learned .that .he .was .sleeping .with .her .closest .girlfriend. .She
.admits .taking .a .handful .of .her .sertraline .prescribed .by .the .Psychiatric-mental .Health
,.Nurse .Practitioner .last .weekend .and .was .frustrated .that .it .only .made .her .sleep .for .a .day.
.She's .angry .and .ambivalent .about .the .future, .unwilling .to .make .any .promise .not .to .harm
.herself, .and .has .made .veiled .threats .to ."pay .back .both .of .them .for .cheating" .(referring
.to .her .ex-boyfriend .and .girlfriend). .What .is .the .most .appropriate .intervention .at .this
.juncture?
A. .Counsel .the .student .that .she .would .regret .hurting .herself .and .can .move .beyond .this
.broken .relationship
B. .Ask .the .student .to .promise .- .CORRECT .ANSWER-D. .Ask .the .student .if .she .will .agree .to
.voluntary .admission .and .arrange .involuntary .admission .is .necessary
Per .the .Health .Insurance .Portability .and .Accountability .Act .(HIPAA), .a .nurse .practitioner
.(NP) .who .is .in .an .independent, .single .practitioner .practice .is .considered .a ."Covered
.Entity" .because:
A. .Writers .information .and .generates .protected .health .information
B. .The .NP .transmits .protected .health .information .in .electronic .forms
C. .May .accidentally .release .protected .health .information
D. .Maintains .charts .with .patient .information .that .contains .protected .health .information .-
.CORRECT .ANSWER-B. .The .NP .transmits .protected .health .information .in .electronic .forms
The .Nurse .Practitioner .(NP) .attends .a .local .meeting .where .allocation .of .resources .for
.healthcare .will .be .discussed. .One .of .the .stakeholders .has .a .pamphlet .that .describes .the
.types .of .healthcare .providers .available .to .help .persons .in .need .of .health .care. .The .NP
.notices .that .Nurse .Practitioners .are .labeled .as ."Paraprofessionals". .In .the .meeting, .the
.NP .askes .the .organization .responsible .for .the .pamphlet .why .they .have .identified .the
.Nurse .Practitioners .as .paraprofessionals .when .a .Nurse .Practitioner .is .by .law .working .as
.85-90% .of .the .same .capacity .as .a .Medical .Doctor. .The .NP .goes .on .to .explain .what .a
.Nurse .Practitioner .does .in .various .areas .of .practice. .This .is .an .example .of:
A. .Promoting .nurse .practitioners .in .the .community
B. .Public .education .on .the .NP .scope .and .standards .of .practice
C. .Correcting .misinformation .that .deliberately .misleads .the .public
D. .Advocating .for .the .role .and .value .of .the .Nurse .Practitioner. .- .CORRECT .ANSWER-D.
.Advocating .for .the .role .and .value .of .the .Nurse .Practitioner.
,Your .patient .wants .to .communicate .with .you .through .email. .You .have .a .secure .email
.account .that .is .encrypted .and .will .protect .health .information .as .required .by .the .Health
.Insurance .Portability .and .Accountability .Act .(HIPAA). .Your .patient .does .not .have .an
.encrypted .email .account. .You .reply .is:
A. .I .do .not .like .to .communicate .through .email .I .would .prefer .to .talk .to .you .in .person .or
.over .the .telephone .only
B. .I .can .encrypt .our .email .communications .to .be .sure .that .your .protected .health
.information .(PHI) .is .unavailable .to .others .and .protect .you
C. .I .have .no .problems .with .you .communicating .with .me .through .my .personal .email
D. .In .order .to .communicate .back .and .forth, .you .will .have .to .find .a .way .to .encrypt .you're
.protected .health .information .(PHI) .- .CORRECT .ANSWER-D. .In .order .to .communicate .back
.and .forth, .you .will .have .to .find .a .way .to .encrypt .you're .protected .health .information
.(PHI)
As .an .individual .advanced .practitioner, .you .cannot .afford .to .have .a .standalone .Electronic
.Health .Record .(HER) .system .to .keep .all .of .your .patient's .health .information .on .a
.computer .based .system. .How .could .you .problem-solve .this .dilemma?
A. .Process .your .notes .and .patient .records .in .a .secure .electronic .system .with .a .template
.for .patient .information .and .interactions, .supporting .quick .access .within .your .network
B. .Process .your .notes .and .patient .records .on .a .laptop .that .you .are .able .to .transport
.between .your .office .and .home .office. .You .always .have .the .records .available .if .needed
C. .Process .your .notes .manually .and .keep .them .in .a .locked .file. .The .records .are .available
.for .copy .and .distribution .at .any .time.
D. .Process .your .patient .records .manually, .in .your .current .fashion. .You .are .keeping .a .full
.record .according .to .HIPAA. .- .CORRECT .ANSWER-A. .Process .your .notes .and .patient
.records .in .a .secure .electronic .system .with .a .template .for .patient .information .and
.interactions, .supporting .quick .access .within .your .network
The .nurse .practitioner .(NP) .sees .an .opportunity .to .help .her .patient .who .duffers .from
.anxiety .and .hypertension .by .utilizing .a .medication .that .can .treat .both .issues. .She .talks .to
.her .patient .about .using .Atenolol .25mg .½ .tab .po .Q .HS .to .manage .his .hypertension .and
.his .chronic .anxiety. .To .promote .both .the .patient's .continued .health .and .collaboration,
.the .NP:
A. .Faxes .a .copy .of .her .care .notes .to .the .Primary .Care .Provider .(PCP) .to .inform .the .PCP .of
.her .plan .of .care
, B. .Telephones .the .Primary .Care .Provider's .office .and .leaves .a .message .about .the .change
.in .medication
C. .Tells .the .patient .to .let .his .Primary .Care .Provider .know .about .the .change .in .medication
D. .Telephones .the .patient's .Primary .Care .Provider .to .discuss .the .use .of .the .Atenolol
.before .starting .the .medication .- .CORRECT .ANSWER-D. .Telephones .the .patient's .Primary
.Care .Provider .to .discuss .the .use .of .the .Atenolol .before .starting .the .medication
A .frail .76 .y/o .woman .with .Alzheimer's .type .dementia .in .a .skilled .nursing .facility .has .been
.increasingly .agitated, .combative, .and .has .struck .out .at .other .patients .in .the .dining .room
.and .at .staff .attempting .to .care .for .her. .What .would .be .the .most .appropriate .initial
.intervention .by .the .consulting .Psychiatric-Mental .Health .Nurse .Practitioner .who .receives
.a .call .from .the .nursing .staff .requesting .medication .and .restraint .orders?
A. .Order .close .observation .by .staff .in .quiet .area .secluded .from .other .patients .until .you
.can .evaluate .in .person
B. .Order .soft .wrist .and .vest .restraints .until .you .can .evaluate .in .person
C. .Order .short-acting .benzodiazepine .and .close .observation .until .you .can .evaluate .in
.person
D. .Order .low-dose .atypical .antipsychotic .and .soft .vest .restraint .until .you .can .evaluate .in
.person .- .CORRECT .ANSWER-A. .Order .close .observation .by .staff .in .quiet .area .secluded
.from .other .patients .until .you .can .evaluate .in .person
You .frequently .use .your .iPhone/smart .phone .to .connect .with .your .office, .the .pharmacy
.and .patients. .These .multifunction .devices .assist .you .in .your .practice. .What .needs .to
.happen .to .the .protected/private .health .information .on .your .phone .after .you .conclude .a
.healthcare .interaction?
A. .You .document .an .abbreviated .note .of .the .phone .conversation
B. .You .document .that .you .had .a .telephone .interaction .only
C. .You .document .it .briefly, .only .if .it .is .important
D. .You .document .it .fully .in .the .patient .record .as .a .patient .interaction .- .CORRECT
.ANSWER-D. .You .document .it .fully .in .the .patient .record .as .a .patient .interaction
A .Psychiatric-Mental .Nurse .Practitioner .practices .in .a .state .requiring .a .collaborating
.psychiatrist. .The .Psychiatric-Mental .Health .Nurse .Practitioner .review .all .new .and .complex
