ANCC Practice Questions And Answers
In bthe bearly bstages bof biron bdeficient banemias, bblood bstudies bshow:
(a) bmacrocytic bnormochromic
(b) bmicrocytic bhypochromic
(c) bnormochromic bnormocytic
(d) bpancytopenic bhypocytic b- bcorrect banswers✔✔(a) bnormochromic bnormocytic
A b14-year-old, bmale bpatient bhas bsome bgeneral bconcerns babout beczema, bas bhis
btwin bbrother bwas brecently bdiagnosed bwith bthis bcondition. bThe bpatient breports
burticaria band ba brash bon bhis bposterior bknees bbilaterally. bThe bthree bfactors bthat bput
bthe bpatient bat brisk bfor beczema bare ba bfamily bhistory bof beczema, ba bpersonal
bhistory bof ballergic brhinitis, band ba bhistory bof:
(a) basthma
(b) bbee ballergy
(c) botitis bmedia
(d) bpsoriasis b- bcorrect banswers✔✔(a) basthma
A bpatient bhas bhyperactive breflexes bof bthe blower bextremities. bThe badult-gerontology
bprimary bcare bnurse bpractitioner bassesses bfor bankle bclonus bby:
(a) bfirmly bapplying ba blow-pitched btuning bfork bto bthe blateral bmalleolus.
(b) bflexing bthe bleg bat bthe bknee, brotating bit bexternally, band bstriking bthe bAchilles
btendon bwith bthe bpercussion bhammer.
(c) bsharply bdorsiflexing bthe bfoot band bmaintaining bthis bposition bwhile bsupporting bthe
bknee.
(d) bstroking bthe blateral baspect bof bthe bsole bfrom bthe bheel bto bthe bball bof bthe bfoot
bwith bthe bsharp bend bof bthe bpercussion bhammer. b- bcorrect banswers✔✔(c) bsharply
bdorsiflexing bthe bfoot band bmaintaining bthis bposition bwhile bsupporting bthe bknee.
A b70-year-old, bfemale bpatient bis bhaving bher byearly bevaluation. bThe badult-
gerontology bprimary bcare bnurse bpractitioner bgives bwhich bphysical bexamination
bfinding bthe bhighest bpriority bfor bimmediate btreatment?
(a) bAtrophy bof bvaginal brugae.
,(b) bCystocele bpresent.
(c) bPalpable bovary.
(d) bPessary bin bplace. b- bcorrect banswers✔✔(c) bPalpable bovary.
The badult-gerontology bprimary bcare bnurse bpractitioner breminds ba b16-year-old, bmale
bpatient bwho bjust breceived bhis bdriver's blicense bto bwear ba bseat bbelt bat ball btimes
bwhen bin ba bcar. bThe bpatient breplies bthat bhe bdoes bnot bneed bto bwear ba bseat bbelt,
bbecause bnothing bwill bhappen bto bhim bif bhe bis binvolved bin ban bautomobile bcollision.
bAccording bto bthe bhealth bbelief bmodel, bwhat bchief bcomponent bdoes bthe bpatient
black?
(a) bEnabling bfactors.
(b) bMotivation.
(c) bPerceived brole bconflict.
(d) bPerceived bseverity. b- bcorrect banswers✔✔(d) bPerceived bseverity.
The badult-gerontology bprimary bcare bnurse bpractitioner btreats bseveral bpatients bfor
bbiological bexposure. bIn bthe bpatients' brecords, bthe bnurse bpractitioner bdocuments
bwhich bepidemiological bfactors bfor beach bexposure?
(a) bComorbidities band blength bof bexposure.
(b) bLocation band bevent bintensity.
(c) bMode bof btransmission band bincubation.
(d) bPremorbid bconditions band bsurveillance brates. b- bcorrect banswers✔✔(c) bMode bof
btransmission band bincubation.
When bdisseminating bresearch bfindings bin ba bpeer-reviewed bjournal, bthe badult-
gerontology bprimary bcare bnurse bpractitioner:
(a) bconcludes bthat bthe bstudy bproves bthe bhypothesis.
(b) bexcludes bthe bdiscussion bsection, bbecause bthe bconclusion bcontains bthis
binformation.
(c) brecommends bincorporating bthe bresults bdirectly binto bclinical bpractice.
(d) buses bthe bmethodology bsection bto bsupport bthe bvalidity bof bthe bstudy. b- bcorrect
banswers✔✔(d) buses bthe bmethodology bsection bto bsupport bthe bvalidity bof bthe
bstudy.
A bpatient's badult bchild btelephones bthe badult-gerontology bprimary bcare bnurse
bpractitioner bto binquire babout bthe bpatient's billness. bThe bpatient's bchild breports bthat
,bthe bparent brelies bupon bthe bchild bto bexplain beverything bto bhim bor bher. bThe bnurse
bpractitioner:
(a) basks bthe bchild bto bprovide ba bcopy bof bthe bpatient's badvance bdirective bdocument.
(b) bassures bthe bchild bthat bthe bnurse bpractitioner bcan bdisclose brequested
binformation.
(c) binforms bthe bchild bthat bhe bor bshe bmust bcome bto bthe bclinic bto bdiscuss bthe
bparent's bcase.
(d) btells bthe bchild bthat bthe bnurse bpractitioner bcan bdiscuss bthe binformation bonly
bwith bthe bpatient. b- bcorrect banswers✔✔(d) btells bthe bchild bthat bthe bnurse
bpractitioner bcan bdiscuss bthe binformation bonly bwith bthe bpatient.
The badult-gerontology bprimary bcare bnurse bpractitioner bis bappointed bto ba bhospital's
bmultidisciplinary bmedical bethics breview bcommittee. bThe bnurse bpractitioner's brole bis
bto:
(a) bevaluate bstandards, brisks, bbenefits, band boutcomes.
(b) bidentify bhow bto banticipate band bresolve bsimilar bfuture bsituations.
(c) binvestigate bthe bneed bfor bdisciplinary baction.
(d) bobtain bagreement bof ball bparties bwith ba bchosen bsolution. b- bcorrect
banswers✔✔(a) bevaluate bstandards, brisks, bbenefits, band boutcomes.
To bimprove bthe bquality bof bclinical bpractice, bthe badult-gerontology bprimary bcare
bnurse bpractitioner:
(a) bcharges ba bfee bfor bpatients bwho barrive blate bto bclinic bappointments.
(b) bdisseminates bresearch bstudy bresults bto bcolleagues.
(c) bexpresses bopinions babout balternative btherapies bwith bpatients bwho bconsider
bsuch btreatments.
(d) bschedules btime bduring bclinic bhours bto bmeet bwith bpharmaceutical
brepresentatives. b- bcorrect banswers✔✔(b) bdisseminates bresearch bstudy bresults bto
bcolleagues.
One beffect bof busing belectronic bhealth brecord bapplications, bsuch bas btelemedicine
band bportable bmonitoring bsystems, bhas bbeen bto:
(a) bcreate bstand-alone bclinics.
, (b) bdecrease bbillable bvisits.
(c) bincrease brisks bto bpatients.
(d) bopen baccess bto bcare. b- bcorrect banswers✔✔(d) bopen baccess bto bcare.
The badult-gerontology bprimary bcare bnurse bpractitioner bevaluates ban b80-year-old
bpatient bwith bcognitive bdeficits, bwho bis bunaccompanied bby bthe badult bchild bwho
btypically bis bpresent. bThe bpatient bhas burinary bsymptoms, bfor bwhich bthe bnurse
bpractitioner bconsiders bordering bsulfamethoxazole-trimethoprim b(Bactrim). bThe
bpatient's bprevious bmedical brecord bis bunavailable. bBefore bprescribing bthe
bmedication, bthe bnurse bpractitioner:
(a) bcontacts bthe bpatient's badult bchild.
(b) bqueries bthe bother bstaff bmembers.
(c) brelies bon bthe bpatient's bself-report.
(d) bwaits buntil bthe bpatient's bchart bis bavailable. b- bcorrect banswers✔✔(a) bcontacts
bthe bpatient's badult bchild.
The badult-gerontology bprimary bcare bnurse bpractitioner bconducts ba bsmall bgroup
bclass bon bweight bmanagement. bThe bnurse bpractitioner banticipates bthat bthe bpatient
bwho bmay bhave bthe bgreatest bdifficulty bimplementing bthe bcounseling bis bthe:
(a) bextroverted bpatient braising bhis bor bher bgrandchildren.
(b) bintroverted bpatient bwho bdoes bnot bspeak bin bthe bgroup.
(c) bpersonable bpatient bwho blives bwith bhis bor bher bchildren.
(d) bworried bpatient bwhose bson bis bserving bin bmilitary bconflict. b- bcorrect
banswers✔✔(d) bworried bpatient bwhose bson bis bserving bin bmilitary bconflict.
The badult-gerontology bprimary bcare bnurse bpractitioner bevaluates ba bpatient bwith
bcold bsymptoms bwho breports bsmoking bhalf ba bpack bof bcigarettes ba bday band bshows
bno binterest bin bquitting. bThe bnurse bpractitioner's bmost bappropriate bapproach bis bto
btreat bthe bcold bsymptoms band:
(a) badvise bthe bpatient bto bstop bsmoking.
(b) bprescribe bbupropion b(Zyban).
(c) braise bthe bissue bof bsmoking bcessation bat bthe bnext bvisit.
(d) brecommend bthat bthe bpatient bselect ba blow bnicotine bcigarette. b- bcorrect
banswers✔✔(a) badvise bthe bpatient bto bstop bsmoking.
In bthe bearly bstages bof biron bdeficient banemias, bblood bstudies bshow:
(a) bmacrocytic bnormochromic
(b) bmicrocytic bhypochromic
(c) bnormochromic bnormocytic
(d) bpancytopenic bhypocytic b- bcorrect banswers✔✔(a) bnormochromic bnormocytic
A b14-year-old, bmale bpatient bhas bsome bgeneral bconcerns babout beczema, bas bhis
btwin bbrother bwas brecently bdiagnosed bwith bthis bcondition. bThe bpatient breports
burticaria band ba brash bon bhis bposterior bknees bbilaterally. bThe bthree bfactors bthat bput
bthe bpatient bat brisk bfor beczema bare ba bfamily bhistory bof beczema, ba bpersonal
bhistory bof ballergic brhinitis, band ba bhistory bof:
(a) basthma
(b) bbee ballergy
(c) botitis bmedia
(d) bpsoriasis b- bcorrect banswers✔✔(a) basthma
A bpatient bhas bhyperactive breflexes bof bthe blower bextremities. bThe badult-gerontology
bprimary bcare bnurse bpractitioner bassesses bfor bankle bclonus bby:
(a) bfirmly bapplying ba blow-pitched btuning bfork bto bthe blateral bmalleolus.
(b) bflexing bthe bleg bat bthe bknee, brotating bit bexternally, band bstriking bthe bAchilles
btendon bwith bthe bpercussion bhammer.
(c) bsharply bdorsiflexing bthe bfoot band bmaintaining bthis bposition bwhile bsupporting bthe
bknee.
(d) bstroking bthe blateral baspect bof bthe bsole bfrom bthe bheel bto bthe bball bof bthe bfoot
bwith bthe bsharp bend bof bthe bpercussion bhammer. b- bcorrect banswers✔✔(c) bsharply
bdorsiflexing bthe bfoot band bmaintaining bthis bposition bwhile bsupporting bthe bknee.
A b70-year-old, bfemale bpatient bis bhaving bher byearly bevaluation. bThe badult-
gerontology bprimary bcare bnurse bpractitioner bgives bwhich bphysical bexamination
bfinding bthe bhighest bpriority bfor bimmediate btreatment?
(a) bAtrophy bof bvaginal brugae.
,(b) bCystocele bpresent.
(c) bPalpable bovary.
(d) bPessary bin bplace. b- bcorrect banswers✔✔(c) bPalpable bovary.
The badult-gerontology bprimary bcare bnurse bpractitioner breminds ba b16-year-old, bmale
bpatient bwho bjust breceived bhis bdriver's blicense bto bwear ba bseat bbelt bat ball btimes
bwhen bin ba bcar. bThe bpatient breplies bthat bhe bdoes bnot bneed bto bwear ba bseat bbelt,
bbecause bnothing bwill bhappen bto bhim bif bhe bis binvolved bin ban bautomobile bcollision.
bAccording bto bthe bhealth bbelief bmodel, bwhat bchief bcomponent bdoes bthe bpatient
black?
(a) bEnabling bfactors.
(b) bMotivation.
(c) bPerceived brole bconflict.
(d) bPerceived bseverity. b- bcorrect banswers✔✔(d) bPerceived bseverity.
The badult-gerontology bprimary bcare bnurse bpractitioner btreats bseveral bpatients bfor
bbiological bexposure. bIn bthe bpatients' brecords, bthe bnurse bpractitioner bdocuments
bwhich bepidemiological bfactors bfor beach bexposure?
(a) bComorbidities band blength bof bexposure.
(b) bLocation band bevent bintensity.
(c) bMode bof btransmission band bincubation.
(d) bPremorbid bconditions band bsurveillance brates. b- bcorrect banswers✔✔(c) bMode bof
btransmission band bincubation.
When bdisseminating bresearch bfindings bin ba bpeer-reviewed bjournal, bthe badult-
gerontology bprimary bcare bnurse bpractitioner:
(a) bconcludes bthat bthe bstudy bproves bthe bhypothesis.
(b) bexcludes bthe bdiscussion bsection, bbecause bthe bconclusion bcontains bthis
binformation.
(c) brecommends bincorporating bthe bresults bdirectly binto bclinical bpractice.
(d) buses bthe bmethodology bsection bto bsupport bthe bvalidity bof bthe bstudy. b- bcorrect
banswers✔✔(d) buses bthe bmethodology bsection bto bsupport bthe bvalidity bof bthe
bstudy.
A bpatient's badult bchild btelephones bthe badult-gerontology bprimary bcare bnurse
bpractitioner bto binquire babout bthe bpatient's billness. bThe bpatient's bchild breports bthat
,bthe bparent brelies bupon bthe bchild bto bexplain beverything bto bhim bor bher. bThe bnurse
bpractitioner:
(a) basks bthe bchild bto bprovide ba bcopy bof bthe bpatient's badvance bdirective bdocument.
(b) bassures bthe bchild bthat bthe bnurse bpractitioner bcan bdisclose brequested
binformation.
(c) binforms bthe bchild bthat bhe bor bshe bmust bcome bto bthe bclinic bto bdiscuss bthe
bparent's bcase.
(d) btells bthe bchild bthat bthe bnurse bpractitioner bcan bdiscuss bthe binformation bonly
bwith bthe bpatient. b- bcorrect banswers✔✔(d) btells bthe bchild bthat bthe bnurse
bpractitioner bcan bdiscuss bthe binformation bonly bwith bthe bpatient.
The badult-gerontology bprimary bcare bnurse bpractitioner bis bappointed bto ba bhospital's
bmultidisciplinary bmedical bethics breview bcommittee. bThe bnurse bpractitioner's brole bis
bto:
(a) bevaluate bstandards, brisks, bbenefits, band boutcomes.
(b) bidentify bhow bto banticipate band bresolve bsimilar bfuture bsituations.
(c) binvestigate bthe bneed bfor bdisciplinary baction.
(d) bobtain bagreement bof ball bparties bwith ba bchosen bsolution. b- bcorrect
banswers✔✔(a) bevaluate bstandards, brisks, bbenefits, band boutcomes.
To bimprove bthe bquality bof bclinical bpractice, bthe badult-gerontology bprimary bcare
bnurse bpractitioner:
(a) bcharges ba bfee bfor bpatients bwho barrive blate bto bclinic bappointments.
(b) bdisseminates bresearch bstudy bresults bto bcolleagues.
(c) bexpresses bopinions babout balternative btherapies bwith bpatients bwho bconsider
bsuch btreatments.
(d) bschedules btime bduring bclinic bhours bto bmeet bwith bpharmaceutical
brepresentatives. b- bcorrect banswers✔✔(b) bdisseminates bresearch bstudy bresults bto
bcolleagues.
One beffect bof busing belectronic bhealth brecord bapplications, bsuch bas btelemedicine
band bportable bmonitoring bsystems, bhas bbeen bto:
(a) bcreate bstand-alone bclinics.
, (b) bdecrease bbillable bvisits.
(c) bincrease brisks bto bpatients.
(d) bopen baccess bto bcare. b- bcorrect banswers✔✔(d) bopen baccess bto bcare.
The badult-gerontology bprimary bcare bnurse bpractitioner bevaluates ban b80-year-old
bpatient bwith bcognitive bdeficits, bwho bis bunaccompanied bby bthe badult bchild bwho
btypically bis bpresent. bThe bpatient bhas burinary bsymptoms, bfor bwhich bthe bnurse
bpractitioner bconsiders bordering bsulfamethoxazole-trimethoprim b(Bactrim). bThe
bpatient's bprevious bmedical brecord bis bunavailable. bBefore bprescribing bthe
bmedication, bthe bnurse bpractitioner:
(a) bcontacts bthe bpatient's badult bchild.
(b) bqueries bthe bother bstaff bmembers.
(c) brelies bon bthe bpatient's bself-report.
(d) bwaits buntil bthe bpatient's bchart bis bavailable. b- bcorrect banswers✔✔(a) bcontacts
bthe bpatient's badult bchild.
The badult-gerontology bprimary bcare bnurse bpractitioner bconducts ba bsmall bgroup
bclass bon bweight bmanagement. bThe bnurse bpractitioner banticipates bthat bthe bpatient
bwho bmay bhave bthe bgreatest bdifficulty bimplementing bthe bcounseling bis bthe:
(a) bextroverted bpatient braising bhis bor bher bgrandchildren.
(b) bintroverted bpatient bwho bdoes bnot bspeak bin bthe bgroup.
(c) bpersonable bpatient bwho blives bwith bhis bor bher bchildren.
(d) bworried bpatient bwhose bson bis bserving bin bmilitary bconflict. b- bcorrect
banswers✔✔(d) bworried bpatient bwhose bson bis bserving bin bmilitary bconflict.
The badult-gerontology bprimary bcare bnurse bpractitioner bevaluates ba bpatient bwith
bcold bsymptoms bwho breports bsmoking bhalf ba bpack bof bcigarettes ba bday band bshows
bno binterest bin bquitting. bThe bnurse bpractitioner's bmost bappropriate bapproach bis bto
btreat bthe bcold bsymptoms band:
(a) badvise bthe bpatient bto bstop bsmoking.
(b) bprescribe bbupropion b(Zyban).
(c) braise bthe bissue bof bsmoking bcessation bat bthe bnext bvisit.
(d) brecommend bthat bthe bpatient bselect ba blow bnicotine bcigarette. b- bcorrect
banswers✔✔(a) badvise bthe bpatient bto bstop bsmoking.
