ANCC NEWEST ACTUAL EXAM PRACTICE
TEST 2025-2026 EXAM WITH QUESTIONS
AND CORRECT ANSWERS GRADED A+
To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient
with swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. Correct Answer (b) Brain natriuretic
peptide test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
,(d) White blood cell count. Correct Answer (a) Liver function
studies.
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term
history of multiple sexual partners. The patient's physical
examination reveals abdominal tenderness with icteric sclerae
and skin. Which laboratory test confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. Correct Answer (d) Surface antigen.
For two to three months, a 78-year-old patient has not been
taking levothyroxine (Synthroid) as prescribed. The patient now
has symptoms of increasing constipation, lethargy, and
weakness. The adult-gerontology primary care nurse practitioner
anticipates that laboratory tests will show that the patient's:
(a) T4 level decreased, and TSH level increased.
,(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased. Correct
Answer (a) T4 level decreased, and TSH level increased.
A 68-year-old patient has sustained an unintended weight loss of
15 lb (6.8 kg) over the last two months but reports feeling well.
The patient's problems include depression, tobacco abuse,
obesity, and dyslipidemia. His or her medications are sertralizine
(Zoloft), simvastatin (Zocor), and famotidine (Pepcid). The adult-
gerontology primary care nurse practitioner performs which
THREE actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
, (e) Orders a thyroid-stimulating hormone. Correct Answer (b)
Conducts a depression screening.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone.
Preparing to implement an incontinence reduction program at a
nursing home, the adult-gerontology primary care nurse
practitioner reviews several studies. Place the studies in
sequential order of the strength of evidence for this population
from strongest to weakest.
(a) A case report of an experimental incontinence reduction
program in older adults.
(b) A consensus statement from the urologic association
regarding the use of scheduled toileting.
(c) A systematic review of nonrandomized trials concerning the
use of vaginal estrogen. Correct Answer Strongest evidence: (c) a
systematic review
...then: (b) a consensus statement
TEST 2025-2026 EXAM WITH QUESTIONS
AND CORRECT ANSWERS GRADED A+
To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient
with swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. Correct Answer (b) Brain natriuretic
peptide test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
,(d) White blood cell count. Correct Answer (a) Liver function
studies.
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term
history of multiple sexual partners. The patient's physical
examination reveals abdominal tenderness with icteric sclerae
and skin. Which laboratory test confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. Correct Answer (d) Surface antigen.
For two to three months, a 78-year-old patient has not been
taking levothyroxine (Synthroid) as prescribed. The patient now
has symptoms of increasing constipation, lethargy, and
weakness. The adult-gerontology primary care nurse practitioner
anticipates that laboratory tests will show that the patient's:
(a) T4 level decreased, and TSH level increased.
,(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased. Correct
Answer (a) T4 level decreased, and TSH level increased.
A 68-year-old patient has sustained an unintended weight loss of
15 lb (6.8 kg) over the last two months but reports feeling well.
The patient's problems include depression, tobacco abuse,
obesity, and dyslipidemia. His or her medications are sertralizine
(Zoloft), simvastatin (Zocor), and famotidine (Pepcid). The adult-
gerontology primary care nurse practitioner performs which
THREE actions?
(a) Adds a probiotic.
(b) Conducts a depression screening.
(c) Decreases the dosage of the statin medication.
(d) Obtains a chest x-ray.
, (e) Orders a thyroid-stimulating hormone. Correct Answer (b)
Conducts a depression screening.
(d) Obtains a chest x-ray.
(e) Orders a thyroid-stimulating hormone.
Preparing to implement an incontinence reduction program at a
nursing home, the adult-gerontology primary care nurse
practitioner reviews several studies. Place the studies in
sequential order of the strength of evidence for this population
from strongest to weakest.
(a) A case report of an experimental incontinence reduction
program in older adults.
(b) A consensus statement from the urologic association
regarding the use of scheduled toileting.
(c) A systematic review of nonrandomized trials concerning the
use of vaginal estrogen. Correct Answer Strongest evidence: (c) a
systematic review
...then: (b) a consensus statement
