Sample Questions From
ANCC And Correct Answers
2025-2026 GRADED A+
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 - ANS-A) A history of previous falls
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 reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - ANS-A serum folate level
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?
Medicaid
Medicare
The American Association of Retired Persons
The United States Social Security Administration - ANS-Medicaid
, 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?
Amlodipine (Norvasc)
Digoxin (Lanoxin)
Furosemide (Lasix)
Lisinopril (Zestril) - ANS-Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-
gerontology acute care nurse practitioner assesses for ankle clonus by:
C) 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.
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. - ANS-B) sharply dorsiflexing and
maintaining the foot in this position, while supporting the knee.
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. - ANS-A) increases the insulin
dosage at bed time.
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 recent echocardiogram report reveals an ejection fraction of 40%.
The adult-gerontology acute care nurse practitioner determines that:
ANCC And Correct Answers
2025-2026 GRADED A+
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 - ANS-A) A history of previous falls
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 reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - ANS-A serum folate level
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?
Medicaid
Medicare
The American Association of Retired Persons
The United States Social Security Administration - ANS-Medicaid
, 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?
Amlodipine (Norvasc)
Digoxin (Lanoxin)
Furosemide (Lasix)
Lisinopril (Zestril) - ANS-Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-
gerontology acute care nurse practitioner assesses for ankle clonus by:
C) 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.
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. - ANS-B) sharply dorsiflexing and
maintaining the foot in this position, while supporting the knee.
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. - ANS-A) increases the insulin
dosage at bed time.
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 recent echocardiogram report reveals an ejection fraction of 40%.
The adult-gerontology acute care nurse practitioner determines that:
