ANCC Practice Questions
A 14-12 months-vintage, male patient has some wellknown issues about eczema, as his
dual brother was these days identified with this situation. The affected person reviews
urticaria and a rash on his posterior knees bilaterally. The 3 factors that put the patient at
hazard for eczema are a circle of relatives records of eczema, a non-public records of
allergic rhinitis, and a records of:
(a) bronchial asthma
(b) bee hypersensitive reaction
(c) otitis media
(d) psoriasis - ANS-(a) bronchial asthma
A 15-12 months-vintage patient with kind 1 diabetes mellitus reports elevated blood glucose
ranges inside the morning. An adult-gerontology acute care nurse practitioner determines
that the affected person's hyperglycemia is because of the sunrise phenomenon and:
(a) increases the insulin dosage at mattress time.
(b) reduces the insulin dosage at mattress time.
(c) tests the blood glucose stage at three:00 AM each morning.
(d) exams the blood glucose stage in the evening. - ANS-(a) will increase the insulin dosage
at bed time.
A 16-12 months-vintage affected person has been recognized with mononucleosis and has a
fine throat culture for group Alpha-hemolytic streptococcal contamination. The remedy of
desire for this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - ANS-(c) erythromycin (E-Mycin).
A 19-12 months-old male patient arrives on the emergency department exhibiting signs of
lower belly pain that radiates to the groin, and that the patient charges as an 8 on a scale of
1 to ten. That patient states that the pain came on , whilst he became gambling football with
friends. The affected person's bodily exam well-knownshows positive bowel sounds in all
quadrants; a tender, non-tender stomach; no rebounding and no guarding; and no palpable
mass in the stomach or groin. Examination of the patient's genitalia famous a unilateral
,cremasteric reflex. What is the grownup-gerontology acute care nurse practitioner's main
differential prognosis, based at the patient's presentation?
(a) Appendicitis
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion - ANS-(d) Testicular torsion
A 21-12 months-antique affected person is admitted to the in depth care unit with a
excessive closed head harm. The affected person's own family is turning into louder and
more insistent about seeing the affected person. To establish a healing courting with the
circle of relatives, an acute care nurse practitioner's initial movement is to:
(a) acknowledge the family's anxiety.
(b) set up for a assembly with a social worker.
(c) escort the circle of relatives to a conference room.
(d) lightly direct the family to maintain composure. - ANS-(a) acknowledge the own family's
tension.
A 24-year-vintage male patient with a closed head damage has been intubated for 12 days.
The patient's mother and father have again and again refused consent for a tracheostomy
and long-time period care placement. On more than one occasions, the medical professional
has discussed the dangers and benefits of the surgical treatment with them. Addressing the
mother and father, the acute care nurse practitioner states:
(a) "I understand you have reservations approximately the location of a tracheostomy."
(b) "Please understand that not many sufferers die whilst undergoing a tracheostomy."
(c) "Without a tracheostomy, we can not transfer your son to any other facility."
(d) "You know, your son will die if a tracheostomy isn't located." - ANS-(a) "I recognize you've
got reservations approximately the location of a tracheostomy."
A 30-12 months-vintage, female patient has a -week history of nausea, vomiting, reduced
weight, abdominal ache, and an extended-term records of a couple of sexual companions.
The patient's bodily exam well-knownshows stomach tenderness with icteric sclerae and
skin. Which laboratory check confirms lively hepatitis B?
(a) Antibody.
(b) Enzyme-connected immunosorbent assay.
(c) Immune globulin G.
, (d) Surface antigen. - ANS-(d) Surface antigen.
A 32-12 months-old patient who underwent an open splenectomy for a ruptured spleen, is
getting ready for discharge. An adult-gerontology acute care nurse practitioner critiques the
potential complications with the affected person. The nurse practitioner emphasizes which
coaching to the affected person?
(a) Continue antibiotics for 14 days
(b) Follow up with primary care provider for vaccinations
(c) No global travel for five years
(d) No weight lifting restrictions - ANS-(b) Follow up with number one care company for
vaccinations
A 34-year-antique truck driver reviews a sharp pain within the lower back that worsens with
ambulation. The signs and symptoms started after a strenuous three-day using ride. During
an exam, the affected person has problem walking on the heels and indicates weak spot in
the extensors of the huge ft. The initial differential prognosis is:
(a) compression fracture.
(b) L-1 root irritation.
(c) L-five root infection.
(d) ruptured disc. - ANS-(c) L-five root irritation.
A 38-yr-antique patient who's Vietnamese tells the own family nurse practitioner that his or
her determine died in his or her 40s from liver most cancers. The nurse practitioner
assesses that the affected person is at danger for:
(a) hepatitis B.
(b) malaria.
(c) tularemia.
(d) tyrosinemia. - ANS-(a) hepatitis B.
A forty-yr-vintage patient has had a generalized, nonpruritic pores and skin eruption with
intermittent exacerbations during the last 10 years. Currently, a well-circumscribed
erythematous plaque appears over the affected person's left gluteal fold region. The lesion is
blanketed with scales and has some fissuring. The family nurse practitioner makes a
prognosis of:
(a) atopic dermatitis.
(b) ichthyosis.
(c) psoriasis.
(d) tinea corporis. - ANS-(c) psoriasis.
A forty two-12 months-antique affected person with epistaxis, dilated students, tachycardia,
and mild euphoria indicates symptoms associated with the usage of:
A 14-12 months-vintage, male patient has some wellknown issues about eczema, as his
dual brother was these days identified with this situation. The affected person reviews
urticaria and a rash on his posterior knees bilaterally. The 3 factors that put the patient at
hazard for eczema are a circle of relatives records of eczema, a non-public records of
allergic rhinitis, and a records of:
(a) bronchial asthma
(b) bee hypersensitive reaction
(c) otitis media
(d) psoriasis - ANS-(a) bronchial asthma
A 15-12 months-vintage patient with kind 1 diabetes mellitus reports elevated blood glucose
ranges inside the morning. An adult-gerontology acute care nurse practitioner determines
that the affected person's hyperglycemia is because of the sunrise phenomenon and:
(a) increases the insulin dosage at mattress time.
(b) reduces the insulin dosage at mattress time.
(c) tests the blood glucose stage at three:00 AM each morning.
(d) exams the blood glucose stage in the evening. - ANS-(a) will increase the insulin dosage
at bed time.
A 16-12 months-vintage affected person has been recognized with mononucleosis and has a
fine throat culture for group Alpha-hemolytic streptococcal contamination. The remedy of
desire for this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - ANS-(c) erythromycin (E-Mycin).
A 19-12 months-old male patient arrives on the emergency department exhibiting signs of
lower belly pain that radiates to the groin, and that the patient charges as an 8 on a scale of
1 to ten. That patient states that the pain came on , whilst he became gambling football with
friends. The affected person's bodily exam well-knownshows positive bowel sounds in all
quadrants; a tender, non-tender stomach; no rebounding and no guarding; and no palpable
mass in the stomach or groin. Examination of the patient's genitalia famous a unilateral
,cremasteric reflex. What is the grownup-gerontology acute care nurse practitioner's main
differential prognosis, based at the patient's presentation?
(a) Appendicitis
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion - ANS-(d) Testicular torsion
A 21-12 months-antique affected person is admitted to the in depth care unit with a
excessive closed head harm. The affected person's own family is turning into louder and
more insistent about seeing the affected person. To establish a healing courting with the
circle of relatives, an acute care nurse practitioner's initial movement is to:
(a) acknowledge the family's anxiety.
(b) set up for a assembly with a social worker.
(c) escort the circle of relatives to a conference room.
(d) lightly direct the family to maintain composure. - ANS-(a) acknowledge the own family's
tension.
A 24-year-vintage male patient with a closed head damage has been intubated for 12 days.
The patient's mother and father have again and again refused consent for a tracheostomy
and long-time period care placement. On more than one occasions, the medical professional
has discussed the dangers and benefits of the surgical treatment with them. Addressing the
mother and father, the acute care nurse practitioner states:
(a) "I understand you have reservations approximately the location of a tracheostomy."
(b) "Please understand that not many sufferers die whilst undergoing a tracheostomy."
(c) "Without a tracheostomy, we can not transfer your son to any other facility."
(d) "You know, your son will die if a tracheostomy isn't located." - ANS-(a) "I recognize you've
got reservations approximately the location of a tracheostomy."
A 30-12 months-vintage, female patient has a -week history of nausea, vomiting, reduced
weight, abdominal ache, and an extended-term records of a couple of sexual companions.
The patient's bodily exam well-knownshows stomach tenderness with icteric sclerae and
skin. Which laboratory check confirms lively hepatitis B?
(a) Antibody.
(b) Enzyme-connected immunosorbent assay.
(c) Immune globulin G.
, (d) Surface antigen. - ANS-(d) Surface antigen.
A 32-12 months-old patient who underwent an open splenectomy for a ruptured spleen, is
getting ready for discharge. An adult-gerontology acute care nurse practitioner critiques the
potential complications with the affected person. The nurse practitioner emphasizes which
coaching to the affected person?
(a) Continue antibiotics for 14 days
(b) Follow up with primary care provider for vaccinations
(c) No global travel for five years
(d) No weight lifting restrictions - ANS-(b) Follow up with number one care company for
vaccinations
A 34-year-antique truck driver reviews a sharp pain within the lower back that worsens with
ambulation. The signs and symptoms started after a strenuous three-day using ride. During
an exam, the affected person has problem walking on the heels and indicates weak spot in
the extensors of the huge ft. The initial differential prognosis is:
(a) compression fracture.
(b) L-1 root irritation.
(c) L-five root infection.
(d) ruptured disc. - ANS-(c) L-five root irritation.
A 38-yr-antique patient who's Vietnamese tells the own family nurse practitioner that his or
her determine died in his or her 40s from liver most cancers. The nurse practitioner
assesses that the affected person is at danger for:
(a) hepatitis B.
(b) malaria.
(c) tularemia.
(d) tyrosinemia. - ANS-(a) hepatitis B.
A forty-yr-vintage patient has had a generalized, nonpruritic pores and skin eruption with
intermittent exacerbations during the last 10 years. Currently, a well-circumscribed
erythematous plaque appears over the affected person's left gluteal fold region. The lesion is
blanketed with scales and has some fissuring. The family nurse practitioner makes a
prognosis of:
(a) atopic dermatitis.
(b) ichthyosis.
(c) psoriasis.
(d) tinea corporis. - ANS-(c) psoriasis.
A forty two-12 months-antique affected person with epistaxis, dilated students, tachycardia,
and mild euphoria indicates symptoms associated with the usage of:
