ANCC Practice Questions – Adult-Gerontology, Primary
Care & Nurse Practitioner Exam Prep
Description:
This document includes ANCC practice questions with answers, focusing on adult-
gerontology, primary care, and nurse practitioner scenarios. It reviews conditions such as
anemia, thyroid disorders, heart failure, and infectious diseases. Verified and updated, it
provides realistic exam preparation for nursing students.
In the early stages of iron deficient anemias, blood studies show: (a) macrocytic
normochromic (b) microcytic hypochromic (c) normochromic normocytic (d) pancytopenic
hypocytic - answer✔✔(a) normochromic normocytic A 14-year-old, male patient has
some general concerns about eczema, as his twin brother was recently diagnosed with this
condition. The patient reports urticaria and a rash on his posterior knees bilaterally. The
three factors that put the patient at risk for eczema are a family history of eczema, a
personal history of allergic rhinitis, and a history of: (a) asthma (b) bee allergy (c) otitis
media (d) psoriasis - answer✔✔(a) asthma A patient has hyperactive reflexes of the lower
extremities. The adult-gerontology primary care nurse practitioner assesses for ankle clonus
by: (a) firmly applying a low-pitched tuning fork to the lateral malleolus. (b) flexing the leg at
the knee, rotating it externally, and striking the Achilles tendon with the percussion
hammer. (c) sharply dorsiflexing the foot and maintaining this position while supporting the
,knee. (d) stroking the lateral aspect of the sole from the heel to the ball of the foot with the
sharp end of the percussion hammer. - answer✔✔(c) sharply dorsiflexing the foot and
maintaining this position while supporting the knee. A 70-year-old, female patient is having
her yearly evaluation. The adult-gerontology primary care nurse practitioner gives which
physical examination finding the highest priority for immediate treatment? (a) Atrophy of
vaginal rugae. (b) Cystocele present. (c) Palpable ovary. (d) Pessary in place. -
answer✔✔(c) Palpable ovary. The adult-gerontology primary care nurse practitioner
reminds a 16-year-old, male patient who just received his driver's license to wear a seat belt
at all times when in a car. The patient replies that he does not need to wear a seat belt,
because nothing will happen to him if he is involved in an automobile collision. According to
the health belief model, what chief component does the patient lack? (a) Enabling factors.
(b) Motivation. (c) Perceived role conflict. (d) Perceived severity. - answer✔✔(d)
Perceived severity. The adult-gerontology primary care nurse practitioner treats several
patients for biological exposure. In the patients' records, the nurse practitioner documents
which epidemiological factors for each exposure? (a) Comorbidities and length of exposure.
(b) Location and event intensity. (c) Mode of transmission and incubation. (d) Premorbid
conditions and surveillance rates. - answer✔✔(c) Mode of transmission and incubation.
When disseminating research findings in a peer-reviewed journal, the adult-gerontology
primary care nurse practitioner: (a) concludes that the study proves the hypothesis. (b)
excludes the discussion section, because the conclusion contains this information. (c)
recommends incorporating the results directly into clinical practice. (d) uses the
methodology section to support the validity of the study. - answer✔✔(d) uses the
methodology section to support the validity of the study. A patient's adult child telephones
, the adult-gerontology primary care nurse practitioner to inquire about the patient's illness.
The patient's child reports that the parent relies upon the child to explain everything to him
or her. The nurse practitioner: (a) asks the child to provide a copy of the patient's advance
directive document. (b) assures the child that the nurse practitioner can disclose requested
information. (c) informs the child that he or she must come to the clinic to discuss the
parent's case. (d) tells the child that the nurse practitioner can discuss the information only
with the patient. - answer✔✔(d) tells the child that the nurse practitioner can discuss the
information only with the patient. The adult-gerontology primary care nurse practitioner is
appointed to a hospital's multidisciplinary medical ethics review committee. The nurse
practitioner's role is to: (a) evaluate standards, risks, benefits, and outcomes. (b) identify
how to anticipate and resolve similar future situations. (c) investigate the need for
disciplinary action. (d) obtain agreement of all parties with a chosen solution. -
answer✔✔(a) evaluate standards, risks, benefits, and outcomes. To improve the quality
of clinical practice, the adult-gerontology primary care nurse practitioner: (a) charges a fee
for patients who arrive late to clinic appointments. (b) disseminates research study results
to colleagues. (c) expresses opinions about alternative therapies with patients who consider
such treatments. (d) schedules time during clinic hours to meet with pharmaceutical
representatives. - answer✔✔(b) disseminates research study results to colleagues. One
effect of using electronic health record applications, such as telemedicine and portable
monitoring systems, has been to: (a) create stand-alone clinics. (b) decrease billable visits.
(c) increase risks to patients. (d) open access to care. - answer✔✔(d) open access to care.
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient with
cognitive deficits, who is unaccompanied by the adult child who typically is present. The
Care & Nurse Practitioner Exam Prep
Description:
This document includes ANCC practice questions with answers, focusing on adult-
gerontology, primary care, and nurse practitioner scenarios. It reviews conditions such as
anemia, thyroid disorders, heart failure, and infectious diseases. Verified and updated, it
provides realistic exam preparation for nursing students.
In the early stages of iron deficient anemias, blood studies show: (a) macrocytic
normochromic (b) microcytic hypochromic (c) normochromic normocytic (d) pancytopenic
hypocytic - answer✔✔(a) normochromic normocytic A 14-year-old, male patient has
some general concerns about eczema, as his twin brother was recently diagnosed with this
condition. The patient reports urticaria and a rash on his posterior knees bilaterally. The
three factors that put the patient at risk for eczema are a family history of eczema, a
personal history of allergic rhinitis, and a history of: (a) asthma (b) bee allergy (c) otitis
media (d) psoriasis - answer✔✔(a) asthma A patient has hyperactive reflexes of the lower
extremities. The adult-gerontology primary care nurse practitioner assesses for ankle clonus
by: (a) firmly applying a low-pitched tuning fork to the lateral malleolus. (b) flexing the leg at
the knee, rotating it externally, and striking the Achilles tendon with the percussion
hammer. (c) sharply dorsiflexing the foot and maintaining this position while supporting the
,knee. (d) stroking the lateral aspect of the sole from the heel to the ball of the foot with the
sharp end of the percussion hammer. - answer✔✔(c) sharply dorsiflexing the foot and
maintaining this position while supporting the knee. A 70-year-old, female patient is having
her yearly evaluation. The adult-gerontology primary care nurse practitioner gives which
physical examination finding the highest priority for immediate treatment? (a) Atrophy of
vaginal rugae. (b) Cystocele present. (c) Palpable ovary. (d) Pessary in place. -
answer✔✔(c) Palpable ovary. The adult-gerontology primary care nurse practitioner
reminds a 16-year-old, male patient who just received his driver's license to wear a seat belt
at all times when in a car. The patient replies that he does not need to wear a seat belt,
because nothing will happen to him if he is involved in an automobile collision. According to
the health belief model, what chief component does the patient lack? (a) Enabling factors.
(b) Motivation. (c) Perceived role conflict. (d) Perceived severity. - answer✔✔(d)
Perceived severity. The adult-gerontology primary care nurse practitioner treats several
patients for biological exposure. In the patients' records, the nurse practitioner documents
which epidemiological factors for each exposure? (a) Comorbidities and length of exposure.
(b) Location and event intensity. (c) Mode of transmission and incubation. (d) Premorbid
conditions and surveillance rates. - answer✔✔(c) Mode of transmission and incubation.
When disseminating research findings in a peer-reviewed journal, the adult-gerontology
primary care nurse practitioner: (a) concludes that the study proves the hypothesis. (b)
excludes the discussion section, because the conclusion contains this information. (c)
recommends incorporating the results directly into clinical practice. (d) uses the
methodology section to support the validity of the study. - answer✔✔(d) uses the
methodology section to support the validity of the study. A patient's adult child telephones
, the adult-gerontology primary care nurse practitioner to inquire about the patient's illness.
The patient's child reports that the parent relies upon the child to explain everything to him
or her. The nurse practitioner: (a) asks the child to provide a copy of the patient's advance
directive document. (b) assures the child that the nurse practitioner can disclose requested
information. (c) informs the child that he or she must come to the clinic to discuss the
parent's case. (d) tells the child that the nurse practitioner can discuss the information only
with the patient. - answer✔✔(d) tells the child that the nurse practitioner can discuss the
information only with the patient. The adult-gerontology primary care nurse practitioner is
appointed to a hospital's multidisciplinary medical ethics review committee. The nurse
practitioner's role is to: (a) evaluate standards, risks, benefits, and outcomes. (b) identify
how to anticipate and resolve similar future situations. (c) investigate the need for
disciplinary action. (d) obtain agreement of all parties with a chosen solution. -
answer✔✔(a) evaluate standards, risks, benefits, and outcomes. To improve the quality
of clinical practice, the adult-gerontology primary care nurse practitioner: (a) charges a fee
for patients who arrive late to clinic appointments. (b) disseminates research study results
to colleagues. (c) expresses opinions about alternative therapies with patients who consider
such treatments. (d) schedules time during clinic hours to meet with pharmaceutical
representatives. - answer✔✔(b) disseminates research study results to colleagues. One
effect of using electronic health record applications, such as telemedicine and portable
monitoring systems, has been to: (a) create stand-alone clinics. (b) decrease billable visits.
(c) increase risks to patients. (d) open access to care. - answer✔✔(d) open access to care.
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient with
cognitive deficits, who is unaccompanied by the adult child who typically is present. The
