ANCC Real practice Exam With Actual
Questions,Rationales And Verified
Answers/Expert Verified For
Guaranteed Pass/Latest
Update/Download Pdf
1. Which of the following is considered a primary prevention strategy?
a. Cardiac rehabilitation
b. Screening mammogram
c. Immunizations
d. Physical therapy after stroke
Primary prevention aims to prevent disease before it occurs. Immunizations protect
against diseases before exposure.
2. Which type of research design is best suited to determine cause-and-effect
relationships?
a. Case study
b. Cohort study
c. Randomized controlled trial
d. Cross-sectional study
Randomized controlled trials (RCTs) minimize bias and are considered the gold
standard for determining causality.
3. A nurse practitioner suspects child abuse. What is the most appropriate action?
a. Speak privately with the child’s teacher
b. Confront the suspected abuser
c. Report to child protective services
d. Ask the parent for an explanation
Mandatory reporting laws require healthcare providers to report suspected abuse
to the appropriate authorities.
4. Which of the following is an example of a nonpharmacologic intervention for
hypertension?
a. Dietary sodium restriction
b. Statin therapy
, c. Beta-blocker administration
d. ACE inhibitor initiation
Lifestyle modifications, such as sodium restriction, are recommended for
hypertension management before or alongside medications.
5. In motivational interviewing, which statement is most appropriate?
a. "You must stop smoking immediately."
b. "Smoking is bad for you."
c. "What are your thoughts about quitting smoking?"
d. "You need to cut down on cigarettes."
Motivational interviewing uses open-ended, nonjudgmental questions to promote
patient engagement in behavior change.
6. Which ethical principle emphasizes the duty to do good for the patient?
a. Autonomy
b. Justice
c. Beneficence
d. Nonmaleficence
Beneficence involves actions that promote the well-being and best interests of
patients.
7. A patient presents with polyuria, polydipsia, and unexplained weight loss. The next
best step is to order:
a. HbA1c only
b. Fasting plasma glucose
c. Chest X-ray
d. Renal ultrasound
Fasting plasma glucose is a recommended initial test for suspected diabetes
mellitus.
8. Which statement best reflects cultural competence?
a. Treating all patients exactly the same
b. Avoiding discussions about cultural beliefs
c. Incorporating patients’ cultural practices into care plans
d. Focusing solely on medical needs
Cultural competence involves respecting and integrating patients’ cultural values
into healthcare delivery.
9. Which screening is recommended annually for patients with diabetes?
a. Colonoscopy
b. Dilated eye exam
c. Pap smear
, d. Hepatitis B titer
Annual dilated eye exams detect diabetic retinopathy early, preventing vision loss.
10. The most appropriate intervention for a patient with a BMI of 33 is:
a. Lifestyle counseling on diet and exercise
b. Weight loss surgery immediately
c. Initiate high-calorie diet
d. Avoid physical activity to prevent injury
First-line management for obesity includes lifestyle modification to reduce weight
and improve health.
11. Which vaccine is contraindicated in pregnancy?
a. Influenza (inactivated)
b. Tdap
c. MMR
d. Hepatitis B
MMR is a live attenuated vaccine and is contraindicated during pregnancy due to
potential teratogenic effects.
12. Which of the following is an example of secondary prevention?
a. Immunization against HPV
b. Mammogram for breast cancer screening
c. Physical therapy for stroke
d. Seatbelt use
Secondary prevention aims to detect disease early and reduce its impact, such as
through screening.
13. A 72-year-old patient reports new onset of confusion. Which lab test should be
ordered first?
a. ESR
b. Urinalysis
c. TSH
d. EEG
Urinary tract infection is a common cause of acute confusion in older adults, and
urinalysis is a quick initial test.
14. Which of the following medications is most appropriate for initial treatment of
osteoporosis?
a. Bisphosphonates
b. Loop diuretics
c. Calcium channel blockers
d. NSAIDs
Questions,Rationales And Verified
Answers/Expert Verified For
Guaranteed Pass/Latest
Update/Download Pdf
1. Which of the following is considered a primary prevention strategy?
a. Cardiac rehabilitation
b. Screening mammogram
c. Immunizations
d. Physical therapy after stroke
Primary prevention aims to prevent disease before it occurs. Immunizations protect
against diseases before exposure.
2. Which type of research design is best suited to determine cause-and-effect
relationships?
a. Case study
b. Cohort study
c. Randomized controlled trial
d. Cross-sectional study
Randomized controlled trials (RCTs) minimize bias and are considered the gold
standard for determining causality.
3. A nurse practitioner suspects child abuse. What is the most appropriate action?
a. Speak privately with the child’s teacher
b. Confront the suspected abuser
c. Report to child protective services
d. Ask the parent for an explanation
Mandatory reporting laws require healthcare providers to report suspected abuse
to the appropriate authorities.
4. Which of the following is an example of a nonpharmacologic intervention for
hypertension?
a. Dietary sodium restriction
b. Statin therapy
, c. Beta-blocker administration
d. ACE inhibitor initiation
Lifestyle modifications, such as sodium restriction, are recommended for
hypertension management before or alongside medications.
5. In motivational interviewing, which statement is most appropriate?
a. "You must stop smoking immediately."
b. "Smoking is bad for you."
c. "What are your thoughts about quitting smoking?"
d. "You need to cut down on cigarettes."
Motivational interviewing uses open-ended, nonjudgmental questions to promote
patient engagement in behavior change.
6. Which ethical principle emphasizes the duty to do good for the patient?
a. Autonomy
b. Justice
c. Beneficence
d. Nonmaleficence
Beneficence involves actions that promote the well-being and best interests of
patients.
7. A patient presents with polyuria, polydipsia, and unexplained weight loss. The next
best step is to order:
a. HbA1c only
b. Fasting plasma glucose
c. Chest X-ray
d. Renal ultrasound
Fasting plasma glucose is a recommended initial test for suspected diabetes
mellitus.
8. Which statement best reflects cultural competence?
a. Treating all patients exactly the same
b. Avoiding discussions about cultural beliefs
c. Incorporating patients’ cultural practices into care plans
d. Focusing solely on medical needs
Cultural competence involves respecting and integrating patients’ cultural values
into healthcare delivery.
9. Which screening is recommended annually for patients with diabetes?
a. Colonoscopy
b. Dilated eye exam
c. Pap smear
, d. Hepatitis B titer
Annual dilated eye exams detect diabetic retinopathy early, preventing vision loss.
10. The most appropriate intervention for a patient with a BMI of 33 is:
a. Lifestyle counseling on diet and exercise
b. Weight loss surgery immediately
c. Initiate high-calorie diet
d. Avoid physical activity to prevent injury
First-line management for obesity includes lifestyle modification to reduce weight
and improve health.
11. Which vaccine is contraindicated in pregnancy?
a. Influenza (inactivated)
b. Tdap
c. MMR
d. Hepatitis B
MMR is a live attenuated vaccine and is contraindicated during pregnancy due to
potential teratogenic effects.
12. Which of the following is an example of secondary prevention?
a. Immunization against HPV
b. Mammogram for breast cancer screening
c. Physical therapy for stroke
d. Seatbelt use
Secondary prevention aims to detect disease early and reduce its impact, such as
through screening.
13. A 72-year-old patient reports new onset of confusion. Which lab test should be
ordered first?
a. ESR
b. Urinalysis
c. TSH
d. EEG
Urinary tract infection is a common cause of acute confusion in older adults, and
urinalysis is a quick initial test.
14. Which of the following medications is most appropriate for initial treatment of
osteoporosis?
a. Bisphosphonates
b. Loop diuretics
c. Calcium channel blockers
d. NSAIDs
