ANCC certification exam Practice Exam With Real
Questions And Correct Answer/Guaranteed
Pass/Instant Download Pdf
1. Which of the following best describes evidence-based practice in nursing?
A. Using traditional methods learned in nursing school
B. Following only the preferences of the healthcare organization
C. Integrating clinical expertise with the best available research and patient values
D. Relying solely on expert opinions
Correct Answer: C
Rationale: Evidence-based practice combines clinical expertise, current research, and patient preferences
to optimize care.
2. A nurse observes a colleague administering the wrong medication. What is the first action the nurse
should take?
A. Ignore it to avoid conflict
B. Report the error immediately according to protocol
C. Wait to see if the patient shows adverse effects
D. Confront the colleague privately without documentation
Correct Answer: B
Rationale: Patient safety is the priority. Reporting errors immediately ensures timely intervention and
adherence to professional standards.
3. Which ethical principle is most relevant when obtaining informed consent from a patient?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Rationale: Autonomy refers to respecting the patient’s right to make informed decisions about their own
care.
4. A patient with hypertension is prescribed a new medication. Which outcome indicates effective
management?
A. Increased heart rate
B. Blood pressure within target range
C. Weight gain
D. Decreased appetite
,Correct Answer: B
Rationale: The primary goal of hypertension treatment is to maintain blood pressure within a target
range to prevent complications.
5. The main purpose of a root cause analysis after a sentinel event is to:
A. Punish the responsible staff
B. Identify underlying causes to prevent future occurrences
C. Replace the affected equipment
D. Inform patients about hospital policies
Correct Answer: B
Rationale: Root cause analysis focuses on systems and processes, not individuals, to improve patient
safety.
6. A patient with chronic pain reports minimal relief from prescribed opioids. The nurse should first:
A. Increase the opioid dose immediately
B. Assess for other pain sources and non-pharmacologic interventions
C. Advise the patient to tolerate the pain
D. Refer to psychiatry without further assessment
Correct Answer: B
Rationale: Proper pain management requires assessment of pain type, underlying causes, and
multimodal strategies before increasing medications.
7. Which intervention is most appropriate for a patient with acute anxiety?
A. Encourage the patient to solve all problems independently
B. Use grounding techniques and maintain a calm environment
C. Criticize avoidance behaviors
D. Administer a high dose of sedative without assessment
Correct Answer: B
Rationale: Grounding techniques and a calm environment help patients regain control during acute
anxiety episodes.
8. The nurse is educating a patient about managing type 2 diabetes. Which statement indicates
effective teaching?
A. “I can eat whatever I want as long as I exercise a lot.”
B. “I should monitor my blood glucose and follow a balanced diet.”
C. “Medication alone is enough; diet isn’t important.”
D. “Skipping meals helps me control my sugar.”
Correct Answer: B
Rationale: Effective diabetes management includes blood glucose monitoring, diet, exercise, and
adherence to prescribed medications.
, 9. A patient refuses a life-saving blood transfusion due to religious beliefs. The nurse should:
A. Respect the patient’s decision and document it
B. Convince the patient to accept treatment
C. Administer the transfusion anyway
D. Ignore the refusal and proceed with other care
Correct Answer: A
Rationale: Respecting patient autonomy and documenting decisions is essential for ethical and legal
practice.
10. Which lab value indicates that a patient with heart failure is experiencing fluid overload?
A. Hemoglobin 14 g/dL
B. BNP 950 pg/mL
C. Sodium 140 mEq/L
D. Potassium 4.0 mEq/L
Correct Answer: B
Rationale: Elevated BNP indicates increased ventricular stretch and fluid overload, common in heart
failure.
11. The primary goal of motivational interviewing in nursing is to:
A. Lecture the patient about behavior change
B. Enhance the patient’s motivation to change by exploring ambivalence
C. Force adherence to treatment plans
D. Focus only on the provider’s perspective
Correct Answer: B
Rationale: Motivational interviewing helps patients resolve ambivalence and commit to positive health
behaviors.
12. Which action demonstrates cultural competence in nursing care?
A. Ignoring cultural differences
B. Inquiring about and respecting patients’ cultural preferences
C. Assuming all patients follow Western medical practices
D. Requiring patients to adapt to hospital norms only
Correct Answer: B
Rationale: Cultural competence improves patient outcomes by respecting individual beliefs, values, and
practices.
13. Which patient is at highest risk for hospital-acquired infections?
A. A healthy adult admitted for a minor fracture
B. A patient with a central venous catheter and immunosuppression
C. A patient receiving oral antibiotics
D. A patient with seasonal allergies
Correct Answer: B
Questions And Correct Answer/Guaranteed
Pass/Instant Download Pdf
1. Which of the following best describes evidence-based practice in nursing?
A. Using traditional methods learned in nursing school
B. Following only the preferences of the healthcare organization
C. Integrating clinical expertise with the best available research and patient values
D. Relying solely on expert opinions
Correct Answer: C
Rationale: Evidence-based practice combines clinical expertise, current research, and patient preferences
to optimize care.
2. A nurse observes a colleague administering the wrong medication. What is the first action the nurse
should take?
A. Ignore it to avoid conflict
B. Report the error immediately according to protocol
C. Wait to see if the patient shows adverse effects
D. Confront the colleague privately without documentation
Correct Answer: B
Rationale: Patient safety is the priority. Reporting errors immediately ensures timely intervention and
adherence to professional standards.
3. Which ethical principle is most relevant when obtaining informed consent from a patient?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Rationale: Autonomy refers to respecting the patient’s right to make informed decisions about their own
care.
4. A patient with hypertension is prescribed a new medication. Which outcome indicates effective
management?
A. Increased heart rate
B. Blood pressure within target range
C. Weight gain
D. Decreased appetite
,Correct Answer: B
Rationale: The primary goal of hypertension treatment is to maintain blood pressure within a target
range to prevent complications.
5. The main purpose of a root cause analysis after a sentinel event is to:
A. Punish the responsible staff
B. Identify underlying causes to prevent future occurrences
C. Replace the affected equipment
D. Inform patients about hospital policies
Correct Answer: B
Rationale: Root cause analysis focuses on systems and processes, not individuals, to improve patient
safety.
6. A patient with chronic pain reports minimal relief from prescribed opioids. The nurse should first:
A. Increase the opioid dose immediately
B. Assess for other pain sources and non-pharmacologic interventions
C. Advise the patient to tolerate the pain
D. Refer to psychiatry without further assessment
Correct Answer: B
Rationale: Proper pain management requires assessment of pain type, underlying causes, and
multimodal strategies before increasing medications.
7. Which intervention is most appropriate for a patient with acute anxiety?
A. Encourage the patient to solve all problems independently
B. Use grounding techniques and maintain a calm environment
C. Criticize avoidance behaviors
D. Administer a high dose of sedative without assessment
Correct Answer: B
Rationale: Grounding techniques and a calm environment help patients regain control during acute
anxiety episodes.
8. The nurse is educating a patient about managing type 2 diabetes. Which statement indicates
effective teaching?
A. “I can eat whatever I want as long as I exercise a lot.”
B. “I should monitor my blood glucose and follow a balanced diet.”
C. “Medication alone is enough; diet isn’t important.”
D. “Skipping meals helps me control my sugar.”
Correct Answer: B
Rationale: Effective diabetes management includes blood glucose monitoring, diet, exercise, and
adherence to prescribed medications.
, 9. A patient refuses a life-saving blood transfusion due to religious beliefs. The nurse should:
A. Respect the patient’s decision and document it
B. Convince the patient to accept treatment
C. Administer the transfusion anyway
D. Ignore the refusal and proceed with other care
Correct Answer: A
Rationale: Respecting patient autonomy and documenting decisions is essential for ethical and legal
practice.
10. Which lab value indicates that a patient with heart failure is experiencing fluid overload?
A. Hemoglobin 14 g/dL
B. BNP 950 pg/mL
C. Sodium 140 mEq/L
D. Potassium 4.0 mEq/L
Correct Answer: B
Rationale: Elevated BNP indicates increased ventricular stretch and fluid overload, common in heart
failure.
11. The primary goal of motivational interviewing in nursing is to:
A. Lecture the patient about behavior change
B. Enhance the patient’s motivation to change by exploring ambivalence
C. Force adherence to treatment plans
D. Focus only on the provider’s perspective
Correct Answer: B
Rationale: Motivational interviewing helps patients resolve ambivalence and commit to positive health
behaviors.
12. Which action demonstrates cultural competence in nursing care?
A. Ignoring cultural differences
B. Inquiring about and respecting patients’ cultural preferences
C. Assuming all patients follow Western medical practices
D. Requiring patients to adapt to hospital norms only
Correct Answer: B
Rationale: Cultural competence improves patient outcomes by respecting individual beliefs, values, and
practices.
13. Which patient is at highest risk for hospital-acquired infections?
A. A healthy adult admitted for a minor fracture
B. A patient with a central venous catheter and immunosuppression
C. A patient receiving oral antibiotics
D. A patient with seasonal allergies
Correct Answer: B
