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ANCC Review Questions 2025: Practice Test Bank for NP Certification

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Prepare for your ANCC NP certification exam in 2025. This review includes practice questions for family, adult-gerontology, psych mental health, and other advanced practice specialties.

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ANCC REVIEW QUESTIONS (PMHNP IQ) ANSWERED

UPDATED 2025

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:

,Page 2 of 189




(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.

,Page 3 of 189


(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?

, Page 4 of 189


(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.

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