ANCC Domain 1-5 Exam Actual
Questions and Answers 2026
A newly graduated nurse practitioner (NP) wants to open a private
psychiatric practice in her hometown. She wants to find out about
the laws that cover her responsibility and the legal liability that this
practice will encounter for her as an independent psychiatric nurse
practitioner. Her best source of information is:
A. The State Statues on Nursing or Advanced Nursing Practice
B. Her city statutes
C. Local Psychiatric Nurse Practitioners in practice
D. The American Academy of Nurse practitioners -
correct answer ✅A. The State Statues on Nursing or Advanced
Nursing Practice
Which of the following best depicts the Psychiatric-Mental Health
Nurse Practitioner in a grassroots mental health advocacy role?
A. Attending a town hall meeting to seek timely police response to
rising domestic violence crisis calls.
B. Working on the campaign of an individual running for the state
senate.
C. Assisting with depression screening at a health fair in a local
shopping mall
D. Meeting states legislators during RN lobbying day organized by
the state nurses' association -
,ANCC Domain 1-5 Exam Actual
Questions and Answers 2026
correct answer ✅A. Attending a town hall meeting to seek timely
police response to rising domestic violence crisis calls.
During a medication follow-up appointment at student mental
health clinic, a 20 y/o college sophomore with depression and
history of binge drinking disclosed that she has been struggling with
recurrent intrusive thoughts of overdose. She recently broke up
with her boyfriend when she learned that he was sleeping with her
closest girlfriend. She admits taking a handful of her sertraline
prescribed by the Psychiatric-mental Health Nurse Practitioner last
weekend and was frustrated that it only made her sleep for a day.
She's angry and ambivalent about the future, unwilling to make any
promise not to harm herself, and has made veiled threats to "pay
back both of them for cheating" (referring to her ex-boyfriend and
girlfriend). What is the most appropriate intervention at this
juncture?
A. Counsel the student that she would regret hurting herself and
can move beyond this broken relationship
B. Ask the student to promise -
correct answer ✅D. Ask the student if she will agree to voluntary
admission and arrange involuntary admission is necessary
,ANCC Domain 1-5 Exam Actual
Questions and Answers 2026
Per the Health Insurance Portability and Accountability Act (HIPAA),
a nurse practitioner (NP) who is in an independent, single
practitioner practice is considered a "Covered Entity" because:
A. Writers information and generates protected health information
B. The NP transmits protected health information in electronic
forms
C. May accidentally release protected health information
D. Maintains charts with patient information that contains
protected health information -
correct answer ✅B. The NP transmits protected health
information in electronic forms
The Nurse Practitioner (NP) attends a local meeting where
allocation of resources for healthcare will be discussed. One of the
stakeholders has a pamphlet that describes the types of healthcare
providers available to help persons in need of health care. The NP
notices that Nurse Practitioners are labeled as "Paraprofessionals".
In the meeting, the NP askes the organization responsible for the
pamphlet why they have identified the Nurse Practitioners as
paraprofessionals when a Nurse Practitioner is by law working as
85-90% of the same capacity as a Medical Doctor. The NP goes on
to explain what a Nurse Practitioner does in various areas of
practice. This is an example of:
, ANCC Domain 1-5 Exam Actual
Questions and Answers 2026
A. Promoting nurse practitioners in the community
B. Public education on the NP scope and standards of practice
C. Correcting misinformation that deliberately misleads the public
D. Advocating for the role and value of the Nurse Practitioner. -
correct answer ✅D. Advocating for the role and value of the Nurse
Practitioner.
Your patient wants to communicate with you through email. You
have a secure email account that is encrypted and will protect
health information as required by the Health Insurance Portability
and Accountability Act (HIPAA). Your patient does not have an
encrypted email account. You reply is:
A. I do not like to communicate through email I would prefer to talk
to you in person or over the telephone only
B. I can encrypt our email communications to be sure that your
protected health information (PHI) is unavailable to others and
protect you
C. I have no problems with you communicating with me through my
personal email
D. In order to communicate back and forth, you will have to find a
way to encrypt you're protected health information (PHI) -
correct answer ✅D. In order to communicate back and forth, you
Questions and Answers 2026
A newly graduated nurse practitioner (NP) wants to open a private
psychiatric practice in her hometown. She wants to find out about
the laws that cover her responsibility and the legal liability that this
practice will encounter for her as an independent psychiatric nurse
practitioner. Her best source of information is:
A. The State Statues on Nursing or Advanced Nursing Practice
B. Her city statutes
C. Local Psychiatric Nurse Practitioners in practice
D. The American Academy of Nurse practitioners -
correct answer ✅A. The State Statues on Nursing or Advanced
Nursing Practice
Which of the following best depicts the Psychiatric-Mental Health
Nurse Practitioner in a grassroots mental health advocacy role?
A. Attending a town hall meeting to seek timely police response to
rising domestic violence crisis calls.
B. Working on the campaign of an individual running for the state
senate.
C. Assisting with depression screening at a health fair in a local
shopping mall
D. Meeting states legislators during RN lobbying day organized by
the state nurses' association -
,ANCC Domain 1-5 Exam Actual
Questions and Answers 2026
correct answer ✅A. Attending a town hall meeting to seek timely
police response to rising domestic violence crisis calls.
During a medication follow-up appointment at student mental
health clinic, a 20 y/o college sophomore with depression and
history of binge drinking disclosed that she has been struggling with
recurrent intrusive thoughts of overdose. She recently broke up
with her boyfriend when she learned that he was sleeping with her
closest girlfriend. She admits taking a handful of her sertraline
prescribed by the Psychiatric-mental Health Nurse Practitioner last
weekend and was frustrated that it only made her sleep for a day.
She's angry and ambivalent about the future, unwilling to make any
promise not to harm herself, and has made veiled threats to "pay
back both of them for cheating" (referring to her ex-boyfriend and
girlfriend). What is the most appropriate intervention at this
juncture?
A. Counsel the student that she would regret hurting herself and
can move beyond this broken relationship
B. Ask the student to promise -
correct answer ✅D. Ask the student if she will agree to voluntary
admission and arrange involuntary admission is necessary
,ANCC Domain 1-5 Exam Actual
Questions and Answers 2026
Per the Health Insurance Portability and Accountability Act (HIPAA),
a nurse practitioner (NP) who is in an independent, single
practitioner practice is considered a "Covered Entity" because:
A. Writers information and generates protected health information
B. The NP transmits protected health information in electronic
forms
C. May accidentally release protected health information
D. Maintains charts with patient information that contains
protected health information -
correct answer ✅B. The NP transmits protected health
information in electronic forms
The Nurse Practitioner (NP) attends a local meeting where
allocation of resources for healthcare will be discussed. One of the
stakeholders has a pamphlet that describes the types of healthcare
providers available to help persons in need of health care. The NP
notices that Nurse Practitioners are labeled as "Paraprofessionals".
In the meeting, the NP askes the organization responsible for the
pamphlet why they have identified the Nurse Practitioners as
paraprofessionals when a Nurse Practitioner is by law working as
85-90% of the same capacity as a Medical Doctor. The NP goes on
to explain what a Nurse Practitioner does in various areas of
practice. This is an example of:
, ANCC Domain 1-5 Exam Actual
Questions and Answers 2026
A. Promoting nurse practitioners in the community
B. Public education on the NP scope and standards of practice
C. Correcting misinformation that deliberately misleads the public
D. Advocating for the role and value of the Nurse Practitioner. -
correct answer ✅D. Advocating for the role and value of the Nurse
Practitioner.
Your patient wants to communicate with you through email. You
have a secure email account that is encrypted and will protect
health information as required by the Health Insurance Portability
and Accountability Act (HIPAA). Your patient does not have an
encrypted email account. You reply is:
A. I do not like to communicate through email I would prefer to talk
to you in person or over the telephone only
B. I can encrypt our email communications to be sure that your
protected health information (PHI) is unavailable to others and
protect you
C. I have no problems with you communicating with me through my
personal email
D. In order to communicate back and forth, you will have to find a
way to encrypt you're protected health information (PHI) -
correct answer ✅D. In order to communicate back and forth, you
