ANCC Latest Practice Questions With Accurate
Answers 2026/2027 Update(Walden University)
An older adult patient complains of recent lapses in memory and decreased
alertness. The patient's laboratory test results indicate a mild, macrocytic
anemia. Which additional test does the adult gerontology acute care nurse
practitioner order to confirm a diagnosis?
(a) A reticulocyte count
(b) A serum folate level
(c) An erythrocyte sedimentation rate
(d) Iron studies
(b) A serum folate level
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.
(b) disseminates research study results to colleagues.
,The gerontological nurse practitioner notes a well demarcated, dry, rough,
tan colored area that measures 1 cm on the forearm of a retired man who
worked as a park ranger. The man says that the lesion has been present for
years. The lesion is suggestive of:
(a) actinic keratosis.
(b) keratoacanthoma.
(c) seborrheic keratosis.
(d) senile lentigo.
(a) actinic keratosis.
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.
(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 patient has urinary symptoms, for which the
nurse practitioner considers ordering sulfamethoxazole trimethoprim
(Bactrim). The patient's previous medical record is unavailable. Before
prescribing the medication, the nurse practitioner:
(a) contacts the patient's adult child.
,(b) queries the other staff members.
(c) relies on the patient's self report.
(d) waits until the patient's chart is available.
(a) contacts the patient's adult child.
The adult gerontology primary care nurse practitioner conducts a small
group class on weight management. The nurse practitioner anticipates that
the patient who may have the greatest difficulty implementing the
counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict.
(d) worried patient whose son is serving in military conflict.
The adult gerontology primary care nurse practitioner evaluates a patient
with cold symptoms who reports smoking half a pack of cigarettes a day and
shows no interest in quitting. The nurse practitioner's most appropriate
approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
, (b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette.
(a) advise the patient to stop smoking.
The adult gerontology primary care nurse practitioner plans to provide
smoking cessation education at a community center to older adults and their
families. The nurse practitioner designs the program based on knowledge
that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger
smokers.
(d) receive more instruction to quit from health care providers than younger
smokers.
(b) are more likely to be successful at quitting than younger smokers.
An 84 year old patient arrives at the office for an initial visit. The patient
questions the need for colorectal screening, since 10 years have passed
Answers 2026/2027 Update(Walden University)
An older adult patient complains of recent lapses in memory and decreased
alertness. The patient's laboratory test results indicate a mild, macrocytic
anemia. Which additional test does the adult gerontology acute care nurse
practitioner order to confirm a diagnosis?
(a) A reticulocyte count
(b) A serum folate level
(c) An erythrocyte sedimentation rate
(d) Iron studies
(b) A serum folate level
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.
(b) disseminates research study results to colleagues.
,The gerontological nurse practitioner notes a well demarcated, dry, rough,
tan colored area that measures 1 cm on the forearm of a retired man who
worked as a park ranger. The man says that the lesion has been present for
years. The lesion is suggestive of:
(a) actinic keratosis.
(b) keratoacanthoma.
(c) seborrheic keratosis.
(d) senile lentigo.
(a) actinic keratosis.
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.
(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 patient has urinary symptoms, for which the
nurse practitioner considers ordering sulfamethoxazole trimethoprim
(Bactrim). The patient's previous medical record is unavailable. Before
prescribing the medication, the nurse practitioner:
(a) contacts the patient's adult child.
,(b) queries the other staff members.
(c) relies on the patient's self report.
(d) waits until the patient's chart is available.
(a) contacts the patient's adult child.
The adult gerontology primary care nurse practitioner conducts a small
group class on weight management. The nurse practitioner anticipates that
the patient who may have the greatest difficulty implementing the
counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict.
(d) worried patient whose son is serving in military conflict.
The adult gerontology primary care nurse practitioner evaluates a patient
with cold symptoms who reports smoking half a pack of cigarettes a day and
shows no interest in quitting. The nurse practitioner's most appropriate
approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
, (b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette.
(a) advise the patient to stop smoking.
The adult gerontology primary care nurse practitioner plans to provide
smoking cessation education at a community center to older adults and their
families. The nurse practitioner designs the program based on knowledge
that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger
smokers.
(d) receive more instruction to quit from health care providers than younger
smokers.
(b) are more likely to be successful at quitting than younger smokers.
An 84 year old patient arrives at the office for an initial visit. The patient
questions the need for colorectal screening, since 10 years have passed
