ANCC Practice Questions And
Answers GRADE A+
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
(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:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis
(a) asthma
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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.
,(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.
(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?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
(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.
(c) Perceived role conflict.
(d) Perceived severity.
(d) Perceived severity.
The adult-gerontology primary care nurse practitioner treats several
patients for biological exposure. In the patients' records, the nurse
practitioner documents which epidemiological factors for each
exposure?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.
,(c) Mode of transmission and incubation.
When disseminating research findings in a peer-reviewed journal, the
adult-gerontology primary care nurse practitioner:
(a) concludes that the study proves the hypothesis.
(b) excludes the discussion section, because the conclusion contains
this information.
(c) recommends incorporating the results directly into clinical
practice.
(d) uses the methodology section to support the validity of the study.
(d) uses the methodology section to support the validity of the study.
A patient's adult child telephones the adult-gerontology primary care
nurse practitioner to inquire about the patient's illness. The
patient's child reports that the parent relies upon the child to
explain everything to him or her. The nurse practitioner:
(a) asks the child to provide a copy of the patient's advance
directive document.
(b) assures the child that the nurse practitioner can disclose
requested information.
(c) informs the child that he or she must come to the clinic to
discuss the parent's case.
(d) tells the child that the nurse practitioner can discuss the
information only with the patient.
(d) tells the child that the nurse practitioner can discuss the
information only with the patient.
The adult-gerontology primary care nurse practitioner is appointed to
a hospital's multidisciplinary medical ethics review committee. The
nurse practitioner's role is to:
(a) evaluate standards, risks, benefits, and outcomes.
(b) identify how to anticipate and resolve similar future situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution.
(a) evaluate standards, risks, benefits, and outcomes.
, 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.
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.
Answers GRADE A+
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic
(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:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis
(a) asthma
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
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.
,(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.
(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?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
(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.
(c) Perceived role conflict.
(d) Perceived severity.
(d) Perceived severity.
The adult-gerontology primary care nurse practitioner treats several
patients for biological exposure. In the patients' records, the nurse
practitioner documents which epidemiological factors for each
exposure?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.
,(c) Mode of transmission and incubation.
When disseminating research findings in a peer-reviewed journal, the
adult-gerontology primary care nurse practitioner:
(a) concludes that the study proves the hypothesis.
(b) excludes the discussion section, because the conclusion contains
this information.
(c) recommends incorporating the results directly into clinical
practice.
(d) uses the methodology section to support the validity of the study.
(d) uses the methodology section to support the validity of the study.
A patient's adult child telephones the adult-gerontology primary care
nurse practitioner to inquire about the patient's illness. The
patient's child reports that the parent relies upon the child to
explain everything to him or her. The nurse practitioner:
(a) asks the child to provide a copy of the patient's advance
directive document.
(b) assures the child that the nurse practitioner can disclose
requested information.
(c) informs the child that he or she must come to the clinic to
discuss the parent's case.
(d) tells the child that the nurse practitioner can discuss the
information only with the patient.
(d) tells the child that the nurse practitioner can discuss the
information only with the patient.
The adult-gerontology primary care nurse practitioner is appointed to
a hospital's multidisciplinary medical ethics review committee. The
nurse practitioner's role is to:
(a) evaluate standards, risks, benefits, and outcomes.
(b) identify how to anticipate and resolve similar future situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution.
(a) evaluate standards, risks, benefits, and outcomes.
, 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.
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.
