The adult-gerontology primary care nurse practitioner reminds a 16-year-old, male
ANCC Practice Questions with correct 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
Answers 2025/2026 happen to him if he is involved in an automobile collision. According to the health belief
model, what chief component does the patient lack?
In the early stages of iron deficient anemias, blood studies show:
(a) Enabling factors.
(a) macrocytic normochromic (b) Motivation.
(b) microcytic hypochromic (c) Perceived role conflict.
(c) normochromic normocytic (d) Perceived severity. - Answer- (d) Perceived severity.
(d) pancytopenic hypocytic - Answer- (a) normochromic normocytic
The adult-gerontology primary care nurse practitioner treats several patients for
A 14-year-old, male patient has some general concerns about eczema, as his twin biological exposure. In the patients' records, the nurse practitioner documents which
brother was recently diagnosed with this condition. The patient reports urticaria and a epidemiological factors for each exposure?
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 (a) Comorbidities and length of exposure.
history of:
(b) Location and event intensity.
(a) asthma
(b) bee allergy (c) Mode of transmission and incubation.
(c) otitis media
(d) psoriasis - Answer- (a) asthma (d) Premorbid conditions and surveillance rates. - Answer- (c) Mode of transmission and
incubation.
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology
primary care nurse practitioner assesses for ankle clonus by: When disseminating research findings in a peer-reviewed journal, the adult-gerontology
primary care nurse practitioner:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(a) concludes that the study proves the hypothesis.
(b) flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with
the percussion hammer. (b) excludes the discussion section, because the conclusion contains this information.
(c) sharply dorsiflexing the foot and maintaining this position while supporting the knee. (c) recommends incorporating the results directly into clinical practice.
(d) stroking the lateral aspect of the sole from the heel to the ball of the foot with the (d) uses the methodology section to support the validity of the study. - Answer- (d) uses
sharp end of the percussion hammer. - Answer- (c) sharply dorsiflexing the foot and the methodology section to support the validity of the study.
maintaining this position while supporting the knee.
A patient's adult child telephones the adult-gerontology primary care nurse practitioner
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology to inquire about the patient's illness. The patient's child reports that the parent relies
primary care nurse practitioner gives which physical examination finding the highest upon the child to explain everything to him or her. The nurse practitioner:
priority for immediate treatment?
(a) asks the child to provide a copy of the patient's advance directive document.
(a) Atrophy of vaginal rugae.
(b) Cystocele present. (b) assures the child that the nurse practitioner can disclose requested information.
(c) Palpable ovary.
(d) Pessary in place. - Answer- (c) Palpable ovary. (c) informs the child that he or she must come to the clinic to discuss the parent's case.
, (b) queries the other staff members.
(d) tells the child that the nurse practitioner can discuss the information only with the
patient. - Answer- (d) tells the child that the nurse practitioner can discuss the (c) relies on the patient's self-report.
information only with the patient.
(d) waits until the patient's chart is available. - Answer- (a) contacts the patient's adult
The adult-gerontology primary care nurse practitioner is appointed to a hospital's child.
multidisciplinary medical ethics review committee. The nurse practitioner's role is to:
The adult-gerontology primary care nurse practitioner conducts a small group class on
(a) evaluate standards, risks, benefits, and outcomes. weight management. The nurse practitioner anticipates that the patient who may have
the greatest difficulty implementing the counseling is the:
(b) identify how to anticipate and resolve similar future situations.
(a) extroverted patient raising his or her grandchildren.
(c) investigate the need for disciplinary action.
(b) introverted patient who does not speak in the group.
(d) obtain agreement of all parties with a chosen solution. - Answer- (a) evaluate
standards, risks, benefits, and outcomes. (c) personable patient who lives with his or her children.
To improve the quality of clinical practice, the adult-gerontology primary care nurse (d) worried patient whose son is serving in military conflict. - Answer- (d) worried patient
practitioner: whose son is serving in military conflict.
(a) charges a fee for patients who arrive late to clinic appointments. 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
(b) disseminates research study results to colleagues. quitting. The nurse practitioner's most appropriate approach is to treat the cold
symptoms and:
(c) expresses opinions about alternative therapies with patients who consider such
treatments. (a) advise the patient to stop smoking.
(d) schedules time during clinic hours to meet with pharmaceutical representatives. - (b) prescribe bupropion (Zyban).
Answer- (b) disseminates research study results to colleagues.
(c) raise the issue of smoking cessation at the next visit.
One effect of using electronic health record applications, such as telemedicine and
portable monitoring systems, has been to: (d) recommend that the patient select a low nicotine cigarette. - Answer- (a) advise the
patient to stop smoking.
(a) create stand-alone clinics.
(b) decrease billable visits. The adult-gerontology primary care nurse practitioner plans to provide smoking
(c) increase risks to patients. cessation education at a community center to older adults and their families. The nurse
(d) open access to care. - Answer- (d) open access to care. practitioner designs the program based on knowledge that older adult smokers:
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient (a) are likely to be optimistic about their ability to quit.
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 (b) are more likely to be successful at quitting than younger smokers.
sulfamethoxazole-trimethoprim (Bactrim). The patient's previous medical record is
unavailable. Before prescribing the medication, the nurse practitioner: (c) have a decreased risk of morbidity and mortality than do younger smokers.
(a) contacts the patient's adult child. (d) receive more instruction to quit from health care providers than younger smokers. -
Answer- (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 (b) T4 level increased, and TSH level decreased.
need for colorectal screening, since 10 years have passed since the last colonoscopy.
The adult-gerontology primary care nurse practitioner recommends: (c) T4 level increased, and TSH level is unchanged.
(a) a colonoscopy. (d) T4 level is unchanged, and TSH level decreased. - Answer- (a) T4 level decreased,
(b) a fecal DNA test. and TSH level increased.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - Answer- (d) watchful waiting. A 68-year-old patient has sustained an unintended weight loss of 15 lb (6.8 kg) over the
last two months but reports feeling well. The patient's problems include depression,
To evaluate for heart failure, which diagnostic test does the adult-gerontology primary tobacco abuse, obesity, and dyslipidemia. His or her medications are sertralizine
care nurse practitioner order for a patient with swelling in the lower extremities? (Zoloft), simvastatin (Zocor), and famotidine (Pepcid). The adult-gerontology primary
care nurse practitioner performs which THREE actions?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test. (a) Adds a probiotic.
(c) D-dimer assay.
(d) Spirometry study. - Answer- (b) Brain natriuretic peptide test. (b) Conducts a depression screening.
Before placing a patient with onychomycosis on a pulsed dose of itraconazole (c) Decreases the dosage of the statin medication.
(Sporanox), which laboratory values does the adult-gerontology primary care nurse
practitioner obtain? (d) Obtains a chest x-ray.
(a) Liver function studies. (e) Orders a thyroid-stimulating hormone. - Answer- (b) Conducts a depression
(b) Platelet count. screening.
(c) Renal function studies.
(d) White blood cell count. - Answer- (a) Liver function studies. (d) Obtains a chest x-ray.
A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased (e) Orders a thyroid-stimulating hormone.
weight, abdominal pain, and a long-term history of multiple sexual partners. The
patient's physical examination reveals abdominal tenderness with icteric sclerae and Preparing to implement an incontinence reduction program at a nursing home, the
skin. Which laboratory test confirms active hepatitis B? adult-gerontology primary care nurse practitioner reviews several studies. Place the
studies in sequential order of the strength of evidence for this population from strongest
(a) Antibody. to weakest.
(b) Enzyme-linked immunosorbent assay. (a) A case report of an experimental incontinence reduction program in older adults.
(c) Immune globulin G. (b) A consensus statement from the urologic association regarding the use of scheduled
toileting.
(d) Surface antigen. - Answer- (d) Surface antigen.
(c) A systematic review of nonrandomized trials concerning the use of vaginal estrogen.
For two to three months, a 78-year-old patient has not been taking levothyroxine - Answer- Strongest evidence: (c) a systematic review
(Synthroid) as prescribed. The patient now has symptoms of increasing constipation,
lethargy, and weakness. The adult-gerontology primary care nurse practitioner ...then: (b) a consensus statement
anticipates that laboratory tests will show that the patient's:
Weakest evidence: (a) a case report
(a) T4 level decreased, and TSH level increased.
ANCC Practice Questions with correct 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
Answers 2025/2026 happen to him if he is involved in an automobile collision. According to the health belief
model, what chief component does the patient lack?
In the early stages of iron deficient anemias, blood studies show:
(a) Enabling factors.
(a) macrocytic normochromic (b) Motivation.
(b) microcytic hypochromic (c) Perceived role conflict.
(c) normochromic normocytic (d) Perceived severity. - Answer- (d) Perceived severity.
(d) pancytopenic hypocytic - Answer- (a) normochromic normocytic
The adult-gerontology primary care nurse practitioner treats several patients for
A 14-year-old, male patient has some general concerns about eczema, as his twin biological exposure. In the patients' records, the nurse practitioner documents which
brother was recently diagnosed with this condition. The patient reports urticaria and a epidemiological factors for each exposure?
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 (a) Comorbidities and length of exposure.
history of:
(b) Location and event intensity.
(a) asthma
(b) bee allergy (c) Mode of transmission and incubation.
(c) otitis media
(d) psoriasis - Answer- (a) asthma (d) Premorbid conditions and surveillance rates. - Answer- (c) Mode of transmission and
incubation.
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology
primary care nurse practitioner assesses for ankle clonus by: When disseminating research findings in a peer-reviewed journal, the adult-gerontology
primary care nurse practitioner:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(a) concludes that the study proves the hypothesis.
(b) flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with
the percussion hammer. (b) excludes the discussion section, because the conclusion contains this information.
(c) sharply dorsiflexing the foot and maintaining this position while supporting the knee. (c) recommends incorporating the results directly into clinical practice.
(d) stroking the lateral aspect of the sole from the heel to the ball of the foot with the (d) uses the methodology section to support the validity of the study. - Answer- (d) uses
sharp end of the percussion hammer. - Answer- (c) sharply dorsiflexing the foot and the methodology section to support the validity of the study.
maintaining this position while supporting the knee.
A patient's adult child telephones the adult-gerontology primary care nurse practitioner
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology to inquire about the patient's illness. The patient's child reports that the parent relies
primary care nurse practitioner gives which physical examination finding the highest upon the child to explain everything to him or her. The nurse practitioner:
priority for immediate treatment?
(a) asks the child to provide a copy of the patient's advance directive document.
(a) Atrophy of vaginal rugae.
(b) Cystocele present. (b) assures the child that the nurse practitioner can disclose requested information.
(c) Palpable ovary.
(d) Pessary in place. - Answer- (c) Palpable ovary. (c) informs the child that he or she must come to the clinic to discuss the parent's case.
, (b) queries the other staff members.
(d) tells the child that the nurse practitioner can discuss the information only with the
patient. - Answer- (d) tells the child that the nurse practitioner can discuss the (c) relies on the patient's self-report.
information only with the patient.
(d) waits until the patient's chart is available. - Answer- (a) contacts the patient's adult
The adult-gerontology primary care nurse practitioner is appointed to a hospital's child.
multidisciplinary medical ethics review committee. The nurse practitioner's role is to:
The adult-gerontology primary care nurse practitioner conducts a small group class on
(a) evaluate standards, risks, benefits, and outcomes. weight management. The nurse practitioner anticipates that the patient who may have
the greatest difficulty implementing the counseling is the:
(b) identify how to anticipate and resolve similar future situations.
(a) extroverted patient raising his or her grandchildren.
(c) investigate the need for disciplinary action.
(b) introverted patient who does not speak in the group.
(d) obtain agreement of all parties with a chosen solution. - Answer- (a) evaluate
standards, risks, benefits, and outcomes. (c) personable patient who lives with his or her children.
To improve the quality of clinical practice, the adult-gerontology primary care nurse (d) worried patient whose son is serving in military conflict. - Answer- (d) worried patient
practitioner: whose son is serving in military conflict.
(a) charges a fee for patients who arrive late to clinic appointments. 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
(b) disseminates research study results to colleagues. quitting. The nurse practitioner's most appropriate approach is to treat the cold
symptoms and:
(c) expresses opinions about alternative therapies with patients who consider such
treatments. (a) advise the patient to stop smoking.
(d) schedules time during clinic hours to meet with pharmaceutical representatives. - (b) prescribe bupropion (Zyban).
Answer- (b) disseminates research study results to colleagues.
(c) raise the issue of smoking cessation at the next visit.
One effect of using electronic health record applications, such as telemedicine and
portable monitoring systems, has been to: (d) recommend that the patient select a low nicotine cigarette. - Answer- (a) advise the
patient to stop smoking.
(a) create stand-alone clinics.
(b) decrease billable visits. The adult-gerontology primary care nurse practitioner plans to provide smoking
(c) increase risks to patients. cessation education at a community center to older adults and their families. The nurse
(d) open access to care. - Answer- (d) open access to care. practitioner designs the program based on knowledge that older adult smokers:
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient (a) are likely to be optimistic about their ability to quit.
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 (b) are more likely to be successful at quitting than younger smokers.
sulfamethoxazole-trimethoprim (Bactrim). The patient's previous medical record is
unavailable. Before prescribing the medication, the nurse practitioner: (c) have a decreased risk of morbidity and mortality than do younger smokers.
(a) contacts the patient's adult child. (d) receive more instruction to quit from health care providers than younger smokers. -
Answer- (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 (b) T4 level increased, and TSH level decreased.
need for colorectal screening, since 10 years have passed since the last colonoscopy.
The adult-gerontology primary care nurse practitioner recommends: (c) T4 level increased, and TSH level is unchanged.
(a) a colonoscopy. (d) T4 level is unchanged, and TSH level decreased. - Answer- (a) T4 level decreased,
(b) a fecal DNA test. and TSH level increased.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - Answer- (d) watchful waiting. A 68-year-old patient has sustained an unintended weight loss of 15 lb (6.8 kg) over the
last two months but reports feeling well. The patient's problems include depression,
To evaluate for heart failure, which diagnostic test does the adult-gerontology primary tobacco abuse, obesity, and dyslipidemia. His or her medications are sertralizine
care nurse practitioner order for a patient with swelling in the lower extremities? (Zoloft), simvastatin (Zocor), and famotidine (Pepcid). The adult-gerontology primary
care nurse practitioner performs which THREE actions?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test. (a) Adds a probiotic.
(c) D-dimer assay.
(d) Spirometry study. - Answer- (b) Brain natriuretic peptide test. (b) Conducts a depression screening.
Before placing a patient with onychomycosis on a pulsed dose of itraconazole (c) Decreases the dosage of the statin medication.
(Sporanox), which laboratory values does the adult-gerontology primary care nurse
practitioner obtain? (d) Obtains a chest x-ray.
(a) Liver function studies. (e) Orders a thyroid-stimulating hormone. - Answer- (b) Conducts a depression
(b) Platelet count. screening.
(c) Renal function studies.
(d) White blood cell count. - Answer- (a) Liver function studies. (d) Obtains a chest x-ray.
A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased (e) Orders a thyroid-stimulating hormone.
weight, abdominal pain, and a long-term history of multiple sexual partners. The
patient's physical examination reveals abdominal tenderness with icteric sclerae and Preparing to implement an incontinence reduction program at a nursing home, the
skin. Which laboratory test confirms active hepatitis B? adult-gerontology primary care nurse practitioner reviews several studies. Place the
studies in sequential order of the strength of evidence for this population from strongest
(a) Antibody. to weakest.
(b) Enzyme-linked immunosorbent assay. (a) A case report of an experimental incontinence reduction program in older adults.
(c) Immune globulin G. (b) A consensus statement from the urologic association regarding the use of scheduled
toileting.
(d) Surface antigen. - Answer- (d) Surface antigen.
(c) A systematic review of nonrandomized trials concerning the use of vaginal estrogen.
For two to three months, a 78-year-old patient has not been taking levothyroxine - Answer- Strongest evidence: (c) a systematic review
(Synthroid) as prescribed. The patient now has symptoms of increasing constipation,
lethargy, and weakness. The adult-gerontology primary care nurse practitioner ...then: (b) a consensus statement
anticipates that laboratory tests will show that the patient's:
Weakest evidence: (a) a case report
(a) T4 level decreased, and TSH level increased.
