ANCC TEST REVIEW PRACTICE
QUESTIONS WITH VERIFIED ANSWERS
2025-2026
A patient with type1 diabetes mellitus who is NPH
and regular insulin split dosing present with
complains of early morning rise finger-stick blood
glucose. A review of an at-home glucose test
reveals increased morning levels. After an increase
in the evening insulin dose, the problem worsens.
This is most likely an example of:
a) Insulin Resistance
b) Insulin Allergy
,c) The Somogyi Effect
d) Hyperglycemia-induced hypoglycemia. -
CORRECT ANSWERS-a) The Somogyi Effect
A 25-years-old present with a chief complaint of
decreased mobility and pain of the right shoulder
exacerbated by movements. The patient reports that
he participated in extensive house painting 24 hours
prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is
present. What is the next step to be taken in order to
make a Diagnosis?
a) Palpate the structure around the shoulder
b) Obtain an MIR to evaluate the shoulder
c) Order and X-Ray of the shoulder
d) Request an EMG
Apply SOAPE - CORRECT ANSWERS-a) Palpate
the structure around the shoulder
Apply SOAPE
A 65 years-old male presents to his clinic
complaining of increasing fatigue, dyspnea on
exertion ,and ankle edema during the day. He has a
history of mild hypertension, for which he saw his
physician years ago. The physician advised the
patient to decrease his salt intake .On physician
examination the patient is tachycardia positive for
,jugular venous distension, and positive for S3 with a
systolic murmur chest X-ray reveals cardiomegaly
with vascular redistribution .The nurse practitioner
diagnosis is :
a) Myocardial infarction
b) Pneumonia
c) Congestive heart failure
d) Pleural effusion - CORRECT ANSWERS-c)
Congestive heart failure
A 67-year old patient with type 2 DM, congestive
heart failure (CHF), and a mild artery disease is
currently taking daily hydrochlorothiazide 25 mg
daily, glipizide 10 mg daily; and atorvastatin (Lipitor),
20 mg h.s. Which of the following is an accurate
statement regarding this regimen?
a) The glipizide will increase the risk of potassium
depletion....
b) The digoxin will increase the risk of hypoglycemia.
c) The hydrochlorothiazide will predispose the
patient to digoxin toxicity
d) The atorvastin will worsen the diabetes -
CORRECT ANSWERS-c) The hydrochlorothiazide
will predispose the patient to digoxin toxicity
, A 14 year-old who fell on her outstretched hand
complains of proximal forearm pain X-ray reveals a
positive fat pad sign ,and the fully extend the elbow.
No definitive bony changes are seen on X-ray. The
most likely working diagnosis is:
a) Upper extremely sprain.
b) Lateral epiconditis.
c) Radial head fracture
d) Olecranon bursitis - CORRECT ANSWERS-c)
Radial head fracture
A 17 year-old female is suspected to have a
Polycystic Ovary Syndrome. In addition to
testosterone the most appropriate diagnostic test will
be:
a) BUN, creatinine, electrolytes, and
denydroeplandrosterone (DHEA).
b) Complete blood count (BUN) ,creatinine and
estrone
c) Fasting blood sugar(FBS) ,CBC, BUN and sex
hormone binding globuline
d) Follicle stimulating hormone (FSH) luteinizing
hormone, prolactin, and thyroid stimulating hormone
(TSH) - CORRECT ANSWERS-d) Follicle
stimulating hormone (FSH) luteinizing hormone,
prolactin, and thyroid stimulating hormone (TSH)
QUESTIONS WITH VERIFIED ANSWERS
2025-2026
A patient with type1 diabetes mellitus who is NPH
and regular insulin split dosing present with
complains of early morning rise finger-stick blood
glucose. A review of an at-home glucose test
reveals increased morning levels. After an increase
in the evening insulin dose, the problem worsens.
This is most likely an example of:
a) Insulin Resistance
b) Insulin Allergy
,c) The Somogyi Effect
d) Hyperglycemia-induced hypoglycemia. -
CORRECT ANSWERS-a) The Somogyi Effect
A 25-years-old present with a chief complaint of
decreased mobility and pain of the right shoulder
exacerbated by movements. The patient reports that
he participated in extensive house painting 24 hours
prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is
present. What is the next step to be taken in order to
make a Diagnosis?
a) Palpate the structure around the shoulder
b) Obtain an MIR to evaluate the shoulder
c) Order and X-Ray of the shoulder
d) Request an EMG
Apply SOAPE - CORRECT ANSWERS-a) Palpate
the structure around the shoulder
Apply SOAPE
A 65 years-old male presents to his clinic
complaining of increasing fatigue, dyspnea on
exertion ,and ankle edema during the day. He has a
history of mild hypertension, for which he saw his
physician years ago. The physician advised the
patient to decrease his salt intake .On physician
examination the patient is tachycardia positive for
,jugular venous distension, and positive for S3 with a
systolic murmur chest X-ray reveals cardiomegaly
with vascular redistribution .The nurse practitioner
diagnosis is :
a) Myocardial infarction
b) Pneumonia
c) Congestive heart failure
d) Pleural effusion - CORRECT ANSWERS-c)
Congestive heart failure
A 67-year old patient with type 2 DM, congestive
heart failure (CHF), and a mild artery disease is
currently taking daily hydrochlorothiazide 25 mg
daily, glipizide 10 mg daily; and atorvastatin (Lipitor),
20 mg h.s. Which of the following is an accurate
statement regarding this regimen?
a) The glipizide will increase the risk of potassium
depletion....
b) The digoxin will increase the risk of hypoglycemia.
c) The hydrochlorothiazide will predispose the
patient to digoxin toxicity
d) The atorvastin will worsen the diabetes -
CORRECT ANSWERS-c) The hydrochlorothiazide
will predispose the patient to digoxin toxicity
, A 14 year-old who fell on her outstretched hand
complains of proximal forearm pain X-ray reveals a
positive fat pad sign ,and the fully extend the elbow.
No definitive bony changes are seen on X-ray. The
most likely working diagnosis is:
a) Upper extremely sprain.
b) Lateral epiconditis.
c) Radial head fracture
d) Olecranon bursitis - CORRECT ANSWERS-c)
Radial head fracture
A 17 year-old female is suspected to have a
Polycystic Ovary Syndrome. In addition to
testosterone the most appropriate diagnostic test will
be:
a) BUN, creatinine, electrolytes, and
denydroeplandrosterone (DHEA).
b) Complete blood count (BUN) ,creatinine and
estrone
c) Fasting blood sugar(FBS) ,CBC, BUN and sex
hormone binding globuline
d) Follicle stimulating hormone (FSH) luteinizing
hormone, prolactin, and thyroid stimulating hormone
(TSH) - CORRECT ANSWERS-d) Follicle
stimulating hormone (FSH) luteinizing hormone,
prolactin, and thyroid stimulating hormone (TSH)
