ANCC PRACTICE QUESTIONS AND ANSWERS | NEW
2026 UPDATE | WITH COMPLETE SOLUTION!!
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic Answer - (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 Answer - (a) asthma
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. Answer - (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. Answer - (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. Answer - (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. Answer - (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. Answer -
(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. Answer - (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.
2026 UPDATE | WITH COMPLETE SOLUTION!!
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic Answer - (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 Answer - (a) asthma
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. Answer - (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. Answer - (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. Answer - (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. Answer - (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. Answer -
(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. Answer - (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.
