ANCC IQ Domains 1–5 Q Bank EXAM TEST
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 |INSTANT
DOWNLOAD PDF
1. Which action demonstrates the best approach for managing
a patient with uncontrolled hypertension?
A. Increase the current antihypertensive dose without
assessment
B. Review lifestyle factors and medication adherence
C. Advise the patient to stop medications if blood pressure is
normal at home
D. Refer immediately to surgery
B. Review lifestyle factors and medication adherence – because
evaluating adherence and modifiable risk factors is the first step
in managing uncontrolled hypertension.
2. What is the most important priority when a patient
presents with sudden onset shortness of breath and chest
pain?
A. Obtain a full history of chronic illnesses
B. Assess airway, breathing, and circulation (ABCs)
C. Schedule an outpatient cardiology appointment
D. Check insurance coverage
B. Assess airway, breathing, and circulation (ABCs) – because
immediate stabilization is critical in acute presentations.
,3. Which strategy is most effective in improving patient
adherence to a new medication regimen?
A. Giving written instructions only
B. Using teach-back methods to confirm understanding
C. Expecting the patient to remember verbal instructions
D. Providing instructions in medical jargon
B. Using teach-back methods to confirm understanding –
ensures patient comprehension and reinforces adherence.
4. A patient with type 2 diabetes presents with fasting glucose
of 280 mg/dL. What is the immediate nursing action?
A. Provide reassurance and schedule follow-up
B. Administer prescribed insulin as per protocol
C. Encourage the patient to exercise immediately
D. Ask the patient to skip breakfast
B. Administer prescribed insulin as per protocol – because
hyperglycemia at this level requires prompt correction to
prevent complications.
5. Which intervention best supports patient-centered care?
A. Making decisions for the patient without input
B. Involving the patient in care planning
C. Ignoring patient preferences to follow protocol strictly
D. Limiting patient questions to save time
B. Involving the patient in care planning – emphasizes respect
for patient autonomy and individualized care.
6. A nurse notes signs of depression in an adolescent. What is
the most appropriate first step?
,A. Prescribe antidepressants
B. Conduct a risk assessment for safety
C. Advise family to discipline the adolescent
D. Ignore the symptoms assuming it is a phase
B. Conduct a risk assessment for safety – ensures immediate
threats to the patient are addressed before other interventions.
7. Which principle reflects the ethical concept of beneficence
in nursing practice?
A. Reporting errors made by colleagues
B. Providing interventions that benefit the patient
C. Following physician orders without question
D. Respecting patient confidentiality at all costs
B. Providing interventions that benefit the patient – beneficence
focuses on actions that promote well-being.
8. A patient recovering from stroke demonstrates difficulty
swallowing. Which action is most appropriate?
A. Encourage unrestricted oral intake
B. Perform a swallowing assessment before feeding
C. Offer solid foods immediately
D. Advise the patient to drink fluids quickly
B. Perform a swallowing assessment before feeding – to prevent
aspiration and ensure safe nutrition.
9. What is the best approach to delegating tasks to a licensed
practical nurse (LPN)?
A. Delegate all tasks to reduce workload
B. Assign tasks appropriate to LPN scope of practice
, C. Ask LPNs to perform tasks they are unfamiliar with
D. Avoid communication regarding expectations
B. Assign tasks appropriate to LPN scope of practice – ensures
safe delegation and adherence to regulatory standards.
10. Which patient scenario requires immediate reporting to
the provider?
A. Mild ankle swelling after walking
B. Sudden chest pain with diaphoresis
C. Controlled hypertension on medication
D. Fatigue after a long workday
B. Sudden chest pain with diaphoresis – indicates possible
myocardial infarction, requiring urgent intervention.
11. Which intervention demonstrates cultural competence in
nursing care?
A. Assuming all patients follow the same dietary practices
B. Asking about and respecting patient cultural preferences
C. Providing care only according to hospital policy
D. Limiting communication to English only
B. Asking about and respecting patient cultural preferences –
ensures care is respectful and culturally sensitive.
12. A patient with chronic heart failure reports increased
shortness of breath and weight gain. What is the best initial
nursing action?
A. Increase fluid intake
B. Assess vital signs and lung sounds
C. Encourage more physical activity
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 |INSTANT
DOWNLOAD PDF
1. Which action demonstrates the best approach for managing
a patient with uncontrolled hypertension?
A. Increase the current antihypertensive dose without
assessment
B. Review lifestyle factors and medication adherence
C. Advise the patient to stop medications if blood pressure is
normal at home
D. Refer immediately to surgery
B. Review lifestyle factors and medication adherence – because
evaluating adherence and modifiable risk factors is the first step
in managing uncontrolled hypertension.
2. What is the most important priority when a patient
presents with sudden onset shortness of breath and chest
pain?
A. Obtain a full history of chronic illnesses
B. Assess airway, breathing, and circulation (ABCs)
C. Schedule an outpatient cardiology appointment
D. Check insurance coverage
B. Assess airway, breathing, and circulation (ABCs) – because
immediate stabilization is critical in acute presentations.
,3. Which strategy is most effective in improving patient
adherence to a new medication regimen?
A. Giving written instructions only
B. Using teach-back methods to confirm understanding
C. Expecting the patient to remember verbal instructions
D. Providing instructions in medical jargon
B. Using teach-back methods to confirm understanding –
ensures patient comprehension and reinforces adherence.
4. A patient with type 2 diabetes presents with fasting glucose
of 280 mg/dL. What is the immediate nursing action?
A. Provide reassurance and schedule follow-up
B. Administer prescribed insulin as per protocol
C. Encourage the patient to exercise immediately
D. Ask the patient to skip breakfast
B. Administer prescribed insulin as per protocol – because
hyperglycemia at this level requires prompt correction to
prevent complications.
5. Which intervention best supports patient-centered care?
A. Making decisions for the patient without input
B. Involving the patient in care planning
C. Ignoring patient preferences to follow protocol strictly
D. Limiting patient questions to save time
B. Involving the patient in care planning – emphasizes respect
for patient autonomy and individualized care.
6. A nurse notes signs of depression in an adolescent. What is
the most appropriate first step?
,A. Prescribe antidepressants
B. Conduct a risk assessment for safety
C. Advise family to discipline the adolescent
D. Ignore the symptoms assuming it is a phase
B. Conduct a risk assessment for safety – ensures immediate
threats to the patient are addressed before other interventions.
7. Which principle reflects the ethical concept of beneficence
in nursing practice?
A. Reporting errors made by colleagues
B. Providing interventions that benefit the patient
C. Following physician orders without question
D. Respecting patient confidentiality at all costs
B. Providing interventions that benefit the patient – beneficence
focuses on actions that promote well-being.
8. A patient recovering from stroke demonstrates difficulty
swallowing. Which action is most appropriate?
A. Encourage unrestricted oral intake
B. Perform a swallowing assessment before feeding
C. Offer solid foods immediately
D. Advise the patient to drink fluids quickly
B. Perform a swallowing assessment before feeding – to prevent
aspiration and ensure safe nutrition.
9. What is the best approach to delegating tasks to a licensed
practical nurse (LPN)?
A. Delegate all tasks to reduce workload
B. Assign tasks appropriate to LPN scope of practice
, C. Ask LPNs to perform tasks they are unfamiliar with
D. Avoid communication regarding expectations
B. Assign tasks appropriate to LPN scope of practice – ensures
safe delegation and adherence to regulatory standards.
10. Which patient scenario requires immediate reporting to
the provider?
A. Mild ankle swelling after walking
B. Sudden chest pain with diaphoresis
C. Controlled hypertension on medication
D. Fatigue after a long workday
B. Sudden chest pain with diaphoresis – indicates possible
myocardial infarction, requiring urgent intervention.
11. Which intervention demonstrates cultural competence in
nursing care?
A. Assuming all patients follow the same dietary practices
B. Asking about and respecting patient cultural preferences
C. Providing care only according to hospital policy
D. Limiting communication to English only
B. Asking about and respecting patient cultural preferences –
ensures care is respectful and culturally sensitive.
12. A patient with chronic heart failure reports increased
shortness of breath and weight gain. What is the best initial
nursing action?
A. Increase fluid intake
B. Assess vital signs and lung sounds
C. Encourage more physical activity
