ANCC Practice Questions with
Accurate Answers
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 correct answer (a) asthma
A 15-year-old patient with type 1 diabetes mellitus reports elevated
blood glucose levels in the morning. An adult-gerontology acute care
nurse practitioner determines that the patient's hyperglycemia is due
to the dawn phenomenon and:
(a) increases the insulin dosage at bed time.
(b) reduces the insulin dosage at bed time.
(c) tests the blood glucose level at 3:00 AM every morning.
,(d) tests the blood glucose level in the evening. correct answer (a)
increases the insulin dosage at bed time.
A 16-year-old patient has been diagnosed with mononucleosis and has
a positive throat culture for group Alpha-hemolytic streptococcal
infection. The medication of choice for this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). correct answer (c)
erythromycin (E-Mycin).
A 19-year-old male patient arrives at the emergency department
exhibiting symptoms of lower abdominal pain that radiates to the groin,
and that the patient rates as an 8 on a scale of 1 to 10. That patient
states that the pain came on suddenly, while he was playing football
with friends. The patient's physical examination reveals positive bowel
sounds in all quadrants; a soft, non-tender abdomen; no rebounding
and no guarding; and no palpable mass in the abdomen or groin.
Examination of the patient's genitalia reveals a unilateral cremasteric
reflex. What is the adult-gerontology acute care nurse practitioner's
leading differential diagnosis, based on the patient's presentation?
,(a) Appendicitis
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion correct answer (d) Testicular torsion
A 21-year-old patient is admitted to the intensive care unit with a
severe closed head injury. The patient's family is becoming louder and
more insistent about seeing the patient. To establish a therapeutic
relationship with the family, an acute care nurse practitioner's initial
action is to:
(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure. correct answer (a)
acknowledge the family's anxiety.
A 24-year-old male patient with a closed head injury has been
intubated for 12 days. The patient's parents have repeatedly refused
consent for a tracheostomy and long-term care placement. On multiple
, occasions, the surgeon has discussed the risks and benefits of the
surgery with them. Addressing the parents, the acute care nurse
practitioner states:
(a) "I understand you have reservations about the placement of a
tracheostomy."
(b) "Please know that not many patients die while undergoing a
tracheostomy."
(c) "Without a tracheostomy, we can't transfer your son to another
facility."
(d) "You know, your son will die if a tracheostomy is not placed."
correct answer (a) "I understand you have reservations about the
placement of a tracheostomy."
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term history of
multiple sexual partners. The patient's physical examination reveals
abdominal tenderness with icteric sclerae and skin. Which laboratory
test confirms active hepatitis B?
(a) Antibody.
Accurate Answers
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 correct answer (a) asthma
A 15-year-old patient with type 1 diabetes mellitus reports elevated
blood glucose levels in the morning. An adult-gerontology acute care
nurse practitioner determines that the patient's hyperglycemia is due
to the dawn phenomenon and:
(a) increases the insulin dosage at bed time.
(b) reduces the insulin dosage at bed time.
(c) tests the blood glucose level at 3:00 AM every morning.
,(d) tests the blood glucose level in the evening. correct answer (a)
increases the insulin dosage at bed time.
A 16-year-old patient has been diagnosed with mononucleosis and has
a positive throat culture for group Alpha-hemolytic streptococcal
infection. The medication of choice for this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). correct answer (c)
erythromycin (E-Mycin).
A 19-year-old male patient arrives at the emergency department
exhibiting symptoms of lower abdominal pain that radiates to the groin,
and that the patient rates as an 8 on a scale of 1 to 10. That patient
states that the pain came on suddenly, while he was playing football
with friends. The patient's physical examination reveals positive bowel
sounds in all quadrants; a soft, non-tender abdomen; no rebounding
and no guarding; and no palpable mass in the abdomen or groin.
Examination of the patient's genitalia reveals a unilateral cremasteric
reflex. What is the adult-gerontology acute care nurse practitioner's
leading differential diagnosis, based on the patient's presentation?
,(a) Appendicitis
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion correct answer (d) Testicular torsion
A 21-year-old patient is admitted to the intensive care unit with a
severe closed head injury. The patient's family is becoming louder and
more insistent about seeing the patient. To establish a therapeutic
relationship with the family, an acute care nurse practitioner's initial
action is to:
(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure. correct answer (a)
acknowledge the family's anxiety.
A 24-year-old male patient with a closed head injury has been
intubated for 12 days. The patient's parents have repeatedly refused
consent for a tracheostomy and long-term care placement. On multiple
, occasions, the surgeon has discussed the risks and benefits of the
surgery with them. Addressing the parents, the acute care nurse
practitioner states:
(a) "I understand you have reservations about the placement of a
tracheostomy."
(b) "Please know that not many patients die while undergoing a
tracheostomy."
(c) "Without a tracheostomy, we can't transfer your son to another
facility."
(d) "You know, your son will die if a tracheostomy is not placed."
correct answer (a) "I understand you have reservations about the
placement of a tracheostomy."
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term history of
multiple sexual partners. The patient's physical examination reveals
abdominal tenderness with icteric sclerae and skin. Which laboratory
test confirms active hepatitis B?
(a) Antibody.
