ANCC Practice Questions 2026 (131 Questions) |
Latest Update 2026 | 100% Correct Answers | Actual
Certification Prep
1. Who is primarily responsible for selecting billing codes in a healthcare
setting?
The healthcare administrator
The insurance carrier
The adult nurse practitioner
A certified coder
2. If the worried patient whose son is serving in military conflict is referred to a
nutritionist, what additional support might be beneficial for their weight
management journey?
Group weight management sessions with strangers.
Emotional support or counseling to address stress and anxiety.
Increased physical activity without addressing emotional concerns.
A strict diet plan without consideration of emotional factors.
3. A 17-year-old girl presents with primary amenorrhoea. On examination, she
has a high-arched palate, immature external genitalia, and absence of breast
development. Her height is 151cm (2nd centile for age and gender). What is
the most likely diagnosis?
Noonan syndrome
Complete androgen insensitivity
Hypothyroidism
Turner's syndrome
, Gonadal dysgenesis
4. What is one of the responsibilities of an adult-gerontology primary care
nurse practitioner on a medical ethics review committee?
Implement new hospital policies.
Conduct patient interviews for ethical dilemmas.
Evaluate standards, risks, benefits, and outcomes.
Provide direct patient care.
5. When dealing with a patient's confidential health information, a nurse must:
Discuss patient information in public areas for educational purposes.
Only disclose information with the patient's consent or when legally
required.
Share details with family members for support.
Share information with all healthcare team members.
6. Which question should the nurse consider when talking to an older adult
about advance directives?
Do you avoid making health care decisions in your culture?
How many children do you have?
Who do you live with?
Who do you talk to about your health care decisions?
7. Which screening should be performed for a patient with symptoms of
depression?
Conducts a depression screening.
, Adds a probiotic.
Orders a thyroid-stimulating hormone.
Decreases the dosage of the statin medication.
8. What is one benefit of telemedicine in healthcare delivery?
Increased patient wait times.
Higher costs for patients.
Open access to care.
Limited provider availability.
9. Which of the following test results would indicate that a patient has chronic
iron deficiency
macrocyclic, normochromic red blood cells
microcytic, hypochromic, red blood cells
a gradual increase in the hematocrit
a gradual increase in hemoglobin
10. In a scenario where a patient presents with symptoms of a biological
exposure, how should the nurse practitioner prioritize the documentation of
epidemiological factors?
The nurse practitioner should prioritize documenting the mode of
transmission and incubation to guide treatment decisions.
The nurse practitioner should document the patient's location and
event intensity as the primary factors.
The nurse practitioner should only document premorbid conditions
and surveillance rates.
, The nurse practitioner should focus on the patient's comorbidities
and length of exposure first.
11. Why is it critical for an adult nurse practitioner to refer a patient with acute
eye pain and vision loss to an ophthalmologist?
An ophthalmologist can provide specialized care necessary for
potential serious conditions affecting vision.
An ophthalmologist is required to treat all patients with eye issues.
An ophthalmologist can perform general health assessments.
An ophthalmologist will prescribe medications that a nurse
practitioner cannot.
12. Many patients view illness as a distortion in the balance of some aspect of
their lives, and believe that folk medicine can remedy this. When
encountering such beliefs, an adult nurse practitioner's appropriate action is
to:
promote scientifically proven treatment measures.
refer the patient to a homeopathic specialist.
educate these patients about evidence-based practice that is specific
to their present condition.
discuss these remedies and include them in the management plan.
13. The nurse is performing smoking cessation with an older adult client who
has smoked two packs per day of cigarettes since the client's late teens. The
client responds, 'At this point in my life, I think it's probably too late to quit.'
How should the nurse best respond to the client's statement?
'Actually, you will start to enjoy some health benefits almost as
soon as you quit.'
Latest Update 2026 | 100% Correct Answers | Actual
Certification Prep
1. Who is primarily responsible for selecting billing codes in a healthcare
setting?
The healthcare administrator
The insurance carrier
The adult nurse practitioner
A certified coder
2. If the worried patient whose son is serving in military conflict is referred to a
nutritionist, what additional support might be beneficial for their weight
management journey?
Group weight management sessions with strangers.
Emotional support or counseling to address stress and anxiety.
Increased physical activity without addressing emotional concerns.
A strict diet plan without consideration of emotional factors.
3. A 17-year-old girl presents with primary amenorrhoea. On examination, she
has a high-arched palate, immature external genitalia, and absence of breast
development. Her height is 151cm (2nd centile for age and gender). What is
the most likely diagnosis?
Noonan syndrome
Complete androgen insensitivity
Hypothyroidism
Turner's syndrome
, Gonadal dysgenesis
4. What is one of the responsibilities of an adult-gerontology primary care
nurse practitioner on a medical ethics review committee?
Implement new hospital policies.
Conduct patient interviews for ethical dilemmas.
Evaluate standards, risks, benefits, and outcomes.
Provide direct patient care.
5. When dealing with a patient's confidential health information, a nurse must:
Discuss patient information in public areas for educational purposes.
Only disclose information with the patient's consent or when legally
required.
Share details with family members for support.
Share information with all healthcare team members.
6. Which question should the nurse consider when talking to an older adult
about advance directives?
Do you avoid making health care decisions in your culture?
How many children do you have?
Who do you live with?
Who do you talk to about your health care decisions?
7. Which screening should be performed for a patient with symptoms of
depression?
Conducts a depression screening.
, Adds a probiotic.
Orders a thyroid-stimulating hormone.
Decreases the dosage of the statin medication.
8. What is one benefit of telemedicine in healthcare delivery?
Increased patient wait times.
Higher costs for patients.
Open access to care.
Limited provider availability.
9. Which of the following test results would indicate that a patient has chronic
iron deficiency
macrocyclic, normochromic red blood cells
microcytic, hypochromic, red blood cells
a gradual increase in the hematocrit
a gradual increase in hemoglobin
10. In a scenario where a patient presents with symptoms of a biological
exposure, how should the nurse practitioner prioritize the documentation of
epidemiological factors?
The nurse practitioner should prioritize documenting the mode of
transmission and incubation to guide treatment decisions.
The nurse practitioner should document the patient's location and
event intensity as the primary factors.
The nurse practitioner should only document premorbid conditions
and surveillance rates.
, The nurse practitioner should focus on the patient's comorbidities
and length of exposure first.
11. Why is it critical for an adult nurse practitioner to refer a patient with acute
eye pain and vision loss to an ophthalmologist?
An ophthalmologist can provide specialized care necessary for
potential serious conditions affecting vision.
An ophthalmologist is required to treat all patients with eye issues.
An ophthalmologist can perform general health assessments.
An ophthalmologist will prescribe medications that a nurse
practitioner cannot.
12. Many patients view illness as a distortion in the balance of some aspect of
their lives, and believe that folk medicine can remedy this. When
encountering such beliefs, an adult nurse practitioner's appropriate action is
to:
promote scientifically proven treatment measures.
refer the patient to a homeopathic specialist.
educate these patients about evidence-based practice that is specific
to their present condition.
discuss these remedies and include them in the management plan.
13. The nurse is performing smoking cessation with an older adult client who
has smoked two packs per day of cigarettes since the client's late teens. The
client responds, 'At this point in my life, I think it's probably too late to quit.'
How should the nurse best respond to the client's statement?
'Actually, you will start to enjoy some health benefits almost as
soon as you quit.'
