ANCC LATEST 2026 FINAL PAPER QUESTIONS AND
SOLUTIONS GUARANTEE A+
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. - ✔✔(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.
(d) obtain agreement of all parties with a chosen solution. - ✔✔(a) evaluate standards,
risks, benefits, and outcomes.
To improve the quality of clinical practice, the adult-gerontology primary care nurse
practitioner:
(a) charges a fee for patients who arrive late to clinic appointments.
(b) disseminates research study results to colleagues.
(c) expresses opinions about alternative therapies with patients who consider such
treatments.
(d) schedules time during clinic hours to meet with pharmaceutical representatives. -
✔✔(b) disseminates research study results to colleagues.
One effect of using electronic health record applications, such as telemedicine and
portable monitoring systems, has been to:
(a) create stand-alone clinics.
,(b) decrease billable visits.
(c) increase risks to patients.
(d) open access to care. - ✔✔(d) open access to care.
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient
with cognitive deficits, who is unaccompanied by the adult child who typically is present.
The patient has urinary symptoms, for which the nurse practitioner considers ordering
sulfamethoxazole-trimethoprim (Bactrim). The patient's previous medical record is
unavailable. Before prescribing the medication, the nurse practitioner:
(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available. - ✔✔(a) contacts the patient's adult child.
The adult-gerontology primary care nurse practitioner conducts a small group class on
weight management. The nurse practitioner anticipates that the patient who may have
the greatest difficulty implementing the counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict. - ✔✔(d) worried patient
whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner evaluates a patient with cold
symptoms who reports smoking half a pack of cigarettes a day and shows no interest in
quitting. The nurse practitioner's most appropriate approach is to treat the cold
symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette. - ✔✔(a) advise the
patient to stop smoking.
, The adult-gerontology primary care nurse practitioner plans to provide smoking
cessation education at a community center to older adults and their families. The nurse
practitioner designs the program based on knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger smokers.
(d) receive more instruction to quit from health care providers than younger smokers. -
✔✔(b) are more likely to be successful at quitting than younger smokers.
An 84-year-old patient arrives at the office for an initial visit. The patient questions the
need for colorectal screening, since 10 years have passed since the last colonoscopy.
The adult-gerontology primary care nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - ✔✔(d) watchful waiting.
To evaluate for heart failure, which diagnostic test does the adult-gerontology primary
care nurse practitioner order for a patient with swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. - ✔✔(b) Brain natriuretic peptide test.
Before placing a patient with onychomycosis on a pulsed dose of itraconazole
(Sporanox), which laboratory values does the adult-gerontology primary care nurse
practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count. - ✔✔(a) Liver function studies.
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.
SOLUTIONS GUARANTEE A+
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. - ✔✔(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.
(d) obtain agreement of all parties with a chosen solution. - ✔✔(a) evaluate standards,
risks, benefits, and outcomes.
To improve the quality of clinical practice, the adult-gerontology primary care nurse
practitioner:
(a) charges a fee for patients who arrive late to clinic appointments.
(b) disseminates research study results to colleagues.
(c) expresses opinions about alternative therapies with patients who consider such
treatments.
(d) schedules time during clinic hours to meet with pharmaceutical representatives. -
✔✔(b) disseminates research study results to colleagues.
One effect of using electronic health record applications, such as telemedicine and
portable monitoring systems, has been to:
(a) create stand-alone clinics.
,(b) decrease billable visits.
(c) increase risks to patients.
(d) open access to care. - ✔✔(d) open access to care.
The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient
with cognitive deficits, who is unaccompanied by the adult child who typically is present.
The patient has urinary symptoms, for which the nurse practitioner considers ordering
sulfamethoxazole-trimethoprim (Bactrim). The patient's previous medical record is
unavailable. Before prescribing the medication, the nurse practitioner:
(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available. - ✔✔(a) contacts the patient's adult child.
The adult-gerontology primary care nurse practitioner conducts a small group class on
weight management. The nurse practitioner anticipates that the patient who may have
the greatest difficulty implementing the counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict. - ✔✔(d) worried patient
whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner evaluates a patient with cold
symptoms who reports smoking half a pack of cigarettes a day and shows no interest in
quitting. The nurse practitioner's most appropriate approach is to treat the cold
symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette. - ✔✔(a) advise the
patient to stop smoking.
, The adult-gerontology primary care nurse practitioner plans to provide smoking
cessation education at a community center to older adults and their families. The nurse
practitioner designs the program based on knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger smokers.
(d) receive more instruction to quit from health care providers than younger smokers. -
✔✔(b) are more likely to be successful at quitting than younger smokers.
An 84-year-old patient arrives at the office for an initial visit. The patient questions the
need for colorectal screening, since 10 years have passed since the last colonoscopy.
The adult-gerontology primary care nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - ✔✔(d) watchful waiting.
To evaluate for heart failure, which diagnostic test does the adult-gerontology primary
care nurse practitioner order for a patient with swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. - ✔✔(b) Brain natriuretic peptide test.
Before placing a patient with onychomycosis on a pulsed dose of itraconazole
(Sporanox), which laboratory values does the adult-gerontology primary care nurse
practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count. - ✔✔(a) Liver function studies.
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.
