ANCC PRACTICE QUESTIONS
AND ANSWERS GRADED A PASS
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.
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 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.
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.
(d) obtain agreement of all parties with a chosen solution. - ANSWER --(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. -
ANSWER --(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. - ANSWER --(d) open access to care.
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?
AND ANSWERS GRADED A PASS
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.
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 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.
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.
(d) obtain agreement of all parties with a chosen solution. - ANSWER --(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. -
ANSWER --(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. - ANSWER --(d) open access to care.
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?
