Ancc Practice Questions 2021
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocyticCorrect Answers: (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) psoriasisCorrect Answers: (a) asthma
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.Correct Answers: (c) sharply dorsiflexing the foot and maintaining this position
while supporting the knee.
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.Correct Answers: (c) Palpable ovary.
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.Correct Answers: (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?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.Correct Answers: (c) Mode of transmission and
incubation.
When disseminating research findings in a peer-reviewed journal, the adult-gerontology primary care
nurse practitioner:
(a) concludes that the study proves the hypothesis.
(b) excludes the discussion section, because the conclusion contains this information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study.Correct Answers: (d) uses the
methodology section to support the validity of the study.
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.Correct
Answers: (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.Correct Answers: (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.Correct Answers:
(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.Correct Answers: (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.Correct Answers: (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.
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocyticCorrect Answers: (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) psoriasisCorrect Answers: (a) asthma
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.Correct Answers: (c) sharply dorsiflexing the foot and maintaining this position
while supporting the knee.
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.Correct Answers: (c) Palpable ovary.
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.Correct Answers: (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?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.Correct Answers: (c) Mode of transmission and
incubation.
When disseminating research findings in a peer-reviewed journal, the adult-gerontology primary care
nurse practitioner:
(a) concludes that the study proves the hypothesis.
(b) excludes the discussion section, because the conclusion contains this information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study.Correct Answers: (d) uses the
methodology section to support the validity of the study.
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.Correct
Answers: (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.Correct Answers: (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.Correct Answers:
(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.Correct Answers: (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.Correct Answers: (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.
