ANCC Questions And Answers Graded A 2022
Which factor is associated with the highest risk of falls in older persons living in the community?
A. A history of previous falls
B. Living Alone
C. Osteoporosis
D. Use of an assistive device
Correct Answers: A. A history of previous falls
An older adult patient complains of recent lapses in memory and deceased alertness. The patient's
laboratory test results indicate a mild, macrocytic anemia. Which additional test does the adult-
gerontology acute care nurse practitioner order to confirm a diagnosis?
A. A reticulocyte count
B. A serum folate level
C. An erythrocyte sedimentation rate
D. Iron studies
Correct Answers: B. A serum folate level
An 80 year old male patient with dementia requires LTC placement. To which funding agency does
the patient apply, after "spending down" to qualify?
A. Medicaid
B. Medicare
C. The American Association of Retired Persons
D. The United States Social Security Administration
Correct Answers: A. Medicaid
A 70-year-old patient with acute systolic heart failure denies any functional limitations, is able to walk
five blocks before tiring, and is euvolemic. which medication is first-line therapy for this patient?
A. Amlodipine (Norvasc)
B. Digoxin (lanoxin)
C. Furosemide (Lasix)
D. Lisinopril (Zestril)
Correct Answers: D. Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse
practitioner assesses for ankle clonus by
A. applying a low-pitched tuning fork firmly to the lateral malleolus
B. Sharply dosiflexing and maintaining the foot in this position, while supporting the knee.
C. Striking the Achilles tendon with the percussion hammer after flexing the leg at the knee and
rotating it externally.
D. Stroking the lateral aspect of the sole with the sharp end of the percussion hammer from the heel
to the ball of the foot.
Correct Answers: B. Sharply dosiflexing and maintaining the foot in this position, while supporting the
knee.
A 15-year-old patient with type 1 Diabetes reports elevated blood glucose levels in the morning. An
AGACNP determines that the patient's hyperglycemia is due to the dawn phenomenon and:
A. increases the insulin dosage at bed time
Which factor is associated with the highest risk of falls in older persons living in the community?
A. A history of previous falls
B. Living Alone
C. Osteoporosis
D. Use of an assistive device
Correct Answers: A. A history of previous falls
An older adult patient complains of recent lapses in memory and deceased alertness. The patient's
laboratory test results indicate a mild, macrocytic anemia. Which additional test does the adult-
gerontology acute care nurse practitioner order to confirm a diagnosis?
A. A reticulocyte count
B. A serum folate level
C. An erythrocyte sedimentation rate
D. Iron studies
Correct Answers: B. A serum folate level
An 80 year old male patient with dementia requires LTC placement. To which funding agency does
the patient apply, after "spending down" to qualify?
A. Medicaid
B. Medicare
C. The American Association of Retired Persons
D. The United States Social Security Administration
Correct Answers: A. Medicaid
A 70-year-old patient with acute systolic heart failure denies any functional limitations, is able to walk
five blocks before tiring, and is euvolemic. which medication is first-line therapy for this patient?
A. Amlodipine (Norvasc)
B. Digoxin (lanoxin)
C. Furosemide (Lasix)
D. Lisinopril (Zestril)
Correct Answers: D. Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse
practitioner assesses for ankle clonus by
A. applying a low-pitched tuning fork firmly to the lateral malleolus
B. Sharply dosiflexing and maintaining the foot in this position, while supporting the knee.
C. Striking the Achilles tendon with the percussion hammer after flexing the leg at the knee and
rotating it externally.
D. Stroking the lateral aspect of the sole with the sharp end of the percussion hammer from the heel
to the ball of the foot.
Correct Answers: B. Sharply dosiflexing and maintaining the foot in this position, while supporting the
knee.
A 15-year-old patient with type 1 Diabetes reports elevated blood glucose levels in the morning. An
AGACNP determines that the patient's hyperglycemia is due to the dawn phenomenon and:
A. increases the insulin dosage at bed time
