ANCC-FNP CERTIFICATION EXAM
1. In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic: (a) normochromic normocytic
2. 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: (a) asthma
3. A patient has hyperactive reflexes of the lower extremities. The adult-
geron- tology primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
1/
,ANCC-FNP CERTIFICATION EXAM
(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.: (c) sharply dorsiflexing the
foot and maintaining this position while supporting the knee.
4. A 70-year-old, female patient is having her yearly evaluation. The
adult-gerontology primary care nurse practitioner gives which physical
exam- ination finding the highest priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.: (c) Palpable ovary.
2/
,ANCC-FNP CERTIFICATION EXAM
5. 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.: (d) Perceived severity.
6. The adult-gerontology primary care nurse practitioner treats several pa-
tients 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.
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, ANCC-FNP CERTIFICATION EXAM
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.: (c) Mode of transmission
and incubation.
7. 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.: (d)
uses the methodology section to support the validity of the study.
8. 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
4/
1. In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic: (a) normochromic normocytic
2. 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: (a) asthma
3. A patient has hyperactive reflexes of the lower extremities. The adult-
geron- tology primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
1/
,ANCC-FNP CERTIFICATION EXAM
(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.: (c) sharply dorsiflexing the
foot and maintaining this position while supporting the knee.
4. A 70-year-old, female patient is having her yearly evaluation. The
adult-gerontology primary care nurse practitioner gives which physical
exam- ination finding the highest priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.: (c) Palpable ovary.
2/
,ANCC-FNP CERTIFICATION EXAM
5. 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.: (d) Perceived severity.
6. The adult-gerontology primary care nurse practitioner treats several pa-
tients 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.
3/
, ANCC-FNP CERTIFICATION EXAM
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.: (c) Mode of transmission
and incubation.
7. 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.: (d)
uses the methodology section to support the validity of the study.
8. 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
4/
