ANCC Practice TEST QUESTIONS WITH ANSWERS
VERIFIED 100% CORRECT
The adult-gerontology primary care nurse practitioner working in an urban community
health center recognizes that asthma-related health issues commonly result in higher
morbidity and mortality for persons with:
(a) alcohol dependency.
(b) lower socioeconomic status.
(c) persistent social isolation.
(d) recent immigrant status. - ANSWER (b) lower socioeconomic status.
During an annual health visit, a 15-year-old female patient is found to have grown 5 in
(12.7 cm) over the past year. She has not reached menarche. Her mother is concerned
because the patient's sister reached menarche at age 11 and the mother reached
menarche at age 12. Examination reveals that the patient's breasts are enlarged, with
the areolae forming a mound above the general contour of each breast, and that the left
breast is larger than the right. Axillary hair is absent and the pubic hair is dark, coarse,
curly, dense, and similar in pattern to that of an adult female. These findings are
consistent with a diagnosis of:
(a) hypothyroidism.
(b) normal development.
(c) polycystic ovary syndrome.
(d) Turner syndrome. - ANSWER (b) normal development.
A pale, thin 54-year-old male patient reports a two-month history of numbness in his
feet. Past medical history includes hypertension and a subtotal gastrectomy. An
examination reveals a decreased vibratory sensation and position sense. Blood tests
indicate a hematocrit of 27%, mean corpuscular volume of 105 fL, mean corpuscular
hemoglobin of 45 pg, and reticulocytes of 1.5%. The diagnosis is:
(a) chronic simple anemia.
(b) folate deficiency anemia.
(c) iron deficiency anemia.
,(d) vitamin B12 deficiency anemia. - ANSWER (d) vitamin B12 deficiency anemia.
Upon referral from a gynecologist, an adult nurse practitioner evaluates an 89-year-old
female nursing home resident for vaginal bleeding. The patient has a history of
occasional periods of confusion and memory loss. The gynecologist recommended
dilation and curettage and the patient consented to the procedure after the gynecologist
ANSWERed her questions, but the patient's daughter protests. The nurse practitioner's
ethical duty is to support the:
(a) daughter, because she might file a lawsuit over unsatisfactory care.
(b) daughter, because the patient is occasionally confused and incapable of granting
informed consent.
(c) nursing home administration, which may choose to support either the patient or the
daughter.
(d) patient, who has given informed consent. - ANSWER (d) patient, who has given
informed consent.
A 16-year-old patient has been diagnosed with mononucleosis and has a positive throat
culture for group Alpha-hemolytic streptococcal infection. The medication of choice for
this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - ANSWER (c) erythromycin (E-Mycin).
A 70-year-old patient reports fatigue and a nonproductive cough with pain on inspiration
and expiration. The patient denies a sore throat, fever, nasal congestion, or postnasal
drip. Examination reveals a well-developed patient in no acute distress who is afebrile
and has respirations of 32 breaths/min. The patient's lungs have diminished breath f
sounds. The heart rate is 70 beats/min, regular with no murmur. There is no edema o
the extremities. An adult nurse practitioner orders:
(a) a chest x-ray.
,(b) a lung perfusion scan.
(c) over-the-counter treatments for symptomatic relief.
(d) pulmonary function tests. - ANSWER (a) a chest x-ray.
An adult nurse practitioner is educating a female patient about her newly diagnosed
phobia. The nurse practitioner explains that phobias differ from other anxiety disorders
in that phobias:
(a) are innate and can be prevented.
(b) are related to specific trigger experiences.
(c) occur at a later age.
(d) often involve depressive symptoms. - ANSWER (b) are related to specific trigger
experiences.
A 78-year-old male patient comes to the ambulatory care clinic and reports an inability
to void. The adult nurse practitioner has difficulty inserting a urinary catheter due to an
obstruction. The nurse practitioner's action is to:
(a) obtain consent from the patient to perform prostatic massage.
(b) perform a suprapubic aspiration to relieve bladder distention.
(c) prescribe an oral loop diuretic.
(d) refer the patient to a urologist for further treatment. - ANSWER (d) refer the patient
to a urologist for further treatment.
A patient comes to the clinic with reports of acute pain and loss of vision in the right eye.
The adult nurse practitioner informs the patient that these symptoms require:
(a) assessment with a split lamp.
(b) examination with an otoscope.
, (c) immediate referral to an ophthalmologist.
(d) treatment with several ophthalmologic agents. - ANSWER (c) immediate referral to
an ophthalmologist.
A 45-year-old patient with diabetes comes to the clinic for an annual appointment. The
patient declines a parenteral influenza vaccination because a friend "came down with
the flu after receiving the vaccination." The adult nurse practitioner explains that the
vaccination is:
(a) a polysaccharide, so it may cause a mild case of influenza.
(b) activated, so it may cause a mild case of influenza.
(c) inactivated, and this is unable to cause influenza.
(d) live attenuated, so it may cause a mild case of influenza. - ANSWER (c) inactivated,
and this is unable to cause influenza.
An institutional review board rejects an adult nurse practitioner's research proposal on
the grounds that the:
(a) chosen statistics were not optimal to meet research objectives.
(b) literature review was insufficient to develop the research question.
(c) proposed budget did not cover the cost of the study.
(d) subject's rights were not clearly protected. - ANSWER (d) subject's rights were not
clearly protected.
A patient informs an adult nurse practitioner, "I want to stop smoking." The nurse
practitioner responds:
(a) "Do you have any ideas about how you would like to quit smoking?"
(b) "Does your health insurance cover smoking cessation?"
(c) "I will develop a plan for you to stop smoking."
VERIFIED 100% CORRECT
The adult-gerontology primary care nurse practitioner working in an urban community
health center recognizes that asthma-related health issues commonly result in higher
morbidity and mortality for persons with:
(a) alcohol dependency.
(b) lower socioeconomic status.
(c) persistent social isolation.
(d) recent immigrant status. - ANSWER (b) lower socioeconomic status.
During an annual health visit, a 15-year-old female patient is found to have grown 5 in
(12.7 cm) over the past year. She has not reached menarche. Her mother is concerned
because the patient's sister reached menarche at age 11 and the mother reached
menarche at age 12. Examination reveals that the patient's breasts are enlarged, with
the areolae forming a mound above the general contour of each breast, and that the left
breast is larger than the right. Axillary hair is absent and the pubic hair is dark, coarse,
curly, dense, and similar in pattern to that of an adult female. These findings are
consistent with a diagnosis of:
(a) hypothyroidism.
(b) normal development.
(c) polycystic ovary syndrome.
(d) Turner syndrome. - ANSWER (b) normal development.
A pale, thin 54-year-old male patient reports a two-month history of numbness in his
feet. Past medical history includes hypertension and a subtotal gastrectomy. An
examination reveals a decreased vibratory sensation and position sense. Blood tests
indicate a hematocrit of 27%, mean corpuscular volume of 105 fL, mean corpuscular
hemoglobin of 45 pg, and reticulocytes of 1.5%. The diagnosis is:
(a) chronic simple anemia.
(b) folate deficiency anemia.
(c) iron deficiency anemia.
,(d) vitamin B12 deficiency anemia. - ANSWER (d) vitamin B12 deficiency anemia.
Upon referral from a gynecologist, an adult nurse practitioner evaluates an 89-year-old
female nursing home resident for vaginal bleeding. The patient has a history of
occasional periods of confusion and memory loss. The gynecologist recommended
dilation and curettage and the patient consented to the procedure after the gynecologist
ANSWERed her questions, but the patient's daughter protests. The nurse practitioner's
ethical duty is to support the:
(a) daughter, because she might file a lawsuit over unsatisfactory care.
(b) daughter, because the patient is occasionally confused and incapable of granting
informed consent.
(c) nursing home administration, which may choose to support either the patient or the
daughter.
(d) patient, who has given informed consent. - ANSWER (d) patient, who has given
informed consent.
A 16-year-old patient has been diagnosed with mononucleosis and has a positive throat
culture for group Alpha-hemolytic streptococcal infection. The medication of choice for
this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - ANSWER (c) erythromycin (E-Mycin).
A 70-year-old patient reports fatigue and a nonproductive cough with pain on inspiration
and expiration. The patient denies a sore throat, fever, nasal congestion, or postnasal
drip. Examination reveals a well-developed patient in no acute distress who is afebrile
and has respirations of 32 breaths/min. The patient's lungs have diminished breath f
sounds. The heart rate is 70 beats/min, regular with no murmur. There is no edema o
the extremities. An adult nurse practitioner orders:
(a) a chest x-ray.
,(b) a lung perfusion scan.
(c) over-the-counter treatments for symptomatic relief.
(d) pulmonary function tests. - ANSWER (a) a chest x-ray.
An adult nurse practitioner is educating a female patient about her newly diagnosed
phobia. The nurse practitioner explains that phobias differ from other anxiety disorders
in that phobias:
(a) are innate and can be prevented.
(b) are related to specific trigger experiences.
(c) occur at a later age.
(d) often involve depressive symptoms. - ANSWER (b) are related to specific trigger
experiences.
A 78-year-old male patient comes to the ambulatory care clinic and reports an inability
to void. The adult nurse practitioner has difficulty inserting a urinary catheter due to an
obstruction. The nurse practitioner's action is to:
(a) obtain consent from the patient to perform prostatic massage.
(b) perform a suprapubic aspiration to relieve bladder distention.
(c) prescribe an oral loop diuretic.
(d) refer the patient to a urologist for further treatment. - ANSWER (d) refer the patient
to a urologist for further treatment.
A patient comes to the clinic with reports of acute pain and loss of vision in the right eye.
The adult nurse practitioner informs the patient that these symptoms require:
(a) assessment with a split lamp.
(b) examination with an otoscope.
, (c) immediate referral to an ophthalmologist.
(d) treatment with several ophthalmologic agents. - ANSWER (c) immediate referral to
an ophthalmologist.
A 45-year-old patient with diabetes comes to the clinic for an annual appointment. The
patient declines a parenteral influenza vaccination because a friend "came down with
the flu after receiving the vaccination." The adult nurse practitioner explains that the
vaccination is:
(a) a polysaccharide, so it may cause a mild case of influenza.
(b) activated, so it may cause a mild case of influenza.
(c) inactivated, and this is unable to cause influenza.
(d) live attenuated, so it may cause a mild case of influenza. - ANSWER (c) inactivated,
and this is unable to cause influenza.
An institutional review board rejects an adult nurse practitioner's research proposal on
the grounds that the:
(a) chosen statistics were not optimal to meet research objectives.
(b) literature review was insufficient to develop the research question.
(c) proposed budget did not cover the cost of the study.
(d) subject's rights were not clearly protected. - ANSWER (d) subject's rights were not
clearly protected.
A patient informs an adult nurse practitioner, "I want to stop smoking." The nurse
practitioner responds:
(a) "Do you have any ideas about how you would like to quit smoking?"
(b) "Does your health insurance cover smoking cessation?"
(c) "I will develop a plan for you to stop smoking."
