SAMPLE QUESTIONS FROM ANCC
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
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-ANSWERSA) A history of previous falls
An older adult patient complains of recent lapses in memory and decreased 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 reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - CORRECT-ANSWERSA serum folate level
An 80-year-old male patient with dementia requires long-term care placement. To which funding
agency does the patient apply, after "spending down" to qualify?
Medicaid
Medicare
The American Association of Retired Persons
, The United States Social Security Administration - CORRECT-ANSWERSMedicaid
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 the first-line therapy for
this patient?
Amlodipine (Norvasc)
Digoxin (Lanoxin)
Furosemide (Lasix)
Lisinopril (Zestril) - CORRECT-ANSWERSLisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care
nurse practitioner assesses for ankle clonus by:
C) applying a low-pitched tuning fork firmly to the lateral malleolus.
B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
striking the Achilles tendon with the percussion hammer C) 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-ANSWERSB) sharply dorsiflexing and maintaining the
foot in this position, while supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the
morning. An adult-gerontology acute care nurse practitioner determines that the patient's
hyperglycemia is due to the dawn phenomenon and:
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
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-ANSWERSA) A history of previous falls
An older adult patient complains of recent lapses in memory and decreased 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 reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - CORRECT-ANSWERSA serum folate level
An 80-year-old male patient with dementia requires long-term care placement. To which funding
agency does the patient apply, after "spending down" to qualify?
Medicaid
Medicare
The American Association of Retired Persons
, The United States Social Security Administration - CORRECT-ANSWERSMedicaid
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 the first-line therapy for
this patient?
Amlodipine (Norvasc)
Digoxin (Lanoxin)
Furosemide (Lasix)
Lisinopril (Zestril) - CORRECT-ANSWERSLisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care
nurse practitioner assesses for ankle clonus by:
C) applying a low-pitched tuning fork firmly to the lateral malleolus.
B) sharply dorsiflexing and maintaining the foot in this position, while supporting the knee.
striking the Achilles tendon with the percussion hammer C) 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-ANSWERSB) sharply dorsiflexing and maintaining the
foot in this position, while supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the
morning. An adult-gerontology acute care nurse practitioner determines that the patient's
hyperglycemia is due to the dawn phenomenon and:
