ANCC (2024-2025) QUESTIONS with ANSWERS
Preparing to implement an incontinence reduction program at
a nursing home, the adult-gerontology primary care nurse
practitioner reviews several studies. Place the studies in
sequential order of the strength of evidence for this population
from strongest to weakest.
(a) A case report of an experimental incontinence reduction
program in older adults.
(b) A consensus statement from the urologic association
regarding the use of scheduled toileting.
(c) A systematic review of nonrandomized trials concerning
the use of vaginal estrogen. - <<<Answers>>Strongest
evidence: (c) a systematic review
...then: (b) a consensus statement
Weakest evidence: (a) a case report
The medical history of a robust, 64-year-old patient is
negative for hypertension, heart disease, and diabetes. Upon
examination, the gerontological nurse practitioner detects a
new grade 3 crescendo-decrescendo systolic murmur that is
heard loudest at the base of the heart, with radiation to the
carotid arteries. The gerontological nurse practitioner's next
action is to order:
, ANCC (2024-2025) QUESTIONS with ANSWERS
(a) a C-reactive protein test.
(b) a troponin level.
(c) an echocardiogram.
(d) an electrocardiogram. - <<<Answers>>(c) an
echocardiogram.
Which drug puts an older adult at the highest risk for injury
after a fall?
(a) Acetaminophen/ hydrocodone (Vicodin)
(b) Alendronate (Fosamax)
(c) Loratadine (Claritin)
(d) Warfarin (Coumadin). - <<<Answers>>(d) Warfarin
(Coumadin).
In addition to altered mental status, which is the best early
indicator of pneumonia in an older adult?
(a) Cough
(b) Fever
, ANCC (2024-2025) QUESTIONS with ANSWERS
(c) Malaise
(d) Tachypnea - <<<Answers>>(d) Tachypnea
A 65-year-old woman comes to the geriatric clinic for a
routine checkup. Her history includes a 10 lb (4.5 kg) weight
loss over the past two months. On physical examination, an
enlarged (2 cm), radiating, nontender and rubbery lymph node
is palpated on the left supraclavicular chain. The
gerontological nurse practitioner's next action is to:
(a) order a throat culture and monospot test.
(b) order a two-step tuberculin skin test.
(c) prescribe antibiotic therapy.
(d) refer the patient to a surgeon for a lymph node biopsy. -
<<<Answers>>(d) refer the patient to a surgeon for a lymph
node biopsy.
[Note: Virchow's nodes, or "Troisier's sign", considered a sign
of abdominal metastasis.]
Which type of urinary incontinence is lessened by pelvic floor
exercises?
, ANCC (2024-2025) QUESTIONS with ANSWERS
(a) Functional
(b) Overflow
(c) Stress
(d) Transient - <<<Answers>>(c) Stress
The purpose of a Long-Term Care Ombudsman Program is:
(a) implementing quality assurance activities.
(b) performing comprehensive resident assessments.
(c) preserving the rights of nursing home residents.
(d) providing training requirements for nursing assistants. -
<<<Answers>>(c) preserving the rights of nursing home
residents.
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
Preparing to implement an incontinence reduction program at
a nursing home, the adult-gerontology primary care nurse
practitioner reviews several studies. Place the studies in
sequential order of the strength of evidence for this population
from strongest to weakest.
(a) A case report of an experimental incontinence reduction
program in older adults.
(b) A consensus statement from the urologic association
regarding the use of scheduled toileting.
(c) A systematic review of nonrandomized trials concerning
the use of vaginal estrogen. - <<<Answers>>Strongest
evidence: (c) a systematic review
...then: (b) a consensus statement
Weakest evidence: (a) a case report
The medical history of a robust, 64-year-old patient is
negative for hypertension, heart disease, and diabetes. Upon
examination, the gerontological nurse practitioner detects a
new grade 3 crescendo-decrescendo systolic murmur that is
heard loudest at the base of the heart, with radiation to the
carotid arteries. The gerontological nurse practitioner's next
action is to order:
, ANCC (2024-2025) QUESTIONS with ANSWERS
(a) a C-reactive protein test.
(b) a troponin level.
(c) an echocardiogram.
(d) an electrocardiogram. - <<<Answers>>(c) an
echocardiogram.
Which drug puts an older adult at the highest risk for injury
after a fall?
(a) Acetaminophen/ hydrocodone (Vicodin)
(b) Alendronate (Fosamax)
(c) Loratadine (Claritin)
(d) Warfarin (Coumadin). - <<<Answers>>(d) Warfarin
(Coumadin).
In addition to altered mental status, which is the best early
indicator of pneumonia in an older adult?
(a) Cough
(b) Fever
, ANCC (2024-2025) QUESTIONS with ANSWERS
(c) Malaise
(d) Tachypnea - <<<Answers>>(d) Tachypnea
A 65-year-old woman comes to the geriatric clinic for a
routine checkup. Her history includes a 10 lb (4.5 kg) weight
loss over the past two months. On physical examination, an
enlarged (2 cm), radiating, nontender and rubbery lymph node
is palpated on the left supraclavicular chain. The
gerontological nurse practitioner's next action is to:
(a) order a throat culture and monospot test.
(b) order a two-step tuberculin skin test.
(c) prescribe antibiotic therapy.
(d) refer the patient to a surgeon for a lymph node biopsy. -
<<<Answers>>(d) refer the patient to a surgeon for a lymph
node biopsy.
[Note: Virchow's nodes, or "Troisier's sign", considered a sign
of abdominal metastasis.]
Which type of urinary incontinence is lessened by pelvic floor
exercises?
, ANCC (2024-2025) QUESTIONS with ANSWERS
(a) Functional
(b) Overflow
(c) Stress
(d) Transient - <<<Answers>>(c) Stress
The purpose of a Long-Term Care Ombudsman Program is:
(a) implementing quality assurance activities.
(b) performing comprehensive resident assessments.
(c) preserving the rights of nursing home residents.
(d) providing training requirements for nursing assistants. -
<<<Answers>>(c) preserving the rights of nursing home
residents.
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
