Sample Questions from ANCC graded
Awith correct answers
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 answerA) 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 answerA 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 answerMedicaid
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 answerLisinopril (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.
, Sample Questions from ANCC graded
Awith correct answers
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 answerB) 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:
A) increases the insulin dosage at bed time.
B) reduces the insulin dosage at bed time.
C) tests the blood glucose level at 3:00 AM every morning.
D) tests the blood glucose level in the evening. - correct answerA) increases the insulin
dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the
intensive care unit. The patient is started on fluids and norepinephrine (Levophed) IV.
The blood cultures that were drawn 48 hours ago from the tunneled catheter, show
preliminary results of gram-negative bacilli. The patient's most recent echocardiogram
report reveals an ejection fraction of 40%. The adult-gerontology acute care nurse
practitioner determines that:
A) a pulmonary artery catheter insertion is indicated, to manage septic shock.
B) fluid resuscitation will be limited to no more than 4 L
C) indwelling vancomycin (Vancocin) should be placed in the ports of the tunneled
catheter.
D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection. - correct
answerD) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection.
Which research design has the greatest strength in determining if an intervention is
effective?
Case control
Clinical trial
Cohort
Cross-sectional - correct answerClinical trial
A 55-year-old man who has no history of diabetes mellitus, heart disease, hypertension,
or thrombotic events is diagnosed with paroxysmal atrial fibrillation. Based on national
stroke prevention guidelines, the recommended antithrombotic management for this
patient is:
aspirin (Bayer).
aspirin with dipyridamole (Aggrenox).
clopidogrel (Plavix).
warfarin (Coumadin). - correct answeraspirin (Bayer)
Awith correct answers
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 answerA) 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 answerA 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 answerMedicaid
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 answerLisinopril (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.
, Sample Questions from ANCC graded
Awith correct answers
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 answerB) 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:
A) increases the insulin dosage at bed time.
B) reduces the insulin dosage at bed time.
C) tests the blood glucose level at 3:00 AM every morning.
D) tests the blood glucose level in the evening. - correct answerA) increases the insulin
dosage at bed time.
A patient with profound hypotension is transferred from the medical-surgical unit to the
intensive care unit. The patient is started on fluids and norepinephrine (Levophed) IV.
The blood cultures that were drawn 48 hours ago from the tunneled catheter, show
preliminary results of gram-negative bacilli. The patient's most recent echocardiogram
report reveals an ejection fraction of 40%. The adult-gerontology acute care nurse
practitioner determines that:
A) a pulmonary artery catheter insertion is indicated, to manage septic shock.
B) fluid resuscitation will be limited to no more than 4 L
C) indwelling vancomycin (Vancocin) should be placed in the ports of the tunneled
catheter.
D) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection. - correct
answerD) piperacillin-tazobactam (Zosyn) is indicated for the line-related infection.
Which research design has the greatest strength in determining if an intervention is
effective?
Case control
Clinical trial
Cohort
Cross-sectional - correct answerClinical trial
A 55-year-old man who has no history of diabetes mellitus, heart disease, hypertension,
or thrombotic events is diagnosed with paroxysmal atrial fibrillation. Based on national
stroke prevention guidelines, the recommended antithrombotic management for this
patient is:
aspirin (Bayer).
aspirin with dipyridamole (Aggrenox).
clopidogrel (Plavix).
warfarin (Coumadin). - correct answeraspirin (Bayer)
