ANCC PRACTICE QUESTIONS ACTUAL QUESTIONS
AND CORRECT ANSWERS ALREADY GRADED A+
GUARANTEED SUCCESS
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 her. The nurse
practitioner:
(a) asks the child to provide a copy of the patient's advance directive document.
(b) assures the child that the nurse practitioner can disclose requested information.
(c) informs the child that he or she must come to the clinic to discuss the parent's
case.
(d) tells the child that the nurse practitioner can discuss the information only with
the patient.
(d) tells the child that the nurse practitioner can discuss the information only with
the patient
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology
primary care nurse practitioner gives which physical examination finding the highest
priority for immediate treatment?
(a) Atrophy of vaginal rugae.
1
,(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
(c) Palpable ovary.
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.
2
,The adult-gerontology primary care nurse practitioner conducts a small group class
on weight management. The nurse practitioner anticipates that the patient who may
have the greatest difficulty implementing the counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict.
(d) worried patient whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner evaluates a patient with cold
symptoms who reports smoking half a pack of cigarettes a day and shows no interest
in quitting. The nurse practitioner's most appropriate approach is to treat the cold
symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette.
(a) advise the patient to stop smoking.
The adult-gerontology primary care nurse practitioner plans to provide smoking
cessation education at a community center to older adults and their families. The
nurse practitioner designs the program based on knowledge that older adult smokers:
3
, (a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger smokers.
(d) receive more instruction to quit from health care providers than younger smokers.
(b) are more likely to be successful at quitting than younger smokers.
An 84-year-old patient arrives at the office for an initial visit. The patient questions
the need for colorectal screening, since 10 years have passed since the last
colonoscopy. The adult-gerontology primary care nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting.
(d) watchful waiting.
The adult-gerontology primary care nurse practitioner treats several patients 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.
4
AND CORRECT ANSWERS ALREADY GRADED A+
GUARANTEED SUCCESS
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 her. The nurse
practitioner:
(a) asks the child to provide a copy of the patient's advance directive document.
(b) assures the child that the nurse practitioner can disclose requested information.
(c) informs the child that he or she must come to the clinic to discuss the parent's
case.
(d) tells the child that the nurse practitioner can discuss the information only with
the patient.
(d) tells the child that the nurse practitioner can discuss the information only with
the patient
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology
primary care nurse practitioner gives which physical examination finding the highest
priority for immediate treatment?
(a) Atrophy of vaginal rugae.
1
,(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
(c) Palpable ovary.
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.
2
,The adult-gerontology primary care nurse practitioner conducts a small group class
on weight management. The nurse practitioner anticipates that the patient who may
have the greatest difficulty implementing the counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict.
(d) worried patient whose son is serving in military conflict.
The adult-gerontology primary care nurse practitioner evaluates a patient with cold
symptoms who reports smoking half a pack of cigarettes a day and shows no interest
in quitting. The nurse practitioner's most appropriate approach is to treat the cold
symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette.
(a) advise the patient to stop smoking.
The adult-gerontology primary care nurse practitioner plans to provide smoking
cessation education at a community center to older adults and their families. The
nurse practitioner designs the program based on knowledge that older adult smokers:
3
, (a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger smokers.
(d) receive more instruction to quit from health care providers than younger smokers.
(b) are more likely to be successful at quitting than younger smokers.
An 84-year-old patient arrives at the office for an initial visit. The patient questions
the need for colorectal screening, since 10 years have passed since the last
colonoscopy. The adult-gerontology primary care nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting.
(d) watchful waiting.
The adult-gerontology primary care nurse practitioner treats several patients 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.
4
