ANCC Practice Questions and Answers
1. In the early stages of iron deficient anemias, blood studies show
(a)macrocytic normochromic
(b)microcytic hypochromic
(c)normochromic normocytic
(d)pancytopenic hypocytic
Answer (a) normochromic normocytic
2. A 14-year-old, male patient has some general concerns about
eczema, as his twin brother was recently diagnosed with this
condition. The patient reports urticaria and a rash on his posterior
knees bilaterally. The three factors that put the patient at risk for
eczema are a family history of eczema, a personal history of allergic
rhinitis, and a history of
(a)asthma
(b)bee allergy
(c)otitis media
(d)psoriasis
Answer (a) asthma
,3. A patient has hyperactive reflexes of the lower extremities. The
adult-geron- tology primary care nurse practitioner assesses for
ankle clonus by
(a)firmly applying a low-pitched tuning fork to the lateral malleolus.
(b)flexing the leg at the knee, rotating it externally, and striking
the Achilles tendon with the percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position
while supporting the knee.
(d)stroking the lateral aspect of the sole from the heel to the ball of
the foot with the sharp end of the percussion hammer.
Answer (c) sharply dorsiflexing the foot and maintaining this position while supporting the
knee.
4. A 70-year-old, female patient is having her yearly evaluation. The
adult-geron- tology primary care nurse practitioner gives which
physical examination find- ing the highest priority for immediate
treatment?
(a)Atrophy of vaginal rugae.
(b)Cystocele present.
,(c)Palpable ovary.
(d)Pessary in place.
Answer (c) Palpable ovary.
5. 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.
Answer (d) Perceived severity.
6. The adult-gerontology primary care nurse practitioner treats
several patients for biological exposure. In the patients' records,
the nurse practitioner docu- ments which epidemiological factors
for each exposure?
(a)Comorbidities and length of exposure.
(b)Location and event intensity.
, (c)Mode of transmission and incubation.
(d)Premorbid conditions and surveillance rates.
Answer (c) Mode of transmission and incubation.
7. When disseminating research findings in a peer-reviewed
journal, the adult-gerontology primary care nurse
practitioner
(a)concludes that the study proves the hypothesis.
(b)excludes the discussion section, because the conclusion contains
this infor-
mation.
(c)recommends incorporating the results directly into clinical practice.
(d)uses the methodology section to support the validity of the study.
Answer (d) uses the methodology section to support the validity of the study.
8. 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
1. In the early stages of iron deficient anemias, blood studies show
(a)macrocytic normochromic
(b)microcytic hypochromic
(c)normochromic normocytic
(d)pancytopenic hypocytic
Answer (a) normochromic normocytic
2. A 14-year-old, male patient has some general concerns about
eczema, as his twin brother was recently diagnosed with this
condition. The patient reports urticaria and a rash on his posterior
knees bilaterally. The three factors that put the patient at risk for
eczema are a family history of eczema, a personal history of allergic
rhinitis, and a history of
(a)asthma
(b)bee allergy
(c)otitis media
(d)psoriasis
Answer (a) asthma
,3. A patient has hyperactive reflexes of the lower extremities. The
adult-geron- tology primary care nurse practitioner assesses for
ankle clonus by
(a)firmly applying a low-pitched tuning fork to the lateral malleolus.
(b)flexing the leg at the knee, rotating it externally, and striking
the Achilles tendon with the percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position
while supporting the knee.
(d)stroking the lateral aspect of the sole from the heel to the ball of
the foot with the sharp end of the percussion hammer.
Answer (c) sharply dorsiflexing the foot and maintaining this position while supporting the
knee.
4. A 70-year-old, female patient is having her yearly evaluation. The
adult-geron- tology primary care nurse practitioner gives which
physical examination find- ing the highest priority for immediate
treatment?
(a)Atrophy of vaginal rugae.
(b)Cystocele present.
,(c)Palpable ovary.
(d)Pessary in place.
Answer (c) Palpable ovary.
5. 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.
Answer (d) Perceived severity.
6. The adult-gerontology primary care nurse practitioner treats
several patients for biological exposure. In the patients' records,
the nurse practitioner docu- ments which epidemiological factors
for each exposure?
(a)Comorbidities and length of exposure.
(b)Location and event intensity.
, (c)Mode of transmission and incubation.
(d)Premorbid conditions and surveillance rates.
Answer (c) Mode of transmission and incubation.
7. When disseminating research findings in a peer-reviewed
journal, the adult-gerontology primary care nurse
practitioner
(a)concludes that the study proves the hypothesis.
(b)excludes the discussion section, because the conclusion contains
this infor-
mation.
(c)recommends incorporating the results directly into clinical practice.
(d)uses the methodology section to support the validity of the study.
Answer (d) uses the methodology section to support the validity of the study.
8. 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
