Sample Questions from ANCC,
Questions and answers, Graded A+
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) Ost
...
Sample Questions from ANCC,
Questions and answers, Graded A+
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 - ✔✔A) 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 adultgerontology acute care nurse practitioner order to confirm a diagnosis?
A reticulocyte count
A serum folate level
An erythrocyte sedimentation rate
Iron studies - ✔✔A 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 - ✔✔Medicaid
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) - ✔✔Lisinopril (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. - ✔✔B) 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. - ✔✔A) 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. - ✔✔D) piperacillintazobactam (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 - ✔✔Clinical 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). - ✔✔aspirin (Bayer)
An adult-gerontology acute care nurse practitioner who specializes in cardiology is asked to give a
presentation on lipid-lowering drugs. A major drug company that markets a lipid-lowering medication
plans to pay the presenter an honorarium, but asks the nurse practitioner to limit his or her remarks to
its drug. This situation presents a:
breach of contract.
conflict of interest.
personal choice.
reasonable request. - ✔✔conflict of interest
32-year-old patient who underwent an open splenectomy for a ruptured spleen, is preparing for
discharge. An adult-gerontology acute care nurse practitioner reviews the potential complications with
the patient. The nurse practitioner emphasizes which instruction to the patient?
Continue antibiotics for 14 days
Follow up with primary care provider for vaccinati
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