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ANCC Practice Questions With Answers (122 Q/A)
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ANCC Practice Questions With Answers (122Q/A)
In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic - -(a) normochromic normocytic
-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 - -(a) asthma
-A patient has hyperactive reflexes of the lower extremities. The adult-
gerontology 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. - -(c) sharply dorsiflexing the
foot and maintaining this position while supporting the knee.
-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.
(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.
-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.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates. - -(c) Mode of transmission
and incubation.
-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
information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study. - -(d)
uses the methodology section to support the validity of the study.
-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.
-The adult-gerontology primary care nurse practitioner is appointed to a
hospital's multidisciplinary medical ethics review committee. The nurse
practitioner's role is to:
(a) evaluate standards, risks, benefits, and outcomes.
(b) identify how to anticipate and resolve similar future situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution. - -(a) evaluate
standards, risks, benefits, and outcomes.
-To improve the quality of clinical practice, the adult-gerontology primary
care nurse practitioner:
(a) charges a fee for patients who arrive late to clinic appointments.
(b) disseminates research study results to colleagues.
(c) expresses opinions about alternative therapies with patients who consider
such treatments.
(d) schedules time during clinic hours to meet with pharmaceutical
representatives. - -(b) disseminates research study results to colleagues.
-One effect of using electronic health record applications, such as
telemedicine and portable monitoring systems, has been to:
(a) create stand-alone clinics.
(b) decrease billable visits.
(c) increase risks to patients.
(d) open access to care. - -(d) open access to care.
-The adult-gerontology primary care nurse practitioner evaluates an 80-
year-old patient with cognitive deficits, who is unaccompanied by the adult
, child who typically is present. The patient has urinary symptoms, for which
the nurse practitioner considers ordering sulfamethoxazole-trimethoprim
(Bactrim). The patient's previous medical record is unavailable. Before
prescribing the medication, the nurse practitioner:
(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available. - -(a) contacts the patient's
adult child.
-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:
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