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ANCC 2024 SAMPLE
QUESTIONS WITH ALL
THE CORRECT
ANSWERS
Anbolderbadultbpatientbcomplainsbofbrecentblapsesbinbmemorybandbdecreasedbalertn ess.bThebpatient'sblaboratorybtestbresultsbindicatebabmild,bmacrocyticbanemia.bWhich badditionalbtestbdoesbthebadult- gerontologybacutebcarebnursebpractitionerborderbtobconfirmbabdiagnosis? bAbreticulocytebcount bAbserumbfolateblevel bAnberythrocytebsedimentationbrate bIronbstudiesb-bcorrectbanswer-Abserumbfolateblevel Tobgetbmorebquestionsbwithbcorrectbanswersbemailbjamesdickson3161@gmail.comb- bcorrectbanswer-
Anb80-year-oldbmalebpatientbwithbdementiabrequiresblong- termbcarebplacement.bTobwhichbfundingbagencybdoesbthebpatientbapply,bafterb"spen dingbdown"btobqualify? bMedicaid bMedicare bThebAmericanbAssociationbofbRetiredbPersons bThebUnitedbStatesbSocialbSecuritybAdministrationb-bcorrectbanswer-Medicaid Ab70-year- oldbpatientbwithbacutebsystolicbheartbfailurebdeniesbanybfunctionalblimitations,bisbable btobwalkbfivebblocksbbeforebtiring,bandbisbeuvolemic.bWhichbmedicationbisbthebfirst- linebtherapybforbthisbpatient? bAmlodipineb(Norvasc) bDigoxinb(Lanoxin) bFurosemideb(Lasix) bLisinoprilb(Zestril)b-bcorrectbanswer-Lisinoprilb(Zestril) Abpatientbhasbhyperactivebreflexesbofbtheblowerbextremities.bThebadult- gerontologybacutebcarebnursebpractitionerbassessesbforbanklebclonusbby: C)bapplyingbablow-pitchedbtuningbforkbfirmlybtobtheblateralbmalleolus. B)bsharplybdorsiflexingbandbmaintainingbthebfootbinbthisbposition,bwhilebsupportingbth ebknee. bstrikingbthebAchillesbtendonbwithbthebpercussionbhammerbC)bafterbflexingbtheblegbat bthebkneebandbrotatingbitbexternally. D)bstrokingbtheblateralbaspectbofbthebsolebwithbthebsharpbendbofbthebpercussionbham merbfrombthebheelbtobthebballbofbthebfoot.b-bcorrectbanswer- B)bsharplybdorsiflexingbandbmaintainingbthebfootbinbthisbposition,bwhilebsupportingbth ebknee. Ab15-year- oldbpatientbwithbtypeb 1 bdiabetesbmellitusbreportsbelevatedbbloodbglucoseblevelsbinbth ebmorning.bAnbadult- gerontologybacutebcarebnursebpractitionerbdeterminesbthatbthebpatient'sbhyperglyce miabisbduebtobthebdawnbphenomenonband: A)bincreasesbthebinsulinbdosagebatbbedbtime. B)breducesbthebinsulinbdosagebatbbedbtime. C)btestsbthebbloodbglucoseblevelbatb3:00bAMbeverybmorning. D)btestsbthebbloodbglucoseblevelbinbthebevening.b-bcorrectbanswer- A)bincreasesbthebinsulinbdosagebatbbedbtime. Abpatientbwithbprofoundbhypotensionbisbtransferredbfrombthebmedical- surgicalbunitbtobthebintensivebcarebunit.bThebpatientbisbstartedbonbfluidsbandbnorepin ephrineb(Levophed)bIV.bThebbloodbculturesbthatbwerebdrawnb 48 bhoursbagobfrombthe btunneledbcatheter,bshowbpreliminarybresultsbofbgram- negativebbacilli.bThebpatient'sbmostbrecentbechocardiogrambreportbrevealsbanbejecti
bNobweightbliftingbrestrictionsb-bcorrectbanswer- Followbupbwithbprimarybcarebproviderbforbvaccinations Ab65-year- oldbfemalebpatientbhasbabconfirmedbdiagnosisbofbterminalbliverbdisease.bThebpatient' sbadvancebdirectivebdesignatesbcomfortbmeasures,bonly.bAnbadult- gerontologybacutebcarebnursebpractitioner'sbactionbisbto: A)bdiscussbthebpatient'sbdecisionbwithbthebpatient'sbfamilybmembers. B)bpersuadebthebpatientbtobparticipatebinbabhepatitisbclinicalbtrial. C)breconfirmbthebpatient'sbend-of-lifebdecision. D)breferbthebpatientbforbabpsychologicalbevaluation.b-bcorrectbanswer- C)breconfirmbthebpatient'sbend-of-lifebdecision. Ab68-year- oldbpatientbhadbsurgerybthreebdaysbago,bforbrepairbofbanbabdominalbaorticbaneurys m.bThebpatientbremainsbintubated,bisbneurologicallybintact,bandbhasbactivebbowelbso unds.bThebpatient'sbliverbfunctionbisbwithinbnormalblimitsbandbthebpatientbhasbnobsig nsborbsymptomsbofbheartbfailure.bThebpatient'sblaboratorybvaluesbare:bbloodbureabnit rogenbofb 12 bmg/dL,bcreatininebofb0.8bmg/ dL,bPaCO2bofb 37 bmmbHg.bThebpreferredbformbofbnutritionalbsupportbforbthisbpatientb is: A)benteralbfeedingbtobthebduodenumbviababnasogastricbsmall-borebtube. B)benteralbfeedingbtobthebstomachbviababgastrostomybtube. C)bperipheralbparenteralbnutritionbviabanb18-gaugebIVbcatheter. D)btotalbparenteralbnutritionbviababcentralbvenousbline.b-bcorrectbanswer- A)benteralbfeedingbtobthebduodenumbviababnasogastricbsmall-borebtube. Abhospitalbrequiresbadult- gerontologybacutebcarebnursebpractitionersbtobsubmitbcredentialingbapplicationsbforbt hebpurposebof: A)bauthorizingbclinicalbrolesbandbresponsibilities. B)bdelineatingbtherapeuticbandbdiagnosticbservices. C)bmonitoringbthebnursebpractitioner'sbclinicalbactivities. D)bverifyingbeducation,blicensure,bandbexperience.b-bcorrectbanswer- D)bverifyingbeducation,blicensure,bandbexperience. Assessmentbofbwhichbendocrinebsystembresponsebtobsepsis- inducedbhypotensionbisbessentialbinbguidingbsubsequentbtherapy? bAdrenal bPancreatic bPituitary bThyroidb-bcorrectbanswer-Adrenal Abpatientbwithbabhistorybofbatrialbfibrillation,bwhobhasbmaintainedbnormalbsinusbrhyth mbwithbsotalolb(Betapace)bisbhospitalizedbforbacutebpyelonephritis.bThebappropriateb antibioticbregimenbforbthisbpatientbisbparenteral:Abpatientbwithbabhistorybofbatrialbfibril
lation,bwhobhasbmaintainedbnormalbsinusbrhythmbwithbsotalolb(Betapace)bisbhospitali zedbforbacutebpyelonephritis.bThebappropriatebantibioticbregimenbforbthisbpatientbisbp arenteral: bcefoxitinb(Mefoxin). bceftriaxoneb(Rocephin). bciprofloxacinb(Proquin). blevofloxacinb(Levaquin).b-bcorrectbanswer-ceftriaxoneb(Rocephin). Generallybhealthybpatients,bwhobarebdiagnosedbwithbacutebbronchitis,binappropriatel ybaskbforbwhichbcategorybofbdrugs? bAntibiotics bBeta-agonists bCorticosteroids bXanthinesb-bcorrectbanswer-Antibiotics WhatblegislationballowedbnursebpractitionersbtobbebrecognizedbMedicarebprovidersbi nballbgeographicalbareasbwithbtheirbownbproviderbnumber? bThebAffordablebCarebAct bThebBalancedbBudgetbAct bThebCivilianbHealthbandbMedicalbProgrambofbthebUniformedbServices bThebOmnibusbBudgetbandbReconciliationbActb-bcorrectbanswer- ThebBalancedbBudgetbAct Ab19-year- oldbmalebpatientbarrivesbatbthebemergencybdepartmentbexhibitingbsymptomsbofblowe rbabdominalbpainbthatbradiatesbtobthebgroin,bandbthatbthebpatientbratesbasbanb 8 bonba bscalebofb 1 btob10.bThatbpatientbstatesbthatbthebpainbcamebonbsuddenly,bwhilebhebwa sbplayingbfootballbwithbfriends.bThebpatient'sbphysicalbexaminationbrevealsbpositiveb bowelbsoundsbinballbquadrants;babsoft,bnon- tenderbabdomen;bnobreboundingbandbnobguarding;bandbnobpalpablebmassbinbthebab domenborbgroin.bExaminationbofbthebpatient'sbgenitaliabrevealsbabunilateralbcremast ericbreflex.bWhatbisbthebadult- gerontologybacutebcarebnursebpractitioner'sbleadingbdifferentialbdiagnosis,bbasedbon bthebpatient'sbpresentation? bAppendicitis bEpididymitis bInguinalbhernia bTesticularbtorsionb-bcorrectbanswer-Testicularbtorsion Anbexceptionbtobthebpracticebofbmaintainingbpatientbconfidentialitybisbwhen: A)babfamilybmemberbofbthebpatientbgivesbconsent. B)babfamilybmemberbofbthebpatientbisbpayingbforbthebtx. C)bthebpatientbisbunresponsive. D)bthebpatientbplansbtobhurtbsomeone.b-bcorrectbanswer- D)bthebpatientbplansbtobhurtbsomeone.
banbincreasebinbcapillarybhydrostaticbpressure. banbincreasebinbcapillarybmembranebpermeability. banbobstructionbofblymphaticbdrainage.b-bcorrectbanswer- anbincreasebinbcapillarybhydrostaticbpressure.
