SAMPLE ANCC COMPLETE REVISION

SAMPLE ANCC COMPLETE REVISION

QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED

ANSWERS) ALREADY GRADED A+||

Which factor is associated with the highest risk of falls in older persons living in the community?

• A history of previous falls
• Living alone
• Osteoporosis

D) Use of an assistive device - Correct Answer: 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 adult- gerontology acute care nurse practitioner order to confirm a diagnosis?A reticulocyte count A serum folate level An erythrocyte sedimentation rate

Iron studies - Correct Answer: 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 - Correct Answer: Medicaid 1 / 2

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) - Correct Answer: Lisinopril (Zestril)

A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse

practitioner assesses for ankle clonus by:

• applying a low-pitched tuning fork firmly to the lateral malleolus.
• 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.

• stroking the lateral aspect of the sole with the sharp end of the percussion hammer from the heel to

the ball of the foot. - Correct Answer: 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:

• increases the insulin dosage at bed time.
• reduces the insulin dosage at bed time.

C) tests the blood glucose level at 3:00 AM every morning.

• tests the blood glucose level in the evening. - Correct Answer: 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

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