ANCC NEWEST ACTUAL EXAM PRACTICE

ANCC NEWEST ACTUAL EXAM PRACTICE

TEST -

AND CORRECT ANSWERS GRADED A+

To evaluate for heart failure, which diagnostic test does the adult- gerontology primary care nurse practitioner order for a patient with swelling in the lower extremities?

(a) Ankle-brachial index.(b) Brain natriuretic peptide test.(c) D-dimer assay.(d) Spirometry study. Correct Answer (b) Brain natriuretic peptide test.

Before placing a patient with onychomycosis on a pulsed dose of itraconazole (Sporanox), which laboratory values does the adult- gerontology primary care nurse practitioner obtain?

(a) Liver function studies.(b) Platelet count.(c) Renal function studies. 1 / 4

(d) White blood cell count. Correct Answer (a) Liver function studies.

A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased weight, abdominal pain, and a long-term history of multiple sexual partners. The patient's physical examination reveals abdominal tenderness with icteric sclerae and skin. Which laboratory test confirms active hepatitis B?

(a) Antibody.

(b) Enzyme-linked immunosorbent assay.

(c) Immune globulin G.

(d) Surface antigen. Correct Answer (d) Surface antigen.

For two to three months, a 78-year-old patient has not been taking levothyroxine (Synthroid) as prescribed. The patient now has symptoms of increasing constipation, lethargy, and weakness. The adult-gerontology primary care nurse practitioner

anticipates that laboratory tests will show that the patient's:

(a) T4 level decreased, and TSH level increased. 2 / 4

(b) T4 level increased, and TSH level decreased.

(c) T4 level increased, and TSH level is unchanged.

(d) T4 level is unchanged, and TSH level decreased. Correct Answer (a) T4 level decreased, and TSH level increased.

A 68-year-old patient has sustained an unintended weight loss of 15 lb (6.8 kg) over the last two months but reports feeling well.The patient's problems include depression, tobacco abuse, obesity, and dyslipidemia. His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and famotidine (Pepcid). The adult- gerontology primary care nurse practitioner performs which THREE actions?

(a) Adds a probiotic.

(b) Conducts a depression screening.

(c) Decreases the dosage of the statin medication.

(d) Obtains a chest x-ray.

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(e) Orders a thyroid-stimulating hormone. Correct Answer (b) Conducts a depression screening.

(d) Obtains a chest x-ray.

(e) Orders a thyroid-stimulating hormone.

Preparing to implement an incontinence reduction program at a nursing home, the adult-gerontology primary care nurse practitioner reviews several studies. Place the studies in sequential order of the strength of evidence for this population from strongest to weakest.

(a) A case report of an experimental incontinence reduction program in older adults.

(b) A consensus statement from the urologic association regarding the use of scheduled toileting.

(c) A systematic review of nonrandomized trials concerning the

use of vaginal estrogen. Correct Answer Strongest evidence: (c) a

systematic review

...then: (b) a consensus statement

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