ANCC PRACTICE ACTUAL QUESTIONS AND

ANCC PRACTICE (ACTUAL / ) QUESTIONS AND

VERIFIED CORRECT ANSWERS

Which research design has the greatest strength in determining if an intervention is effective?

(a) Case control (b) Clinical trial (c) Cohort (d) Cross-sectional - ---Answers----(b) 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:

(a) aspirin (Bayer).

(b) aspirin with dipyridamole (Aggrenox).

(c) clopidogrel (Plavix).

(d) warfarin (Coumadin). - ---Answers----(a) aspirin (Bayer).

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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:

(a) breach of contract.(b) conflict of interest.(c) personal choice.(d) reasonable request. - ---Answers----(b) conflict of interest.

A 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?

(a) Continue antibiotics for 14 days

(b) Follow up with primary care provider for vaccinations

(c) No international travel for five years

(d) No weight lifting restrictions - ---Answers----(b) Follow up with primary care provider for vaccinations 2 / 4

A 65-year-old female patient has a confirmed diagnosis of terminal liver disease. The patient's advance directive designates comfort measures, only. An adult-gerontology

acute care nurse practitioner's action is to:

(a) discuss the patient's decision with the patient's family members.

(b) persuade the patient to participate in a hepatitis clinical trial.

(c) reconfirm the patient's end-of-life decision.

(d) refer the patient for a psychological evaluation. - --- Answers----(c) reconfirm the patient's end-of-life decision.

A hospital requires adult-gerontology acute care nurse practitioners to submit credentialing applications for the

purpose of:

(a) authorizing clinical roles and responsibilities.

(b) delineating therapeutic and diagnostic services.

(c) monitoring the nurse practitioner's clinical activities. 3 / 4

(d) verifying education, licensure, and experience. - --- Answers----(d) verifying education, licensure, and experience.

Assessment of which endocrine system response to sepsis- induced hypotension is essential in guiding subsequent therapy?

(a) Adrenal (b) Pancreatic (c) Pituitary (d) Thyroid - ---Answers----(a) Adrenal

Generally healthy patients, who are diagnosed with acute bronchitis, inappropriately ask for which category of drugs?

(a) Antibiotics (b) Beta-agonists (c) Corticosteroids (d) Xanthines - ---Answers----(a) Antibiotics

What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number?

(a) The Affordable Care Act

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