ANCC Questions & Answers 2023
Which factor is associated with the highest risk of falls in older persons living in the
community?
A. A history of previous falls
B. Living Alone
C. Osteoporosis
D. Use of an assistive device - ANS-A. A history of previous falls
An older adult patient complains of recent lapses in memory and deceased 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. A reticulocyte count
B. A serum folate level
C. An erythrocyte sedimentation rate
D. Iron studies - ANS-B. A serum folate level
An 80 year old male patient with dementia requires LTC placement. To which funding
agency does the patient apply, after "spending down" to qualify?
A. Medicaid
B. Medicare
C. The American Association of Retired Persons
D. The United States Social Security Administration - ANS-A. Medicaid
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 first-line
therapy for this patient?
A. Amlodipine (Norvasc)
B. Digoxin (lanoxin)
C. Furosemide (Lasix)
D. Lisinopril (Zestril) - ANS-D. Lisinopril (Zestril)
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute
care nurse practitioner assesses for ankle clonus by
A. applying a low-pitched tuning fork firmly to the lateral malleolus
B. Sharply dosiflexing and maintaining the foot in this position, while supporting the
knee.
C. Striking the Achilles tendon with the percussion hammer after flexing the leg at the
knee and rotating it externally.
D. Stroking the lateral aspect of the sole with the sharp end of the percussion hammer
from the heel to the ball of the foot. - ANS-B. Sharply dosiflexing and maintaining the
foot in this position, while supporting the knee.
