Free ANCC Adult-Gerontology Acute Care Nursing Questions and Answers

Question 1

For patients with diabetes mellitus, the first indication of diabetic nephropathy is usually:

Accepted Answer

Microalbuminuria

Answer

Increased creatinine

Answer

Increased blood urea nitrogen (BUN)

Answer

Macroalbuminuria

Question 2

A 36-year-old male patient has acute sexually transmitted epididymitis. In addition to antibiotics during the acute phase of the disease, the treatment regimen should include:

Accepted Answer

Bed rest and scrotal elevation

Answer

Warm compresses

Answer

Ice compresses

Answer

Scrotal support

Question 3

A patient with burns is placed on an air-fluidized bed to relieve pressure. It is especially important to carefully monitor this patient for:

Accepted Answer

Fluid balance

Answer

Vital signs

Answer

Temperature

Answer

Pain level

Question 4

A 68-year-old patient has been treated for renal disease but has exhibited a sudden change in her condition. The primary indications for renal replacement therapy (RRT) for acute renal failure are:

Accepted Answer

Fluid overload, metabolic acidosis, and hyperkalemia

Answer

Hypovolemia, metabolic alkalosis, and hypokalemia

Answer

Initial signs of oliguria

Answer

Increasing levels of serum creatinine

Question 5

After removal of a chest tube, a 48-year-old patient complains of retrosternal and neck pain, is dyspneic, and has slight neck edema. Hamman's sign is positive (precordial systolic crepitus). The probable diagnosis is:

Accepted Answer

Pneumomediastinum

Answer

Pneumothorax

Answer

Cardiac tamponade

Answer

Pneumopericardium

Question 6

Which of the following antidysrhythmic drugs is most likely to result in bradycardia, hypotension, heart failure, PR prolongation, and/or constipation?

Accepted Answer

Diltiazem

Answer

Lidocaine

Answer

Ibutilide

Answer

Amiodarone

Question 7

If a patient reports that injuries resulted from domestic violence, when documenting the abuse in the patient's health record, the NP should:

Accepted Answer

Use direct quotations to document the patient's statements.

Answer

Summarize the patient's statements.

Answer

Indicate only that abuse occurred.

Answer

Record no information but fill out an incident report.

Question 8

Because combining monoamine oxidase inhibitors (MAOls) with some foods may cause adverse reactions (hypertension, headache, diaphoresis, cardiac abnormalities, intracerebral hemorrhage), patients taking MAOls should be advised to avoid which of the following foods/beverages?

Accepted Answer

Alcohol, products containing caffeine (tea, cola, chocolate coffee), and foods high in tyramine (organ meats, cured meats, cheese, raisins, avocados, and soy)

Answer

Alcohol and grapefruit juice

Answer

Foods high in vitamin K (broccoli, spinach, Brussels sprouts, cauliflower, kale) and vitamin E supplements

Answer

Milk products and vitamins, vitamins and minerals containing iron, and caffeine

Question 9

Mike Brown has completed gender reassignment surgery (male-to-female) and is now legally Mikaela Brown. Mikaela states that she is still attracted to females and not males. Her sexual orientation should be most appropriately classified as:

Accepted Answer

Lesbian

Answer

Non-binary

Answer

Questioning

Answer

Bisexual

Question 10

In conducting evidence-based research, which of the following types of studies represents one in which those with a condition (such as infection) are compared to those without the condition?

Accepted Answer

Case-control study

Answer

Retrospective cohort study

Answer

Prospective cohort study

Answer

Cross-sectional study