ANCC (Primary + Acute) Practice Questions & Answers 2025/2026

In the early stages of iron deficient anemias, blood studies show:
(a) macrocytic normochromic
(b) microcytic hypochromic
(c) normochromic normocytic
(d) pancytopenic hypocytic - ANS-(a) normochromic normocytic
A 14-year-old, male patient has some general concerns about eczema, as his twin
brother was recently diagnosed with this condition. The patient reports urticaria and a
rash on his posterior knees bilaterally. The three factors that put the patient at risk for
eczema are a family history of eczema, a personal history of allergic rhinitis, and a
history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis - ANS-(a) asthma
A patient has hyperactive reflexes of the lower extremities. The adult-gerontology
primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(b) flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with
the percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position while supporting the knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the foot with the
sharp end of the percussion hammer. - ANS-(c) sharply dorsiflexing the foot and
maintaining this position while supporting the knee.
A 70-year-old, female patient is having her yearly evaluation. The adult-gerontology
primary care nurse practitioner gives which physical examination finding the highest
priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place. - ANS-(c) Palpable ovary