Gerontological Nurse Practitioner Certification Practice Exam Questions
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The Gerontological Nurse Practitioner Certification exam is a challenging and comprehensive assessment for men and women who wish to enter this rewarding field of health care. Developed by the American Nurses Credentialing Center, the exam consists of 175 multiple-choice questions, 25 of which are pretest items used to develop future versions of the exam and which do not count toward the final score.
The content of the Gerontological Nurse Practitioner Certification exam is divided into three domains of practice: foundations of advanced nursing practice (50 questions, 33.33 percent of the exam); clinical assessment (46 questions, 30.67 percent); and clinical management (54 questions, 36 percent).
The issues covered within the domain on the foundations of advanced nursing practice include communication; health promotion and disease prevention; influences on care; advocacy, legal, and ethical issues; teaching and guidance; scope and standards of the gerontological nurse practitioner; and health care and public policy. The clinical assessment domain covers anatomy, physiology, and pathophysiology; health assessment across the gaining continuum; and advanced diagnostic reasoning. The domain regarding clinical management covers evidence-based practice, epidemiology and disease control, and clinical decision-making.
The Gerontological Nurse Practitioner Certification exam is administered by computer at testing facilities around the country. Total testing time is four hours, although a half hour is spent learning the computer system.
The raw score (the number of questions answered correctly) is placed on a scale using a formula that takes into account the relative difficulty of the test version; the minimum passing scaled score is 350. Scores are available immediately upon completion of the Gerontological Nurse Practitioner Certification Exam.
1. A nurse practitioner teaching a patient with COPD pulmonary exercises should do which of the following?
A: Teach purse-lip breathing techniques.
B: Encourage repetitive heavy lifting exercises that will increase strength.
C: Limit exercises based on respiratory acidosis.
D: Take breaks every 10-20 minutes with exercises.
2. A patient asks a nurse practitioner the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
A: Chest x-ray
B: Mantoux test
C: Breath sounds examination
D: Sputum culture for gram-negative bacteria
3. An eight-four year old man suffered a concussion and the MD ordered a MRI. The patient asks, “Will they allow me to sit up during the MRI?” The correct response by the nurse practitioner should be.
A: “I will have to talk to the doctor about letting you sit upright during the test.”
B: “You will be positioned in the reverse Trendelenburg position to maximize the view of the brain.”
C: “The radiologist will let you know.”
D: “You will have to lie down on your back during the test.”
4. A sixty-five year-old man suffered a left frontal lobe CVA. The patient’s family is not present in the room. Which of the following should the nurse practitioner watch most closely for?
A: Changes in emotion and behavior
B: Monitor loss of hearing
C: Observe appetite and vision deficits
D: Changes in facial muscle control
5. A 64 year old female describes a brutal assault and rape to the nurse practitioner on duty. Which of the following actions should the nurse practitioner take first?
A: Check with case manager on duty about possible police intervention.
B: Provide an environment of concern and emotional stabilization.
C: Clean the patient’s wounds with normal saline and gauze.
D: Recommend a good attorney to the patient.
1. (A) Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways.
2. (B) The Mantoux is the most accurate test to determine the presence of TB.
3. (D) The MRI will require supine positioning.
4. (A) The frontal lobe is responsible for behavior and emotions.
5. (B) Emotional support is what that patient needs most at this point in time.
Last Updated: 10/12/2013