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Ambulatory Care Nurse Certification Exam
(ANCC) Questions And Answers Latest
The Ambulatory care Nurse is triaging a client whose chief complaint is chest pain. What is a priority action for the nurse to take?
A. Complete full head to toe
B. Administer ASA
C. Perform Electrocardiogram (ECG)
D. Call 911 -
Which of the following is essential for the ambulatory care nurse to remind the client of when performing an Electrocardiogram?
A. Take a deep breath during the test
B. Hold you breath during the test
C. Try not to move during the test
D. You may keep your bra on during the test -
The Ambulatory Care nurse is assessing a client. Which of the following questions will yield more information from the client?
A. Are you feeling pain?
B. What brought you in today?
C. How many Children do you have?
D. When was your last menstrual period? -
The ambulatory care nurse is conducting an annual assessment of a client. The client denies frequent urination, blurry vision, excessive thirst or hunger. The clients Blood sugar is 500mg/dl by finger stick. What should the nurse do next?
A. Transport client to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c -
Which of the following laboratory test is most effective in monitoring a client with DM blood glucose level?
A. Urine Glucose Level
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels -
The client complains of sporadic Abnormal heart rate. An ECG performed showed Normal Sinus rhythm. Labs were WNL and assessment revealed no cardiovascular abnormalities. Which of the following should the nurse anticipate the healthcare provider will order?
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray -
The Ambulatory care nurse is preparing the client for the application of a Holter monitor. Which information is vital for the nurse to give the client?
A. Check blood glucose during halter monitoring
B. Maintain normal diet and exercising
C. Avoid Microwaves and the use of cell phones
D. Reduce exercise routine -
The Ambulatory care nurse is assessing a new graduate nurses' understanding of the importance of getting clients height and weight before chemotherapy. Which statement indicates they understand?
A. Height and weight are seldom required
B. height and weight are only needed when the chemotherapy regimen is changed
C. Height and weight are needed to calculate the correct dosage of chemotherapy
D. The chemotherapy dose will remain the same, even if there is an increase in the amount of eight lost. -
A. A client with a BS of 150mg/dl and is asymptomatic
B. A client who complains of blood in urine 24hours POP TURP
C. A client with a blood pressure of 140/89 and is asymptomatic
D. A client in her 3rd trimester and has signs of preterm labor. -
A client informed the ambulatory care nurse that the internet is very helpful to her when reviewing health information. Which actin is appropriate for the nurse to take?
A. Encourage the client to continue her independence by taking her health in her own hands.
B. Educate the client on credible websites and the importance of protecting private information
C. Do nothing. The client is knowledgeable about using the internet.
D. Document the clients response in the chart. -
Which of the following strategies is appropriate when facilitating conflict resolution?
A. Choose a side as soon as possible
B. Refrain from judging
C. Use minimal choices and options to reach a speedy solution
D. Blame the guilty party -
The ambulatory care nurse is working with a healthcare organization that is seeking Magnet recognition. Which of the following activities by the nurse is the best supporting evidence in the Magnet application process
A. Being the charge nurse in the clinic
B. Participating in the nurses week celebration
C. Advancing to RN2 on the clinical ladder
D. Being the chairperson of the evidenced based council committee -
There are three ethical principles for human research. Which of the following means the client has the right to elf determination?
A. Respect
B. Justice
C. Beneficence
D. Non maleficence -
Which of the following organizations is responsible for evaluating proposed research studies prior to their commencement?
A. Centers for disease control and prevention
B. Department of Health and Human services
C. Institution Review Board
D. Office of Disease prevention and Health Promotion -
According to the Joint Commission standard, when should the initial assessment of the nurse competencies be conducted in a health care setting?
A. During the orientation process
B. Prior to the orientation process
C. During Nursing school
D. After the orientation process -
The purpose of using Scope and Standards of Practice for Ambulatory Care Nursing includes which if the following?
A. Use a guide to provide quality of care
B. Use to prevent law suits
C. Use to increase the income of the facility
D. Use to train nurses -
The ambulatory care nurse is teaching a client ho to change their wound dressing. Which of the following indicates emotional readiness to learn?
A. The client accepts the need to learn the new skill
B. The client has the psychomotor function to change the dressing
C. The client is a wound care medical MD
D. The client has dressed his/her own wound in the past -
To educate the client the ambulatory care nurse needs a systematic and planned process that consists of teaching and learning. Which of the following factors could influence the education process?
B. U
C. Unit
D. IU -
A client fell in the clinic during the intake process. The ambulatory care nurse is documenting the occurrence. Which of the following indicates proper documentation of the incident?
A. Document the incident in the patients chart
B. Make no mention of the fall in the clients charts
C. Report it the the risk management and they will document the incident
D. Document the occurrence of the fall in the organization's incident reporting system -
Which of the following actions should the ambulatory care nurse implement for a client who presents tot he clinic with chest pain?
A. Refer the client immediately to the ER
B. Take vital signs and obtain ECG
C. Take detailed history
D. Call the EMS for transport -
Which of the following is used to determine the type and the numbers of staff needed in an ambulatory clinic?
A. Only the volume of client
B. Nurses; years of experience
C. Nurses college degree
D. The complexity and the number of clients -
Which action by the ambulatory care nurse indicates that he/she is compliant with the client self-determination Act?
A. Asking the client if they have a Advanced Directives
B. Completing a head to toe assessment
C. Reviewing the clients care plan
D. Complying with the client's right to refuse medication -
Which of the following medications does the ambulatory care nurse anticipate the MD will prescribe for a client with chronic Asthma for long-term treatment
A. Fluticasone (Flovent)
B. Albuterol ( Ventolin)
C. Ipratropium (Atrovent)
D. Levalbuterol (Xopenex) -
The Ambulatory care nurse asses a client with Shortness of breath, lack of energy, and dry mouth. Which of the following disease should the ambulatory care nurse suspect?
A. COPD
B. Congestive Heart Failure
C. Asthma
D. Respiratory Failure -
The parent of an eight year old child reports that the child cannot efficiently use the metered dose inhaler. Which of the following actions should the nurse take?
A. Give the child a nebulizer
B. Give the child a spacer
C. Recommend discontinuation of the medication
D. Inform the parent that the medication is not important -
The ambulatory care nurse is formulating a research question using the PICO format. the "C" in PICO stands for which of the following?
A. Comparison
B. Characteristics
C. Culture
D. Cure -
PICO (T) Format -
Formula for creating answerable research questions.
P: Population/patient - age, gender, ethnicity, individuals with a certain disorder
D. Administer diuretics -
A client wit a DX of bipolar disorder is being seen in the clinic. The healthcare provider prescribed Lithium. Which of the following is important for the ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication -
Which of the following statements if reported to the ambulatory care nurse indicates that the treatment for a client with CHF needs to be modified?
A. The client gains 1 pound in hours
B. The client now sleeps sitting up
C. The clients BP is /
D. Increased Activity tolerance. -
With the implementation of telemedicine, the method of triaging has changed. What components would an ambulatory care nurse utilize when triaging using the telephone?
A. Take a quick and accurate history in order to make an accurate decision
B. HIPPA law does not allow client to call ambulatory care facility with health issues
C. Call 911 as soon as the client states there is a problem
D. Give information that is general that can be applied to most clients. -
The ambulatory care nurse is assessing a client. Which questions should the nurse ask to assess the clients health goals?
A. It seems to me that you want to be healthy, Is that true?
B. What are your health goals?
C. Do you want to be healthy?
D. Do you exercise? -
The ambulatory care nurse is caring for an elderly client. The nurse caring for the client should know what about elder abuse?
A. All victims of elder abuse are victims of poly-victimization
B More than 3 in 5 victims are men and 75 years or older
C. Elder abuse can be the result of intentional or unintentional neglect
D. elder abuse is not an issue, the nurse should not be concerned about. -
C. Elder abuse can be the result of intentional or unintentional neglect
The ambulatory care nurse is caring for a 30 year old married woman in the clinic who was accompanied by her husband. Upon assessment, the nurse noted bruises on the clients arm. What action should the nurse take?
A. Conduct further assessment without the clients husband in the room.
B. Ask both the husband and the client what happened
C. Call 911
D. Inform the client to leave her husband for safety -
When coding for visits of new patients, the key component that must be included to document the correct level of evaluation and management (E/M) are:
A. History, physical and medical decision making
B. Physical exam and medical decision making
C. History and physical exam
D. Age, DX, and medical decision making -
If a patient is trying to make an informed decision about whether to have surgery or more conservative treatment for prostate cancer and asks the ambulatory care nurse for advise on making the decision, the nurse should:
A. Advise the patient on the best course of treatment
B. Suggest the patient carry our research before deciding
C. provide the patient with print and online resources
D. Advise the patient to ask the physician for more information -
An Ambulatory care center has analyzed the type of patient complaints and finds there are four complaints that are most common ( delays, rescheduling, difficulty scheduling and parking) but not easily solvable and that staff members handle these complaints in different manners. The service recovery program should begin by:
A. First voided in AM
B. Second voiding the AM
C. Obtained after the patient drinks 8 oz of liquid
D. Obtained any time -
In a crisis situation which decisions must be made quickly and effectively, the most effective leadership style is probably:
A. Democratic
B. Laissez-faire
C. Authoritarian
D. Bureaucratic -
The ambulatory care nurse is preparing electronic educational material to be viewed over the internet and plans to include both deep links to articles and inline links to images from commercial sites. The nurse should:
A. Include the links as desired
B. Ask permission to utilize links
C. Provide a works cited list
D. Provide the course link in the text -
With problem based learning, the role of the instructor is that of:
A. Leader
B. Lecturer
C. Observer
D. Facilitator -
If delegating a task to staff person, the first issue to consider is whether the:
A. Task is suitable for the individual
B.. Individual has time to carry out the task
C. Individual can be adequately supervised
D. Individual wants to carry out the task -
A family practice physician's office schedule is usually fully booked with patients scheduled every 15 minutes, but the MD routinely adds patients who have acute needs to the schedule resulting in delays in seeing patients, unpaid staff OT and staff complaints. The best solution for the nurse manager may be to:
A. Schedule staff later in the day
B. Suggest referring patient to ED
C. As for payment for any OT
D. Leave open slots in the schedule -
When conducting a test for the erythrocyte sedimentation (ESR) rate using the Sediplast kit rack, after the blood in the Sediplast tube is inserted into the vial, the results should be checked in:
A. 10 min
B. 30 min
C. 60 Min
D. 90 min -
If a patient comes to the ambulatory care center with a 1inch gash on he left foot from a dog bite, the initial response should be to:
A. Wash the wound area with soap and water
B. Irrigate the wound with -ml of NS
C. Irrigate the wound with - ml of hydrogen peroxide
D. Soak the foot in povidone-iodine/NS (50/50) solution -
If one of the patients nursing diagnosis on the care plan is "Self care deficit" which of the following is an appropriate desired outcome?
A. The patient will achieve maximal physical activity
B. The patient will perform self care within physical limitations and activity restrictions
C. The patient exhibit increased ability to engage in activities
D. The patient will need no assistance with persona care -
A. 6 year old whose health insurance is provided by Medicaid
B. a 19 year old AA patient
C. A 13 year old with insurance coverage for vaccines
D. A 3 year old Polynesian patient with insurance but unpaid deductible -
If an office practice has 3 FTE physicians, approximately how many FTE support staff persons are likely to be necessary?
A. 5
B. 10
C. 15
D.20 -
Which of the following ethnic groups is at the highest risk of stroke?
A. Caucasians
B. Hispanics
C. Asians
D. African Americans -
The type of budget that is used for daily operations and general expenses, such as salaries associated with an ambulatory surgery center is the:
A. Master budget
B. Operating Budget
C. Capitol Budget
D. Cash balance Budget -
According to the Spalding classifications system for disinfection and sterilization, an example of an item that would be classified as Semi-critical is:
A. Bronchoscope
B. Surgical instrument
C. BP Cuff
D. Bedpan -
If a patients nursing DX is "Activity intolerance" on the care plan and the desired outcomes are the for the patient to feel less tire and carry out activities without signs of physical distress, which of the following is an appropriate nursing intervention:
A. Keep patient awake during daytime hours
B. Limit activities to those that are essential
C. instruct patient in energy saving techniques
D. Encourage patient to take mid-morning and mid afternoon naps. -
When preparing a budget for a community education project, the ambulatory care nurse needs to consider both direct and indirect costs. Indirect costs may include:
A. Supplies and Equipment
B. Salaries
C. Employee benefits
D. Housekeeping Services -
The three goals of accreditation by the national committee for Quality Assurance are (1) better patient experience, (2) Better health and (3):
A. Lower staff turnover
B. Lower per capita cost
C. Lower rates of medical errors
D. Higher reimbursement rates -
An Ambulatory care nurse reviewed clinic statistics regarding the number of patients who missed or came late to an appointment, established a telephone reminder system to improve attendance and then conducted a review each week and published findings for the staff showing the improvement. This is an example of:
A. Internal benchmarking
B. Functional Benchmarking
C. External Benchmarking
D. Competitive benchmarking -
Which of the following are excluded from the Nurse Licensure compact
A. RNs
B. LVNs
C. LPNs
D. APRNs -(They must get a license in each state they plan to work in)
When setting up a dashboard to show progress towards meeting goals, the first consideration when determining which information to include should be:
A. Relevance to goals
B. Method of Display
C. Frequency of needed updates
D. Ease of gathering data -
The first step in development of a safety and health program to meet OSHA's guidelines is to:
A. Takes steps to reduce hazards
B. Establish a medical management program
C. Conduct a workplace analysis
D. Establish a staff training program -
When interviewing a patient who reports that everything is "fine" the ambulatory care nurse notes that the patients pupils are dilated, the patient is sweating profusely and the patient frequently licks the lips. According to these observations the nurse likely concludes that the patient is:
A. actually fine
B. withholding information
C. Experiencing a physical health problem
D. Afraid of the nurse -
Under provisions of the Americans with Disabilities Act (ADA) in relation to access, which of the following is allowed:
A. Examining a wheelchair bound patient in a wheelchair because an adjustable exam table is not available
B. Refusing to treat a patient because accessible equipment is not available
C. Asking a disabled person to bring a caregiver to assist with patients examination
D. Having accessible equipment for patient with disabilities in some examination rooms but not all -
Waste is considered corrosive and hazardous if it has a pH of:
A. Less than 2 or greater than 12.
B. Less than 4 or greater than 10.
C. Between 6 and 12
D. Greater than 12.5 -
When reviewing a number of articles as part of development of Evidence-based practice guidelines, the first step to reading critically should be to:
A. Review the authors credentials
B. Consider the source
C. Read the article conclusion
D. Evaluate the overall article -
The nursing hazard that is usually of most concern is an ambulatory surgical center is:
A. Back injuries
B. Slips and falls
C. Exposure to bloodborne pathogens
D. Latex Allergies -
C. Exposure to bloodborne pathogens
The HIPPA security rule applies to protected health information (PHI) that is transmitted:
A. Orally
B. In Writing
C. Electronically
