ANCC Nurse Executive Certification Exam (NEBC
Exam) New 2026 Version with All Questions 400
from Actual Exam with 100% Correct Answers
and Rationales
(FREQUENTLY TESTED QUESTIONS & MOST DIFFICULT QUESTIONS)
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 - ✓✓Correct Ans- C. Perform an Electrocardiogram
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 - ✓✓Correct Ans- C. Try not to move during the test
The Ambulatory Care nurse is assessing a client. Which of the following questions will yield more information from
the client?
1|Page
,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? - ✓✓Correct Ans- B. What Brought you in today?
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 - ✓✓Correct Ans- C. Retest the blood glucose
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 - ✓✓Correct Ans- C. Hemoglobin A1C
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 - ✓✓Correct Ans- A. Halter Monitoring
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
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,C. Avoid Microwaves and the use of cell phones
D. Reduce exercise routine - ✓✓Correct Ans- B. Maintain normal Diet and exercise
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. -
✓✓Correct Ans- C. Height and weight are needed to calculate the correct dosage of chemotherapy.
The Ambulatory care nurse is performing a guaiac fecal occult blood test (gFOBT), Which of the following would
indicate a positive result?
A. Green reaction
B. Red reaction
C. Blue reaction
D. Yellow reaction - ✓✓Correct Ans- C. Blue reaction
The nurse in the Medical oncology clinic is assessing a client who is undergoing chemotherapy. The nurse obtained
an oral temp of 102 degrees. which statement by the nurse indicates an understanding of the clients' condition?
A. Since the client is feeling "ok" there is no further intervention
B. A temp of 102 is an expected finding after chemotherapy
C. Cal the MD to obtain an order of Tylenol as soon as possible
D. The client is post chemo and at risk for neutropenia fever. This is an emergency and requires stat ABX or
hospitalization - ✓✓Correct Ans- D. The client is post chemo and at risk for neutropenia fever. This is an emergency
and requires stat ABX or hospitalization
The Ambulatory care nurse is performing a physical assessment on a child who underwent chemotherapy. Which
statement by the client indicates that further evaluation is needed?
A. I ate my entire meal
B. My ears are ringing
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, C. I play with my rother everyday
D. Sometimes I am tired - ✓✓Correct Ans- B. My ears are ringing
The ambulatory care nurse is scheduling the client for gFOBT. Which statement made by the client indicates that
teaching was effective?
A. This is an invasive test
B. I will not eat Mushrooms for 48-72 hours
C. I can take ASA if I am having a headache
D. I will reduce my fiber intake - ✓✓Correct Ans- B. I will not eat Mushrooms for 48-72 hours
Prioritization is an important aspect of the ambulatory care nurse's time management plan. Which of the following
clients would the nurse see first?
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. - ✓✓Correct Ans- 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. - ✓✓Correct Ans- B. Educate the client on credible websites and the
importance of protecting private information
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 - ✓✓Correct Ans- B. Refrain from judging
4|Page
Exam) New 2026 Version with All Questions 400
from Actual Exam with 100% Correct Answers
and Rationales
(FREQUENTLY TESTED QUESTIONS & MOST DIFFICULT QUESTIONS)
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 - ✓✓Correct Ans- C. Perform an Electrocardiogram
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 - ✓✓Correct Ans- C. Try not to move during the test
The Ambulatory Care nurse is assessing a client. Which of the following questions will yield more information from
the client?
1|Page
,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? - ✓✓Correct Ans- B. What Brought you in today?
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 - ✓✓Correct Ans- C. Retest the blood glucose
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 - ✓✓Correct Ans- C. Hemoglobin A1C
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 - ✓✓Correct Ans- A. Halter Monitoring
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
2|Page
,C. Avoid Microwaves and the use of cell phones
D. Reduce exercise routine - ✓✓Correct Ans- B. Maintain normal Diet and exercise
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. -
✓✓Correct Ans- C. Height and weight are needed to calculate the correct dosage of chemotherapy.
The Ambulatory care nurse is performing a guaiac fecal occult blood test (gFOBT), Which of the following would
indicate a positive result?
A. Green reaction
B. Red reaction
C. Blue reaction
D. Yellow reaction - ✓✓Correct Ans- C. Blue reaction
The nurse in the Medical oncology clinic is assessing a client who is undergoing chemotherapy. The nurse obtained
an oral temp of 102 degrees. which statement by the nurse indicates an understanding of the clients' condition?
A. Since the client is feeling "ok" there is no further intervention
B. A temp of 102 is an expected finding after chemotherapy
C. Cal the MD to obtain an order of Tylenol as soon as possible
D. The client is post chemo and at risk for neutropenia fever. This is an emergency and requires stat ABX or
hospitalization - ✓✓Correct Ans- D. The client is post chemo and at risk for neutropenia fever. This is an emergency
and requires stat ABX or hospitalization
The Ambulatory care nurse is performing a physical assessment on a child who underwent chemotherapy. Which
statement by the client indicates that further evaluation is needed?
A. I ate my entire meal
B. My ears are ringing
3|Page
, C. I play with my rother everyday
D. Sometimes I am tired - ✓✓Correct Ans- B. My ears are ringing
The ambulatory care nurse is scheduling the client for gFOBT. Which statement made by the client indicates that
teaching was effective?
A. This is an invasive test
B. I will not eat Mushrooms for 48-72 hours
C. I can take ASA if I am having a headache
D. I will reduce my fiber intake - ✓✓Correct Ans- B. I will not eat Mushrooms for 48-72 hours
Prioritization is an important aspect of the ambulatory care nurse's time management plan. Which of the following
clients would the nurse see first?
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. - ✓✓Correct Ans- 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. - ✓✓Correct Ans- B. Educate the client on credible websites and the
importance of protecting private information
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 - ✓✓Correct Ans- B. Refrain from judging
4|Page
