Ambulatory Care Nurse Certification Exam (ANCC Questions with Correct Answers

Ambulatory Care Nurse Certification Exam (ANCC Questions with Correct
Answers


Question 1:
The Ambulatory care Nurse is triaging a client whose chief complaint is chest pain. What is a
priority action for the nurse to take?
Complete full head to toe Administer ASA
Perform Electrocardiogram (ECG) Call 911
Answer:
C. Perform an Electrocardiogram


Question 2:
Which of the following is essential for the ambulatory care nurse to remind the client of when
performing an Electrocardiogram?
Take a deep breath during the test Hold you breath during the test Try not to move during the
test
You may keep your bra on during the test
Answer:
C. Try not to move during the test


Question 3:
How many Children do you have? When was your last menstrual period?
Answer:
B. What Brought you in today?
B. What Brought you in today?
B. What Brought you in today?
B. What Brought you in today?


Question 4:
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?Transport client to the ERNotify the healthcare
provider immediately Retest the Blood glucoseOrder a Hemoglobin A1c
Answer:
C. Retest the blood glucose

,Question 5:
Which of the following laboratory test is most effective in monitoring a client with DM blood
glucose level?Urine Glucose LevelGlucometer blood glucose testing Hemoglobin A1CCreatinine
Levels
Answer:
C. Hemoglobin A1C


Question 6:
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?Halter Monitoring
Admission to the hospital Continuous EEGChest X-ray
Answer:
A. Halter Monitoring


Question 7:
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?Check blood glucose during halter
monitoring Maintain normal diet and exercising
Answer:
B. Maintain normal Diet and exercise


Question 8:
Which of the following laboratory test is most effective in monitoring a client with DM blood
glucose level?
Urine Glucose Level
Glucometer blood glucose testing Hemoglobin A1C
Creatinine Levels
Answer:
C. Hemoglobin A1C

,Question 9:
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?
Height and weight are seldom required
height and weight are only needed when the chemotherapy regimen is changed Height and
weight are needed to calculate the correct dosage of chemotherapy
The chemotherapy dose will remain the same, even if there is an increase in the amount of
eight lost.
Answer:
C. Height and weight are needed to calculate the correct dosage of chemotherapy.


Question 10:
The Ambulatory care nurse is performing a guaiac fecal occult blood test (gFOBT), Which of the
following would indicate a positive result?
Green reaction Red reaction Blue reaction Yellow reaction
Answer:
C. Blue reaction


Question 11:
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?
Since the client is feeling "ok" there is no further intervention A temp of 102 is an expected
finding after chemotherapy
Cal the MD to obtain an order of Tylenol as soon as possible
The client is post chemo and at risk for neutropenia fever. This is an emergency and requires
stat ABX or hospitalization
Answer:
D. The client is post chemo and at risk for neutropenia fever. This is an emergency and requires
stat ABX or hospitalization


Question 12:
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?
I ate my entire meal
Answer:
B. My ears are ringing

, Question 13:
The ambulatory care nurse is scheduling the client for gFOBT. Which statement made by the
client indicates that teaching was effective?
This is an invasive test
I will not eat Mushrooms for 48-72 hours I can take ASA if I am having a headache I will reduce
my fiber intake
Answer:
B. I will not eat Mushrooms for 48-72 hours


Question 14:
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 client with a BS of 150mg/dl and is asymptomatic
A client who complains of blood in urine 24hours POP TURP
A client with a blood pressure of 140/89 and is asymptomatic
Answer:
A client in her 3rd trimester and has signs of preterm labor.


Question 15:
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?
Encourage the client to continue her independence by taking her health in her own hands.
Educate the client on credible websites and the importance of protecting private information
Do nothing. The client is knowledgeable about using the internet.
Document the clients response in the chart.
Answer:
B. Educate the client on credible websites and the importance of protecting private information