AMBULATORY CARE NURSE CERTIFICATION EXAM
(ANCC)
: Questions, Answer Choices, Correct Answers & Rationales |
100% Pass Guaranteed | Graded A+
Question 1
Question: The Ambulatory care Nurse is triaging a client whose chief complaint is chest pain. What is a
priority action for the nurse to take?
Answer Choices:
A. Complete full head to toe
B. Administer ASA
C. Perform Electrocardiogram (ECG)
D. Call 911 Perform an Electrocardiogram
Correct Answer: C. Perform Electrocardiogram (ECG)
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. An ECG is a rapid first-line assessment for chest pain and helps identify acute cardiac ischemia or
dysrhythmia.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
,Question 2
Question: Which of the following is essential for the ambulatory care nurse to remind the client of when
performing an Electrocardiogram?
Answer Choices:
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 Try not to move during the test
Correct Answer: C. Try not to move during the test
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. Movement can create artifact and interfere with accurate ECG interpretation, so the patient should
remain still.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
Question 3
Question: The Ambulatory Care nurse is assessing a client. Which of the following questions will B. What
Brought you in today? yield more information from the client?
Answer Choices:
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 Answer: B. What brought you in today?
Rationales:
, A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option B.
B. What brought you in today? is the source-keyed answer and best addresses the issue described in the
question.
C. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option B.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option B.
Question 4
Question: 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?
Answer Choices:
A. Transport client to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c Retest the blood glucose
Correct Answer: C. Retest the Blood glucose
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. A very high finger-stick glucose should be confirmed before acting on a potentially erroneous point-of-
care result.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
Question 5
Question: Which of the following laboratory test is most efC. Hemoglobin A1C fective in monitoring a client
with DM blood glucose level?
, Answer Choices:
A. Urine Glucose Level
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels
Correct Answer: C. Hemoglobin A1C
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. Hemoglobin A1C reflects average glycemic control over roughly the preceding 2–3 months.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
Question 6
Question: 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?
Answer Choices:
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray Halter Monitoring
Correct Answer: A. Halter Monitoring
Rationales:
A. Holter monitoring can capture intermittent dysrhythmias that may not appear on a brief office ECG.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option A.
C. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option A.
(ANCC)
: Questions, Answer Choices, Correct Answers & Rationales |
100% Pass Guaranteed | Graded A+
Question 1
Question: The Ambulatory care Nurse is triaging a client whose chief complaint is chest pain. What is a
priority action for the nurse to take?
Answer Choices:
A. Complete full head to toe
B. Administer ASA
C. Perform Electrocardiogram (ECG)
D. Call 911 Perform an Electrocardiogram
Correct Answer: C. Perform Electrocardiogram (ECG)
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. An ECG is a rapid first-line assessment for chest pain and helps identify acute cardiac ischemia or
dysrhythmia.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
,Question 2
Question: Which of the following is essential for the ambulatory care nurse to remind the client of when
performing an Electrocardiogram?
Answer Choices:
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 Try not to move during the test
Correct Answer: C. Try not to move during the test
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. Movement can create artifact and interfere with accurate ECG interpretation, so the patient should
remain still.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
Question 3
Question: The Ambulatory Care nurse is assessing a client. Which of the following questions will B. What
Brought you in today? yield more information from the client?
Answer Choices:
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 Answer: B. What brought you in today?
Rationales:
, A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option B.
B. What brought you in today? is the source-keyed answer and best addresses the issue described in the
question.
C. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option B.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option B.
Question 4
Question: 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?
Answer Choices:
A. Transport client to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c Retest the blood glucose
Correct Answer: C. Retest the Blood glucose
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. A very high finger-stick glucose should be confirmed before acting on a potentially erroneous point-of-
care result.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
Question 5
Question: Which of the following laboratory test is most efC. Hemoglobin A1C fective in monitoring a client
with DM blood glucose level?
, Answer Choices:
A. Urine Glucose Level
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels
Correct Answer: C. Hemoglobin A1C
Rationales:
A. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
C. Hemoglobin A1C reflects average glycemic control over roughly the preceding 2–3 months.
D. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option C.
Question 6
Question: 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?
Answer Choices:
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray Halter Monitoring
Correct Answer: A. Halter Monitoring
Rationales:
A. Holter monitoring can capture intermittent dysrhythmias that may not appear on a brief office ECG.
B. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option A.
C. Incorrect. This option is not the best answer for the situation described; the source-keyed answer is
option A.
