The Ambulatory care Nurse is triaging a client whose chief C. Perform an Electrocardiogram
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 C. Try not to move during the test
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 B. What Brought you in today?
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 C. Retest the blood glucose
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 C. Hemoglobin A1C
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 A. Halter Monitoring
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 B. Maintain normal Diet and exercise
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 C. Height and weight are needed to calculate the correct dosage of chemotherapy.
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.
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, Ambulatory Care Nurse Certification Exam (ANCC)
The Ambulatory care nurse is performing a guaiac fecal C. Blue reaction
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
The nurse in the Medical oncology clinic is assessing a D. The client is post chemo and at risk for neutropenia fever. This is an emergency
client who is undergoing chemotherapy. The nurse and requires stat ABX or hospitalization
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
The Ambulatory care nurse is performing a physical B. My ears are ringing
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
C. I play with my rother everyday
D. Sometimes I am tired
The ambulatory care nurse is scheduling the client for B. I will not eat Mushrooms for 48-72 hours
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
Prioritization is an important aspect of the ambulatory care D. A client in her 3rd trimester and has signs of preterm labor.
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.
A client informed the ambulatory care nurse that the B. Educate the client on credible websites and the importance of protecting private
internet is very helpful to her when reviewing health information
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 B. Refrain from judging
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
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, Ambulatory Care Nurse Certification Exam (ANCC)
The ambulatory care nurse is working with a healthcare D. Being the chairperson of the evidenced based council committee
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 C. Institution Review Board
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 A. During the orientation process
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 A. Use a guide to provide quality of care
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 A. The client accepts the need to learn the new skill
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 B. Learner's readiness
systematic and planned process that consists of teaching
and learning. Which of the following factors could influence
the education process?
A. Culture
B. Learner's readiness
C. Gender
D. Socio-Economic Status
The Ambulatory care nurse is discharging a 10-year-old C. Both the child and the caregiver
child from the pediatric clinic. To whom should the nurse
given the discharge teaching?
A. The Child
B. The mother
C. Both the child and the caregiver
D. the grandparents
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