AMBULATORY CARE NURSE CERTIFICATION EXAM 2025 TESTBANK
/ANCC CERTIFICATION EXAM 450 QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES / A+ GRADE ASSURED
The three primary elements of motivational interviewing are:
A. Collaboration, Evocation, and autonomy
B. Orientation, identification and autonomy
C. Input, Discussion and output
D. Identification of barriers, conflict resolution and implementation - ...ANSWER...A.
Collaboration, Evocation, and autonomy
Collaboration: Working with the patient rather than confronting the patient in order to
resolve issues
Evocation: Drawing out ideas from the patient about problems and solutions rather than
imposing ideas of an interviewer
,Autonomy: Recognizing that the patient is the one who is responsible for making changes
and respecting the patients choices.
Female patients should generally be advised to begin breast cancer screening with routine
mammos at about the age:
A. 20-30
B. 30-40
C. 40-50
D. 50-60 - ...ANSWER...C. 40-50
One of the primary indications that a patient is ready to learn is when the patient:
A. Appears confused
B. Expresses frustration
C. Admits lack of knowledge
D. Asks a question - ...ANSWER...D. Asks a question
When assessing a patient over the telephone, the ambulatory care nurse is unsure what the
client is saying because the patient's explanation is confusing. Which of the following is the
best response?
A. Could you explain that again, I just want to make sure I understand
B. That was so confusing, Could you repeat it?
C. I'm afraid I didn't understand what you were saying
D. Is there someone else present who could explain this to me
- ...ANSWER...A. Could you explain that again, I just want to make sure I understand
If a female patient at an ambulatory care clinic speaks only Arabic and is accompanied by
her 8 year old daughter and a
,male neighbor who both peak English and Arabic, the best way to communicate is:
A. Use pantomime to help the patient communicate
B. Ask the daughter to translate
C. Ask the neighbor to translate
D. Arrange for a medical Translator - ...ANSWER...D. Arrange for a medical
Translator
When providing anticipatory guidance to a patient who has recently been diagnosed with
DM type I, the most important information that the ambulatory care nurse should cover is
how to deal with:
A. Weight loss
B. Changes in Activity
C. Diabetic ketoacidosis
D. HTN - ...ANSWER...C. Diabetic ketoacidosis
Which of the following infectious agents is only transmitted through direct contact, such as
when the infectious agent is present on an environment surface?
A. C-Diff
B. Lyme disease
C. Rubella Virus
D. Varicella -Zoster virus - ...ANSWER...A. C-Diff
If an ambulatory care nurse wants to determine if there is a recall for a specific medications,
the nurse should seek information from the?
A. CDC
B. Consumer product safety commission
C. Agency for toxic substance and disease registry
D. Food and Drug Administration - ...ANSWER...D. Food and Drug Administration
, If a patient is scheduled for a colonoscopy, the patient should be advised that the procedure
will generally require the patient to withhold which of the following medications for 7-14 days
before the test
A. Iron supplements
B. Antihypertensive
C. Acetaminophen
D. Levothyroxine - ...ANSWER...A. Iron supplements
A Patient is to undergo the MOHS procedure for a removal of a squamous cell carcinoma
from the left face. The patient should be advised that following the initial excision of the
lesion, the patient will be expected to
A. Stay flat for 72 hours
B. Wait for the results of the tissue analysis
C. Be discharged from the facility
D. Consult a plastic surgeon for repair - ...ANSWER...B. Wait for the results of the tissue
analysis
Which of the following conditions of the breast may pose the greatest risk for the
development of breast cancer
A. Lipoma
B. Cyst
C. Epithelial related calcifications
D. Atypical ductal hyperplasia - ...ANSWER...D. Atypical ductal hyperplasia
As part of the hazard vulnerability assessment, the family practice clinic has noted a number
of areas (earthquake, fire, infant abduction and bomb threats) in which their risk is moderate
to high. The next step is to
A. Identify cost related to decreasing risk
/ANCC CERTIFICATION EXAM 450 QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES / A+ GRADE ASSURED
The three primary elements of motivational interviewing are:
A. Collaboration, Evocation, and autonomy
B. Orientation, identification and autonomy
C. Input, Discussion and output
D. Identification of barriers, conflict resolution and implementation - ...ANSWER...A.
Collaboration, Evocation, and autonomy
Collaboration: Working with the patient rather than confronting the patient in order to
resolve issues
Evocation: Drawing out ideas from the patient about problems and solutions rather than
imposing ideas of an interviewer
,Autonomy: Recognizing that the patient is the one who is responsible for making changes
and respecting the patients choices.
Female patients should generally be advised to begin breast cancer screening with routine
mammos at about the age:
A. 20-30
B. 30-40
C. 40-50
D. 50-60 - ...ANSWER...C. 40-50
One of the primary indications that a patient is ready to learn is when the patient:
A. Appears confused
B. Expresses frustration
C. Admits lack of knowledge
D. Asks a question - ...ANSWER...D. Asks a question
When assessing a patient over the telephone, the ambulatory care nurse is unsure what the
client is saying because the patient's explanation is confusing. Which of the following is the
best response?
A. Could you explain that again, I just want to make sure I understand
B. That was so confusing, Could you repeat it?
C. I'm afraid I didn't understand what you were saying
D. Is there someone else present who could explain this to me
- ...ANSWER...A. Could you explain that again, I just want to make sure I understand
If a female patient at an ambulatory care clinic speaks only Arabic and is accompanied by
her 8 year old daughter and a
,male neighbor who both peak English and Arabic, the best way to communicate is:
A. Use pantomime to help the patient communicate
B. Ask the daughter to translate
C. Ask the neighbor to translate
D. Arrange for a medical Translator - ...ANSWER...D. Arrange for a medical
Translator
When providing anticipatory guidance to a patient who has recently been diagnosed with
DM type I, the most important information that the ambulatory care nurse should cover is
how to deal with:
A. Weight loss
B. Changes in Activity
C. Diabetic ketoacidosis
D. HTN - ...ANSWER...C. Diabetic ketoacidosis
Which of the following infectious agents is only transmitted through direct contact, such as
when the infectious agent is present on an environment surface?
A. C-Diff
B. Lyme disease
C. Rubella Virus
D. Varicella -Zoster virus - ...ANSWER...A. C-Diff
If an ambulatory care nurse wants to determine if there is a recall for a specific medications,
the nurse should seek information from the?
A. CDC
B. Consumer product safety commission
C. Agency for toxic substance and disease registry
D. Food and Drug Administration - ...ANSWER...D. Food and Drug Administration
, If a patient is scheduled for a colonoscopy, the patient should be advised that the procedure
will generally require the patient to withhold which of the following medications for 7-14 days
before the test
A. Iron supplements
B. Antihypertensive
C. Acetaminophen
D. Levothyroxine - ...ANSWER...A. Iron supplements
A Patient is to undergo the MOHS procedure for a removal of a squamous cell carcinoma
from the left face. The patient should be advised that following the initial excision of the
lesion, the patient will be expected to
A. Stay flat for 72 hours
B. Wait for the results of the tissue analysis
C. Be discharged from the facility
D. Consult a plastic surgeon for repair - ...ANSWER...B. Wait for the results of the tissue
analysis
Which of the following conditions of the breast may pose the greatest risk for the
development of breast cancer
A. Lipoma
B. Cyst
C. Epithelial related calcifications
D. Atypical ductal hyperplasia - ...ANSWER...D. Atypical ductal hyperplasia
As part of the hazard vulnerability assessment, the family practice clinic has noted a number
of areas (earthquake, fire, infant abduction and bomb threats) in which their risk is moderate
to high. The next step is to
A. Identify cost related to decreasing risk
