AMBULATORY CARE NURSE CERTIFICATION EXAM 2025 TESTBANK
/ANCC CERTIFICATION EXAM 450 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES / A+
GRADE ASSURED
The ambulatory care nurse is caring for an elderly client. The nurse caring for the client
should know what about elder abuse?
A. All victims of elder abuse are victims of poly-victimization B More than 3 in 5 victims are
men and 75 years or older
C. Elder abuse can be the result of intentional or unintentional neglect
D. elder abuse is not an issue, the nurse should not be concerned about. - ...ANSWER...C. Elder
abuse can be the result of intentional or unintentional neglect
The ambulatory care nurse is caring for a 30 year old married woman in the clinic who was
accompanied by her husband.
Upon assessment, the nurse noted bruises on the clients arm. What action should the nurse
take?
A. Conduct further assessment without the clients husband in the room.
B. Ask both the husband and the client what happened
C. Call 911
D. Inform the client to leave her husband for safety -
...ANSWER...A. Conduct further assessment without the clients husband in the room.
,When coding for visits of new patients, the key component that must be included to document
the correct level of evaluation and management (E/M) are:
A. History, physical and medical decision making
B. Physical exam and medical decision making
C. History and physical exam
D. Age, DX, and medical decision making - ...ANSWER...A. History, physical and medical decision
making
If a patient is trying to make an informed decision about whether to have surgery or more
conservative treatment for prostate cancer and asks the ambulatory care nurse for advise
on making the decision, the nurse should:
A. Advise the patient on the best course of treatment
B. Suggest the patient carry our research before deciding
C. provide the patient with print and online resources
D. Advise the patient to ask the physician for more information - ...ANSWER...C. provide the
patient with print and online resources
An Ambulatory care center has analyzed the type of patient complaints and finds there are
four complaints that are most common ( delays, rescheduling, difficulty scheduling and
parking) but not easily solvable and that staff members handle these complaints in
different manners. The service recovery program should begin by:
A. Posting signs apologizing for these problems
B. Warning patients in advanced that these problems may occur
C. Providing patents with complaint forms
,D. Establishing protocols for dealing with complaints -
...ANSWER...D. Establishing protocols for dealing with complaints
If a patient is to have an arthrodesis and injection of corticosteroid into the right knee and
the ambulatory care nurse is setting up equipment, the correct needle gauge syringe sizes
are:
A. 18G needle and 10-20ml syringe
B. 20G needle and 20ml syringe
C. 16G needle and 10-20ml syringe
D. 19g needle and 50ml syringe - ...ANSWER...A. 18G needle and 10-20ml syringe
An Ambulatory care nurse reviewed clinic statistics regarding the number of patients who
missed or came late to an appointment, established a telephone reminder system to improve
attendance and then conducted a review each week and published findings for the staff
showing the improvement. This is an example of:
A. Internal benchmarking
B. Functional Benchmarking
C. External Benchmarking
D. Competitive benchmarking - ...ANSWER...A. Internal benchmarking
If when utilizing the Plan Do Study Act (PDSA) method of continuous quality improvement study
of the outcomes of a trial indicates that the solution that was instituted was not effective,
the next step is to:
A. Return to plan step
, B. Return to DO step
C. Discontinue the process
D. Continue to Act step - ...ANSWER...A. Return to plan step
If a patient is scheduled for a routine serum creatinine to evaluate renal function, the
patient should be advised to prepare for this test by:
A. Carrying out routine activities
B. Fasting for 12 hours
C. Avoid Strenuous exercise
D. Avoid eating meat products for two days - ...ANSWER...C. Avoid Strenuous exercise
The ambulatory care nurse is reviewing a patient's history to determine if the patient is a
candidate for an intrauterine device (IUD). Contraindications for an IUD include:
A. Menorrhagia
B. History of pelvic inflammatory disease 3 years previously
C. History of renal Cancer
D. History of ectopic pregnancy - ...ANSWER...D. History of ectopic pregnancy
The purpose of an Advanced Beneficiary Notice is to:
A. Identify beneficiaries of a wall
B. inform Medicare Patients of non coverage
C. Inform patients of Medicaid eligibility
D. Inform patients of insurance coverage - ...ANSWER...B. inform Medicare Patients of non
coverage
Which of the following are excluded from the Nurse Licensure compact
A. RNs
B. LVNs
/ANCC CERTIFICATION EXAM 450 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES / A+
GRADE ASSURED
The ambulatory care nurse is caring for an elderly client. The nurse caring for the client
should know what about elder abuse?
A. All victims of elder abuse are victims of poly-victimization B More than 3 in 5 victims are
men and 75 years or older
C. Elder abuse can be the result of intentional or unintentional neglect
D. elder abuse is not an issue, the nurse should not be concerned about. - ...ANSWER...C. Elder
abuse can be the result of intentional or unintentional neglect
The ambulatory care nurse is caring for a 30 year old married woman in the clinic who was
accompanied by her husband.
Upon assessment, the nurse noted bruises on the clients arm. What action should the nurse
take?
A. Conduct further assessment without the clients husband in the room.
B. Ask both the husband and the client what happened
C. Call 911
D. Inform the client to leave her husband for safety -
...ANSWER...A. Conduct further assessment without the clients husband in the room.
,When coding for visits of new patients, the key component that must be included to document
the correct level of evaluation and management (E/M) are:
A. History, physical and medical decision making
B. Physical exam and medical decision making
C. History and physical exam
D. Age, DX, and medical decision making - ...ANSWER...A. History, physical and medical decision
making
If a patient is trying to make an informed decision about whether to have surgery or more
conservative treatment for prostate cancer and asks the ambulatory care nurse for advise
on making the decision, the nurse should:
A. Advise the patient on the best course of treatment
B. Suggest the patient carry our research before deciding
C. provide the patient with print and online resources
D. Advise the patient to ask the physician for more information - ...ANSWER...C. provide the
patient with print and online resources
An Ambulatory care center has analyzed the type of patient complaints and finds there are
four complaints that are most common ( delays, rescheduling, difficulty scheduling and
parking) but not easily solvable and that staff members handle these complaints in
different manners. The service recovery program should begin by:
A. Posting signs apologizing for these problems
B. Warning patients in advanced that these problems may occur
C. Providing patents with complaint forms
,D. Establishing protocols for dealing with complaints -
...ANSWER...D. Establishing protocols for dealing with complaints
If a patient is to have an arthrodesis and injection of corticosteroid into the right knee and
the ambulatory care nurse is setting up equipment, the correct needle gauge syringe sizes
are:
A. 18G needle and 10-20ml syringe
B. 20G needle and 20ml syringe
C. 16G needle and 10-20ml syringe
D. 19g needle and 50ml syringe - ...ANSWER...A. 18G needle and 10-20ml syringe
An Ambulatory care nurse reviewed clinic statistics regarding the number of patients who
missed or came late to an appointment, established a telephone reminder system to improve
attendance and then conducted a review each week and published findings for the staff
showing the improvement. This is an example of:
A. Internal benchmarking
B. Functional Benchmarking
C. External Benchmarking
D. Competitive benchmarking - ...ANSWER...A. Internal benchmarking
If when utilizing the Plan Do Study Act (PDSA) method of continuous quality improvement study
of the outcomes of a trial indicates that the solution that was instituted was not effective,
the next step is to:
A. Return to plan step
, B. Return to DO step
C. Discontinue the process
D. Continue to Act step - ...ANSWER...A. Return to plan step
If a patient is scheduled for a routine serum creatinine to evaluate renal function, the
patient should be advised to prepare for this test by:
A. Carrying out routine activities
B. Fasting for 12 hours
C. Avoid Strenuous exercise
D. Avoid eating meat products for two days - ...ANSWER...C. Avoid Strenuous exercise
The ambulatory care nurse is reviewing a patient's history to determine if the patient is a
candidate for an intrauterine device (IUD). Contraindications for an IUD include:
A. Menorrhagia
B. History of pelvic inflammatory disease 3 years previously
C. History of renal Cancer
D. History of ectopic pregnancy - ...ANSWER...D. History of ectopic pregnancy
The purpose of an Advanced Beneficiary Notice is to:
A. Identify beneficiaries of a wall
B. inform Medicare Patients of non coverage
C. Inform patients of Medicaid eligibility
D. Inform patients of insurance coverage - ...ANSWER...B. inform Medicare Patients of non
coverage
Which of the following are excluded from the Nurse Licensure compact
A. RNs
B. LVNs
