ANCC AMBULATORY CARE NURSING
CERTIFICATION 2023 LATEST EXAM
How many medications does it typically take to be considered "polypharmacy?"
A -Three
B -Ten
C -Twenty-four
D -Five or more - Answer D -Five or more
The ANP knows that it is her responsibility to report certain things to the proper
authorities. Which of the following is NOT required to be reported?
A - gunshot wound
B - suspected child abuse
C - drug abuse
D - stab wounds - Answer C - drug abuse
Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds,
and child abuse (actual or suspected) are required to be reported to the proper
authorities.
Prior to undergoing an abdominal sonogram, the patient should do what?
A - refrain from food and water for 12 hours
B - empty his or her bladder
C - drink a liter of water
D - empty his or her bowels - Answer C - drink a liter of water
Prior to an abdominal sonogram, the patient is asked to drink water. In addition
fasting for 8 to 12 hours prior to the procedure is often required.
Which of the following is NOT part of a nursing diagnosis?
A - statement of the patient's actual health status
B -signs of illness
C - medical diagnosis (such as stroke or pulmonary blockage)
D - symptoms of illness - Answer C - medical diagnosis
Nursing diagnoses should never contain medical diagnoses. Rather, the nursing
diagnosis is a statement of the patient's actual health status, risks for condition
developing, causative and related factors, and signs and symptoms.
,Primary care would be considered the cornerstone of ambulatory care with
nurses practicing in which of the following areas of healthcare?
A - Telehealth services
B - Internal medicine
C - Pediatrics
D - All of the above - Answer D - All of the above
Which of the following would FDA stands for?
A - Food and Drug Administration
B - Food Depression Association
C - Fixed Depression Administration
D - None of the above - Answer a - Food and Drug Administration
This is an agency which regulates both the development and sale of drugs.
Endoscopes are cleaned and _____.
A - High level disinfected.
B - Sterilized.
C - Low level disinfected.
D - Intermediate level disinfected. - Answer A - High level disinfected.
Endoscopes are critical items. Critical items are normally sterilized after being
cleaned. Endoscopes cannot be sterilized and require high level disinfection.
Which of the following is considered an independent nursing action?
A - teaching a patient about the new diet she has been prescribed for
management of her condition
B - assisting the speech therapist by helping the patient practice speech exercises
C - administering pain medication to the patient
D - giving the patient a backrub - Answer D - giving the patient a back rub
Independent nursing actions are those which do not require a physician's order.
Giving a backrub is one of these independent nursing actions. In the age of
managed care, actions which arise from collaborative care plans are known as
interdependent actions.
Which of the following is a digitalis medicine?
A -Lanoxin
B - Bumex
,C - Zestril
D - Adalat - Answer A - Lanoxin (Digoxin)
A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also
for BP support.
Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking
agent.
Which of the following is not one of the steps in evidence-based practice?
A - Constructing the clinical question
B - Patient selection
C - Appropriate selection of resources
D - Appraise the validity of the evidence - Answer B - Patient selection
Patent selection is not one of the steps in evidence-based practice. The steps in
evidence-based practice consist of
1 - Patient assessment
2 - Constructing the clinical question
3 - Appropriate selection of resources
4 - Appraise the validity of the evidence
5 - Apply the integrated patient preferences, evidence, and clinical expertise
6 - Performance evaluation with patience
What is true regarding the respiratory synctical virus (RSV) immune globin?
A - This is indicated for children less than 2 years of age with chronic lung disease,
and infants <32 weeks.
B - Contraindications include a reaction to neomycin or streptomycin products.
C - This is indicated for adults without a history of RSV.
D - Palivizumab (Synagis) provides permanent immunity for high-risk infants. -
Answer A - This is indicated for children less than 2 years of age with chronic lung
disease, and infants <32 weeks.
Palivizumab (Synagis) provides temporary, passive immunity for high-risk infants,
not adults. The polio vaccine (IPV) is contraindicated for those who have had a
reaction to neomycin or streptomycin.
A nurse finishes a follow up visit with one of her elderly patients and gives him the
influenza vaccine before he leaves. This is an example of what type of prevention?
A - primary
B - secondary
, C - tertiary
D - annual - Answer A - primary
Primary prevention, such as an immunization, aims to prevent health problems
before they start. Secondary prevention promotes early detection and treatments
of diseases. Tertiary prevention is designed to help a patient cope with a current
problem or prevent relapse. "Annual" is not a type of prevention.
For successful communication, the major criteria would include?
A - Forcefulness
B - Flexibility
C - Evaluation
D - Developmental - Answer B - Flexibility
The 4 major criteria for successful communication would include: Feedback,
Appropriateness, Efficiency, Flexibility
A person's knowledge is sometimes measured by which of the following verbs?
A -Recall
B - List
C - Remember
D - All of the above - Answer D - all of the above
Some of the verbs which might be used to measure a person's knowledge could
include: Recall, List, Remember, Identify, State, Define
A key value in association with "Baby Boomers" would be considered which of the
following?
A - Sacrifice
B - Duty
C -Respect for authority
D - Involvement - Answer D - Involvement
There are 3 key values that are associated with "Baby Boomers:" Involvement,
Personal growth, Team
You are assessing a patient prior to surgery and want to check for her surgical risk
due to alcohol consumption. That patient tells you that her alcohol use varies and
she does not seem willing to discuss how much she drinks. Which of the following
is an appropriate strategy for getting the information you need?
CERTIFICATION 2023 LATEST EXAM
How many medications does it typically take to be considered "polypharmacy?"
A -Three
B -Ten
C -Twenty-four
D -Five or more - Answer D -Five or more
The ANP knows that it is her responsibility to report certain things to the proper
authorities. Which of the following is NOT required to be reported?
A - gunshot wound
B - suspected child abuse
C - drug abuse
D - stab wounds - Answer C - drug abuse
Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds,
and child abuse (actual or suspected) are required to be reported to the proper
authorities.
Prior to undergoing an abdominal sonogram, the patient should do what?
A - refrain from food and water for 12 hours
B - empty his or her bladder
C - drink a liter of water
D - empty his or her bowels - Answer C - drink a liter of water
Prior to an abdominal sonogram, the patient is asked to drink water. In addition
fasting for 8 to 12 hours prior to the procedure is often required.
Which of the following is NOT part of a nursing diagnosis?
A - statement of the patient's actual health status
B -signs of illness
C - medical diagnosis (such as stroke or pulmonary blockage)
D - symptoms of illness - Answer C - medical diagnosis
Nursing diagnoses should never contain medical diagnoses. Rather, the nursing
diagnosis is a statement of the patient's actual health status, risks for condition
developing, causative and related factors, and signs and symptoms.
,Primary care would be considered the cornerstone of ambulatory care with
nurses practicing in which of the following areas of healthcare?
A - Telehealth services
B - Internal medicine
C - Pediatrics
D - All of the above - Answer D - All of the above
Which of the following would FDA stands for?
A - Food and Drug Administration
B - Food Depression Association
C - Fixed Depression Administration
D - None of the above - Answer a - Food and Drug Administration
This is an agency which regulates both the development and sale of drugs.
Endoscopes are cleaned and _____.
A - High level disinfected.
B - Sterilized.
C - Low level disinfected.
D - Intermediate level disinfected. - Answer A - High level disinfected.
Endoscopes are critical items. Critical items are normally sterilized after being
cleaned. Endoscopes cannot be sterilized and require high level disinfection.
Which of the following is considered an independent nursing action?
A - teaching a patient about the new diet she has been prescribed for
management of her condition
B - assisting the speech therapist by helping the patient practice speech exercises
C - administering pain medication to the patient
D - giving the patient a backrub - Answer D - giving the patient a back rub
Independent nursing actions are those which do not require a physician's order.
Giving a backrub is one of these independent nursing actions. In the age of
managed care, actions which arise from collaborative care plans are known as
interdependent actions.
Which of the following is a digitalis medicine?
A -Lanoxin
B - Bumex
,C - Zestril
D - Adalat - Answer A - Lanoxin (Digoxin)
A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also
for BP support.
Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking
agent.
Which of the following is not one of the steps in evidence-based practice?
A - Constructing the clinical question
B - Patient selection
C - Appropriate selection of resources
D - Appraise the validity of the evidence - Answer B - Patient selection
Patent selection is not one of the steps in evidence-based practice. The steps in
evidence-based practice consist of
1 - Patient assessment
2 - Constructing the clinical question
3 - Appropriate selection of resources
4 - Appraise the validity of the evidence
5 - Apply the integrated patient preferences, evidence, and clinical expertise
6 - Performance evaluation with patience
What is true regarding the respiratory synctical virus (RSV) immune globin?
A - This is indicated for children less than 2 years of age with chronic lung disease,
and infants <32 weeks.
B - Contraindications include a reaction to neomycin or streptomycin products.
C - This is indicated for adults without a history of RSV.
D - Palivizumab (Synagis) provides permanent immunity for high-risk infants. -
Answer A - This is indicated for children less than 2 years of age with chronic lung
disease, and infants <32 weeks.
Palivizumab (Synagis) provides temporary, passive immunity for high-risk infants,
not adults. The polio vaccine (IPV) is contraindicated for those who have had a
reaction to neomycin or streptomycin.
A nurse finishes a follow up visit with one of her elderly patients and gives him the
influenza vaccine before he leaves. This is an example of what type of prevention?
A - primary
B - secondary
, C - tertiary
D - annual - Answer A - primary
Primary prevention, such as an immunization, aims to prevent health problems
before they start. Secondary prevention promotes early detection and treatments
of diseases. Tertiary prevention is designed to help a patient cope with a current
problem or prevent relapse. "Annual" is not a type of prevention.
For successful communication, the major criteria would include?
A - Forcefulness
B - Flexibility
C - Evaluation
D - Developmental - Answer B - Flexibility
The 4 major criteria for successful communication would include: Feedback,
Appropriateness, Efficiency, Flexibility
A person's knowledge is sometimes measured by which of the following verbs?
A -Recall
B - List
C - Remember
D - All of the above - Answer D - all of the above
Some of the verbs which might be used to measure a person's knowledge could
include: Recall, List, Remember, Identify, State, Define
A key value in association with "Baby Boomers" would be considered which of the
following?
A - Sacrifice
B - Duty
C -Respect for authority
D - Involvement - Answer D - Involvement
There are 3 key values that are associated with "Baby Boomers:" Involvement,
Personal growth, Team
You are assessing a patient prior to surgery and want to check for her surgical risk
due to alcohol consumption. That patient tells you that her alcohol use varies and
she does not seem willing to discuss how much she drinks. Which of the following
is an appropriate strategy for getting the information you need?
