ANCC AMB-BC ASSESSMENT AND EVALUATION
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A pediatric client was prescribed Tapazole, and the parents reported that they sometimes
missed doses. Which manifestation of non-adherence would the ambulatory nurse expect
to see?
A.Palpitation
B. Constipation
C. Coldness
D. Weight gain
CORRECT ANSWER
Answer: A. Palpitation
Rationale: Tapazole® is used to treat hyperthyroidism. Signs and symptoms of
hyperthyroidism include palpitation, heat sensitivity, and weight loss. Nervousness,
anxiety, and irritability are also common, as are mood changes, difficulty sleeping, and
feeling tired all the time.
Question 2
The ambulatory care nurse is conducting an abdominal assessment on a client. When the
nurse palpates the lower border of the liver, the nurse asks the client to take a deep
breath and hold it. The client complains of a sharp pain located in the right upper
quadrant. How should the nurse document this finding in the medical health record?
A. Positive Blumberg sign.
B. Presence of pain at McBurney point. C. Positive Murphy sign.
D. Positive Psoas sign.
CORRECT ANSWER
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@THE STUDY VAULT
,Answer: C. Positive Murphy sign
Rationale: The Murphy sign is elicited when the client takes a deep breath while pressure
is applied to the right upper quadrant of the abdomen (pressure on the gallbladder).
When the deep breath is held due to the pain caused by exhalation, this sign is indicative
of cholecystitis.
Question 3
A client is taking gentamicin, which change in lab would be of the greatest concern to the
ambulatory care nurse.
A. BUN levels increased from 8 to 18.
B. Creatinine levels increased from 1.2 to 1.5
C. Potassium levels increased from 4.5 to 3.5
D. Sodium levels increased from 135 to 145
CORRECT ANSWER
Answer: B. Creatinine levels increased from 1.2 to 1.5. Rationale: Gentamicin used
concurrently with other nephrotoxic medicines, such as vancomycin, cyclosporine, and
amphotericin B, can enhance the risk of nephrotoxicity. Creatinine and BUN levels reflect the
health of the kidneys. BUN levels range from 8 to 24, and creatinine levels range 0.5 to 1.2
Question 4
The effect of serotonin syndrome is potentiated when taking St. John's wort, and which
other drug?
A. Albuterol
B. Digoxin
C. Paxil
D. Lopressor
CORRECT ANSWER
Answer: C. Paxil
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@THE STUDY VAULT
, Rationale: St. John's Wort may lead to serotonin syndrome if used with other
serotonergic drugs like selective serotonin reuptake inhibitors (Zoloft, Paxil, and Prozac).
Question 5
The nurse in the pediatric clinic is conducting a screening using the Denver II test with a 9-
month-old infant. Which of the fine motor skills would the nurse assess?
A. Pincher grasp
B. Smile and stare
C. Cry with stranger
D. Banging two cubes
CORRECT ANSWER
Answer: A. Pincher grasp
Rationale: The examination consists of up to 125 questions, divided into the following
sections: the personal-social category, fine motor-adaptive, language category, and gross
motor skills category. The fine motor-adaptive section assesses coordination of the hands
and eyes, dexterity with little things, such as gripping (pincher grasp) or sketching.
Question 6
The nurse is working in a substance abuse clinic. Which of the following statements
indicates that the nurse understands the signs and symptoms of cocaine and heroin use?
A. Clients using cocaine may have bradycardia.
B. Clients using heroin may have constricted pupils.
C. Clients using cocaine may have constricted pupils.
D. Clients using heroin may have increased respiration.
CORRECT ANSWER
Answer: B. Clients using heroin may have constricted pupils.
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@THE STUDY VAULT
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A pediatric client was prescribed Tapazole, and the parents reported that they sometimes
missed doses. Which manifestation of non-adherence would the ambulatory nurse expect
to see?
A.Palpitation
B. Constipation
C. Coldness
D. Weight gain
CORRECT ANSWER
Answer: A. Palpitation
Rationale: Tapazole® is used to treat hyperthyroidism. Signs and symptoms of
hyperthyroidism include palpitation, heat sensitivity, and weight loss. Nervousness,
anxiety, and irritability are also common, as are mood changes, difficulty sleeping, and
feeling tired all the time.
Question 2
The ambulatory care nurse is conducting an abdominal assessment on a client. When the
nurse palpates the lower border of the liver, the nurse asks the client to take a deep
breath and hold it. The client complains of a sharp pain located in the right upper
quadrant. How should the nurse document this finding in the medical health record?
A. Positive Blumberg sign.
B. Presence of pain at McBurney point. C. Positive Murphy sign.
D. Positive Psoas sign.
CORRECT ANSWER
1
@THE STUDY VAULT
,Answer: C. Positive Murphy sign
Rationale: The Murphy sign is elicited when the client takes a deep breath while pressure
is applied to the right upper quadrant of the abdomen (pressure on the gallbladder).
When the deep breath is held due to the pain caused by exhalation, this sign is indicative
of cholecystitis.
Question 3
A client is taking gentamicin, which change in lab would be of the greatest concern to the
ambulatory care nurse.
A. BUN levels increased from 8 to 18.
B. Creatinine levels increased from 1.2 to 1.5
C. Potassium levels increased from 4.5 to 3.5
D. Sodium levels increased from 135 to 145
CORRECT ANSWER
Answer: B. Creatinine levels increased from 1.2 to 1.5. Rationale: Gentamicin used
concurrently with other nephrotoxic medicines, such as vancomycin, cyclosporine, and
amphotericin B, can enhance the risk of nephrotoxicity. Creatinine and BUN levels reflect the
health of the kidneys. BUN levels range from 8 to 24, and creatinine levels range 0.5 to 1.2
Question 4
The effect of serotonin syndrome is potentiated when taking St. John's wort, and which
other drug?
A. Albuterol
B. Digoxin
C. Paxil
D. Lopressor
CORRECT ANSWER
Answer: C. Paxil
2
@THE STUDY VAULT
, Rationale: St. John's Wort may lead to serotonin syndrome if used with other
serotonergic drugs like selective serotonin reuptake inhibitors (Zoloft, Paxil, and Prozac).
Question 5
The nurse in the pediatric clinic is conducting a screening using the Denver II test with a 9-
month-old infant. Which of the fine motor skills would the nurse assess?
A. Pincher grasp
B. Smile and stare
C. Cry with stranger
D. Banging two cubes
CORRECT ANSWER
Answer: A. Pincher grasp
Rationale: The examination consists of up to 125 questions, divided into the following
sections: the personal-social category, fine motor-adaptive, language category, and gross
motor skills category. The fine motor-adaptive section assesses coordination of the hands
and eyes, dexterity with little things, such as gripping (pincher grasp) or sketching.
Question 6
The nurse is working in a substance abuse clinic. Which of the following statements
indicates that the nurse understands the signs and symptoms of cocaine and heroin use?
A. Clients using cocaine may have bradycardia.
B. Clients using heroin may have constricted pupils.
C. Clients using cocaine may have constricted pupils.
D. Clients using heroin may have increased respiration.
CORRECT ANSWER
Answer: B. Clients using heroin may have constricted pupils.
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@THE STUDY VAULT
