Ambulatory Care Nurse
Certification Exam (ANCC)
Questions with Accurate Answers
A 50 year old male comes to the clinic stating he cannot shake this "flu" you
observe that he is clammy, pale and has an irregular HR. He is a large man with
rugged appearance. He is friendly and apologetic for bothering you with his silly
complaints. What is your plan of care for this patient
A. You suspect he ahs a low tolerance for being ill and offer him Tylenol while he
waits to see the MD
B. You suspect he has the newest flu going around and offer him hot tea while he
waits to see the MD
C. You suspect there is more to his complaint than he states and immediately
begin a cardiac workup by placing him in a room and ordering EKG
D. You finish the triage and send him to the waiting room understanding correct
answer C. You suspect there is more to his complaint than he states and
immediately begin a cardiac workup by placing him in a room and ordering EKG
A 70 year old female presents to the ambulatory care clinic complaining of
fatigue. You begin you triage assessment and he has a HR of 50, Respiratory rate
of 24, and BP 70/40. She denies Chest pain but you notice she rubs her elbows
and states her arthritis is acting up. What would be your first priority when caring
for this patient
A. Offer her Tylenol and send her to the waiting room
B. offer her Motrin for pain
C. Continue her triage and history and finish the paperwork
D. place her in a room, do an EKG and notify the MD to see her first correct
answer D. place her in a room, do an EKG and notify the MD to see her first
,A client fell in the clinic during the intake process. The ambulatory care nurse is
documenting the occurrence. Which of the following indicates proper
documentation of the incident?
A. Document the incident in the patients chart
B. Make no mention of the fall in the clients charts
C. Report it the the risk management and they will document the incident
D. Document the occurrence of the fall in the organization's incident reporting
system correct answer D. Document the occurrence of the fall in the
organization's incident reporting system
A client informed the ambulatory care nurse that the internet is very helpful to
her when reviewing health 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. correct answer B. Educate the
client on credible websites and the importance of protecting private information
A client who enrolled in a research study informs the ambulatory clinic nurse that
he/she no longer wants to be part of the study. What actions should the nurse
take
A. Enquire about the reason for withdrawal
B. Educate the client on the importance of the study
C. Inform the research team of the clients withdrawal
,D. increase the incentive for participating in the study correct answer C. Inform
the research team of the clients withdrawal
A client wit a DX of bipolar disorder is being seen in the clinic. The healthcare
provider prescribed Lithium. Which of the following is important for the
ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication correct answer
B. Low Sodium level can lead to toxicity
A client with a post op hip replacement has the following information on the care
plan: Client will achieve a decrease in pain to a level 3 by discharge. Where on the
care plan should the nurse put this information
A. Under Nursing DX
B. Under goal Section
C. Under intervention/implementation
D. Under evaluation correct answer B. Under goal Section
A family practice physician's office schedule is usually fully booked with patients
scheduled every 15 minutes, but the MD routinely adds patients who have acute
needs to the schedule resulting in delays in seeing patients, unpaid staff OT and
staff complaints. The best solution for the nurse manager may be to:
A. Schedule staff later in the day
B. Suggest referring patient to ED
C. As for payment for any OT
, D. Leave open slots in the schedule correct answer D. Leave open slots in the
schedule
A mother presents to the clinic with a very wheezy 3 year old in her arms. You
notice the child is pale and listless. What is your immediate response
A. Triage the infant before the other patients waiting
B. Bring the child to an exam room and wait for MD
C. Bring the child to an exam room to finish triage in the privacy of a room
D. Bring the child to a room, Get the MD, and prepare to give Nebulizer treatment
and possible transfer to acute facility correct answer D. Bring the child to a room,
Get the MD, and prepare to give Nebulizer treatment and possible transfer to
acute facility
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 correct answer B. Wait for the results of the
tissue analysis
A patient who is an inmate in a correctional facility is scheduled for a colonoscopy
to determine the cause of rectal bleeding but the patient refuses to sign the
consent, The colonoscopy should be:
A. Carried out despite the ack of consent
B. Carried out because inmates have no rights to informed consent
Certification Exam (ANCC)
Questions with Accurate Answers
A 50 year old male comes to the clinic stating he cannot shake this "flu" you
observe that he is clammy, pale and has an irregular HR. He is a large man with
rugged appearance. He is friendly and apologetic for bothering you with his silly
complaints. What is your plan of care for this patient
A. You suspect he ahs a low tolerance for being ill and offer him Tylenol while he
waits to see the MD
B. You suspect he has the newest flu going around and offer him hot tea while he
waits to see the MD
C. You suspect there is more to his complaint than he states and immediately
begin a cardiac workup by placing him in a room and ordering EKG
D. You finish the triage and send him to the waiting room understanding correct
answer C. You suspect there is more to his complaint than he states and
immediately begin a cardiac workup by placing him in a room and ordering EKG
A 70 year old female presents to the ambulatory care clinic complaining of
fatigue. You begin you triage assessment and he has a HR of 50, Respiratory rate
of 24, and BP 70/40. She denies Chest pain but you notice she rubs her elbows
and states her arthritis is acting up. What would be your first priority when caring
for this patient
A. Offer her Tylenol and send her to the waiting room
B. offer her Motrin for pain
C. Continue her triage and history and finish the paperwork
D. place her in a room, do an EKG and notify the MD to see her first correct
answer D. place her in a room, do an EKG and notify the MD to see her first
,A client fell in the clinic during the intake process. The ambulatory care nurse is
documenting the occurrence. Which of the following indicates proper
documentation of the incident?
A. Document the incident in the patients chart
B. Make no mention of the fall in the clients charts
C. Report it the the risk management and they will document the incident
D. Document the occurrence of the fall in the organization's incident reporting
system correct answer D. Document the occurrence of the fall in the
organization's incident reporting system
A client informed the ambulatory care nurse that the internet is very helpful to
her when reviewing health 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. correct answer B. Educate the
client on credible websites and the importance of protecting private information
A client who enrolled in a research study informs the ambulatory clinic nurse that
he/she no longer wants to be part of the study. What actions should the nurse
take
A. Enquire about the reason for withdrawal
B. Educate the client on the importance of the study
C. Inform the research team of the clients withdrawal
,D. increase the incentive for participating in the study correct answer C. Inform
the research team of the clients withdrawal
A client wit a DX of bipolar disorder is being seen in the clinic. The healthcare
provider prescribed Lithium. Which of the following is important for the
ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication correct answer
B. Low Sodium level can lead to toxicity
A client with a post op hip replacement has the following information on the care
plan: Client will achieve a decrease in pain to a level 3 by discharge. Where on the
care plan should the nurse put this information
A. Under Nursing DX
B. Under goal Section
C. Under intervention/implementation
D. Under evaluation correct answer B. Under goal Section
A family practice physician's office schedule is usually fully booked with patients
scheduled every 15 minutes, but the MD routinely adds patients who have acute
needs to the schedule resulting in delays in seeing patients, unpaid staff OT and
staff complaints. The best solution for the nurse manager may be to:
A. Schedule staff later in the day
B. Suggest referring patient to ED
C. As for payment for any OT
, D. Leave open slots in the schedule correct answer D. Leave open slots in the
schedule
A mother presents to the clinic with a very wheezy 3 year old in her arms. You
notice the child is pale and listless. What is your immediate response
A. Triage the infant before the other patients waiting
B. Bring the child to an exam room and wait for MD
C. Bring the child to an exam room to finish triage in the privacy of a room
D. Bring the child to a room, Get the MD, and prepare to give Nebulizer treatment
and possible transfer to acute facility correct answer D. Bring the child to a room,
Get the MD, and prepare to give Nebulizer treatment and possible transfer to
acute facility
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 correct answer B. Wait for the results of the
tissue analysis
A patient who is an inmate in a correctional facility is scheduled for a colonoscopy
to determine the cause of rectal bleeding but the patient refuses to sign the
consent, The colonoscopy should be:
A. Carried out despite the ack of consent
B. Carried out because inmates have no rights to informed consent
