AMBULATORY CARE NURSE
CERTIFICATION EXAM (ANCC)
The Ambulatory care Nurse is triaging a client whose chief
complaint is chest pain. What is a priority action for the nurse to
take?
A. Complete full head to toe
B. Administer ASA
C. Perform Electrocardiogram (ECG)
D. Call 911 - CORRECT ANSWER-C. Perform an
Electrocardiogram
Which of the following is essential for the ambulatory care
nurse to remind the client of when performing an
Electrocardiogram?
A. Take a deep breath during the test
B. Hold you breath during the test
C. Try not to move during the test
D. You may keep your bra on during the test - CORRECT
ANSWER-C. Try not to move during the test
The Ambulatory Care nurse is assessing a client. Which of the
following questions will yield more information from the client?
A. Are you feeling pain?
B. What brought you in today?
C. How many Children do you have?
D. When was your last menstrual period? - CORRECT
ANSWER-B. What Brought you in today?
The ambulatory care nurse is conducting an annual
assessment of a client. The client denies frequent urination,
blurry vision, excessive thirst or hunger. The clients Blood
sugar is 500mg/dl by finger stick. What should the nurse do
next?
,A. Transport client to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c - CORRECT ANSWER-C. Retest
the blood glucose
Which of the following laboratory test is most effective in
monitoring a client with DM blood glucose level?
A. Urine Glucose Level
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels - CORRECT ANSWER-C. Hemoglobin
A1C
The client complains of sporadic Abnormal heart rate. An ECG
performed showed Normal Sinus rhythm. Labs were WNL and
assessment revealed no cardiovascular abnormalities. Which
of the following should the nurse anticipate the healthcare
provider will order?
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray - CORRECT ANSWER-A. Halter Monitoring
The Ambulatory care nurse is preparing the client for the
application of a Holter monitor. Which information is vital for the
nurse to give the client?
A. Check blood glucose during halter monitoring
B. Maintain normal diet and exercising
C. Avoid Microwaves and the use of cell phones
D. Reduce exercise routine - CORRECT ANSWER-B. Maintain
normal Diet and exercise
The Ambulatory care nurse is assessing a new graduate
nurses' understanding of the importance of getting clients
height and weight before chemotherapy. Which statement
indicates they understand ?
,A. Height and weight are seldom required
B. height and weight are only needed when the chemotherapy
regimen is changed
C. Height and weight are needed to calculate the correct
dosage of chemotherapy
D. The chemotherapy dose will remain the same, even if there
is an increase in the amount of eight lost. - CORRECT
ANSWER-C. Height and weight are needed to calculate the
correct dosage of chemotherapy.
The Ambulatory care nurse is performing a guaiac fecal occult
blood test (gFOBT), Which of the following would indicate a
positive result?
A. Green reaction
B. Red reaction
C. Blue reaction
D. Yellow reaction - CORRECT ANSWER-C. Blue reaction
The nurse in the Medical oncology clinic is assessing a client
who is undergoing chemotherapy. The nurse obtained an oral
temp of 102 degrees. which statement by the nurse indicates
an understanding of the clients' condition?
A. Since the client is feeling "ok" there is no further intervention
B. A temp of 102 is an expected finding after chemotherapy
C. Cal the MD to obtain an order of Tylenol as soon as possible
D. The client is post chemo and at risk for neutropenia fever.
This is an emergency and requires stat ABX or hospitalization -
CORRECT ANSWER-D. The client is post chemo and at risk
for neutropenia fever. This is an emergency and requires stat
ABX or hospitalization
The Ambulatory care nurse is performing a physical
assessment on a child who underwent chemotherapy. Which
statement by the client indicates that further evaluation is
needed?
A. I ate my entire meal
B. My ears are ringing
, C. I play with my rother everyday
D. Sometimes I am tired - CORRECT ANSWER-B. My ears are
ringing
The ambulatory care nurse is scheduling the client for gFOBT.
Which statement made by the client indicates that teaching was
effective?
A. This is an invasive test
B. I will not eat Mushrooms for 48-72 hours
C. I can take ASA if I am having a headache
D. I will reduce my fiber intake - CORRECT ANSWER-B. I will
not eat Mushrooms for 48-72 hours
Prioritization is an important aspect of the ambulatory care
nurse's time management plan. Which of the following clients
would the nurse see first?
A. A client with a BS of 150mg/dl and is asymptomatic
B. A client who complains of blood in urine 24hours POP TURP
C. A client with a blood pressure of 140/89 and is asymptomatic
D. A client in her 3rd trimester and has signs of preterm labor. -
CORRECT ANSWER-D. A client in her 3rd trimester and has
signs of preterm labor.
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
CERTIFICATION EXAM (ANCC)
The Ambulatory care Nurse is triaging a client whose chief
complaint is chest pain. What is a priority action for the nurse to
take?
A. Complete full head to toe
B. Administer ASA
C. Perform Electrocardiogram (ECG)
D. Call 911 - CORRECT ANSWER-C. Perform an
Electrocardiogram
Which of the following is essential for the ambulatory care
nurse to remind the client of when performing an
Electrocardiogram?
A. Take a deep breath during the test
B. Hold you breath during the test
C. Try not to move during the test
D. You may keep your bra on during the test - CORRECT
ANSWER-C. Try not to move during the test
The Ambulatory Care nurse is assessing a client. Which of the
following questions will yield more information from the client?
A. Are you feeling pain?
B. What brought you in today?
C. How many Children do you have?
D. When was your last menstrual period? - CORRECT
ANSWER-B. What Brought you in today?
The ambulatory care nurse is conducting an annual
assessment of a client. The client denies frequent urination,
blurry vision, excessive thirst or hunger. The clients Blood
sugar is 500mg/dl by finger stick. What should the nurse do
next?
,A. Transport client to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c - CORRECT ANSWER-C. Retest
the blood glucose
Which of the following laboratory test is most effective in
monitoring a client with DM blood glucose level?
A. Urine Glucose Level
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels - CORRECT ANSWER-C. Hemoglobin
A1C
The client complains of sporadic Abnormal heart rate. An ECG
performed showed Normal Sinus rhythm. Labs were WNL and
assessment revealed no cardiovascular abnormalities. Which
of the following should the nurse anticipate the healthcare
provider will order?
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray - CORRECT ANSWER-A. Halter Monitoring
The Ambulatory care nurse is preparing the client for the
application of a Holter monitor. Which information is vital for the
nurse to give the client?
A. Check blood glucose during halter monitoring
B. Maintain normal diet and exercising
C. Avoid Microwaves and the use of cell phones
D. Reduce exercise routine - CORRECT ANSWER-B. Maintain
normal Diet and exercise
The Ambulatory care nurse is assessing a new graduate
nurses' understanding of the importance of getting clients
height and weight before chemotherapy. Which statement
indicates they understand ?
,A. Height and weight are seldom required
B. height and weight are only needed when the chemotherapy
regimen is changed
C. Height and weight are needed to calculate the correct
dosage of chemotherapy
D. The chemotherapy dose will remain the same, even if there
is an increase in the amount of eight lost. - CORRECT
ANSWER-C. Height and weight are needed to calculate the
correct dosage of chemotherapy.
The Ambulatory care nurse is performing a guaiac fecal occult
blood test (gFOBT), Which of the following would indicate a
positive result?
A. Green reaction
B. Red reaction
C. Blue reaction
D. Yellow reaction - CORRECT ANSWER-C. Blue reaction
The nurse in the Medical oncology clinic is assessing a client
who is undergoing chemotherapy. The nurse obtained an oral
temp of 102 degrees. which statement by the nurse indicates
an understanding of the clients' condition?
A. Since the client is feeling "ok" there is no further intervention
B. A temp of 102 is an expected finding after chemotherapy
C. Cal the MD to obtain an order of Tylenol as soon as possible
D. The client is post chemo and at risk for neutropenia fever.
This is an emergency and requires stat ABX or hospitalization -
CORRECT ANSWER-D. The client is post chemo and at risk
for neutropenia fever. This is an emergency and requires stat
ABX or hospitalization
The Ambulatory care nurse is performing a physical
assessment on a child who underwent chemotherapy. Which
statement by the client indicates that further evaluation is
needed?
A. I ate my entire meal
B. My ears are ringing
, C. I play with my rother everyday
D. Sometimes I am tired - CORRECT ANSWER-B. My ears are
ringing
The ambulatory care nurse is scheduling the client for gFOBT.
Which statement made by the client indicates that teaching was
effective?
A. This is an invasive test
B. I will not eat Mushrooms for 48-72 hours
C. I can take ASA if I am having a headache
D. I will reduce my fiber intake - CORRECT ANSWER-B. I will
not eat Mushrooms for 48-72 hours
Prioritization is an important aspect of the ambulatory care
nurse's time management plan. Which of the following clients
would the nurse see first?
A. A client with a BS of 150mg/dl and is asymptomatic
B. A client who complains of blood in urine 24hours POP TURP
C. A client with a blood pressure of 140/89 and is asymptomatic
D. A client in her 3rd trimester and has signs of preterm labor. -
CORRECT ANSWER-D. A client in her 3rd trimester and has
signs of preterm labor.
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
