Ambulatory Care
Nurse Certification
Exam 2024 Test
Bank: ANCC
Certification Exam -
400 Questions with
Detailed Answers
and Rationales
,The ambulatory care nurse wants to participate in outreach to a largely Spanish
speaking population of Mexican immigrants by setting up booths in the community to
screen for High blood pressure and Diabetes. The best places to set up booths are
probably:
A. Parks and recreation areas
B. Churches and shopping areas
C. Hospitals and clinics
D. police departments and social services offices - ANSWER-B. Churches and
shopping areas
When orienting a patient and/or caregiver to the healthcare delivery system, the first
step is to:
A. Explain the structure of the healthcare delivery system
B. Provide literature regarding the healthcare delivery system
C. Ask what the patient and/or caregiver wants to know
D. Assess the patients and/or caregiver health literacy - ANSWER-D. Assess the
patients and/or caregiver health literacy
If a patient with severe joint pain and swelling has been diagnosed w/ Rheumatoid
Arthritis and has failed to follow through with referral to a rheumatologist, the ambulatory
care nurse should:
A. Take no action, this is the patients choice
B. Explain how the treatment can help prevent further deterioration and relive pain
C. Advise the patient that he or she is exercising bad judgement
D. Remind the patient that RA an cause severe damage - ANSWER-B. Explain how the
treatment can help prevent further deterioration and relive pain
If a patient asks, "Should I continue w/ chemotherapy or stop?" and the nurse responds
with "How do you feel about stopping chemotherapy?" this is an example of:
A. Redirection
B. Diversion
C. Reflection
D. Restatement - ANSWER-C. Reflection
When entering the examining room of a patient who is deaf and facing away from the
door, the ambulatory care nurse should
A. Approach from the direction the patient is facing
B. Say the patients name
C. Approach and touch the patient
D. Clap hands or tap your foot. - ANSWER-D. Clap hands or tap your foot.
(Sensitive to vibrations)
if a patient with severe dysarthria because of MS but with good cognition is admitted to
an ambulatory surgery center and needs to answer questions. the best way to get
information is to ask
,A. Open ended questions
B. Yes/no questions
C. The patient to write answers
D. Questions of the caregiver - ANSWER-B. Yes/no questions
In handoff communication, the SBAR technique involves S B A and r is:
A. Rating
B. Recommendation
C. Response
D. Requirement - ANSWER-B. Recommendation
Patient with passive aggressive personalities often attempt to hide an underlying feeling
of
A. Depression
B. Hurt
C. Guilt
D. anger - ANSWER-D. anger
If the ambulatory care nurse leader of a task group has completed the tasks assigned to
the group and is in its final termination phase, the primary role of the nurse leader is to
A. Review the group process and achievements
B. Disband the group without further input
C. Evaluate the participation of the group members
D. Make recommendations about future projects - ANSWER-A. Review the group
process and achievements
In shared governance, empowerment refers to
A. The ability to provide input and decisions
B. The assignment of a title
C. The authority to make decisions
D. any type of participation - ANSWER-C. The authority to make decisions
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
C. Carried out of the physician signs a treatment without consent form
D. Cancelled because of no consent - ANSWER-D. Cancelled because of no consent
If the ambulatory care nurse (Nurse A) noted another nurse (Nurse B) caused severe
injury to a patient because Nurse B abandoned the patient in distress to make a
personal call, Nurse B should b:
A. Advised that the behavior is inappropriate
B. Reported to the state board of nursing
C. Reported to the police
, D. Placed on probation status - ANSWER-B. Reported to the state board of nursing
If an ambulatory nurse working in a cancer clinic is in a hurry to leave work and fails to
follow protocols for checking IDS allergies resulting in administration of a
chemotherapeutic agent to the wrong patient and a severe allergy reaction is an
example of
A. Gross negligence
B. Negligent conduct
C. Contributory negligence
D. Comparative negligence - ANSWER-A. Gross negligence
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 - 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 - 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? - 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 - 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
Nurse Certification
Exam 2024 Test
Bank: ANCC
Certification Exam -
400 Questions with
Detailed Answers
and Rationales
,The ambulatory care nurse wants to participate in outreach to a largely Spanish
speaking population of Mexican immigrants by setting up booths in the community to
screen for High blood pressure and Diabetes. The best places to set up booths are
probably:
A. Parks and recreation areas
B. Churches and shopping areas
C. Hospitals and clinics
D. police departments and social services offices - ANSWER-B. Churches and
shopping areas
When orienting a patient and/or caregiver to the healthcare delivery system, the first
step is to:
A. Explain the structure of the healthcare delivery system
B. Provide literature regarding the healthcare delivery system
C. Ask what the patient and/or caregiver wants to know
D. Assess the patients and/or caregiver health literacy - ANSWER-D. Assess the
patients and/or caregiver health literacy
If a patient with severe joint pain and swelling has been diagnosed w/ Rheumatoid
Arthritis and has failed to follow through with referral to a rheumatologist, the ambulatory
care nurse should:
A. Take no action, this is the patients choice
B. Explain how the treatment can help prevent further deterioration and relive pain
C. Advise the patient that he or she is exercising bad judgement
D. Remind the patient that RA an cause severe damage - ANSWER-B. Explain how the
treatment can help prevent further deterioration and relive pain
If a patient asks, "Should I continue w/ chemotherapy or stop?" and the nurse responds
with "How do you feel about stopping chemotherapy?" this is an example of:
A. Redirection
B. Diversion
C. Reflection
D. Restatement - ANSWER-C. Reflection
When entering the examining room of a patient who is deaf and facing away from the
door, the ambulatory care nurse should
A. Approach from the direction the patient is facing
B. Say the patients name
C. Approach and touch the patient
D. Clap hands or tap your foot. - ANSWER-D. Clap hands or tap your foot.
(Sensitive to vibrations)
if a patient with severe dysarthria because of MS but with good cognition is admitted to
an ambulatory surgery center and needs to answer questions. the best way to get
information is to ask
,A. Open ended questions
B. Yes/no questions
C. The patient to write answers
D. Questions of the caregiver - ANSWER-B. Yes/no questions
In handoff communication, the SBAR technique involves S B A and r is:
A. Rating
B. Recommendation
C. Response
D. Requirement - ANSWER-B. Recommendation
Patient with passive aggressive personalities often attempt to hide an underlying feeling
of
A. Depression
B. Hurt
C. Guilt
D. anger - ANSWER-D. anger
If the ambulatory care nurse leader of a task group has completed the tasks assigned to
the group and is in its final termination phase, the primary role of the nurse leader is to
A. Review the group process and achievements
B. Disband the group without further input
C. Evaluate the participation of the group members
D. Make recommendations about future projects - ANSWER-A. Review the group
process and achievements
In shared governance, empowerment refers to
A. The ability to provide input and decisions
B. The assignment of a title
C. The authority to make decisions
D. any type of participation - ANSWER-C. The authority to make decisions
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
C. Carried out of the physician signs a treatment without consent form
D. Cancelled because of no consent - ANSWER-D. Cancelled because of no consent
If the ambulatory care nurse (Nurse A) noted another nurse (Nurse B) caused severe
injury to a patient because Nurse B abandoned the patient in distress to make a
personal call, Nurse B should b:
A. Advised that the behavior is inappropriate
B. Reported to the state board of nursing
C. Reported to the police
, D. Placed on probation status - ANSWER-B. Reported to the state board of nursing
If an ambulatory nurse working in a cancer clinic is in a hurry to leave work and fails to
follow protocols for checking IDS allergies resulting in administration of a
chemotherapeutic agent to the wrong patient and a severe allergy reaction is an
example of
A. Gross negligence
B. Negligent conduct
C. Contributory negligence
D. Comparative negligence - ANSWER-A. Gross negligence
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 - 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 - 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? - 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 - 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
