AMBULATORY CARE NURSE
CERTIFICATION EXAM (ANCC)
WITH THE LATEST AND UPDATED
SCORE.
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 your 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
Which of the following strategies is appropriate when facilitating
conflict resolution?
A. Choose a side as soon as possible
B. Refrain from judging
C. Use minimal choices and options to reach a speedy solution
D. Blame the guilty party -- Correct Answer ✔✔ B. Refrain from judging
CERTIFICATION EXAM (ANCC)
WITH THE LATEST AND UPDATED
SCORE.
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 your 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
Which of the following strategies is appropriate when facilitating
conflict resolution?
A. Choose a side as soon as possible
B. Refrain from judging
C. Use minimal choices and options to reach a speedy solution
D. Blame the guilty party -- Correct Answer ✔✔ B. Refrain from judging
