AMBULATORY CARE NURSE
CERTIFICATION (ANCC) ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS 2024-2025 UPDATE (VERIFIED
ANSWERS) |ALREADY GRADED A+ Chamberlain
College of Nursing
The Ambulatory care Nurse is triaging a patient 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--C. Perform an Electrocardiogram
Which of the following is essential for the ambulatory care nurse to remind the patient
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--C. Try not to move during the
test
The Ambulatory Care nurse is assessing a patient. Which of the following questions will
yield more information from the patient?
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--B. What Brought you in today?
The ambulatory care nurse is conducting an annual assessment of a patient. The
patient denies frequent urination, blurry vision, excessive thirst or hunger. The patients
Blood sugar is 500mg/dl by finger stick. What should the nurse do next?
A. Transport patient to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c --CORRECT--C. Retest the blood glucose
Which of the following laboratory test is most effective in monitoring a patient with DM
blood glucose level?
A. Urine Glucose Level
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels --CORRECT--C. Hemoglobin A1C
,The patient 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--A. Halter Monitoring
The Ambulatory care nurse is preparing the patient for the application of a Holter
monitor. Which information is vital for the nurse to give the patient?
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--B. Maintain normal Diet and exercise
The Ambulatory care nurse is assessing a new graduate nurses' understanding of the
importance of getting patients 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--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--C. Blue reaction
The nurse in the Medical oncology clinic is assessing a patient who is undergoing
chemotherapy. The nurse obtained an oral temp of 102 degrees. which statement by
the nurse indicates an understanding of the patients' condition?
A. Since the patient 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 patient is post chemo and at risk for neutropenia fever. This is an emergency
and requires stat ABX or hospitalization --CORRECT--D. The patient 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 patient 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--B. My ears are ringing
The ambulatory care nurse is scheduling the patient for gFOBT. Which statement made
by the patient 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--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 patients would the nurse see first?
A. A patient with a BS of 150mg/dl and is asymptomatic
B. A patient who complains of blood in urine 24hours POP TURP
C. A patient with a blood pressure of 140/89 and is asymptomatic
D. A patient in her 3rd trimester and has signs of preterm labor. --CORRECT--D. A
patient in her 3rd trimester and has signs of preterm labor.
A patient 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 patient to continue her independence by taking her health in her
own hands.
B. Educate the patient on credible websites and the importance of protecting
private information
C. Do nothing. The patient is knowledgeable about using the internet.
D. Document the patients response in the chart. --CORRECT--B. Educate the patient
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--B. Refrain from judging
The ambulatory care nurse is working with a healthcare organization that is seeking
Magnet recognition. Which of the following activities by the nurse is the best supporting
evidence in the Magnet application process
A. Being the charge nurse in the clinic
B. Participating in the nurses week celebration
C. Advancing to RN2 on the clinical ladder
D. Being the chairperson of the evidenced based council committee --CORRECT--D.
Being the chairperson of the evidenced based council committee
, There are three ethical principles for human research. Which of the following means the
patient has the right to elf determination?
A. Respect
B. Justice
C. Beneficence
D. Non maleficence - ANS
Which of the following organizations is responsible for evaluating proposed research
studies prior to their commencement?
A. Centers for disease control and prevention
B. Department of Health and Human services
C. Institution Review Board
D. Office of Disease prevention and Health Promotion --CORRECT--C. Institution
Review Board
According to the Joint Commission standard, when should the initial assessment of the
nurse competencies be conducted in a health care setting?
A. During the orientation process
B. Prior to the orientation process
C. During Nursing school
D. After the orientation process --CORRECT--A. During the orientation process
The purpose of using Scope and Standards of Practice for Ambulatory Care Nursing
includes which if the following?
A. Use a guide to provide quality of care
B. Use to prevent law suits
C. Use to increase the income of the facility
D. Use to train nurses --CORRECT--A. Use a guide to provide quality of care
The ambulatory care nurse is teaching a patient ho to change their wound dressing.
Which of the following indicates emotional readiness to learn?
A. The patient accepts the need to learn the new skill
B. The patient has the psychomotor function to change the dressing
C. The patient is a wound care medical MD
D. The patient has dressed his/her own wound in the past --CORRECT--A. The
patient accepts the need to learn the new skill
To educate the patient the ambulatory care nurse needs a systematic and planned
process that consists of teaching and learning. Which of the following factors could
influence the education process?
A. Culture
B. Learner's readiness
C. Gender
D. Socio-Economic Status --CORRECT--B. Learner's readiness
CERTIFICATION (ANCC) ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS 2024-2025 UPDATE (VERIFIED
ANSWERS) |ALREADY GRADED A+ Chamberlain
College of Nursing
The Ambulatory care Nurse is triaging a patient 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--C. Perform an Electrocardiogram
Which of the following is essential for the ambulatory care nurse to remind the patient
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--C. Try not to move during the
test
The Ambulatory Care nurse is assessing a patient. Which of the following questions will
yield more information from the patient?
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--B. What Brought you in today?
The ambulatory care nurse is conducting an annual assessment of a patient. The
patient denies frequent urination, blurry vision, excessive thirst or hunger. The patients
Blood sugar is 500mg/dl by finger stick. What should the nurse do next?
A. Transport patient to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c --CORRECT--C. Retest the blood glucose
Which of the following laboratory test is most effective in monitoring a patient with DM
blood glucose level?
A. Urine Glucose Level
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels --CORRECT--C. Hemoglobin A1C
,The patient 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--A. Halter Monitoring
The Ambulatory care nurse is preparing the patient for the application of a Holter
monitor. Which information is vital for the nurse to give the patient?
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--B. Maintain normal Diet and exercise
The Ambulatory care nurse is assessing a new graduate nurses' understanding of the
importance of getting patients 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--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--C. Blue reaction
The nurse in the Medical oncology clinic is assessing a patient who is undergoing
chemotherapy. The nurse obtained an oral temp of 102 degrees. which statement by
the nurse indicates an understanding of the patients' condition?
A. Since the patient 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 patient is post chemo and at risk for neutropenia fever. This is an emergency
and requires stat ABX or hospitalization --CORRECT--D. The patient 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 patient 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--B. My ears are ringing
The ambulatory care nurse is scheduling the patient for gFOBT. Which statement made
by the patient 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--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 patients would the nurse see first?
A. A patient with a BS of 150mg/dl and is asymptomatic
B. A patient who complains of blood in urine 24hours POP TURP
C. A patient with a blood pressure of 140/89 and is asymptomatic
D. A patient in her 3rd trimester and has signs of preterm labor. --CORRECT--D. A
patient in her 3rd trimester and has signs of preterm labor.
A patient 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 patient to continue her independence by taking her health in her
own hands.
B. Educate the patient on credible websites and the importance of protecting
private information
C. Do nothing. The patient is knowledgeable about using the internet.
D. Document the patients response in the chart. --CORRECT--B. Educate the patient
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--B. Refrain from judging
The ambulatory care nurse is working with a healthcare organization that is seeking
Magnet recognition. Which of the following activities by the nurse is the best supporting
evidence in the Magnet application process
A. Being the charge nurse in the clinic
B. Participating in the nurses week celebration
C. Advancing to RN2 on the clinical ladder
D. Being the chairperson of the evidenced based council committee --CORRECT--D.
Being the chairperson of the evidenced based council committee
, There are three ethical principles for human research. Which of the following means the
patient has the right to elf determination?
A. Respect
B. Justice
C. Beneficence
D. Non maleficence - ANS
Which of the following organizations is responsible for evaluating proposed research
studies prior to their commencement?
A. Centers for disease control and prevention
B. Department of Health and Human services
C. Institution Review Board
D. Office of Disease prevention and Health Promotion --CORRECT--C. Institution
Review Board
According to the Joint Commission standard, when should the initial assessment of the
nurse competencies be conducted in a health care setting?
A. During the orientation process
B. Prior to the orientation process
C. During Nursing school
D. After the orientation process --CORRECT--A. During the orientation process
The purpose of using Scope and Standards of Practice for Ambulatory Care Nursing
includes which if the following?
A. Use a guide to provide quality of care
B. Use to prevent law suits
C. Use to increase the income of the facility
D. Use to train nurses --CORRECT--A. Use a guide to provide quality of care
The ambulatory care nurse is teaching a patient ho to change their wound dressing.
Which of the following indicates emotional readiness to learn?
A. The patient accepts the need to learn the new skill
B. The patient has the psychomotor function to change the dressing
C. The patient is a wound care medical MD
D. The patient has dressed his/her own wound in the past --CORRECT--A. The
patient accepts the need to learn the new skill
To educate the patient the ambulatory care nurse needs a systematic and planned
process that consists of teaching and learning. Which of the following factors could
influence the education process?
A. Culture
B. Learner's readiness
C. Gender
D. Socio-Economic Status --CORRECT--B. Learner's readiness
