AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) | COMPLETE QUESTIONS AND
ANSWERS | 2025-2026 LATEST UPDATE
What is the most appropriate way to ask a patient about possible physical abuse during the
triage process
A. Ask questions regarding abuse in front of the spouse so there is a witness
B. Never ask if the information is not offered. It is an invasion of privacy
C. Ask the patient directly without the spouse or parent in the room
D. Begin describing your own experience in an attempt to get the patient to open up C. Ask
the patient directly without the spouse or parent in the room
Which statement defines the term "telephone triage" clearly
A. Anyone can talk on the telephone and gain the complaint of the patient
B. The nurse must have a clear conversation on the telephone to prioritize the urgency of the
patients needs
C. The risk for the nurse is slim when triaging over the telephone
D. The definition for triage equals that of interrogation B. The nurse must have a clear
conversation on the telephone to prioritize the urgency of the patients needs
The telephone triage nurse has taken a call from a client and wants to document and share
patient information with the facility where she has sent the client. What multimedia tools may
the nurse use in her tele-practice that would be appropriate and safe
A. Computer, fax machine or email
B. No information should be sent by email containing patient information
C. Only share by telephone
D. There is no audio/visual equipment available to a triage nurse A. Computer, fax machine
or email
,What skills would be most helpful when triaging a client on the telephone
A. Should be curt and encourage the client to get to the point
B. Ask non specific questions to make the client feel comfortable
C. Listen, use auditory clues such as tone of voice and ask very specific questions related to the
client complaint
D. no specific skills are needed to speak over the telephone C. Listen, use auditory clues such
as tone of voice and ask very specific questions related to the client complaint
The telephone triage nurse is alone when the phone rings on all three lines. What would be the
most appropriate action for the nurse to take wen prioritizing these patients.
A. The nurse should answer each call quickly, asking what the complaint is and then placing the
client on hold to get next line, mentally taking a priority list
B. Ignore the other two lines while triaging one line at a time
C. Leave and go find some help
D. There is no way to answer efficiently A. The nurse should answer each call quickly, asking
what the complaint is and then placing the client on hold to get next line, mentally taking a
priority list
The ambulatory care nurse must prioritize 3 calls. one is a complaint of abdominal pain, 2nd a
child with respiratory distress and 3 is a client complaining of vaginal bleeding. Which would be
the priority
A. Vaginal bleeding
B. Abdominal Pain
C. Child w/ respiratory distress
D. Abdominal pain and vaginal bleeding should be attended first and second C. Child w/
respiratory distress
Which statement best describes the coordination of services by the ambulatory care nurse?
A. Refers the client to see a Physician but has no obligation to make a specific recommendation
,B. Use all healthcare resources available to refer the client to the appropriate level of care
C. Makes appointment for the physician on duty at the clinic regardless of the needs of the
client
D. Nurse dos not usually have access to community resources so only referral is to ER B. Use
all healthcare resources available to refer the client to the appropriate level of care
Tele-practice or telephone triage is an important part of ambulatory care nursing, using
assessment, analysis, planning, intervention and evaluation as part of the process. What forms
of measurable information can be used when evaluating the results of a plan of care
A. There is no way to follow up on a telephone plan of action
B. Documentation of the patients agreement to the pan with call back date, and when and
where the patient will follow up so tracking can be done is measurable
C. the nurse can only document his or her part of the plan of care to measure results
D. The patient doesn't have to agree to the plan before any measurable results can be tracked
B. Documentation of the patients agreement to the pan with call back date, and when and
where the patient will follow up so tracking can be done is measurable
The nurse in the ambulatory care setting uses a fax machine to gain information about a client
from another facility. what must be included with the fax in order to obtain this information
A. Fax cover sheet
B. fax cover sheet and signed release of information
C. signed release of information
D. no need for anything but a phone call from the facility B. fax cover sheet and signed
release of information
Which of the following influence how nurses practice?
A. Suggestions from other colleagues
B. Clinical Pathways
C. Evidence-based practice
, D. Organization policy C. Evidence-based practice
What database should the ambulatory clinic nurse use when searching for nursing articles
A. Medscape
B. Webmd
C. Google Chrome
D. CINHAHL D. CINHAHL
The ambulatory care nurse is developing a care plan for a client. The client is at risk for
ineffective breathing related to COPD, where on the care plan should the nurse put this
information
A. Under nursing DX
B. Under the goal
C. Under intervention
D. Under evaluation A. Under nursing DX
Which of the following is the cause of Type I DM
A. Insulin Resistance
B. Glucose Intolerance w/first trimester
C. Alpha cell destruction
D. Beta Cell Destruction D. Beta Cell Destruction
Which of the following indicates that the client is adhering to plan of care
A. Hemoglobin A1C
B. Polyuria
C. Polydipsia
ANSWERS | 2025-2026 LATEST UPDATE
What is the most appropriate way to ask a patient about possible physical abuse during the
triage process
A. Ask questions regarding abuse in front of the spouse so there is a witness
B. Never ask if the information is not offered. It is an invasion of privacy
C. Ask the patient directly without the spouse or parent in the room
D. Begin describing your own experience in an attempt to get the patient to open up C. Ask
the patient directly without the spouse or parent in the room
Which statement defines the term "telephone triage" clearly
A. Anyone can talk on the telephone and gain the complaint of the patient
B. The nurse must have a clear conversation on the telephone to prioritize the urgency of the
patients needs
C. The risk for the nurse is slim when triaging over the telephone
D. The definition for triage equals that of interrogation B. The nurse must have a clear
conversation on the telephone to prioritize the urgency of the patients needs
The telephone triage nurse has taken a call from a client and wants to document and share
patient information with the facility where she has sent the client. What multimedia tools may
the nurse use in her tele-practice that would be appropriate and safe
A. Computer, fax machine or email
B. No information should be sent by email containing patient information
C. Only share by telephone
D. There is no audio/visual equipment available to a triage nurse A. Computer, fax machine
or email
,What skills would be most helpful when triaging a client on the telephone
A. Should be curt and encourage the client to get to the point
B. Ask non specific questions to make the client feel comfortable
C. Listen, use auditory clues such as tone of voice and ask very specific questions related to the
client complaint
D. no specific skills are needed to speak over the telephone C. Listen, use auditory clues such
as tone of voice and ask very specific questions related to the client complaint
The telephone triage nurse is alone when the phone rings on all three lines. What would be the
most appropriate action for the nurse to take wen prioritizing these patients.
A. The nurse should answer each call quickly, asking what the complaint is and then placing the
client on hold to get next line, mentally taking a priority list
B. Ignore the other two lines while triaging one line at a time
C. Leave and go find some help
D. There is no way to answer efficiently A. The nurse should answer each call quickly, asking
what the complaint is and then placing the client on hold to get next line, mentally taking a
priority list
The ambulatory care nurse must prioritize 3 calls. one is a complaint of abdominal pain, 2nd a
child with respiratory distress and 3 is a client complaining of vaginal bleeding. Which would be
the priority
A. Vaginal bleeding
B. Abdominal Pain
C. Child w/ respiratory distress
D. Abdominal pain and vaginal bleeding should be attended first and second C. Child w/
respiratory distress
Which statement best describes the coordination of services by the ambulatory care nurse?
A. Refers the client to see a Physician but has no obligation to make a specific recommendation
,B. Use all healthcare resources available to refer the client to the appropriate level of care
C. Makes appointment for the physician on duty at the clinic regardless of the needs of the
client
D. Nurse dos not usually have access to community resources so only referral is to ER B. Use
all healthcare resources available to refer the client to the appropriate level of care
Tele-practice or telephone triage is an important part of ambulatory care nursing, using
assessment, analysis, planning, intervention and evaluation as part of the process. What forms
of measurable information can be used when evaluating the results of a plan of care
A. There is no way to follow up on a telephone plan of action
B. Documentation of the patients agreement to the pan with call back date, and when and
where the patient will follow up so tracking can be done is measurable
C. the nurse can only document his or her part of the plan of care to measure results
D. The patient doesn't have to agree to the plan before any measurable results can be tracked
B. Documentation of the patients agreement to the pan with call back date, and when and
where the patient will follow up so tracking can be done is measurable
The nurse in the ambulatory care setting uses a fax machine to gain information about a client
from another facility. what must be included with the fax in order to obtain this information
A. Fax cover sheet
B. fax cover sheet and signed release of information
C. signed release of information
D. no need for anything but a phone call from the facility B. fax cover sheet and signed
release of information
Which of the following influence how nurses practice?
A. Suggestions from other colleagues
B. Clinical Pathways
C. Evidence-based practice
, D. Organization policy C. Evidence-based practice
What database should the ambulatory clinic nurse use when searching for nursing articles
A. Medscape
B. Webmd
C. Google Chrome
D. CINHAHL D. CINHAHL
The ambulatory care nurse is developing a care plan for a client. The client is at risk for
ineffective breathing related to COPD, where on the care plan should the nurse put this
information
A. Under nursing DX
B. Under the goal
C. Under intervention
D. Under evaluation A. Under nursing DX
Which of the following is the cause of Type I DM
A. Insulin Resistance
B. Glucose Intolerance w/first trimester
C. Alpha cell destruction
D. Beta Cell Destruction D. Beta Cell Destruction
Which of the following indicates that the client is adhering to plan of care
A. Hemoglobin A1C
B. Polyuria
C. Polydipsia
