Page 1 of 202
AMBULATORY CARE NURSE CERTIFICATION EXAM
ANCC EXAM 1-3 & STUDY GUIDE COMPLETE 450
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
AMBULATORY CARE NURSE CERTIFICATION EXAM ANCC EXAM 1
QUESTION: Which of the following is considered an independent nursing action?
A - teaching a patient about the new diet she has been prescribed for management of her
condition
B - assisting the speech therapist by helping the patient practice speech exercises
C - administering pain medication to the patient
D - giving the patient a backrub - ANSWER-D - giving the patient a back rub
Independent nursing actions are those which do not require a physician's order. Giving a
backrub is one of these independent nursing actions. In the age of managed care, actions which
arise from collaborative care plans are known as interdependent actions.
QUESTION: Which of the following is a digitalis medicine?
A -Lanoxin
B - Bumex
C - Zestril
D - Adalat - ANSWER-A - Lanoxin (Digoxin)
, Page 2 of 202
A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also for BP support.
Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking agent.
QUESTION: Which of the following is not one of the steps in evidence-based practice?
A - Constructing the clinical question
B - Patient selection
C - Appropriate selection of resources
D - Appraise the validity of the evidence - ANSWER-B - Patient selection
Patent selection is not one of the steps in evidence-based practice. The steps in evidence-based
practice consist of
1 - Patient assessment
2 - Constructing the clinical question
3 - Appropriate selection of resources
4 - Appraise the validity of the evidence
5 - Apply the integrated patient preferences, evidence, and clinical expertise
6 - Performance evaluation with patience
QUESTION: What is true regarding the respiratory synctical virus (RSV) immune globin?
A - This is indicated for children less than 2 years of age with chronic lung disease, and infants
<32 weeks.
, Page 3 of 202
B - Contraindications include a reaction to neomycin or streptomycin products.
C - This is indicated for adults without a history of RSV.
D - Palivizumab (Synagis) provides permanent immunity for high-risk infants. - ANSWER-A - This
is indicated for children less than 2 years of age with chronic lung disease, and infants <32
weeks.
Palivizumab (Synagis) provides temporary, passive immunity for high-risk infants, not adults.
The polio vaccine (IPV) is contraindicated for those who have had a reaction to neomycin or
streptomycin.
QUESTION: A nurse finishes a follow up visit with one of her elderly patients and gives him the
influenza vaccine before he leaves. This is an example of what type of prevention?
A - primary
B - secondary
C - tertiary
D - annual - ANSWER-A - primary
Primary prevention, such as an immunization, aims to prevent health problems before they
start. Secondary prevention promotes early detection and treatments of diseases. Tertiary
prevention is designed to help a patient cope with a current problem or prevent relapse.
"Annual" is not a type of prevention.
How many medications does it typically take to be considered "polypharmacy?"
A -Three
B -Ten
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C -Twenty-four
D -Five or more - ANSWER-D -Five or more
QUESTION: The ANP knows that it is her responsibility to report certain things to the proper
authorities. Which of the following is NOT required to be reported?
A - gunshot wound
B - suspected child abuse
C - drug abuse
D - stab wounds - ANSWER-C - drug abuse
Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds, and child
abuse (actual or suspected) are required to be reported to the proper authorities.
QUESTION: Prior to undergoing an abdominal sonogram, the patient should do what?
A - refrain from food and water for 12 hours
B - empty his or her bladder
C - drink a liter of water
D - empty his or her bowels - ANSWER-C - drink a liter of water
Prior to an abdominal sonogram, the patient is asked to drink water. In addition fasting for 8 to
12 hours prior to the procedure is often required.
AMBULATORY CARE NURSE CERTIFICATION EXAM
ANCC EXAM 1-3 & STUDY GUIDE COMPLETE 450
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
AMBULATORY CARE NURSE CERTIFICATION EXAM ANCC EXAM 1
QUESTION: Which of the following is considered an independent nursing action?
A - teaching a patient about the new diet she has been prescribed for management of her
condition
B - assisting the speech therapist by helping the patient practice speech exercises
C - administering pain medication to the patient
D - giving the patient a backrub - ANSWER-D - giving the patient a back rub
Independent nursing actions are those which do not require a physician's order. Giving a
backrub is one of these independent nursing actions. In the age of managed care, actions which
arise from collaborative care plans are known as interdependent actions.
QUESTION: Which of the following is a digitalis medicine?
A -Lanoxin
B - Bumex
C - Zestril
D - Adalat - ANSWER-A - Lanoxin (Digoxin)
, Page 2 of 202
A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also for BP support.
Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking agent.
QUESTION: Which of the following is not one of the steps in evidence-based practice?
A - Constructing the clinical question
B - Patient selection
C - Appropriate selection of resources
D - Appraise the validity of the evidence - ANSWER-B - Patient selection
Patent selection is not one of the steps in evidence-based practice. The steps in evidence-based
practice consist of
1 - Patient assessment
2 - Constructing the clinical question
3 - Appropriate selection of resources
4 - Appraise the validity of the evidence
5 - Apply the integrated patient preferences, evidence, and clinical expertise
6 - Performance evaluation with patience
QUESTION: What is true regarding the respiratory synctical virus (RSV) immune globin?
A - This is indicated for children less than 2 years of age with chronic lung disease, and infants
<32 weeks.
, Page 3 of 202
B - Contraindications include a reaction to neomycin or streptomycin products.
C - This is indicated for adults without a history of RSV.
D - Palivizumab (Synagis) provides permanent immunity for high-risk infants. - ANSWER-A - This
is indicated for children less than 2 years of age with chronic lung disease, and infants <32
weeks.
Palivizumab (Synagis) provides temporary, passive immunity for high-risk infants, not adults.
The polio vaccine (IPV) is contraindicated for those who have had a reaction to neomycin or
streptomycin.
QUESTION: A nurse finishes a follow up visit with one of her elderly patients and gives him the
influenza vaccine before he leaves. This is an example of what type of prevention?
A - primary
B - secondary
C - tertiary
D - annual - ANSWER-A - primary
Primary prevention, such as an immunization, aims to prevent health problems before they
start. Secondary prevention promotes early detection and treatments of diseases. Tertiary
prevention is designed to help a patient cope with a current problem or prevent relapse.
"Annual" is not a type of prevention.
How many medications does it typically take to be considered "polypharmacy?"
A -Three
B -Ten
, Page 4 of 202
C -Twenty-four
D -Five or more - ANSWER-D -Five or more
QUESTION: The ANP knows that it is her responsibility to report certain things to the proper
authorities. Which of the following is NOT required to be reported?
A - gunshot wound
B - suspected child abuse
C - drug abuse
D - stab wounds - ANSWER-C - drug abuse
Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds, and child
abuse (actual or suspected) are required to be reported to the proper authorities.
QUESTION: Prior to undergoing an abdominal sonogram, the patient should do what?
A - refrain from food and water for 12 hours
B - empty his or her bladder
C - drink a liter of water
D - empty his or her bowels - ANSWER-C - drink a liter of water
Prior to an abdominal sonogram, the patient is asked to drink water. In addition fasting for 8 to
12 hours prior to the procedure is often required.
