AMBULATORY CARE NURSE
CERTIFICATION EXAM (ANCC) ACTUAL
EXAM WITH QUESTIONS AND CORRECT
ANSWERS GRADED A+
The parent of an eight year old child reports that the child cannot
efficiently use the metered dose inhaler. Which of the following
actions should the nurse take?
A. Give the child a nebulizer
B. Give the child a spacer
C. Recommend discontinuation of the medication
D. Inform the parent that the medication is not important Correct
Answer B. Give the child a spacer
The ambulatory care nurse is formulating a research question
using the PICO format. the "C" in PICO stands for which of the
following?
A. Comparison
B. Characteristics
C. Culture
D. Cure Correct Answer B. Characteristics
,PICO (T) Format Correct Answer Formula for creating answerable
research questions.
P: Population/patient - age, gender, ethnicity, individuals with a
certain disorder
I: Intervention/indicator (Variable of Interest) - exposure to a
disease, risk behavior, prognostic factor
C: Comparison/control - could be a placebo or "business as
usual" as in no disease, absence of risk factor, Prognostic factor
B
O: Outcome - risk of disease, accuracy of a diagnosis, rate of
occurrence of adverse outcome
T: Time - the time it takes for the intervention to achieve an
outcome or how long participants are observed
The ambulatory care nurse is teaching a client how to use the
peak flow meter. Which statement indicates that teaching was
effective?
A. I Should move the indicator to the bottom of the number scale
before suing the meter
B. I Should blow out as slowly as possible
C. I should blow multiple time in a meter during a single test
D. I should lie down when using the meter Correct Answer A. I
Should move the indicator to the bottom of the number scale
before suing the meter
,Which of the following if noted in the clients urine analysis would
require further actions?
A. Protein
B. Bacteria
C. Bilirubin
D. White Blood Cells. Correct Answer C. Bilirubin
The client is being scheduled for a lower gastrointestinal study
using double-contrast barium enema. Which of the following
should be included in the clients teaching?
A. The procedure will take 6 hours
B. Have a low residual diet 1-2 days before the procedure
C. Decrease fluid intake after the procedure
D. East a light meal the night before the procedure. Correct
Answer B. Have a low residual diet 1-2 days before the
procedure
The ambulatory care nurse reviews the clients lab results and
notices that the creatinine is mg/dl. What action should the nurse
take?
A. Notify the healthcare provider immediately
B. Collect urine ample
C. Do nothing, The result is WNL
, D. Administer diuretics Correct Answer C. Do nothing, The result
is WNL
A client wit a DX of bipolar disorder is being seen in the clinic. The
healthcare provider prescribed Lithium. Which of the following is
important for the ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this
medication Correct Answer B. Low Sodium level can lead to
toxicity
Which of the following statements if reported to the ambulatory
care nurse indicates that the treatment for a client with CHF
needs to be modified?
A. The client gains 1 pound in hours
B. The client now sleeps sitting up
C. The clients BP is /
D. Increased Activity tolerance. Correct Answer B. The client
now sleeps sitting up
With the implementation of telemedicine, the method of triaging
has changed. What components would an ambulatory care nurse
utilize when triaging using the telephone?
CERTIFICATION EXAM (ANCC) ACTUAL
EXAM WITH QUESTIONS AND CORRECT
ANSWERS GRADED A+
The parent of an eight year old child reports that the child cannot
efficiently use the metered dose inhaler. Which of the following
actions should the nurse take?
A. Give the child a nebulizer
B. Give the child a spacer
C. Recommend discontinuation of the medication
D. Inform the parent that the medication is not important Correct
Answer B. Give the child a spacer
The ambulatory care nurse is formulating a research question
using the PICO format. the "C" in PICO stands for which of the
following?
A. Comparison
B. Characteristics
C. Culture
D. Cure Correct Answer B. Characteristics
,PICO (T) Format Correct Answer Formula for creating answerable
research questions.
P: Population/patient - age, gender, ethnicity, individuals with a
certain disorder
I: Intervention/indicator (Variable of Interest) - exposure to a
disease, risk behavior, prognostic factor
C: Comparison/control - could be a placebo or "business as
usual" as in no disease, absence of risk factor, Prognostic factor
B
O: Outcome - risk of disease, accuracy of a diagnosis, rate of
occurrence of adverse outcome
T: Time - the time it takes for the intervention to achieve an
outcome or how long participants are observed
The ambulatory care nurse is teaching a client how to use the
peak flow meter. Which statement indicates that teaching was
effective?
A. I Should move the indicator to the bottom of the number scale
before suing the meter
B. I Should blow out as slowly as possible
C. I should blow multiple time in a meter during a single test
D. I should lie down when using the meter Correct Answer A. I
Should move the indicator to the bottom of the number scale
before suing the meter
,Which of the following if noted in the clients urine analysis would
require further actions?
A. Protein
B. Bacteria
C. Bilirubin
D. White Blood Cells. Correct Answer C. Bilirubin
The client is being scheduled for a lower gastrointestinal study
using double-contrast barium enema. Which of the following
should be included in the clients teaching?
A. The procedure will take 6 hours
B. Have a low residual diet 1-2 days before the procedure
C. Decrease fluid intake after the procedure
D. East a light meal the night before the procedure. Correct
Answer B. Have a low residual diet 1-2 days before the
procedure
The ambulatory care nurse reviews the clients lab results and
notices that the creatinine is mg/dl. What action should the nurse
take?
A. Notify the healthcare provider immediately
B. Collect urine ample
C. Do nothing, The result is WNL
, D. Administer diuretics Correct Answer C. Do nothing, The result
is WNL
A client wit a DX of bipolar disorder is being seen in the clinic. The
healthcare provider prescribed Lithium. Which of the following is
important for the ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this
medication Correct Answer B. Low Sodium level can lead to
toxicity
Which of the following statements if reported to the ambulatory
care nurse indicates that the treatment for a client with CHF
needs to be modified?
A. The client gains 1 pound in hours
B. The client now sleeps sitting up
C. The clients BP is /
D. Increased Activity tolerance. Correct Answer B. The client
now sleeps sitting up
With the implementation of telemedicine, the method of triaging
has changed. What components would an ambulatory care nurse
utilize when triaging using the telephone?
