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AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS AND CORRECT ANSWRS.NHB

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Which of the following healthcare services can an adolescent younger than 18 access or refuse without a parental knowledge or consent in most states A. Emergency contraceptives B. Abortion C. Chemotherapy D. Transfusion - CorreCt Answers -A. Emergency contraceptives The process of time management begins y A. picking a time management tool B. Setting goals and priorities C. Organizing routines D. Ignoring interruptions - CorreCt Answers -B. Setting goals and priorities The nurse is educating an adult patient regarding medications for asthma. Which order would be the most appropriate for administration A. Flovent, Intal, Tobramycin B. Tobramycin, Intal, Albuterol C. Albuterol, Flovent, Tobramycin D. Intal, Tobramycin, Albuterol - CorreCt Answers -C. Albuterol, Flovent, Tobramycin(bronchodilator first to open, Corticosteroid to reduce inflammation, ABX last to make sure more can be absorbed)

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AMBULATORY CARE NURSE
CERTIFICATION EXAM (ANCC) QUESTIONS
AND CORRECT ANSWRS.NHB

Which of the following healthcare services can an adolescent younger than
18 access or refuse without a parental knowledge or consent in most states
A. Emergency contraceptives
B. Abortion
C. Chemotherapy
D. Transfusion - CorreCt Answers -A. Emergency contraceptives


The process of time management begins y
A. picking a time management tool
B. Setting goals and priorities
C. Organizing routines
D. Ignoring interruptions - CorreCt Answers -B. Setting goals and priorities


The nurse is educating an adult patient regarding medications for asthma.
Which order would be the most appropriate for administration
A. Flovent, Intal, Tobramycin
B. Tobramycin, Intal, Albuterol
C. Albuterol, Flovent, Tobramycin
D. Intal, Tobramycin, Albuterol - CorreCt Answers -C. Albuterol, Flovent,
Tobramycin

,(bronchodilator first to open, Corticosteroid to reduce inflammation, ABX
last to make sure more can be absorbed)


Telephone triage may be a responsibility of the ambulatory care nurse.
What are the appropriate components of telephone triage?
A. The nurse should state that he or she is unable to discuss medical
information and refer the patient to the PCP
B. The nurse must clearly identify him or herself, take a quick and accurate
history and quickly be able to make a decision
C. The nurse should call 911
D. The nurse should give generic information and leave the responsibility to
the patient or caller - CorreCt Answers -B. The nurse must clearly identify
him or herself, take a quick and accurate history and quickly be able to
make a decision


What are the best question types to ask when gaining inforation from a
patient?
A. Specific, open ended questions regarding current symptoms and medical
history
B. General questions with a yes or no answer
C. Questions related to childhood diseases
D. Demographics questions - CorreCt Answers -A. Specific, open ended
questions regarding current symptoms and medical history


IN what order would the nurse prioritize the care of the following patients
presenting to the clinic at the same times: A parent carrying a smiling
infant with a fever, a pale and sweaty male wit flank pain for 2 days, a
carpenter with a nail in his thumb, and a 3 year old with vomiting

,A. Flank pain, Infant with fever, 3 year old vomiting, man with nail
B. Flank pain, 3 year old vomiting, infant with fever, man with nail
C. 3 year old vomiting, infant with fever, flank pain, man with nail
D. 3 year old with vomiting, flank pain, man with nail, and infant with fever
- CorreCt Answers -B. Flank pain, 3 year old vomiting, infant with fever,
man with nail


Mom has described her childs symptoms as fever for 3 days, and vomiting
for the last 24 hours. She states the child has been very sleepy for the last 2-
3 hours. What subtle symptom alerts the nurse that this child needs to be
seen as soon as possible
A. 3 days of fever
B. 3 days of fever , 1 day of vomiting
C. 1 day of vomiting
D. very sleepy for 2-3 hours with fever for 3 days. - CorreCt Answers -D.
very sleepy for 2-3 hours with fever for 3 days.


The ambulatory care nurse takes a phone call from the daughter of a 60
year old man stating that he isn't himself today. When questioned further
the nurse discovers that the man has had periods of slurred speech for a few
minutes on 2 occasions in the last 24 hours. What is your recommendation
for this caller regarding what should be done.
A. You understand that slurred speech may be the result of too much
alcohol or lack of sleep and you encourage her to call back again if it occur
B. You advise her to come to the clinic in the next 24-48 hours for some
blood work
C. You advise her that slurred speech may b a symptoms of TIA or
impending stroke, especially in relation to him not being himself and to go
to nearest ER

, D. You tell her you will call her ack when you can contact the MD for advise.
- CorreCt Answers -C. You advise her that slurred speech may b a
symptoms of TIA or impending stroke, especially in relation to him not
being himself and to go to nearest ER


A 70 year old female presents to the ambulatory care clinic complaining of
fatigue. You begin you triage assessment and he has a HR of 50,
Respiratory rate of 24, and BP 70/40. She denies Chest pain but you notice
she rubs her elbows and states her arthritis is acting up. What would be
your first priority when caring for this patient
A. Offer her Tylenol and send her to the waiting room
B. offer her Motrin for pain
C. Continue her triage and history and finish the paperwork
D. place her in a room, do an EKG and notify the MD to see her first -
CorreCt Answers -D. place her in a room, do an EKG and notify the MD to
see her first


A mother presents to the clinic with a very wheezy 3 year old in her arms.
You notice the child is pale and listless. What is your immediate response
A. Triage the infant before the other patients waiting
B. Bring the child to an exam room and wait for MD
C. Bring the child to an exam room to finish triage in the privacy of a room
D. Bring the child to a room, Get the MD, and prepare to give Nebulizer
treatment and possible transfer to acute facility - CorreCt Answers -D.
Bring the child to a room, Get the MD, and prepare to give Nebulizer
treatment and possible transfer to acute facility


What nonverbal clues would indicate that a patient of any age is having
difficulty breathing

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