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Exam (elaborations)

Acute Care Certification Practice Test (150 Q&A with Rationales)

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Prepare for your acute care nursing exam with our 150-question practice test. Includes detailed correct answers and rationales to master critical concepts and boost your confidence for test day.

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Uploaded on
November 8, 2025
Number of pages
79
Written in
2025/2026
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Latest PNCB Acute Care Certification Practice Test
With 150 questions and Correct Answers with
Rationales/ PNCB Acute Care Practice Exam (New)


The Ambulatory care Nurse is triaging a client 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 - ...ANSWER...✓✓ C. Perform an
Electrocardiogram


Which of the following is essential for the ambulatory
care nurse to remind the client 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 -
...ANSWER...✓✓ C. Try not to move during the test

,2|Page



The Ambulatory Care nurse is assessing a client. Which of
the following questions will yield more information from
the client?
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? -
...ANSWER...✓✓ B. What Brought you in today?


The ambulatory care nurse is conducting an annual
assessment of a client. The client denies frequent
urination, blurry vision, excessive thirst or hunger. The
clients Blood sugar is 500mg/dl by finger stick. What
should the nurse do next?
A. Transport client to the ER
B. Notify the healthcare provider immediately
C. Retest the Blood glucose
D. Order a Hemoglobin A1c - ...ANSWER...✓✓ C. Retest
the blood glucose


Which of the following laboratory test is most effective in
monitoring a client with DM blood glucose level?
A. Urine Glucose Level

,3|Page



B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels - ...ANSWER...✓✓ C. Hemoglobin A1C


The client 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 - ...ANSWER...✓✓ A. Halter Monitoring


The Ambulatory care nurse is preparing the client for the
application of a Holter monitor. Which information is vital
for the nurse to give the client?
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 - ...ANSWER...✓✓ B. Maintain
normal Diet and exercise

, 4|Page




The Ambulatory care nurse is assessing a new graduate
nurses' understanding of the importance of getting clients
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. -
...ANSWER...✓✓ 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 - ...ANSWER...✓✓ C. Blue reaction
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