Ambulatory Care Nurse Certification
Exam (ANCC) | Comprehensive Q&A For
Certification Success
Which of the following is used to determine the type and the numbers of staff
needed in an ambulatory clinic?
A. Only the volume of client
B. Nurses; years of experience
C. Nurses college degree
D. The complexity and the number of clients - correct-answer -D. The complexity
and the number of clients
Which action by the ambulatory care nurse indicates that he/she is compliant with
the client self-determination Act?
A. Asking the client if they have a Advanced Directives
B. Completing a head to toe assessment
C. Reviewing the clients care plan
D. Complying with the client's right to refuse medication - correct-answer -A.
Asking the client if they have a Advanced Directives
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Which of the following medications does the ambulatory care nurse anticipate the
MD will prescribe for a client with chronic Asthma for long-term treatment
A. Fluticasone (Flovent)
B. Albuterol ( Ventolin)
C. Ipratropium (Atrovent)
D. Levalbuterol (Xopenex) - correct-answer -A. Fluticasone (Flovent)
The Ambulatory care nurse asses a client with Shortness of breath, lack of energy,
and dry mouth. Which of the following disease should the ambulatory care nurse
suspect?
A. COPD
B. Congestive Heart Failure
C. Asthma
D. Respiratory Failure - correct-answer -A COPD
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
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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
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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