Ambulatory Care Nurse Certification Exam (ANCC)
LATEST UPDATED VERSION ACTUAL TEST QUESTIONS
AND CORRECT DETAILED ANSWERS (100% CORRECT
VERIFIED SOLUTIONS) |GUARANTEED PASS. (FULL
REVISED EXAM)
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
A family practice physician's office schedule is usually fully booked with patients scheduled every 15
minutes, but the MD routinely adds patients who have acute needs to the schedule resulting in
delays in seeing patients, unpaid staff OT and staff complaints. The best solution for the nurse
manager may be to:
A. Schedule staff later in the day
B. Suggest referring patient to ED
C. As for payment for any OT
D. Leave open slots in the schedule - ANSWER-D. Leave open slots in the schedule
A client with a post op hip replacement has the following information on the care plan: Client will
achieve a decrease in pain to a level 3 by discharge. Where on the care plan should the nurse put this
information
,A. Under Nursing DX
B. Under goal Section
C. Under intervention/implementation
D. Under evaluation - ANSWER-B. Under goal Section
Which of the following is an early sign of compartment syndrome
A. Increased Pain
B. No Pulse
C. Muscle Weakness
D. Swelling of the Extremities - ANSWER-A. Increased Pain
The client with a cough and fever is coming in the ambulatory care clinic for care. Which information
should the nurse give the receptionist prior to the clients arrival
A. Give the client a mask as soon as the client arrives
B. Give everyone in the clinic a ask before the client arrives
C. Cancel the appointment and tell the client to reschedule
D. Place the client in close proximity to the other clients for comfort - ANSWER-A. Give the client a
mask as soon as the client arrives
The ambulatory care nurse is conducting the medication reconciliation for a client who was recently
prescribed warfarin. What medication should the nurse tell the client to discontinue
A. Iron Supplements
B. Vitamin D
C. Metoprolol
D. Gingko Biloba - ANSWER-D. Gingko Biloba
Which of the following statements made by the client about primary care prevention of Type I DM is
correct
A. If I take metformin as ordered I will be ok
B. The only thing I need to do is to lower my calories
C. If I increase my physical activities I will reduce my chance of having Type I DM
D. There are no interventions that can prevent Type I DM - ANSWER-D. There are no interventions
that can prevent Type I DM
,Which of the following should the ambulatory care nurse teach a client with Type II DM
A. Soak foot in hot water
B. Wear slippers or shoes both indoor and outdoor
C. Decrease physical Activity
D. Examine feet monthly - ANSWER-B. Wear slippers or shoes both indoor and outdoor
A client who enrolled in a research study informs the ambulatory clinic nurse that he/she no longer
wants to be part of the study. What actions should the nurse take
A. Enquire about the reason for withdrawal
B. Educate the client on the importance of the study
C. Inform the research team of the clients withdrawal
D. increase the incentive for participating in the study - ANSWER-C. Inform the research team of the
clients withdrawal
If a patient plans to travel overseas to an area where "Travelers diarrhea" is common and plan to take
bismuth Subsalicylate (pepto-Bismol) as prophylaxes, the patient should be warned that it may A.
Alter Intestinal Flora
B. Turn Stools Black
C. Cause intestinal Bleeding
D. Cause severe constipation - ANSWER-B. Turns Stool black
The plaque formation that is found with coronary artery disease results from accumulation of:
A. LDL Particles
B. HDL particles
C. Triglycerides
D. Amino Acids - ANSWER-A. LDL Particles
If a patient is scheduled for a right breast biopsy, but no site markings are visible when the patient is
draped, the ambulatory care nurse should
A. Assume the surgeon knows the correct site
B. Stop the procedure until correct site is confirmed
C. Make a note to remind staff to mark surgical sites
, D. Ask surgeon if the side is correct - ANSWER-B. Stop the procedure until correct site is confirmed
When reviewing data as part of process improvement, the ambulatory care nurse notes an
improvement in patient satisfaction from 78-92% after the addition of a new staff, this change is
probably a
A. Random Event
B. Common cause Variation
C. Special Cause Variation
D Statistical Aberration - ANSWER-C. Special Cause Variation
When assessing key performance measures as part of the ambulatory care process improvement
assessment, which of the following relates to access of care
A. FTE support staff per MD
B. Rejection/Denial rate of insurance
C. Immunization rates
D. Average telephone wait time - ANSWER-D. Average telephone wait time
Which of the following is a nonverbal clue that a patient may be anxious
A. Patient rubs his eyes and yawns
B. Patient has flat aspect and responds in monosyllables
C. Patient pupils are constricted and patient sniffs repeatedly
D. Patient rubs hands together constantly - ANSWER-D. Patient rubs hands together constantly
The Ambulatory care nurse is concerned that staff members are not listening carefully or patiently to
older patients. Which of the following interactions indicates a listening fault
A. Staff person finishes a patients sentences
B. Staff person ask additional questions when the patient stops speaking
C. Staff person focuses completely on patient when patient speaks
D. Staff persons addresses the questions to patient instead of caretaker - ANSWER-A. Staff person
finishes a patients sentences
If blood specimens are drawn in the ambulatory care center and transported to the library for
testing, which of the following specimens must be protected from exposure to light A. CBC
LATEST UPDATED VERSION ACTUAL TEST QUESTIONS
AND CORRECT DETAILED ANSWERS (100% CORRECT
VERIFIED SOLUTIONS) |GUARANTEED PASS. (FULL
REVISED EXAM)
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
A family practice physician's office schedule is usually fully booked with patients scheduled every 15
minutes, but the MD routinely adds patients who have acute needs to the schedule resulting in
delays in seeing patients, unpaid staff OT and staff complaints. The best solution for the nurse
manager may be to:
A. Schedule staff later in the day
B. Suggest referring patient to ED
C. As for payment for any OT
D. Leave open slots in the schedule - ANSWER-D. Leave open slots in the schedule
A client with a post op hip replacement has the following information on the care plan: Client will
achieve a decrease in pain to a level 3 by discharge. Where on the care plan should the nurse put this
information
,A. Under Nursing DX
B. Under goal Section
C. Under intervention/implementation
D. Under evaluation - ANSWER-B. Under goal Section
Which of the following is an early sign of compartment syndrome
A. Increased Pain
B. No Pulse
C. Muscle Weakness
D. Swelling of the Extremities - ANSWER-A. Increased Pain
The client with a cough and fever is coming in the ambulatory care clinic for care. Which information
should the nurse give the receptionist prior to the clients arrival
A. Give the client a mask as soon as the client arrives
B. Give everyone in the clinic a ask before the client arrives
C. Cancel the appointment and tell the client to reschedule
D. Place the client in close proximity to the other clients for comfort - ANSWER-A. Give the client a
mask as soon as the client arrives
The ambulatory care nurse is conducting the medication reconciliation for a client who was recently
prescribed warfarin. What medication should the nurse tell the client to discontinue
A. Iron Supplements
B. Vitamin D
C. Metoprolol
D. Gingko Biloba - ANSWER-D. Gingko Biloba
Which of the following statements made by the client about primary care prevention of Type I DM is
correct
A. If I take metformin as ordered I will be ok
B. The only thing I need to do is to lower my calories
C. If I increase my physical activities I will reduce my chance of having Type I DM
D. There are no interventions that can prevent Type I DM - ANSWER-D. There are no interventions
that can prevent Type I DM
,Which of the following should the ambulatory care nurse teach a client with Type II DM
A. Soak foot in hot water
B. Wear slippers or shoes both indoor and outdoor
C. Decrease physical Activity
D. Examine feet monthly - ANSWER-B. Wear slippers or shoes both indoor and outdoor
A client who enrolled in a research study informs the ambulatory clinic nurse that he/she no longer
wants to be part of the study. What actions should the nurse take
A. Enquire about the reason for withdrawal
B. Educate the client on the importance of the study
C. Inform the research team of the clients withdrawal
D. increase the incentive for participating in the study - ANSWER-C. Inform the research team of the
clients withdrawal
If a patient plans to travel overseas to an area where "Travelers diarrhea" is common and plan to take
bismuth Subsalicylate (pepto-Bismol) as prophylaxes, the patient should be warned that it may A.
Alter Intestinal Flora
B. Turn Stools Black
C. Cause intestinal Bleeding
D. Cause severe constipation - ANSWER-B. Turns Stool black
The plaque formation that is found with coronary artery disease results from accumulation of:
A. LDL Particles
B. HDL particles
C. Triglycerides
D. Amino Acids - ANSWER-A. LDL Particles
If a patient is scheduled for a right breast biopsy, but no site markings are visible when the patient is
draped, the ambulatory care nurse should
A. Assume the surgeon knows the correct site
B. Stop the procedure until correct site is confirmed
C. Make a note to remind staff to mark surgical sites
, D. Ask surgeon if the side is correct - ANSWER-B. Stop the procedure until correct site is confirmed
When reviewing data as part of process improvement, the ambulatory care nurse notes an
improvement in patient satisfaction from 78-92% after the addition of a new staff, this change is
probably a
A. Random Event
B. Common cause Variation
C. Special Cause Variation
D Statistical Aberration - ANSWER-C. Special Cause Variation
When assessing key performance measures as part of the ambulatory care process improvement
assessment, which of the following relates to access of care
A. FTE support staff per MD
B. Rejection/Denial rate of insurance
C. Immunization rates
D. Average telephone wait time - ANSWER-D. Average telephone wait time
Which of the following is a nonverbal clue that a patient may be anxious
A. Patient rubs his eyes and yawns
B. Patient has flat aspect and responds in monosyllables
C. Patient pupils are constricted and patient sniffs repeatedly
D. Patient rubs hands together constantly - ANSWER-D. Patient rubs hands together constantly
The Ambulatory care nurse is concerned that staff members are not listening carefully or patiently to
older patients. Which of the following interactions indicates a listening fault
A. Staff person finishes a patients sentences
B. Staff person ask additional questions when the patient stops speaking
C. Staff person focuses completely on patient when patient speaks
D. Staff persons addresses the questions to patient instead of caretaker - ANSWER-A. Staff person
finishes a patients sentences
If blood specimens are drawn in the ambulatory care center and transported to the library for
testing, which of the following specimens must be protected from exposure to light A. CBC
