ANCC Ambulatory Care Nurse Certification 2025 |
Real Exam Questions & Verified Answers, Exams
of Clinical Medicine
The type of budget that is used for daily operations and general expenses, such as salaries
associated with an ambulatory surgery center is the:
A. Master budget
B. Operating Budget
C. Capitol Budget
D. Cash balance Budget B. Operating Budget
According to the Spalding classifications system for disinfection and sterilization, an example of
an item that would be classified as Semi-critical is:
A. Bronchoscope
B. Surgical instrument
C. BP Cuff
D. Bedpan A. Bronchoscope
If a patients nursing DX is "Activity intolerance" on the care plan and the desired outcomes are
the for the patient to feel less tire and carry out activities without signs of physical distress,
which of the following is an appropriate nursing intervention:
A. Keep patient awake during daytime hours
B. Limit activities to those that are essential
C. instruct patient in energy saving techniques
D. Encourage patient to take mid-morning and mid afternoon naps. C. instruct patient in
energy saving techniques
When preparing a budget for a community education project, the ambulatory care nurse needs
to consider both direct and indirect costs. Indirect costs may include:
A. Supplies and Equipment
B. Salaries
C. Employee benefits
D. Housekeeping Services D. Housekeeping Services
The three goals of accreditation by the national committee for Quality Assurance are (1) better
patient experience, (2) Better health and (3):
A. Lower staff turnover
B. Lower per capita cost
C. Lower rates of medical errors
D. Higher reimbursement rates B. Lower per capita cost
1|Page
,An Ambulatory care nurse reviewed clinic statistics regarding the number of patients who
missed or came late to an appointment, established a telephone reminder system to improve
attendance and then conducted a review each week and published findings for the staff
showing the improvement. This is an example of:
A. Internal benchmarking
B. Functional Benchmarking
C. External Benchmarking
D. Competitive benchmarking A. Internal benchmarking
If when utilizing the Plan Do Study Act (PDSA) method of continuous quality improvement study
of the outcomes of a trial indicates that the solution that was instituted was not effective, the
next step is to:
A. Return to plan step
B. Return to DO step
C. Discontinue the process
D. Continue to Act step A. Return to plan step
Plan Do Study Act (PDSA) method of continuous quality improvement study Plan: Define
the problem, brainstorm and collect data
Do: Generate solutions, choose one and implement a trial
Study: Evaluate outcomes
Act: Identify changes needed for full implementation and continue to monitor
If a patient is scheduled for a routine serum creatinine to evaluate renal function, the patient
should be advised to prepare for this test by:
A. Carrying out routine activities
B. Fasting for 12 hours
C. Avoid Strenuous exercise
D. Avoid eating meat products for two days C. Avoid Strenuous exercise
The ambulatory care nurse is reviewing a patient's history to determine if the patient is a
candidate for an intrauterine device (IUD). Contraindications for an IUD include:
A. Menorrhagia
B. History of pelvic inflammatory disease 3 years previously
C. History of renal Cancer
D. History of ectopic pregnancy D. History of ectopic pregnancy
The purpose of an Advanced Beneficiary Notice is to:
A. Identify beneficiaries of a wall
B. inform Medicare Patients of non coverage
C. Inform patients of Medicaid eligibility
D. Inform patients of insurance coverage B. inform Medicare Patients of non coverage
Which of the following are excluded from the Nurse Licensure compact
2|Page
,A. RNs
B. LVNs
C. LPNs
D. APRNs D. APRNs (They must get a license in each state they plan to work in)
When setting up a dashboard to show progress towards meeting goals, the first consideration
when determining which information to include should be:
A. Relevance to goals
B. Method of Display
C. Frequency of needed updates
D. Ease of gathering data A. Relevance to goals
The first step in development of a safety and health program to meet OSHA's guidelines is to:
A. Takes steps to reduce hazards
B. Establish a medical management program
C. Conduct a workplace analysis
D. Establish a staff training program D. Establish a staff training program
When interviewing a patient who reports that everything is "fine" the ambulatory care nurse
notes that the patients pupils are dilated, the patient is sweating profusely and the patient
frequently licks the lips. According to these observations the nurse likely concludes that the
patient is:
A. actually fine
B. withholding information
C. Experiencing a physical health problem
D. Afraid of the nurse B. withholding information
Under provisions of the Americans with Disabilities Act (ADA) in relation to access, which of the
following is allowed:
A. Examining a wheelchair bound patient in a wheelchair because an adjustable exam table is
not available
B. Refusing to treat a patient because accessible equipment is not available
C. Asking a disabled person to bring a caregiver to assist with patients examination
D. Having accessible equipment for patient with disabilities in some examination rooms but not
all D. Having accessible equipment for patient with disabilities in some examination rooms
but not all
Waste is considered corrosive and hazardous if it has a pH of:
A. Less than 2 or greater than 12.5
B. Less than 4 or greater than 10.5
C. Between 6 and 12
D. Greater than 12.5 A. Less than 2 or greater than 12.5
3|Page
, When reviewing a number of articles as part of development of Evidence-based practice
guidelines, the first step to reading critically should be to:
A. Review the authors credentials
B. Consider the source
C. Read the article conclusion
D. Evaluate the overall article A. Review the authors credentials
The nursing hazard that is usually of most concern is an ambulatory surgical center is:
A. Back injuries
B. Slips and falls
C. Exposure to bloodborne pathogens
D. Latex Allergies C. Exposure to bloodborne pathogens
The HIPPA security rule applies to protected health information (PHI) that is transmitted:
A. Orally
B. In Writing
C. Electronically
D. In Any Manner C. Electronically
In a therapeutic relationship between an ambulatory care nurse and a patient, the focus should
be on the :
A. Nurse's Needs
B. Patient ideas and feelings
C. Medical Needs
D. Treatment Options B. Patient ideas and feelings
If the ambulatory care nurse is concerned about a potential influx of patients infected with the
Zika Virus, the most appropriate response is to:
A. Research the topic and obtain disease-focused date
B. Express concerns to other staff members
C. Complain about the lack of information
D. Suggest Stockpiling mosquito repellant to patients A. Research the topic and obtain
disease-focused date
If Medicare has denied a claim, how ling does the appellent have to file an appeal:
A. 30 days
B. 60 days
C. 90 days
D. 120 days D. 120 days
Health literacy is directly affected by general literacy, so when educating patients, the
ambulatory care nurse should realize that the approximate percentage of adults in the US who
are classified as illiterate or low literate is:
A. 25%
4|Page
Real Exam Questions & Verified Answers, Exams
of Clinical Medicine
The type of budget that is used for daily operations and general expenses, such as salaries
associated with an ambulatory surgery center is the:
A. Master budget
B. Operating Budget
C. Capitol Budget
D. Cash balance Budget B. Operating Budget
According to the Spalding classifications system for disinfection and sterilization, an example of
an item that would be classified as Semi-critical is:
A. Bronchoscope
B. Surgical instrument
C. BP Cuff
D. Bedpan A. Bronchoscope
If a patients nursing DX is "Activity intolerance" on the care plan and the desired outcomes are
the for the patient to feel less tire and carry out activities without signs of physical distress,
which of the following is an appropriate nursing intervention:
A. Keep patient awake during daytime hours
B. Limit activities to those that are essential
C. instruct patient in energy saving techniques
D. Encourage patient to take mid-morning and mid afternoon naps. C. instruct patient in
energy saving techniques
When preparing a budget for a community education project, the ambulatory care nurse needs
to consider both direct and indirect costs. Indirect costs may include:
A. Supplies and Equipment
B. Salaries
C. Employee benefits
D. Housekeeping Services D. Housekeeping Services
The three goals of accreditation by the national committee for Quality Assurance are (1) better
patient experience, (2) Better health and (3):
A. Lower staff turnover
B. Lower per capita cost
C. Lower rates of medical errors
D. Higher reimbursement rates B. Lower per capita cost
1|Page
,An Ambulatory care nurse reviewed clinic statistics regarding the number of patients who
missed or came late to an appointment, established a telephone reminder system to improve
attendance and then conducted a review each week and published findings for the staff
showing the improvement. This is an example of:
A. Internal benchmarking
B. Functional Benchmarking
C. External Benchmarking
D. Competitive benchmarking A. Internal benchmarking
If when utilizing the Plan Do Study Act (PDSA) method of continuous quality improvement study
of the outcomes of a trial indicates that the solution that was instituted was not effective, the
next step is to:
A. Return to plan step
B. Return to DO step
C. Discontinue the process
D. Continue to Act step A. Return to plan step
Plan Do Study Act (PDSA) method of continuous quality improvement study Plan: Define
the problem, brainstorm and collect data
Do: Generate solutions, choose one and implement a trial
Study: Evaluate outcomes
Act: Identify changes needed for full implementation and continue to monitor
If a patient is scheduled for a routine serum creatinine to evaluate renal function, the patient
should be advised to prepare for this test by:
A. Carrying out routine activities
B. Fasting for 12 hours
C. Avoid Strenuous exercise
D. Avoid eating meat products for two days C. Avoid Strenuous exercise
The ambulatory care nurse is reviewing a patient's history to determine if the patient is a
candidate for an intrauterine device (IUD). Contraindications for an IUD include:
A. Menorrhagia
B. History of pelvic inflammatory disease 3 years previously
C. History of renal Cancer
D. History of ectopic pregnancy D. History of ectopic pregnancy
The purpose of an Advanced Beneficiary Notice is to:
A. Identify beneficiaries of a wall
B. inform Medicare Patients of non coverage
C. Inform patients of Medicaid eligibility
D. Inform patients of insurance coverage B. inform Medicare Patients of non coverage
Which of the following are excluded from the Nurse Licensure compact
2|Page
,A. RNs
B. LVNs
C. LPNs
D. APRNs D. APRNs (They must get a license in each state they plan to work in)
When setting up a dashboard to show progress towards meeting goals, the first consideration
when determining which information to include should be:
A. Relevance to goals
B. Method of Display
C. Frequency of needed updates
D. Ease of gathering data A. Relevance to goals
The first step in development of a safety and health program to meet OSHA's guidelines is to:
A. Takes steps to reduce hazards
B. Establish a medical management program
C. Conduct a workplace analysis
D. Establish a staff training program D. Establish a staff training program
When interviewing a patient who reports that everything is "fine" the ambulatory care nurse
notes that the patients pupils are dilated, the patient is sweating profusely and the patient
frequently licks the lips. According to these observations the nurse likely concludes that the
patient is:
A. actually fine
B. withholding information
C. Experiencing a physical health problem
D. Afraid of the nurse B. withholding information
Under provisions of the Americans with Disabilities Act (ADA) in relation to access, which of the
following is allowed:
A. Examining a wheelchair bound patient in a wheelchair because an adjustable exam table is
not available
B. Refusing to treat a patient because accessible equipment is not available
C. Asking a disabled person to bring a caregiver to assist with patients examination
D. Having accessible equipment for patient with disabilities in some examination rooms but not
all D. Having accessible equipment for patient with disabilities in some examination rooms
but not all
Waste is considered corrosive and hazardous if it has a pH of:
A. Less than 2 or greater than 12.5
B. Less than 4 or greater than 10.5
C. Between 6 and 12
D. Greater than 12.5 A. Less than 2 or greater than 12.5
3|Page
, When reviewing a number of articles as part of development of Evidence-based practice
guidelines, the first step to reading critically should be to:
A. Review the authors credentials
B. Consider the source
C. Read the article conclusion
D. Evaluate the overall article A. Review the authors credentials
The nursing hazard that is usually of most concern is an ambulatory surgical center is:
A. Back injuries
B. Slips and falls
C. Exposure to bloodborne pathogens
D. Latex Allergies C. Exposure to bloodborne pathogens
The HIPPA security rule applies to protected health information (PHI) that is transmitted:
A. Orally
B. In Writing
C. Electronically
D. In Any Manner C. Electronically
In a therapeutic relationship between an ambulatory care nurse and a patient, the focus should
be on the :
A. Nurse's Needs
B. Patient ideas and feelings
C. Medical Needs
D. Treatment Options B. Patient ideas and feelings
If the ambulatory care nurse is concerned about a potential influx of patients infected with the
Zika Virus, the most appropriate response is to:
A. Research the topic and obtain disease-focused date
B. Express concerns to other staff members
C. Complain about the lack of information
D. Suggest Stockpiling mosquito repellant to patients A. Research the topic and obtain
disease-focused date
If Medicare has denied a claim, how ling does the appellent have to file an appeal:
A. 30 days
B. 60 days
C. 90 days
D. 120 days D. 120 days
Health literacy is directly affected by general literacy, so when educating patients, the
ambulatory care nurse should realize that the approximate percentage of adults in the US who
are classified as illiterate or low literate is:
A. 25%
4|Page
