AMBULATORY CARE NURSE
CERTIFICATION EXAM 2024
TESTBANK
/ANCC CERTIFICATION EXAM 450
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES / A+ GRADE
ASSURED
The ambulatory care nurse is caring for an elderly client. The
nurse caring for the client should know what about elder
abuse?
A. All victims of elder abuse are victims of poly-victimization
B More than 3 in 5 victims are men and 75 years or older
C. Elder abuse can be the result of intentional or unintentional
neglect
D. elder abuse is not an issue, the nurse should not be
concerned about. - ...ANSWER...C. Elder abuse can be the
result of intentional or unintentional neglect
The ambulatory care nurse is caring for a 30 year old married
woman in the clinic who was accompanied by her husband.
Upon assessment, the nurse noted bruises on the clients arm.
What action should the nurse take?
A. Conduct further assessment without the clients husband in
the room.
B. Ask both the husband and the client what happened
C. Call 911
D. Inform the client to leave her husband for safety -
...ANSWER...A. Conduct further assessment without the
clients husband in the room.
,When coding for visits of new patients, the key component
that must be included to document the correct level of
evaluation and management (E/M) are:
A. History, physical and medical decision making
B. Physical exam and medical decision making
C. History and physical exam
D. Age, DX, and medical decision making - ...ANSWER...A.
History, physical and medical decision making
If a patient is trying to make an informed decision about
whether to have surgery or more conservative treatment for
prostate cancer and asks the ambulatory care nurse for advise
on making the decision, the nurse should:
A. Advise the patient on the best course of treatment
B. Suggest the patient carry our research before deciding
C. provide the patient with print and online resources
D. Advise the patient to ask the physician for more
information - ...ANSWER...C. provide the patient with print
and online resources
An Ambulatory care center has analyzed the type of patient
complaints and finds there are four complaints that are most
common ( delays, rescheduling, difficulty scheduling and
parking) but not easily solvable and that staff members handle
these complaints in different manners. The service recovery
program should begin by:
A. Posting signs apologizing for these problems
B. Warning patients in advanced that these problems may
occur
C. Providing patents with complaint forms
,D. Establishing protocols for dealing with complaints -
...ANSWER...D. Establishing protocols for dealing with
complaints
If a patient is to have an arthrodesis and injection of
corticosteroid into the right knee and the ambulatory care
nurse is setting up equipment, the correct needle gauge
syringe sizes are:
A. 18G needle and 10-20ml syringe
B. 20G needle and 20ml syringe
C. 16G needle and 10-20ml syringe
D. 19g needle and 50ml syringe - ...ANSWER...A. 18G
needle and 10-20ml syringe
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 - ...ANSWER...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 - ...ANSWER...A. Return to plan step
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 - ...ANSWER...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 - ...ANSWER...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 - ...ANSWER...B.
inform Medicare Patients of non coverage
Which of the following are excluded from the Nurse
Licensure compact
A. RNs
B. LVNs
CERTIFICATION EXAM 2024
TESTBANK
/ANCC CERTIFICATION EXAM 450
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES / A+ GRADE
ASSURED
The ambulatory care nurse is caring for an elderly client. The
nurse caring for the client should know what about elder
abuse?
A. All victims of elder abuse are victims of poly-victimization
B More than 3 in 5 victims are men and 75 years or older
C. Elder abuse can be the result of intentional or unintentional
neglect
D. elder abuse is not an issue, the nurse should not be
concerned about. - ...ANSWER...C. Elder abuse can be the
result of intentional or unintentional neglect
The ambulatory care nurse is caring for a 30 year old married
woman in the clinic who was accompanied by her husband.
Upon assessment, the nurse noted bruises on the clients arm.
What action should the nurse take?
A. Conduct further assessment without the clients husband in
the room.
B. Ask both the husband and the client what happened
C. Call 911
D. Inform the client to leave her husband for safety -
...ANSWER...A. Conduct further assessment without the
clients husband in the room.
,When coding for visits of new patients, the key component
that must be included to document the correct level of
evaluation and management (E/M) are:
A. History, physical and medical decision making
B. Physical exam and medical decision making
C. History and physical exam
D. Age, DX, and medical decision making - ...ANSWER...A.
History, physical and medical decision making
If a patient is trying to make an informed decision about
whether to have surgery or more conservative treatment for
prostate cancer and asks the ambulatory care nurse for advise
on making the decision, the nurse should:
A. Advise the patient on the best course of treatment
B. Suggest the patient carry our research before deciding
C. provide the patient with print and online resources
D. Advise the patient to ask the physician for more
information - ...ANSWER...C. provide the patient with print
and online resources
An Ambulatory care center has analyzed the type of patient
complaints and finds there are four complaints that are most
common ( delays, rescheduling, difficulty scheduling and
parking) but not easily solvable and that staff members handle
these complaints in different manners. The service recovery
program should begin by:
A. Posting signs apologizing for these problems
B. Warning patients in advanced that these problems may
occur
C. Providing patents with complaint forms
,D. Establishing protocols for dealing with complaints -
...ANSWER...D. Establishing protocols for dealing with
complaints
If a patient is to have an arthrodesis and injection of
corticosteroid into the right knee and the ambulatory care
nurse is setting up equipment, the correct needle gauge
syringe sizes are:
A. 18G needle and 10-20ml syringe
B. 20G needle and 20ml syringe
C. 16G needle and 10-20ml syringe
D. 19g needle and 50ml syringe - ...ANSWER...A. 18G
needle and 10-20ml syringe
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 - ...ANSWER...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 - ...ANSWER...A. Return to plan step
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 - ...ANSWER...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 - ...ANSWER...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 - ...ANSWER...B.
inform Medicare Patients of non coverage
Which of the following are excluded from the Nurse
Licensure compact
A. RNs
B. LVNs
