Ambulatory Care Nurse Certification Exam
(ANCC) WITH DETAILED VERIFIED
ANSWERS AND RATIONALES / A+ GRADE
ASSURED
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 - correct Answers ✔✔ -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 - correct Answers ✔✔ -C. Try
not to move during the test
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? - correct Answers ✔✔ -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 - correct Answers ✔✔ -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
B. Glucometer blood glucose testing
C. Hemoglobin A1C
D. Creatinine Levels - correct Answers ✔✔ -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 - correct Answers ✔✔ -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 - correct Answers ✔✔ -B. Maintain normal Diet
and exercise
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. - correct Answers ✔✔ -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 - correct Answers ✔✔ -C. Blue reaction
,The nurse in the Medical oncology clinic is assessing a client who is undergoing
chemotherapy. The nurse obtained an oral temp of 102 degrees. which statement by
the nurse indicates an understanding of the clients' condition?
A. Since the client is feeling "ok" there is no further intervention
B. A temp of 102 is an expected finding after chemotherapy
C. Cal the MD to obtain an order of Tylenol as soon as possible
D. The client is post chemo and at risk for neutropenia fever. This is an
emergency and requires stat ABX or hospitalization - correct Answers ✔✔ -
D. The client is post chemo and at risk for neutropenia fever. This is an
emergency and requires stat ABX or hospitalization
The Ambulatory care nurse is performing a physical assessment on a child who
underwent chemotherapy. Which statement by the client indicates that further
evaluation is needed?
A. I ate my entire meal
B. My ears are ringing
C. I play with my rother everyday
D. Sometimes I am tired - correct Answers ✔✔ -B. My ears are ringing
The ambulatory care nurse is scheduling the client for gFOBT. Which statement
made by the client indicates that teaching was effective?
A. This is an invasive test
B. I will not eat Mushrooms for 48-72 hours
C. I can take ASA if I am having a headache
D. I will reduce my fiber intake - correct Answers ✔✔ -B. I will not eat
Mushrooms for 48-72 hours
Prioritization is an important aspect of the ambulatory care nurse's time management
plan. Which of the following clients would the nurse see first?
A. A client with a BS of 150mg/dl and is asymptomatic
B. A client who complains of blood in urine 24hours POP TURP
C. A client with a blood pressure of 140/89 and is asymptomatic
D. A client in her 3rd trimester and has signs of preterm labor. - correct
Answers ✔✔ -D. A client in her 3rd trimester and has signs of preterm
labor.
A client informed the ambulatory care nurse that the internet is very helpful to her
when reviewing health information. Which actin is appropriate for the nurse to take?
A. Encourage the client to continue her independence by taking her health in her
own hands.
B. Educate the client on credible websites and the importance of protecting private
information
C. Do nothing. The client is knowledgeable about using the internet.
, D. Document the clients response in the chart. - correct Answers ✔✔ -B.
Educate the client on credible websites and the importance of protecting
private information
Which of the following strategies is appropriate when facilitating conflict resolution?
A. Choose a side as soon as possible
B. Refrain from judging
C. Use minimal choices and options to reach a speedy solution
D. Blame the guilty party - correct Answers ✔✔ -B. Refrain from judging
The ambulatory care nurse is working with a healthcare organization that is seeking
Magnet recognition. Which of the following activities by the nurse is the best
supporting evidence in the Magnet application process
A. Being the charge nurse in the clinic
B. Participating in the nurses week celebration
C. Advancing to RN2 on the clinical ladder
D. Being the chairperson of the evidenced based council committee -
correct Answers ✔✔ -D. Being the chairperson of the evidenced based
council committee
There are three ethical principles for human research. Which of the following means
the client has the right to elf determination?
A. Respect
B. Justice
C. Beneficence
D. Non maleficence - correct Answers ✔✔ -
Which of the following organizations is responsible for evaluating proposed research
studies prior to their commencement?
A. Centers for disease control and prevention
B. Department of Health and Human services
C. Institution Review Board
D. Office of Disease prevention and Health Promotion - correct Answers
✔✔ -C. Institution Review Board
According to the Joint Commission standard, when should the initial assessment of
the nurse competencies be conducted in a health care setting?
A. During the orientation process
B. Prior to the orientation process
C. During Nursing school
D. After the orientation process - correct Answers ✔✔ -A. During the
orientation process
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