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Ambulatory Care Nurse Certification Exam Q&A, Exams of History

A series of questions and answers related to the ambulatory care nurse certification exam (ancc). It covers topics such as triage, electrocardiograms, patient assessment, medication administration, and ethical principles in research. The questions are designed to test the knowledge and understanding of nurses working in ambulatory care settings, providing a valuable resource for exam preparation and continuing education. This material is useful for nursing students and professionals preparing for certification or seeking to enhance their knowledge in ambulatory care nursing. Questions on prioritization, patient education, and cultural sensitivity, offering a comprehensive overview of the key areas in ambulatory care nursing practice.

Typology: Exams

2024/2025

Available from 05/20/2025

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Ambulatory Care Nurse Certification Exam (ANCC) Questions and Answers
100% Verified
1. TherAmbulatoryrcarerNurserisrtriagingrarclientrwhoserchiefrcomplaintrisrchestrpain.rWh
atrisrarpriorityractionrforrthernursertortake?
A.
Completerfullrheadrtortoe
B.
AdministerrASA
C.
PerformrElectrocardiogramr(ECG)
D.
Callr911:rC.rPerformranrElectrocardiogram
2. Whichrofrtherfollowingrisressentialrforrtherambulatoryrcarernursertorremindrtherclientrofrw
henrperformingranrElectrocardiogram?
A.
Takerardeeprbreathrduringrthertest
B.
Holdryourbreathrduringrthertest
C.
Tryrnotrtormoverduringrthertest
D.
Yourmayrkeepryourrbraronrduringrthertest:rC.rTryrnotrtormoverduringrthertest
3. TherAmbulatoryrCarernurserisrassessingrarclient.rWhichrofrtherfollowingrquestionsrwillr
yieldrmorerinformationrfromrtherclient?
A.
Areryourfeelingrpain?
B.
Whatrbroughtryourinrtoday?
C.
HowrmanyrChildrenrdoryourhave?
D.
Whenrwasryourrlastrmenstrualrperiod?:rB.rWhatrBroughtryourinrtoday?
4. Therambulatoryrcarernurserisrconductingranrannualrassessmentrofrarclient.rTherclientrdeni
esrfrequentrurination,rblurryrvision,rexcessiverthirstrorrhunger.rTherclientsrBloodrsugarrisr500
mg/dlrbyrfingerrstick.rWhatrshouldrthernurserdornext?
A.
TransportrclientrtortherER
B.
Notifyrtherhealthcarerproviderrimmediately
C.
RetestrtherBloodrglucose
D.
OrderrarHemoglobinrA1c:rC.rRetestrtherbloodrglucose
5. WhichrofrtherfollowingrlaboratoryrtestrisrmostreffectiverinrmonitoringrarclientrwithrDMrbloodr
glucoserlevel?
A.
UrinerGlucoserLevel
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Ambulatory Care Nurse Certification Exam (ANCC) Questions and Answers

100% Verified

  1. TherAmbulatoryrcarerNurserisrtriagingrarclientrwhoserchiefrcomplaintrisrchestrpain.rWh atrisrarpriorityractionrforrthernursertortake? A. Completerfullrheadrtortoe B. AdministerrASA C. PerformrElectrocardiogramr(ECG) D. Callr911:rC.rPerformranrElectrocardiogram
  2. Whichrofrtherfollowingrisressentialrforrtherambulatoryrcarernursertorremindrtherclientrofrw henrperformingranrElectrocardiogram? A. Takerardeeprbreathrduringrthertest B. Holdryourbreathrduringrthertest C. Tryrnotrtormoverduringrthertest D. Yourmayrkeepryourrbraronrduringrthertest:rC.rTryrnotrtormoverduringrthertest
  3. TherAmbulatoryrCarernurserisrassessingrarclient.rWhichrofrtherfollowingrquestionsrwillr yieldrmorerinformationrfromrtherclient? A. Areryourfeelingrpain? B. Whatrbroughtryourinrtoday? C. HowrmanyrChildrenrdoryourhave? D. Whenrwasryourrlastrmenstrualrperiod?:rB.rWhatrBroughtryourinrtoday?
  4. Therambulatoryrcarernurserisrconductingranrannualrassessmentrofrarclient.rTherclientrdeni esrfrequentrurination,rblurryrvision,rexcessiverthirstrorrhunger.rTherclientsrBloodrsugarrisr 500 mg/dlrbyrfingerrstick.rWhatrshouldrthernurserdornext? A. TransportrclientrtortherER B. Notifyrtherhealthcarerproviderrimmediately C. RetestrtherBloodrglucose D. OrderrarHemoglobinrA1c:rC.rRetestrtherbloodrglucose
  5. WhichrofrtherfollowingrlaboratoryrtestrisrmostreffectiverinrmonitoringrarclientrwithrDMrbloodr glucoserlevel? A. UrinerGlucoserLevel

B. Glucometerrbloodrglucosertesting C. HemoglobinrA1C D. CreatininerLevels:rC.rHemoglobinrA1C

  1. TherclientrcomplainsrofrsporadicrAbnormalrheartrrate.rAnrECGrperformedrshowedrNorma lrSinusrrhythm.rLabsrwererWNLrandrassessmentrrevealedrnorcardiovascularrabnormalities.r Whichrofrtherfollowingrshouldrthernurserantici-rpatertherhealthcarerproviderrwillrorder? A. HalterrMonitoring B. Admissionrtortherhospital
  1. TherAmbulatoryrcarernurserisrperformingrarphysicalrassessmentronrarchildrwhorunderwen trchemotherapy.rWhichrstatementrbyrtherclientrindicatesrthatrfurtherrevaluationrisrneeded? A. Iratermyrentirermeal

B. Myrearsrarerringing C. Irplayrwithrmyrrotherreveryday D. SometimesrIramrtired:rB.rMyrearsrarerringing

  1. TherambulatoryrcarernurserisrschedulingrtherclientrforrgFOBT.rWhichrstatementrma derbyrtherclientrindicatesrthatrteachingrwasreffective? A. Thisrisranrinvasivertest B. IrwillrnotreatrMushroomsrforr 48 - 72 rhours C. IrcanrtakerASArifrIramrhavingrarheadache D. Irwillrreducermyrfiberrintake:rB.rIrwillrnotreatrMushroomsrforr 48 - 72 rhours
  2. Prioritizationrisranrimportantraspectrofrtherambulatoryrcarernurse'srtimermanagement rplan.rWhichrofrtherfollowingrclientsrwouldrthernurserseerfirst? A.rArclientrwithrarBSrofr150mg/dlrandrisrasymptomatic B.rArclientrwhorcomplainsrofrbloodrinruriner24hoursrPOPrTURP C.rArclientrwithrarbloodrpressurerofr140/89randrisrasymptomatic D.rArclientrinrherr3rdrtrimesterrandrhasrsignsrofrpretermrlabor.:rD.rArclientrinrherr3rdrtrimesterrandrh asrsignsrofrpretermrlabor.
  3. Arclientrinformedrtherambulatoryrcarernurserthatrtherinternetrisrveryrhelpfulrtorherrwhenrre viewingrhealthrinformation.rWhichractinrisrappropriaterforrthernursertortake? A. Encouragertherclientrtorcontinuerherrindependencerbyrtakingrherrhealthrinrherrownrhands . B. Educatertherclientronrcrediblerwebsitesrandrtherimportancerofrprotectingrprivaterinfor mation C. Dornothing.rTherclientrisrknowledgeableraboutrusingrtherinternet. D. Documentrtherclientsrresponserinrtherchart.:rB.rEducatertherclientronrcrediblerwebsitesrandr therimportancerofrprotectingrprivaterinformation
  4. Whichrofrtherfollowingrstrategiesrisrappropriaterwhenrfacilitatingrconflictrresolution? A. Chooserarsiderasrsoonrasrpossible B. Refrainrfromrjudging C. Userminimalrchoicesrandroptionsrtorreachrarspeedyrsolution D. Blamertherguiltyrparty:rB.rRefrainrfromrjudging
  5. TherambulatoryrcarernurserisrworkingrwithrarhealthcarerorganizationrthatrisrseekingrMag

D. Beingrtherchairpersonrofrtherevidencedrbasedrcouncilrcommittee:rD.rBeingrtherchairperso nrofrtherevidencedrbasedrcouncilrcommittee

  1. Thererarerthreerethicalrprinciplesrforrhumanrresearch.rWhichrofrtherfollow- ringrmeansrtherclientrhasrtherrightrtorelfrdetermination? A. Respect B. Justice C. Beneficence D. Nonrmaleficence:
  2. Whichrofrtherfollowingrorganizationsrisrresponsiblerforrevaluatingrpro- rposedrresearchrstudiesrpriorrtortheirrcommencement? A. Centersrforrdiseasercontrolrandrprevention B. DepartmentrofrHealthrandrHumanrservices C. InstitutionrReviewrBoard D. OfficerofrDiseaserpreventionrandrHealthrPromotion:rC.rInstitutionrReviewrBoard
  3. AccordingrtortherJointrCommissionrstandard,rwhenrshouldrtherinitialrassessmentrofrther nursercompetenciesrberconductedrinrarhealthrcarersetting? A. Duringrtherorientationrprocess B. Priorrtortherorientationrprocess C. DuringrNursingrschool D. Afterrtherorientationrprocess:rA.rDuringrtherorientationrprocess
  4. TherpurposerofrusingrScoperandrStandardsrofrPracticerforrAmbulatoryrCarerNursingri ncludesrwhichrifrtherfollowing? A. Userarguidertorproviderqualityrofrcare B. Usertorpreventrlawrsuits C. Usertorincreasertherincomerofrtherfacility D. Usertortrainrnurses:rA.rUserarguidertorproviderqualityrofrcare
  5. Therambulatoryrcarernurserisrteachingrarclientrhortorchangertheirrwoundrdressing.rWhic hrofrtherfollowingrindicatesremotionalrreadinessrtorlearn? A. Therclientracceptsrtherneedrtorlearnrthernewrskill B. Therclientrhasrtherpsychomotorrfunctionrtorchangertherdressing C. TherclientrisrarwoundrcarermedicalrMD

D. Therclientrhasrdressedrhis/herrownrwoundrinrtherpast:rA.rTherclientracceptsrtherneedrtorlear nrthernewrskill

  1. Toreducatertherclientrtherambulatoryrcarernurserneedsrarsystematicrandrplannedrproce ssrthatrconsistsrofrteachingrandrlearning.rWhichrofrtherfollowingrfactorsrcouldrinfluencerthere ducationrprocess? A. Culture B. Learner'srreadiness

D. IU:rB.rU

  1. Arclientrfellrinrtherclinicrduringrtherintakerprocess.rTherambulatoryrcarernurserisrdocume ntingrtheroccurrence.rWhichrofrtherfollowingrindicatesrproperrdocumentationrofrtherincident ? A. Documentrtherincidentrinrtherpatientsrchart B. Makernormentionrofrtherfallrinrtherclientsrcharts C. Reportritrthertherriskrmanagementrandrtheyrwillrdocumentrtherincident

D. Documentrtheroccurrencerofrtherfallrinrtherorganization'srincidentrreport- ringrsystem:rD.rDocumentrtheroccurrencerofrtherfallrinrtherorganization'srincidentrreportingrsys tem

  1. Whichrofrtherfollowingractionsrshouldrtherambulatoryrcarernurserimple- rmentrforrarclientrwhorpresentsrtotrherclinicrwithrchestrpain? A. ReferrtherclientrimmediatelyrtortherER B. TakervitalrsignsrandrobtainrECG C. Takerdetailedrhistory D. CallrtherEMSrforrtransport:rB.rTakervitalrsignsrandrobtainrECG
  2. Whichrofrtherfollowingrisrusedrtordeterminerthertyperandrthernumbersrofrstaffrneededrin ranrambulatoryrclinic? A. Onlyrthervolumerofrclient B. Nurses;ryearsrofrexperience C. Nursesrcollegerdegree D. Thercomplexityrandrthernumberrofrclients:rD.rThercomplexityrandrthernumberrofrclients
  3. Whichractionrbyrtherambulatoryrcarernurserindicatesrthatrhe/sherisrcom- rpliantrwithrtherclientrself-determinationrAct? A. AskingrtherclientrifrtheyrhaverarAdvancedrDirectives B. Completingrarheadrtortoerassessment C. Reviewingrtherclientsrcarerplan D. Complyingrwithrtherclient'srrightrtorrefusermedication:rA.rAskingrtherclientrifrtheyrhaverarAd vancedrDirectives
  4. Whichrofrtherfollowingrmedicationsrdoesrtherambulatoryrcarernurseran- rticipatertherMDrwillrprescriberforrarclientrwithrchronicrAsthmarforrlong-termrtreatment A. Fluticasoner(Flovent) B. Albuterolr(rVentolin) C. Ipratropiumr(Atrovent) D. Levalbuterolr(Xopenex):rA.rFluticasoner(Flovent)
  5. TherAmbulatoryrcarernurserassesrarclientrwithrShortnessrofrbreath,rlackrofrenergy,randrdryr mouth.rWhichrofrtherfollowingrdiseasershouldrtherambulatoryrcarernursersuspect? A. COPD

take? A. Givertherchildrarnebulizer B. Givertherchildrarspacer C. Recommendrdiscontinuationrofrthermedication D. Informrtherparentrthatrthermedicationrisrnotrimportant:rB.rGivertherchildrarspacer

  1. TherambulatoryrcarernurserisrformulatingrarresearchrquestionrusingrtherPICOrformat.rt her"C"rinrPICOrstandsrforrwhichrofrtherfollowing? A. Comparison B. Characteristics C. Culture D. Cure:rB.rCharacteristics
  2. PICOr(T)rFormat:rFormularforrcreatingranswerablerresearchrquestions. P:rPopulation/patientr-rage,rgender,rethnicity,rindividualsrwithrarcertainrdisorder I:rIntervention/indicatorr(VariablerofrInterest)r- rexposurertorardisease,rriskrbehavior,rprognosticrfactor C:rComparison/controlr- rcouldrberarplacebororr"businessrasrusual"rasrinrnordisease,rabsencerofrriskrfactor,rPrognosticrfactorr B O:rOutcomer-rriskrofrdisease,raccuracyrofrardiagnosis,rraterofroccurrencerofradverseroutcome T:rTimer- rthertimeritrtakesrforrtherinterventionrtorachieveranroutcomerorrhowrlongrparticipantsrarerobserved
  3. Therambulatoryrcarernurserisrteachingrarclientrhowrtorusertherpeakrflowrmeter.rWhichrs tatementrindicatesrthatrteachingrwasreffective? A.rIrShouldrmovertherindicatorrtortherbottomrofrthernumberrscalerbeforersuingrthermeter B.rIrShouldrblowroutrasrslowlyrasrpossible C.rIrshouldrblowrmultiplertimerinrarmeterrduringrarsinglertest D.rIrshouldrlierdownrwhenrusingrthermeter:rA.rIrShouldrmovertherindicatorrtortherbottomrofrthernum berrscalerbeforersuingrthermeter
  4. Whichrofrtherfollowingrifrnotedrinrtherclientsrurineranalysisrwouldrrequirerfurtherraction s? A. Protein

B. Bacteria C. Bilirubin D. WhiterBloodrCells.:rC.rBilirubin

  1. Therclientrisrbeingrscheduledrforrarlowerrgastrointestinalrstudyrusingrdouble- contrastrbariumrenema.rWhichrofrtherfollowingrshouldrberincludedrinrtherclientsrteaching?

D. Giverinformationrthatrisrgeneralrthatrcanrberappliedrtormostrclients.:rA.rTakerarquickrandracc uraterhistoryrinrorderrtormakeranraccuraterdecision

  1. Therambulatoryrcarernurserisrassessingrarclient.rWhichrquestionsrshouldrthernurseraskrt orassessrtherclientsrhealthrgoals? A. Itrseemsrtormerthatryourwantrtorberhealthy,rIsrthatrtrue? B. Whatrareryourrhealthrgoals?

C. Doryourwantrtorberhealthy? D. Doryourexercise?:rB.rWhatrareryourrhealthrgoals?

  1. Therambulatoryrcarernurserisrcaringrforranrelderlyrclient.rThernursercaringrforrtherclientrsh ouldrknowrwhatraboutrelderrabuse? A. Allrvictimsrofrelderrabuserarervictimsrofrpoly- victimizationrBrMorerthanr 3 rinr 5 rvictimsrarermenrandr 75 ryearsrorrolder C. Elderrabusercanrbertherresultrofrintentionalrorrunintentionalrneglect D. elderrabuserisrnotranrissue,rthernursershouldrnotrberconcernedrabout.:rC.rElderrabusercan rbertherresultrofrintentionalrorrunintentionalrneglect
  2. Therambulatoryrcarernurserisrcaringrforrar 30 ryearroldrmarriedrwomanrinrtherclinicrwhorwasr accompaniedrbyrherrhusband.rUponrassessment,rthernursernotedrbruisesronrtherclientsrar m.rWhatractionrshouldrthernursertake? A. Conductrfurtherrassessmentrwithoutrtherclientsrhusbandrinrtherroom. B. Askrbothrtherhusbandrandrtherclientrwhatrhappened C. Callr 911 D. Informrtherclientrtorleaverherrhusbandrforrsafety:rA.rConductrfurtherrassess- rmentrwithoutrtherclientsrhusbandrinrtherroom.
  3. Whenrcodingrforrvisitsrofrnewrpatients,rtherkeyrcomponentrthatrmustrberincludedrtordo cumentrthercorrectrlevelrofrevaluationrandrmanagementr(E/M)rare: A. History,rphysicalrandrmedicalrdecisionrmaking B. Physicalrexamrandrmedicalrdecisionrmaking C. Historyrandrphysicalrexam D. Age,rDX,randrmedicalrdecisionrmaking:rA.rHistory,rphysicalrandrmedicalrdecisionrmak ing
  4. Ifrarpatientrisrtryingrtormakeranrinformedrdecisionraboutrwhetherrtorhaversurgeryrorrmor erconservativertreatmentrforrprostatercancerrandrasksrtherambulatoryrcarernurserforradvis eronrmakingrtherdecision,rthernursershould: A. Advisertherpatientronrtherbestrcourserofrtreatment B. Suggestrtherpatientrcarryrourrresearchrbeforerdeciding C. providertherpatientrwithrprintrandronlinerresources D. Advisertherpatientrtoraskrtherphysicianrforrmorerinformation:rC.rprovidertherpatientrwithrpri

B. Warningrpatientsrinradvancedrthatrtheserproblemsrmayroccur C. Providingrpatentsrwithrcomplaintrforms D. Establishingrprotocolsrforrdealingrwithrcomplaints:rD.rEstablishingrprotocolsrforrdealingrwi thrcomplaints

  1. Ifrarpatientrisrtorhaveranrarthrodesisrandrinjectionrofrcorticosteroidrintortherrightrkneerandrt herambulatoryrcarernurserisrsettingruprequipment,rthercorrectrneedlergaugersyringersizesrar e: A. 18Grneedlerandr 10 - 20mlrsyringe B. 20Grneedlerandr20mlrsyringe C. 16Grneedlerandr 10 - 20mlrsyringe D. 19grneedlerandr50mlrsyringe:rA.r18Grneedlerandr 10 - 20mlrsyringe
  2. Thercodingrsystemrthatrisrusedrforroutpatientrprocedurerclaimsris: A. ICD- 10 - PCS B. HCPCS/CPT C. ICD- 10 - CM D. ICD-9:rB.rHCPCS/CPT
  3. Therissuerofrlicensurerportabilityrisrespeciallyrarconcernrwith: A. Outreachrprograms B. Collaborationramongrmedicalrfacilitiesrandrprograms C. Telemedicine D. Recruitmentrofrhealthcarerpersonnel:rC.rTelemedicine
  4. Ifrarleaderrwantsrtorinfluencerothersrinranrorganizationrtorchangerattitudes,rtherfirstrstepris rto: A. Providerincentivesrtorchange B. Outlinerdisciplinaryractionsrforrfailurertorchange C. Outlinertherdesiredrchange D. Modelrtherdesiredrchange:rD.rModelrtherdesiredrchange
  5. Whenrconductingrarurinerpermanencyrtest,rtherspecimenrshouldrbe: A. FirstrvoidedrinrAM B. SecondrvoidingrtherAM C. Obtainedrafterrtherpatientrdrinksr 8 rozrofrliquid

D. Obtainedranyrtime:rA.rFirstrvoidedrinrAM

  1. Inrarcrisisrsituationrwhichrdecisionsrmustrbermaderquicklyrandreffectively,rthermostreffec tiverleadershiprstylerisrprobably: A. Democratic B. Laissez-faire C. Authoritarian D. Bureaucratic:rC.rAuthoritarian