Ambulatory Care Nurse
Certification Exam (ANCC)
Questions with Correct Answers –
Latest Update 2026/2027
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 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 - ANSWER - 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
pg. 1
,C. Continuous EEG
D. Chest X-ray - ANSWER - 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 - ANSWER - 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. - ANSWER - 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 - ANSWER - C. Blue reaction
pg. 2
,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 - ANSWER - 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 - ANSWER - 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 - ANSWER - 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
pg. 3
, D. A client in her 3rd trimester and has signs of preterm labor. - ANSWER - 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. - ANSWER - B. Educate the client on credible
websites and the importance of protecting private information
Which of the following medications does the ambulatory care nurse anticipate the MD will
prescribe for a client with chronic Asthma for long-term treatment
A. Fluticasone (Flovent)
B. Albuterol ( Ventolin)
C. Ipratropium (Atrovent)
D. Levalbuterol (Xopenex) - ANSWER - A. Fluticasone (Flovent)
The Ambulatory care nurse asses a client with Shortness of breath, lack of energy, and dry
mouth. Which of the following disease should the ambulatory care nurse suspect?
A. COPD
B. Congestive Heart Failure
C. Asthma
D. Respiratory Failure - ANSWER - A COPD
The parent of an eight year old child reports that the child cannot efficiently use the metered
dose inhaler. Which of the following actions should the nurse take?
A. Give the child a nebulizer
B. Give the child a spacer
pg. 4
Certification Exam (ANCC)
Questions with Correct Answers –
Latest Update 2026/2027
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 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 - ANSWER - 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
pg. 1
,C. Continuous EEG
D. Chest X-ray - ANSWER - 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 - ANSWER - 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. - ANSWER - 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 - ANSWER - C. Blue reaction
pg. 2
,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 - ANSWER - 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 - ANSWER - 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 - ANSWER - 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
pg. 3
, D. A client in her 3rd trimester and has signs of preterm labor. - ANSWER - 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. - ANSWER - B. Educate the client on credible
websites and the importance of protecting private information
Which of the following medications does the ambulatory care nurse anticipate the MD will
prescribe for a client with chronic Asthma for long-term treatment
A. Fluticasone (Flovent)
B. Albuterol ( Ventolin)
C. Ipratropium (Atrovent)
D. Levalbuterol (Xopenex) - ANSWER - A. Fluticasone (Flovent)
The Ambulatory care nurse asses a client with Shortness of breath, lack of energy, and dry
mouth. Which of the following disease should the ambulatory care nurse suspect?
A. COPD
B. Congestive Heart Failure
C. Asthma
D. Respiratory Failure - ANSWER - A COPD
The parent of an eight year old child reports that the child cannot efficiently use the metered
dose inhaler. Which of the following actions should the nurse take?
A. Give the child a nebulizer
B. Give the child a spacer
pg. 4
