Ambulatory Care Nurse Certification
Exam (ANCC) Questions with
Accurate Answers
A 50 year old male comes to the clinic stating he cannot shake this "flu"
you observe that he is clammy, pale and has an irregular HR. He is a
large man with rugged appearance. He is friendly and apologetic for
bothering you with his silly complaints. What is your plan of care for
this patient
A. You suspect he ahs a low tolerance for being ill and offer him Tylenol
while he waits to see the MD
B. You suspect he has the newest flu going around and offer him hot
tea while he waits to see the MD
C. You suspect there is more to his complaint than he states and
immediately begin a cardiac workup by placing him in a room and
ordering EKG
D. You finish the triage and send him to the waiting room
understanding correct answer C. You suspect there is more to his
complaint than he states and immediately begin a cardiac workup by
placing him in a room and ordering EKG
A 70 year old female presents to the ambulatory care clinic complaining
of fatigue. You begin you triage assessment and he has a HR of 50,
Respiratory rate of 24, and BP 70/40. She denies Chest pain but you
notice she rubs her elbows and states her arthritis is acting up. What
would be your first priority when caring for this patient
A. Offer her Tylenol and send her to the waiting room
,B. offer her Motrin for pain
C. Continue her triage and history and finish the paperwork
D. place her in a room, do an EKG and notify the MD to see her first
correct answer D. place her in a room, do an EKG and notify the MD to
see her first
A client fell in the clinic during the intake process. The ambulatory care
nurse is documenting the occurrence. Which of the following indicates
proper documentation of the incident?
A. Document the incident in the patients chart
B. Make no mention of the fall in the clients charts
C. Report it the the risk management and they will document the
incident
D. Document the occurrence of the fall in the organization's incident
reporting system correct answer D. Document the occurrence of the fall
in the organization's incident reporting system
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 answer B.
Educate the client on credible websites and the importance of
protecting private information
A client who enrolled in a research study informs the ambulatory clinic
nurse that he/she no longer wants to be part of the study. What actions
should the nurse take
A. Enquire about the reason for withdrawal
B. Educate the client on the importance of the study
C. Inform the research team of the clients withdrawal
D. increase the incentive for participating in the study correct answer C.
Inform the research team of the clients withdrawal
A client wit a DX of bipolar disorder is being seen in the clinic. The
healthcare provider prescribed Lithium. Which of the following is
important for the ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication
correct answer B. Low Sodium level can lead to toxicity
A client with a post op hip replacement has the following information
on the care plan: Client will achieve a decrease in pain to a level 3 by
, discharge. Where on the care plan should the nurse put this
information
A. Under Nursing DX
B. Under goal Section
C. Under intervention/implementation
D. Under evaluation correct answer B. Under goal Section
A family practice physician's office schedule is usually fully booked with
patients scheduled every 15 minutes, but the MD routinely adds
patients who have acute needs to the schedule resulting in delays in
seeing patients, unpaid staff OT and staff complaints. The best solution
for the nurse manager may be to:
A. Schedule staff later in the day
B. Suggest referring patient to ED
C. As for payment for any OT
D. Leave open slots in the schedule correct answer D. Leave open slots
in the schedule
A mother presents to the clinic with a very wheezy 3 year old in her
arms. You notice the child is pale and listless. What is your immediate
response
A. Triage the infant before the other patients waiting
B. Bring the child to an exam room and wait for MD
C. Bring the child to an exam room to finish triage in the privacy of a
room
Exam (ANCC) Questions with
Accurate Answers
A 50 year old male comes to the clinic stating he cannot shake this "flu"
you observe that he is clammy, pale and has an irregular HR. He is a
large man with rugged appearance. He is friendly and apologetic for
bothering you with his silly complaints. What is your plan of care for
this patient
A. You suspect he ahs a low tolerance for being ill and offer him Tylenol
while he waits to see the MD
B. You suspect he has the newest flu going around and offer him hot
tea while he waits to see the MD
C. You suspect there is more to his complaint than he states and
immediately begin a cardiac workup by placing him in a room and
ordering EKG
D. You finish the triage and send him to the waiting room
understanding correct answer C. You suspect there is more to his
complaint than he states and immediately begin a cardiac workup by
placing him in a room and ordering EKG
A 70 year old female presents to the ambulatory care clinic complaining
of fatigue. You begin you triage assessment and he has a HR of 50,
Respiratory rate of 24, and BP 70/40. She denies Chest pain but you
notice she rubs her elbows and states her arthritis is acting up. What
would be your first priority when caring for this patient
A. Offer her Tylenol and send her to the waiting room
,B. offer her Motrin for pain
C. Continue her triage and history and finish the paperwork
D. place her in a room, do an EKG and notify the MD to see her first
correct answer D. place her in a room, do an EKG and notify the MD to
see her first
A client fell in the clinic during the intake process. The ambulatory care
nurse is documenting the occurrence. Which of the following indicates
proper documentation of the incident?
A. Document the incident in the patients chart
B. Make no mention of the fall in the clients charts
C. Report it the the risk management and they will document the
incident
D. Document the occurrence of the fall in the organization's incident
reporting system correct answer D. Document the occurrence of the fall
in the organization's incident reporting system
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 answer B.
Educate the client on credible websites and the importance of
protecting private information
A client who enrolled in a research study informs the ambulatory clinic
nurse that he/she no longer wants to be part of the study. What actions
should the nurse take
A. Enquire about the reason for withdrawal
B. Educate the client on the importance of the study
C. Inform the research team of the clients withdrawal
D. increase the incentive for participating in the study correct answer C.
Inform the research team of the clients withdrawal
A client wit a DX of bipolar disorder is being seen in the clinic. The
healthcare provider prescribed Lithium. Which of the following is
important for the ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication
correct answer B. Low Sodium level can lead to toxicity
A client with a post op hip replacement has the following information
on the care plan: Client will achieve a decrease in pain to a level 3 by
, discharge. Where on the care plan should the nurse put this
information
A. Under Nursing DX
B. Under goal Section
C. Under intervention/implementation
D. Under evaluation correct answer B. Under goal Section
A family practice physician's office schedule is usually fully booked with
patients scheduled every 15 minutes, but the MD routinely adds
patients who have acute needs to the schedule resulting in delays in
seeing patients, unpaid staff OT and staff complaints. The best solution
for the nurse manager may be to:
A. Schedule staff later in the day
B. Suggest referring patient to ED
C. As for payment for any OT
D. Leave open slots in the schedule correct answer D. Leave open slots
in the schedule
A mother presents to the clinic with a very wheezy 3 year old in her
arms. You notice the child is pale and listless. What is your immediate
response
A. Triage the infant before the other patients waiting
B. Bring the child to an exam room and wait for MD
C. Bring the child to an exam room to finish triage in the privacy of a
room
