Ambulatory Care Nurse Certification Exam (ANCC) With
Correct Answers
1. 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: C. Perform an Electrocardiogram
2. 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: C. Try not to move during the test
3. 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?: B. What Brought you in today?
4. 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: C. Retest the blood glucose
5. 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: C. Hemoglobin A1C
,6. 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 antici -
pate the healthcare provider will order?
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray: A. Halter Monitoring
7. 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: B. Maintain normal Diet and exercise
8. The Ambulatory care nurse is assessing a new graduate nurses' understand-
ing of the importance of getting clients height and weight before chemother -
apy. 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.: C. Height and weight are needed to calculate the correct dosage of
chemotherapy.
9. 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: C. Blue reaction
, 10. The nurse in the Medical oncology clinic is assessing a client who is under-
going 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: D. The client is post chemo and at
risk for neutropenia fever. This is an emergency and requires stat ABX or hospitalization
11. 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: B. My ears are ringing
12. The ambulatory care nurse is scheduling the client for gFOBT. Which state-
ment 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: B. I will not eat Mushrooms for 48-72 hours
13. 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.: D. A client in her 3rd
trimester and has signs of preterm labor.
14. 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?
Correct Answers
1. 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: C. Perform an Electrocardiogram
2. 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: C. Try not to move during the test
3. 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?: B. What Brought you in today?
4. 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: C. Retest the blood glucose
5. 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: C. Hemoglobin A1C
,6. 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 antici -
pate the healthcare provider will order?
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray: A. Halter Monitoring
7. 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: B. Maintain normal Diet and exercise
8. The Ambulatory care nurse is assessing a new graduate nurses' understand-
ing of the importance of getting clients height and weight before chemother -
apy. 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.: C. Height and weight are needed to calculate the correct dosage of
chemotherapy.
9. 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: C. Blue reaction
, 10. The nurse in the Medical oncology clinic is assessing a client who is under-
going 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: D. The client is post chemo and at
risk for neutropenia fever. This is an emergency and requires stat ABX or hospitalization
11. 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: B. My ears are ringing
12. The ambulatory care nurse is scheduling the client for gFOBT. Which state-
ment 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: B. I will not eat Mushrooms for 48-72 hours
13. 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.: D. A client in her 3rd
trimester and has signs of preterm labor.
14. 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?
