AMBULATORY PERITONEAL DIALYSIS CARE
(ANCC) EXAM QUESTIONS WITH ANSWERS
If the ambulatory care nurse (Nurse A) noted another nurse (Nurse B)
caused severe injury to a patient because Nurse B abandoned the patient
in distress to make a personal call, Nurse B should b:
A. Advised that the behavior is
inappropriate
B. Reported to the state board of
nursing C.
Reported to the police
D. Placed on probation status - ✅ B. Reported to the state board of nursing
If an ambulatory nurse working in a cancer clinic is in a hurry to leave work
and fails to follow protocols for checking IDS allergies resulting in the
administration of a chemotherapeutic agent to the wrong patient and a
severe allergy reaction is an example of
A . Gross
negligence B.
Negligent
conduct
C. Contributory negligence
D. Comparative negligence - ✅ A. Gross negligence
if a staff member at an ambulatory center downloaded protected health
information(PHI) about a politician to profit by selling the information to
tabloids rules of breach notification require notification of the
A. A patient only within 60 days
B. Patient and the HHS secretary within 60 days
C. Patient within 60 days and HHS secretary in the annual report
D. Patient the media and the HHS within 60 days. - ✅ C. Patient
within 60 days and HHS secretary in the annual report
,Which of the following healthcare services can an adolescent younger than
18 access or refuse without parental knowledge or consent in most states
A. Emergency
contraceptives B.
Abortion
C. Chemotherapy
D. Transfusion - ✅ A. Emergency contraceptives
The process of time management
begins with A. picking a
time management tool
A. Setting goals and priorities
B. Organizing routines
C. Ignoring interruptions - ✅ B. Setting goals and priorities
The nurse is educating an adult patient regarding medications for asthma.
Which order would be the most appropriate for administration?
A. Flovent, Intal,
Tobramycin B.
Tobramycin, Intal,
Albuterol
C. Albuterol, Flovent, Tobramycin
D. Intal, Tobramycin, Albuterol - ✅ C. Albuterol, Flovent, Tobramycin
(bronchodilator first to open, Corticosteroid to reduce inflammation, ABX
last to make sure more can be absorbed)
Telephone triage may be a responsibility of the ambulatory care nurse.
What are the appropriate components of telephone triage?
A. The nurse should state that he or she is unable to discuss medical
information and refer the patient to the PCP
B. The nurse must clearly identify him or herself, take a quick and
accurate history and quickly be able to make a decision
C. The nurse should call 911
D. The nurse should give generic information and leave the
, responsibility to the patient or caller - ✅ B. The nurse must clearly
identify him or herself, take a quick and accurate history and quickly
be able to make a decision
What are the best question types to ask when gaining information from a
patient?
A. Specific, open-ended questions regarding current symptoms and
medical history B. General questions with a yes or no answer
C. Questions related to childhood diseases
D. Demographics questions - ✅ A. Specific, open-ended questions
regarding current symptoms and medical history
In what order would the nurse prioritize the care of the following patients
presenting to the clinic at the same times: A parent carrying a smiling
infant with a fever, a pale and sweaty male wit flank pain for 2 days, a
carpenter with a nail in his thumb, and a 3-year-old with vomiting
A. Flank pain, Infant with fever, 3-year-old vomiting, a
man with nail B. Flank pain, 3-year-old vomiting, an
infant with fever, a man with nail C. 3-year-old
vomiting, an infant with fever, flank pain, a man with
nail
D. 3-year-old with vomiting, flank pain, a man with a nail, and infant with
fever - ✅ B. Flank pain, 3-year-old vomiting, an infant with fever, a man
with nail
Mom has described her child's symptoms as fever for 3 days, and vomiting
for the last 24 hours. She states the child has been very sleepy for the last
2-3 hours. What subtle symptom alerts the nurse that this child needs to
be seen as soon as possible
A. 3 days of fever
B. 3 days of fever, 1 day of
vomiting C. 1 day of
vomiting
D. very sleepy for 2-3 hours with a fever for 3 days. - ✅ D. very sleepy for
, 2-3 hours with a fever for 3 days.
The ambulatory care nurse takes a phone call from the daughter of a 60-
year-old man stating that he isn't himself today. When questioned further
the nurse discovers that the man has had periods of slurred speech for a
few minutes on 2 occasions in the last 24 hours. What is your
recommendation for this caller regarding what should be done?
A. You understand that slurred speech may be the result of too much
alcohol or lack of sleep and you encourage her to call back again if it
occur
B. You advise her to come to the clinic in the next 24-48 hours for
some blood work C. You advise her that slurred speech may be a
symptom of TIA or impending stroke, especially about him not
being himself and to go to the nearest ER
D. You tell her you will call her back when you can contact the MD for
advice. - ✅ C. You
advise her that slurred speech may be a symptom of TIA or impending
stroke, especially about him not being himself and to go to the nearest ER
A 70-year-old female presents to the ambulatory care clinic complaining of
fatigue. You begin your triage assessment and he has an HR of 50, a
Respiratory rate of 24, and a BP of 70/40. She denies Chest pain but you
notice she rubs her elbows and states her arthritis is acting up. What
would be your 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 - ✅ D.
Place her in a room, do an EKG, and notify the MD to see her first
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 wait B. Bring the child to an exam
room and wait for MD
(ANCC) EXAM QUESTIONS WITH ANSWERS
If the ambulatory care nurse (Nurse A) noted another nurse (Nurse B)
caused severe injury to a patient because Nurse B abandoned the patient
in distress to make a personal call, Nurse B should b:
A. Advised that the behavior is
inappropriate
B. Reported to the state board of
nursing C.
Reported to the police
D. Placed on probation status - ✅ B. Reported to the state board of nursing
If an ambulatory nurse working in a cancer clinic is in a hurry to leave work
and fails to follow protocols for checking IDS allergies resulting in the
administration of a chemotherapeutic agent to the wrong patient and a
severe allergy reaction is an example of
A . Gross
negligence B.
Negligent
conduct
C. Contributory negligence
D. Comparative negligence - ✅ A. Gross negligence
if a staff member at an ambulatory center downloaded protected health
information(PHI) about a politician to profit by selling the information to
tabloids rules of breach notification require notification of the
A. A patient only within 60 days
B. Patient and the HHS secretary within 60 days
C. Patient within 60 days and HHS secretary in the annual report
D. Patient the media and the HHS within 60 days. - ✅ C. Patient
within 60 days and HHS secretary in the annual report
,Which of the following healthcare services can an adolescent younger than
18 access or refuse without parental knowledge or consent in most states
A. Emergency
contraceptives B.
Abortion
C. Chemotherapy
D. Transfusion - ✅ A. Emergency contraceptives
The process of time management
begins with A. picking a
time management tool
A. Setting goals and priorities
B. Organizing routines
C. Ignoring interruptions - ✅ B. Setting goals and priorities
The nurse is educating an adult patient regarding medications for asthma.
Which order would be the most appropriate for administration?
A. Flovent, Intal,
Tobramycin B.
Tobramycin, Intal,
Albuterol
C. Albuterol, Flovent, Tobramycin
D. Intal, Tobramycin, Albuterol - ✅ C. Albuterol, Flovent, Tobramycin
(bronchodilator first to open, Corticosteroid to reduce inflammation, ABX
last to make sure more can be absorbed)
Telephone triage may be a responsibility of the ambulatory care nurse.
What are the appropriate components of telephone triage?
A. The nurse should state that he or she is unable to discuss medical
information and refer the patient to the PCP
B. The nurse must clearly identify him or herself, take a quick and
accurate history and quickly be able to make a decision
C. The nurse should call 911
D. The nurse should give generic information and leave the
, responsibility to the patient or caller - ✅ B. The nurse must clearly
identify him or herself, take a quick and accurate history and quickly
be able to make a decision
What are the best question types to ask when gaining information from a
patient?
A. Specific, open-ended questions regarding current symptoms and
medical history B. General questions with a yes or no answer
C. Questions related to childhood diseases
D. Demographics questions - ✅ A. Specific, open-ended questions
regarding current symptoms and medical history
In what order would the nurse prioritize the care of the following patients
presenting to the clinic at the same times: A parent carrying a smiling
infant with a fever, a pale and sweaty male wit flank pain for 2 days, a
carpenter with a nail in his thumb, and a 3-year-old with vomiting
A. Flank pain, Infant with fever, 3-year-old vomiting, a
man with nail B. Flank pain, 3-year-old vomiting, an
infant with fever, a man with nail C. 3-year-old
vomiting, an infant with fever, flank pain, a man with
nail
D. 3-year-old with vomiting, flank pain, a man with a nail, and infant with
fever - ✅ B. Flank pain, 3-year-old vomiting, an infant with fever, a man
with nail
Mom has described her child's symptoms as fever for 3 days, and vomiting
for the last 24 hours. She states the child has been very sleepy for the last
2-3 hours. What subtle symptom alerts the nurse that this child needs to
be seen as soon as possible
A. 3 days of fever
B. 3 days of fever, 1 day of
vomiting C. 1 day of
vomiting
D. very sleepy for 2-3 hours with a fever for 3 days. - ✅ D. very sleepy for
, 2-3 hours with a fever for 3 days.
The ambulatory care nurse takes a phone call from the daughter of a 60-
year-old man stating that he isn't himself today. When questioned further
the nurse discovers that the man has had periods of slurred speech for a
few minutes on 2 occasions in the last 24 hours. What is your
recommendation for this caller regarding what should be done?
A. You understand that slurred speech may be the result of too much
alcohol or lack of sleep and you encourage her to call back again if it
occur
B. You advise her to come to the clinic in the next 24-48 hours for
some blood work C. You advise her that slurred speech may be a
symptom of TIA or impending stroke, especially about him not
being himself and to go to the nearest ER
D. You tell her you will call her back when you can contact the MD for
advice. - ✅ C. You
advise her that slurred speech may be a symptom of TIA or impending
stroke, especially about him not being himself and to go to the nearest ER
A 70-year-old female presents to the ambulatory care clinic complaining of
fatigue. You begin your triage assessment and he has an HR of 50, a
Respiratory rate of 24, and a BP of 70/40. She denies Chest pain but you
notice she rubs her elbows and states her arthritis is acting up. What
would be your 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 - ✅ D.
Place her in a room, do an EKG, and notify the MD to see her first
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 wait B. Bring the child to an exam
room and wait for MD
