Ambulatory Care Nurse Certification
Exam (ANCC) Questions and Answers
2024/2025
Ak50kyearkoldkmalekcomesktokthekclinickstatingkhekcannotkshakekthisk"flu"kyoukobservekthat
khekiskclammy,kpalekandkhaskankirregularkHR.kHekiskaklargekmankwithkruggedkappearance.k
Hekiskfriendlykandkapologetickforkbotheringkyoukwithkhisksillykcomplaints.kWhatkiskyourkplan
kofkcarekforkthiskpatient
A.kYouksuspectkhekahskaklowktolerancekforkbeingkillkandkofferkhimkTylenolkwhilekhekwaitskto
kseekthekMDk
B.kYouksuspectkhekhasktheknewestkflukgoingkaroundkandkofferkhimkhotkteakwhilekhekwaitskt
okseekthekMDk
C.kYouksuspectktherekiskmorektokhiskcomplaintkthankhekstateskandkimmediatelykbeginkakca
rdiackworkupkbykplacingkhimkinkakroomkandkorderingkEKGk
D.kYoukfinishkthektriagekandksendkhimktokthekwaitingkroomkunderstandingk-
kCORRECTkANSWER-
C.kYouksuspectktherekiskmorektokhiskcomplaintkthankhekstateskandkimmediatelykbeginkakca
rdiackworkupkbykplacingkhimkinkakroomkandkorderingkEKG
Ak70kyearkoldkfemalekpresentsktokthekambulatorykcarekclinickcomplainingkofkfatigue.kYoukb
eginkyouktriagekassessmentkandkhekhaskakHRkofk50,kRespiratorykratekofk24,kandkBPk70/40
.kShekdenieskChestkpainkbutkyouknoticekshekrubskherkelbowskandkstateskherkarthritiskiskacti
ngkup.kWhatkwouldkbekyourkfirstkprioritykwhenkcaringkforkthiskpatient
A.kOfferkherkTylenolkandksendkherktokthekwaitingkroomk
B.kofferkherkMotrinkforkpain
C.kContinuekherktriagekandkhistorykandkfinishkthekpaperwork
D.kplacekherkinkakroom,kdokankEKGkandknotifykthekMDktokseekherkfirstk-
kCORRECTkANSWER-
D.kplacekherkinkakroom,kdokankEKGkandknotifykthekMDktokseekherkfirst
Akclientkfellkinkthekclinickduringkthekintakekprocess.kThekambulatorykcareknursekiskdocumen
tingkthekoccurrence.kWhichkofkthekfollowingkindicateskproperkdocumentationkofkthekinciden
t?
A.kDocumentkthekincidentkinkthekpatientskchart
B.kMakeknokmentionkofkthekfallkinkthekclientskcharts
C.kReportkitkthekthekriskkmanagementkandktheykwillkdocumentkthekincidentk
D.kDocumentkthekoccurrencekofkthekfallkinkthekorganization'skincidentkreportingksystemk-
kCORRECTkANSWER-
D.kDocumentkthekoccurrencekofkthekfallkinkthekorganization'skincidentkreportingksystem
,Akclientkinformedkthekambulatorykcareknursekthatkthekinternetkiskverykhelpfulktokherkwhenkr
eviewingkhealthkinformation.kWhichkactinkiskappropriatekforktheknursektoktake?
A.kEncouragekthekclientktokcontinuekherkindependencekbyktakingkherkhealthkinkherkownkha
nds.k
B.kEducatekthekclientkonkcrediblekwebsiteskandkthekimportancekofkprotectingkprivatekinfor
mation
C.kDoknothing.kThekclientkiskknowledgeablekaboutkusingkthekinternet.k
D.kDocumentkthekclientskresponsekinkthekchart.k-kCORRECTkANSWER-
B.kEducatekthekclientkonkcrediblekwebsiteskandkthekimportancekofkprotectingkprivatekinfor
mation
Akclientkwhokenrolledkinkakresearchkstudykinformskthekambulatorykclinicknursekthatkhe/shek
noklongerkwantsktokbekpartkofkthekstudy.kWhatkactionskshouldktheknursektake
A.kEnquirekaboutkthekreasonkforkwithdrawalk
B.kEducatekthekclientkonkthekimportancekofkthekstudyk
C.kInformkthekresearchkteamkofkthekclientskwithdrawalk
D.kincreasekthekincentivekforkparticipatingkinkthekstudyk-kCORRECTkANSWER-
C.kInformkthekresearchkteamkofkthekclientskwithdrawal
AkclientkwitkakDXkofkbipolarkdisorderkiskbeingkseenkinkthekclinic.kThekhealthcarekproviderkpr
escribedkLithium.kWhichkofkthekfollowingkiskimportantkforkthekambulatorykcareknursektoktea
chkakclient?
A.kYoukcankbreastkfeedkwhilektakingkthekmedicationk
B.kLowkSodiumklevelkcankleadktoktoxicityk
C.kMinimizekfluidkintake
D.kTherekisknokneedktokusekcontraceptiveskwhilekonkthiskmedicationk-
kCORRECTkANSWER-B.kLowkSodiumklevelkcankleadktoktoxicity
Akclientkwithkakpostkopkhipkreplacementkhaskthekfollowingkinformationkonkthekcarekplan:kCli
entkwillkachievekakdecreasekinkpainktokaklevelk3kbykdischarge.kWherekonkthekcarekplanksho
uldktheknursekputkthiskinformationk
A.kUnderkNursingkDXk
B.kUnderkgoalkSectionk
C.kUnderkintervention/implementation
D.kUnderkevaluationk-kCORRECTkANSWER-B.kUnderkgoalkSection
Akfamilykpracticekphysician'skofficekschedulekiskusuallykfullykbookedkwithkpatientskschedul
edkeveryk15kminutes,kbutkthekMDkroutinelykaddskpatientskwhokhavekacutekneedsktoktheksc
hedulekresultingkinkdelayskinkseeingkpatients,kunpaidkstaffkOTkandkstaffkcomplaints.kThekb
estksolutionkforktheknursekmanagerkmaykbekto:
A.kSchedulekstaffklaterkinkthekdayk
B.kSuggestkreferringkpatientktokEDk
C.kAskforkpaymentkforkanykOTk
D.kLeavekopenkslotskinkthekschedulek-kCORRECTkANSWER-
D.kLeavekopenkslotskinkthekschedule
,Akmotherkpresentsktokthekclinickwithkakverykwheezyk3kyearkoldkinkherkarms.kYouknoticekthek
childkiskpalekandklistless.kWhatkiskyourkimmediatekresponse
A.kTriagekthekinfantkbeforekthekotherkpatientskwaitingk
B.kBringkthekchildktokankexamkroomkandkwaitkforkMDk
C.kBringkthekchildktokankexamkroomktokfinishktriagekinkthekprivacykofkakroomk
D.kBringkthekchildktokakroom,kGetkthekMD,kandkpreparektokgivekNebulizerktreatmentkandkpo
ssiblektransferktokacutekfacilityk-kCORRECTkANSWER-
D.kBringkthekchildktokakroom,kGetkthekMD,kandkpreparektokgivekNebulizerktreatmentkandkpo
ssiblektransferktokacutekfacility
AkPatientkisktokundergokthekMOHSkprocedurekforkakremovalkofkaksquamouskcellkcarcinom
akfromkthekleftkface.kThekpatientkshouldkbekadvisedkthatkfollowingkthekinitialkexcisionkofkthek
lesion,kthekpatientkwillkbekexpectedkto
A.kStaykflatkfork72khoursk
B.kWaitkforkthekresultskofkthektissuekanalysisk
C.kBekdischargedkfromkthekfacilityk
D.kConsultkakplasticksurgeonkforkrepairk-kCORRECTkANSWER-
B.kWaitkforkthekresultskofkthektissuekanalysis
Akpatientkwhokiskankinmatekinkakcorrectionalkfacilitykiskscheduledkforkakcolonoscopyktokdete
rminekthekcausekofkrectalkbleedingkbutkthekpatientkrefusesktoksignkthekconsent,kThekcolono
scopykshouldkbe:
A.kCarriedkoutkdespitekthekackkofkconsentk
B.kCarriedkoutkbecausekinmateskhaveknokrightsktokinformedkconsentk
C.kCarriedkoutkofkthekphysicianksignskaktreatmentkwithoutkconsentkformk
D.kCancelledkbecausekofknokconsentk-kCORRECTkANSWER-
D.kCancelledkbecausekofknokconsent
AccordingktokthekCDCskinfectionkpreventionkandkcontrolkassessmentktoolkforkoutpatientkse
ttings,kthekorganization'skwrittenkinfectionkpreventionkpolicieskandkprocedureskshouldkbekr
eassessedkatkleastkevery:
A.kmonth
B.k6kmonths
C.k12kmonths
D.k24kMonthsk-kCORRECTkANSWER-C.k12kmonths
AccordingktokthekJointkCommissionkstandard,kwhenkshouldkthekinitialkassessmentkofkthekn
ursekcompetencieskbekconductedkinkakhealthkcareksetting?
A.kDuringkthekorientationkprocess
B.kPriorktokthekorientationkprocess
C.kDuringkNursingkschoolk
D.kAfterkthekorientationkprocessk-kCORRECTkANSWER-A.kDuringkthekorientationkprocess
AccordingktokthekSpaldingkclassificationsksystemkforkdisinfectionkandksterilization,kankexa
mplekofkankitemkthatkwouldkbekclassifiedkaskSemi-criticalkis:
, A.kBronchoscopek
B.kSurgicalkinstrumentk
C.kBPkCuffk
D.kBedpank-kCORRECTkANSWER-A.kBronchoscope
AnkAmbulatorykcarekcenterkhaskanalyzedkthektypekofkpatientkcomplaintskandkfindsktherekar
ekfourkcomplaintskthatkarekmostkcommonk(kdelays,krescheduling,kdifficultykschedulingkandk
parking)kbutknotkeasilyksolvablekandkthatkstaffkmemberskhandlekthesekcomplaintskinkdiffer
entkmanners.kThekservicekrecoverykprogramkshouldkbeginkby:
A.kPostingksignskapologizingkforkthesekproblemsk
B.kWarningkpatientskinkadvancedkthatkthesekproblemskmaykoccur
C.kProvidingkpatentskwithkcomplaintkforms
D.kEstablishingkprotocolskforkdealingkwithkcomplaintsk-kCORRECTkANSWER-
D.kEstablishingkprotocolskforkdealingkwithkcomplaints
AnkAmbulatorykcareknursekreviewedkclinickstatisticskregardingktheknumberkofkpatientskwho
kmissedkorkcameklatektokankappointment,kestablishedkaktelephonekreminderksystemktokimp
rovekattendancekandkthenkconductedkakreviewkeachkweekkandkpublishedkfindingskforkthek
staffkshowingkthekimprovement.kThiskiskankexamplekof:
A.kInternalkbenchmarking
B.kFunctionalkBenchmarking
C.kExternalkBenchmarking
D.kCompetitivekbenchmarkingk-kCORRECTkANSWER-A.kInternalkbenchmarking
Ankambulatoryksurgerykcenterkthatkhaskreceivedkaccreditationkandkdeemedkstatuskfromkth
ekJointkCommission:
A.kDoesknotkneedktokundergokthekCMSkcertificationkprocess
B.kMustkstillkundergokthekCMSkcertificationkprocessk
C.kMustkundergokankabbreviatedkCMSkcertificationkprocessk
D.kCankoptktokpaykakfeekratherkthankundergokCMSkcertificationk-kCORRECTkANSWER-
A.kDoesknotkneedktokundergokthekCMSkcertificationkprocess
Askpartkofkthekhazardkvulnerabilitykassessment,kthekfamilykpracticekclinickhasknotedkaknum
berkofkareask(earthquake,kfire,kinfantkabductionkandkbombkthreats)kinkwhichktheirkriskkiskm
oderatektokhigh.kTheknextkstepkiskto
A.kIdentifykcostkrelatedktokdecreasingkriskk
B.kIncreasekstaffkeducationkregardingkrisk
C.kAssesskpreparednesskforkeachkriskkelement
D.kHirekakconsultantktokadvisekclinickonkreducingkriskk-kCORRECTkANSWER-
C.kAssesskpreparednesskforkeachkriskkelement
Femalekpatientskshouldkgenerallykbekadvisedktokbeginkbreastkcancerkscreeningkwithkrouti
nekmammoskatkaboutkthekage:
A.k20-30
B.k30-40
C.k40-50
Exam (ANCC) Questions and Answers
2024/2025
Ak50kyearkoldkmalekcomesktokthekclinickstatingkhekcannotkshakekthisk"flu"kyoukobservekthat
khekiskclammy,kpalekandkhaskankirregularkHR.kHekiskaklargekmankwithkruggedkappearance.k
Hekiskfriendlykandkapologetickforkbotheringkyoukwithkhisksillykcomplaints.kWhatkiskyourkplan
kofkcarekforkthiskpatient
A.kYouksuspectkhekahskaklowktolerancekforkbeingkillkandkofferkhimkTylenolkwhilekhekwaitskto
kseekthekMDk
B.kYouksuspectkhekhasktheknewestkflukgoingkaroundkandkofferkhimkhotkteakwhilekhekwaitskt
okseekthekMDk
C.kYouksuspectktherekiskmorektokhiskcomplaintkthankhekstateskandkimmediatelykbeginkakca
rdiackworkupkbykplacingkhimkinkakroomkandkorderingkEKGk
D.kYoukfinishkthektriagekandksendkhimktokthekwaitingkroomkunderstandingk-
kCORRECTkANSWER-
C.kYouksuspectktherekiskmorektokhiskcomplaintkthankhekstateskandkimmediatelykbeginkakca
rdiackworkupkbykplacingkhimkinkakroomkandkorderingkEKG
Ak70kyearkoldkfemalekpresentsktokthekambulatorykcarekclinickcomplainingkofkfatigue.kYoukb
eginkyouktriagekassessmentkandkhekhaskakHRkofk50,kRespiratorykratekofk24,kandkBPk70/40
.kShekdenieskChestkpainkbutkyouknoticekshekrubskherkelbowskandkstateskherkarthritiskiskacti
ngkup.kWhatkwouldkbekyourkfirstkprioritykwhenkcaringkforkthiskpatient
A.kOfferkherkTylenolkandksendkherktokthekwaitingkroomk
B.kofferkherkMotrinkforkpain
C.kContinuekherktriagekandkhistorykandkfinishkthekpaperwork
D.kplacekherkinkakroom,kdokankEKGkandknotifykthekMDktokseekherkfirstk-
kCORRECTkANSWER-
D.kplacekherkinkakroom,kdokankEKGkandknotifykthekMDktokseekherkfirst
Akclientkfellkinkthekclinickduringkthekintakekprocess.kThekambulatorykcareknursekiskdocumen
tingkthekoccurrence.kWhichkofkthekfollowingkindicateskproperkdocumentationkofkthekinciden
t?
A.kDocumentkthekincidentkinkthekpatientskchart
B.kMakeknokmentionkofkthekfallkinkthekclientskcharts
C.kReportkitkthekthekriskkmanagementkandktheykwillkdocumentkthekincidentk
D.kDocumentkthekoccurrencekofkthekfallkinkthekorganization'skincidentkreportingksystemk-
kCORRECTkANSWER-
D.kDocumentkthekoccurrencekofkthekfallkinkthekorganization'skincidentkreportingksystem
,Akclientkinformedkthekambulatorykcareknursekthatkthekinternetkiskverykhelpfulktokherkwhenkr
eviewingkhealthkinformation.kWhichkactinkiskappropriatekforktheknursektoktake?
A.kEncouragekthekclientktokcontinuekherkindependencekbyktakingkherkhealthkinkherkownkha
nds.k
B.kEducatekthekclientkonkcrediblekwebsiteskandkthekimportancekofkprotectingkprivatekinfor
mation
C.kDoknothing.kThekclientkiskknowledgeablekaboutkusingkthekinternet.k
D.kDocumentkthekclientskresponsekinkthekchart.k-kCORRECTkANSWER-
B.kEducatekthekclientkonkcrediblekwebsiteskandkthekimportancekofkprotectingkprivatekinfor
mation
Akclientkwhokenrolledkinkakresearchkstudykinformskthekambulatorykclinicknursekthatkhe/shek
noklongerkwantsktokbekpartkofkthekstudy.kWhatkactionskshouldktheknursektake
A.kEnquirekaboutkthekreasonkforkwithdrawalk
B.kEducatekthekclientkonkthekimportancekofkthekstudyk
C.kInformkthekresearchkteamkofkthekclientskwithdrawalk
D.kincreasekthekincentivekforkparticipatingkinkthekstudyk-kCORRECTkANSWER-
C.kInformkthekresearchkteamkofkthekclientskwithdrawal
AkclientkwitkakDXkofkbipolarkdisorderkiskbeingkseenkinkthekclinic.kThekhealthcarekproviderkpr
escribedkLithium.kWhichkofkthekfollowingkiskimportantkforkthekambulatorykcareknursektoktea
chkakclient?
A.kYoukcankbreastkfeedkwhilektakingkthekmedicationk
B.kLowkSodiumklevelkcankleadktoktoxicityk
C.kMinimizekfluidkintake
D.kTherekisknokneedktokusekcontraceptiveskwhilekonkthiskmedicationk-
kCORRECTkANSWER-B.kLowkSodiumklevelkcankleadktoktoxicity
Akclientkwithkakpostkopkhipkreplacementkhaskthekfollowingkinformationkonkthekcarekplan:kCli
entkwillkachievekakdecreasekinkpainktokaklevelk3kbykdischarge.kWherekonkthekcarekplanksho
uldktheknursekputkthiskinformationk
A.kUnderkNursingkDXk
B.kUnderkgoalkSectionk
C.kUnderkintervention/implementation
D.kUnderkevaluationk-kCORRECTkANSWER-B.kUnderkgoalkSection
Akfamilykpracticekphysician'skofficekschedulekiskusuallykfullykbookedkwithkpatientskschedul
edkeveryk15kminutes,kbutkthekMDkroutinelykaddskpatientskwhokhavekacutekneedsktoktheksc
hedulekresultingkinkdelayskinkseeingkpatients,kunpaidkstaffkOTkandkstaffkcomplaints.kThekb
estksolutionkforktheknursekmanagerkmaykbekto:
A.kSchedulekstaffklaterkinkthekdayk
B.kSuggestkreferringkpatientktokEDk
C.kAskforkpaymentkforkanykOTk
D.kLeavekopenkslotskinkthekschedulek-kCORRECTkANSWER-
D.kLeavekopenkslotskinkthekschedule
,Akmotherkpresentsktokthekclinickwithkakverykwheezyk3kyearkoldkinkherkarms.kYouknoticekthek
childkiskpalekandklistless.kWhatkiskyourkimmediatekresponse
A.kTriagekthekinfantkbeforekthekotherkpatientskwaitingk
B.kBringkthekchildktokankexamkroomkandkwaitkforkMDk
C.kBringkthekchildktokankexamkroomktokfinishktriagekinkthekprivacykofkakroomk
D.kBringkthekchildktokakroom,kGetkthekMD,kandkpreparektokgivekNebulizerktreatmentkandkpo
ssiblektransferktokacutekfacilityk-kCORRECTkANSWER-
D.kBringkthekchildktokakroom,kGetkthekMD,kandkpreparektokgivekNebulizerktreatmentkandkpo
ssiblektransferktokacutekfacility
AkPatientkisktokundergokthekMOHSkprocedurekforkakremovalkofkaksquamouskcellkcarcinom
akfromkthekleftkface.kThekpatientkshouldkbekadvisedkthatkfollowingkthekinitialkexcisionkofkthek
lesion,kthekpatientkwillkbekexpectedkto
A.kStaykflatkfork72khoursk
B.kWaitkforkthekresultskofkthektissuekanalysisk
C.kBekdischargedkfromkthekfacilityk
D.kConsultkakplasticksurgeonkforkrepairk-kCORRECTkANSWER-
B.kWaitkforkthekresultskofkthektissuekanalysis
Akpatientkwhokiskankinmatekinkakcorrectionalkfacilitykiskscheduledkforkakcolonoscopyktokdete
rminekthekcausekofkrectalkbleedingkbutkthekpatientkrefusesktoksignkthekconsent,kThekcolono
scopykshouldkbe:
A.kCarriedkoutkdespitekthekackkofkconsentk
B.kCarriedkoutkbecausekinmateskhaveknokrightsktokinformedkconsentk
C.kCarriedkoutkofkthekphysicianksignskaktreatmentkwithoutkconsentkformk
D.kCancelledkbecausekofknokconsentk-kCORRECTkANSWER-
D.kCancelledkbecausekofknokconsent
AccordingktokthekCDCskinfectionkpreventionkandkcontrolkassessmentktoolkforkoutpatientkse
ttings,kthekorganization'skwrittenkinfectionkpreventionkpolicieskandkprocedureskshouldkbekr
eassessedkatkleastkevery:
A.kmonth
B.k6kmonths
C.k12kmonths
D.k24kMonthsk-kCORRECTkANSWER-C.k12kmonths
AccordingktokthekJointkCommissionkstandard,kwhenkshouldkthekinitialkassessmentkofkthekn
ursekcompetencieskbekconductedkinkakhealthkcareksetting?
A.kDuringkthekorientationkprocess
B.kPriorktokthekorientationkprocess
C.kDuringkNursingkschoolk
D.kAfterkthekorientationkprocessk-kCORRECTkANSWER-A.kDuringkthekorientationkprocess
AccordingktokthekSpaldingkclassificationsksystemkforkdisinfectionkandksterilization,kankexa
mplekofkankitemkthatkwouldkbekclassifiedkaskSemi-criticalkis:
, A.kBronchoscopek
B.kSurgicalkinstrumentk
C.kBPkCuffk
D.kBedpank-kCORRECTkANSWER-A.kBronchoscope
AnkAmbulatorykcarekcenterkhaskanalyzedkthektypekofkpatientkcomplaintskandkfindsktherekar
ekfourkcomplaintskthatkarekmostkcommonk(kdelays,krescheduling,kdifficultykschedulingkandk
parking)kbutknotkeasilyksolvablekandkthatkstaffkmemberskhandlekthesekcomplaintskinkdiffer
entkmanners.kThekservicekrecoverykprogramkshouldkbeginkby:
A.kPostingksignskapologizingkforkthesekproblemsk
B.kWarningkpatientskinkadvancedkthatkthesekproblemskmaykoccur
C.kProvidingkpatentskwithkcomplaintkforms
D.kEstablishingkprotocolskforkdealingkwithkcomplaintsk-kCORRECTkANSWER-
D.kEstablishingkprotocolskforkdealingkwithkcomplaints
AnkAmbulatorykcareknursekreviewedkclinickstatisticskregardingktheknumberkofkpatientskwho
kmissedkorkcameklatektokankappointment,kestablishedkaktelephonekreminderksystemktokimp
rovekattendancekandkthenkconductedkakreviewkeachkweekkandkpublishedkfindingskforkthek
staffkshowingkthekimprovement.kThiskiskankexamplekof:
A.kInternalkbenchmarking
B.kFunctionalkBenchmarking
C.kExternalkBenchmarking
D.kCompetitivekbenchmarkingk-kCORRECTkANSWER-A.kInternalkbenchmarking
Ankambulatoryksurgerykcenterkthatkhaskreceivedkaccreditationkandkdeemedkstatuskfromkth
ekJointkCommission:
A.kDoesknotkneedktokundergokthekCMSkcertificationkprocess
B.kMustkstillkundergokthekCMSkcertificationkprocessk
C.kMustkundergokankabbreviatedkCMSkcertificationkprocessk
D.kCankoptktokpaykakfeekratherkthankundergokCMSkcertificationk-kCORRECTkANSWER-
A.kDoesknotkneedktokundergokthekCMSkcertificationkprocess
Askpartkofkthekhazardkvulnerabilitykassessment,kthekfamilykpracticekclinickhasknotedkaknum
berkofkareask(earthquake,kfire,kinfantkabductionkandkbombkthreats)kinkwhichktheirkriskkiskm
oderatektokhigh.kTheknextkstepkiskto
A.kIdentifykcostkrelatedktokdecreasingkriskk
B.kIncreasekstaffkeducationkregardingkrisk
C.kAssesskpreparednesskforkeachkriskkelement
D.kHirekakconsultantktokadvisekclinickonkreducingkriskk-kCORRECTkANSWER-
C.kAssesskpreparednesskforkeachkriskkelement
Femalekpatientskshouldkgenerallykbekadvisedktokbeginkbreastkcancerkscreeningkwithkrouti
nekmammoskatkaboutkthekage:
A.k20-30
B.k30-40
C.k40-50
