Patients with Chest and Lower Respiratory Tract Disorders&Nursing
Leadership, Communication, and Clinical Decision-Making Concepts Exam
Cummulated examination tests 2025 QUESTIONS WITH CORRECT ANSWERS
VERIFIED 100% GRADED A+
Ambulatory Care Nurse Certification Exam (ANCC)
Female patients should generally be advised to begin breast cancer screening
with routine mammos at about the age:
A. 20-30
B. 30-40
C. 40-50
D. 50-60
C. 40-50
One of the primary indications that a patient is ready to learn is when the
patient:
A. Appears confused
B. Expresses frustration
C. Admits lack of knowledge
D. Asks a question
D. Asks a question
When assessing a patient over the telephone, the ambulatory care nurse is
unsure what the client is saying because the patient's explanation is
confusing. Which of the following is the best response?
A. Could you explain that again, I just want to make sure I understand
B. That was so confusing, Could you repeat it?
,C. I'm afraid I didn't understand what you were saying
D. Is there someone else present who could explain this to me
A. Could you explain that again, I just want to make sure I understand
If a female patient at an ambulatory care clinic speaks only Arabic and is
accompanied by her 8 year old daughter and a male neighbor who both peak
English and Arabic, the best way to communicate is:
A. Use pantomime to help the patient communicate
B. Ask the daughter to translate
C. Ask the neighbor to translate
D. Arrange for a medical Translator
D. Arrange for a medical Translator
When providing anticipatory guidance to a patient who has recently been
diagnosed with DM type I, the most important information that the ambulatory
care nurse should cover is how to deal with:
A. Weight loss
B. Changes in Activity
C. Diabetic ketoacidosis
D. HTN
C. Diabetic ketoacidosis
Which of the following infectious agents is only transmitted through direct
contact, such as when the infectious agent is present on an environment
surface?
A. C-Diff
B. Lyme disease
C. Rubella Virus
D. Varicella -Zoster virus
A. C-Diff
If an ambulatory care nurse wants to determine if there is a recall for a specific
medications, the nurse should seek information from the?
A. CDC
B. Consumer product safety commission
C. Agency for toxic substance and disease registry
D. Food and Drug Administration
D. Food and Drug Administration
,If a patient is scheduled for a colonoscopy, the patient should be advised that
the procedure will generally require the patient to withhold which of the
following medications for 7-14 days before the test
A. Iron supplements
B. Antihypertensive
C. Acetaminophen
D. Levothyroxine
A. Iron supplements
A Patient is to undergo the MOHS procedure for a removal of a squamous cell
carcinoma from the left face. The patient should be advised that following the
initial excision of the lesion, the patient will be expected to
A. Stay flat for 72 hours
B. Wait for the results of the tissue analysis
C. Be discharged from the facility
D. Consult a plastic surgeon for repair
B. Wait for the results of the tissue analysis
Which of the following conditions of the breast may pose the greatest risk for
the development of breast cancer
A. Lipoma
B. Cyst
C. Epithelial related calcifications
D. Atypical ductal hyperplasia
D. Atypical ductal hyperplasia
As part of the hazard vulnerability assessment, the family practice clinic has
noted a number of areas (earthquake, fire, infant abduction and bomb threats)
in which their risk is moderate to high. The next step is to
A. Identify cost related to decreasing risk
B. Increase staff education regarding risk
C. Assess preparedness for each risk element
D. Hire a consultant to advise clinic on reducing risk
C. Assess preparedness for each risk element
The ambulatory care nurse is educating a patient one-on-one to manage clean
intermittent catheterization (CIC) independently. The best method to assess
the effectiveness of teaching i to ask the patient to
, A. Describe the procedures involved
B. Take a quiz about the procedure
C. Do a return demonstration
D. Keep a log of CICs and problems involved
C. Do a return demonstration
In written materials for patients, which of the following sentences is likely to
be the most easily understood by the general public
A. A low sodium diet is recommended for cardiovascular disease
B. High blood pressure can lead to a stroke
C. People who smoke cigarettes' are prone to pulmonary disease
D. Remain NPO for 6 hours prior to the procedure
B. High blood pressure can lead to a stroke
When a patient is angry and aggressive but not yet violent, the first method to
use in changing the behavior is to
A. Ignore
B. Redirect
C. Reward
D. Interrupt
D. Interrupt
The ambulatory care nurse wants to participate in outreach to a largely
Spanish speaking population of Mexican immigrants by setting up booths in
the community to screen for High blood pressure and Diabetes. The best
places to set up booths are probably:
A. Parks and recreation areas
B. Churches and shopping areas
C. Hospitals and clinics
D. police departments and social services offices
B. Churches and shopping areas
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