AMBULATORY CARE NURSE CERTIFICATION EXAM
(ANCC) EXAM NEW 2025 VERSION WITH ALL
QUESTIONS, ANSWERS AND RATIONALE
If a patient asks, "Should I continue w/ chemotherapy or stop?" and the nurse responds with "How do
you feel about stopping chemotherapy?" this is an example of:
A. Redirection
B. Diversion
C. Reflection
D. Restatement - CORRECT ANSWERS-C. Reflection
When entering the examining room of a patient who is deaf and facing away from the door, the
ambulatory care nurse should
A. Approach from the direction the patient is facing
B. Say the patients name
C. Approach and touch the patient
D. Clap hands or tap your foot. - CORRECT ANSWERS-D. Clap hands or tap your foot.
(Sensitive to vibrations)
if a patient with severe dysarthria because of MS but with good cognition is admitted to an ambulatory
surgery center and needs to answer questions. the best way to get information is to ask
A. Open ended questions
B. Yes/no questions
C. The patient to write answers
D. Questions of the caregiver - CORRECT ANSWERS-B. Yes/no questions
In handoff communication, the SBAR technique involves S B A and r is:
A. Rating
B. Recommendation
C. Response
,D. Requirement - CORRECT ANSWERS-B. Recommendation
Patient with passive aggressive personalities often attempt to hide an underlying feeling of
A. Depression
B. Hurt
C. Guilt
D. anger - CORRECT ANSWERS-D. anger
If the ambulatory care nurse leader of a task group has completed the tasks assigned to the group and is
in its final termination phase, the primary role of the nurse leader is to
A. Review the group process and achievements
B. Disband the group without further input
C. Evaluate the participation of the group members
D. Make recommendations about future projects - CORRECT ANSWERS-A. Review the group
process and achievements
The Ambulatory care nurse is assessing a new graduate nurses' understanding of the importance of
getting clients height and weight before chemotherapy. 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.
- CORRECT ANSWERS-C. Height and weight are needed to calculate the correct dosage of
chemotherapy.
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 - CORRECT ANSWERS-C. Blue reaction
,The nurse in the Medical oncology clinic is assessing a client who is undergoing 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 - CORRECT ANSWERS-D. The client is post chemo and at risk for
neutropenia fever. This is an emergency and requires stat ABX or hospitalization
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 - CORRECT ANSWERS-B. My ears are ringing
The ambulatory care nurse is scheduling the client for gFOBT. Which statement 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 - CORRECT ANSWERS-B. I will not eat Mushrooms for 48-72
hours
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. - CORRECT ANSWERS-D. A
client in her 3rd trimester and has signs of preterm labor.
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 ANSWERS-B. Educate the client on
credible websites and the importance of protecting private information
Which of the following strategies is appropriate when facilitating conflict resolution?
A. Choose a side as soon as possible
B. Refrain from judging
C. Use minimal choices and options to reach a speedy solution
D. Blame the guilty party - CORRECT ANSWERS-B. Refrain from judging
The ambulatory care nurse is working with a healthcare organization that is seeking Magnet recognition.
Which of the following activities by the nurse is the best supporting evidence in the Magnet application
process
A. Being the charge nurse in the clinic
B. Participating in the nurses week celebration
C. Advancing to RN2 on the clinical ladder
D. Being the chairperson of the evidenced based council committee - CORRECT ANSWERS-D.
Being the chairperson of the evidenced based council committee
There are three ethical principles for human research. Which of the following means the client has the
right to elf determination?
A. Respect
B. Justice
C. Beneficence
(ANCC) EXAM NEW 2025 VERSION WITH ALL
QUESTIONS, ANSWERS AND RATIONALE
If a patient asks, "Should I continue w/ chemotherapy or stop?" and the nurse responds with "How do
you feel about stopping chemotherapy?" this is an example of:
A. Redirection
B. Diversion
C. Reflection
D. Restatement - CORRECT ANSWERS-C. Reflection
When entering the examining room of a patient who is deaf and facing away from the door, the
ambulatory care nurse should
A. Approach from the direction the patient is facing
B. Say the patients name
C. Approach and touch the patient
D. Clap hands or tap your foot. - CORRECT ANSWERS-D. Clap hands or tap your foot.
(Sensitive to vibrations)
if a patient with severe dysarthria because of MS but with good cognition is admitted to an ambulatory
surgery center and needs to answer questions. the best way to get information is to ask
A. Open ended questions
B. Yes/no questions
C. The patient to write answers
D. Questions of the caregiver - CORRECT ANSWERS-B. Yes/no questions
In handoff communication, the SBAR technique involves S B A and r is:
A. Rating
B. Recommendation
C. Response
,D. Requirement - CORRECT ANSWERS-B. Recommendation
Patient with passive aggressive personalities often attempt to hide an underlying feeling of
A. Depression
B. Hurt
C. Guilt
D. anger - CORRECT ANSWERS-D. anger
If the ambulatory care nurse leader of a task group has completed the tasks assigned to the group and is
in its final termination phase, the primary role of the nurse leader is to
A. Review the group process and achievements
B. Disband the group without further input
C. Evaluate the participation of the group members
D. Make recommendations about future projects - CORRECT ANSWERS-A. Review the group
process and achievements
The Ambulatory care nurse is assessing a new graduate nurses' understanding of the importance of
getting clients height and weight before chemotherapy. 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.
- CORRECT ANSWERS-C. Height and weight are needed to calculate the correct dosage of
chemotherapy.
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 - CORRECT ANSWERS-C. Blue reaction
,The nurse in the Medical oncology clinic is assessing a client who is undergoing 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 - CORRECT ANSWERS-D. The client is post chemo and at risk for
neutropenia fever. This is an emergency and requires stat ABX or hospitalization
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 - CORRECT ANSWERS-B. My ears are ringing
The ambulatory care nurse is scheduling the client for gFOBT. Which statement 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 - CORRECT ANSWERS-B. I will not eat Mushrooms for 48-72
hours
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. - CORRECT ANSWERS-D. A
client in her 3rd trimester and has signs of preterm labor.
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 ANSWERS-B. Educate the client on
credible websites and the importance of protecting private information
Which of the following strategies is appropriate when facilitating conflict resolution?
A. Choose a side as soon as possible
B. Refrain from judging
C. Use minimal choices and options to reach a speedy solution
D. Blame the guilty party - CORRECT ANSWERS-B. Refrain from judging
The ambulatory care nurse is working with a healthcare organization that is seeking Magnet recognition.
Which of the following activities by the nurse is the best supporting evidence in the Magnet application
process
A. Being the charge nurse in the clinic
B. Participating in the nurses week celebration
C. Advancing to RN2 on the clinical ladder
D. Being the chairperson of the evidenced based council committee - CORRECT ANSWERS-D.
Being the chairperson of the evidenced based council committee
There are three ethical principles for human research. Which of the following means the client has the
right to elf determination?
A. Respect
B. Justice
C. Beneficence
