(ANCC) ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS
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
anticipate the healthcare provider will order?
A. Halter Monitoring
B. Admission to the hospital
C. Continuous EEG
D. Chest X-ray --CORRECT ANSWER--A. Halter Monitoring
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 --CORRECT ANSWER--B. Maintain normal Diet
and exercise
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,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 ANSWER--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 ANSWER--C. Blue reaction
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)
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,D. Call 911 --CORRECT ANSWER--C. Perform an Electrocardiogram
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 --CORRECT ANSWER--C. Try
not to move during the test
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? --CORRECT ANSWER--B. What
Brought you in today?
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
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, C. Retest the Blood glucose
D. Order a Hemoglobin A1c --CORRECT ANSWER--C. Retest the blood
glucose
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 --CORRECT ANSWER--C. Hemoglobin A1C
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 ANSWER--
D. The client is post chemo and at risk for neutropenia fever. This is an
emergency and requires stat ABX or hospitalization
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