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Ambulatory Care Nurse Certification Exam (ANCC) practice questions updated with answers, Exams of Nursing

Ambulatory Care Nurse Certification Exam (ANCC) practice questions updated with answers

Typology: Exams

2024/2025

Available from 07/14/2025

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Ambulatory Care Nurse Certification Exam (ANCC) practice
questions updated with answers
1. 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: C. Perform an Electrocardiogram
2. 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: C. Try not to move during the
test
3. 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?: B. What Brought you in today?
4. 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
C. Retest the Blood glucose
D. Order a Hemoglobin A1c: C. Retest the blood glucose
5. Which of the following laboratory test is most effective in monitoring a
client with DM blood glucose level?
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Ambulatory Care Nurse Certification Exam (ANCC) practice

questions updated with answers

  1. 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: C. Perform an Electrocardiogram
  2. 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: C. Try not to move during the test
  3. 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?: B. What Brought you in today?
  4. 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 C. Retest the Blood glucose D. Order a Hemoglobin A1c: C. Retest the blood glucose
  5. 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: C. Hemoglobin A1C

  1. 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 antici- pate the healthcare provider will order? A. Halter Monitoring B. Admission to the hospital C. Continuous EEG D. Chest X-ray: A. Halter Monitoring
  2. 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: B. Maintain normal Diet and exercise
  3. The Ambulatory care nurse is assessing a new graduate nurses' un- derstanding 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 chemother- apy D. The chemotherapy dose will remain the same, even if there is an increase in the amount of eight lost.: C. Height and weight are needed to calculate the correct dosage of chemotherapy.
  4. 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

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.: B. Educate the client on credible websites and the importance of protecting private information

  1. 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: B. Refrain from judging
  2. 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: D. Being the chairperson of the evidenced based council committee
  3. There are three ethical principles for human research. Which of the follow- ing means the client has the right to elf determination? A. Respect B. Justice C. Beneficence D. Non maleficence:
  4. Which of the following organizations is responsible for evaluating pro- posed research studies prior to their commencement? A. Centers for disease control and prevention B. Department of Health and Human services C. Institution Review Board D. Office of Disease prevention and Health Promotion: C. Institution Review Board
  1. According to the Joint Commission standard, when should the initial as- sessment of the nurse competencies be conducted in a health care setting? A. During the orientation process B. Prior to the orientation process C. During Nursing school D. After the orientation process: A. During the orientation process
  2. The purpose of using Scope and Standards of Practice for Ambulatory Care Nursing includes which if the following? A. Use a guide to provide quality of care B. Use to prevent law suits C. Use to increase the income of the facility D. Use to train nurses: A. Use a guide to provide quality of care
  3. The ambulatory care nurse is teaching a client ho to change their wound dressing. Which of the following indicates emotional readiness to learn? A. The client accepts the need to learn the new skill B. The client has the psychomotor function to change the dressing C. The client is a wound care medical MD D. The client has dressed his/her own wound in the past: A. The client accepts the need to learn the new skill
  4. To educate the client the ambulatory care nurse needs a systematic and planned process that consists of teaching and learning. Which of the following factors could influence the education process? A. Culture B. Learner's readiness C. Gender D. Socio-Economic Status: B. Learner's readiness
  5. The Ambulatory care nurse is discharging a 10-year-old child from the pediatric clinic. To whom should the nurse given the discharge teaching? A. The Child B. The mother C. Both the child and the caregiver D. the grandparents: C. Both the child and the caregiver
  6. The ambulatory care nurse is caring for a Native Hawaiian whose choice of food intake, health and wellbeing perception can pose barriers

B. Take vital signs and obtain ECG C. Take detailed history D. Call the EMS for transport: B. Take vital signs and obtain ECG

  1. Which of the following is used to determine the type and the numbers of staff needed in an ambulatory clinic? A. Only the volume of client B. Nurses; years of experience C. Nurses college degree D. The complexity and the number of clients: D. The complexity and the number of clients
  2. Which action by the ambulatory care nurse indicates that he/she is com- pliant with the client self-determination Act? A. Asking the client if they have a Advanced Directives B. Completing a head to toe assessment C. Reviewing the clients care plan D. Complying with the client's right to refuse medication: A. Asking the client if they have a Advanced Directives
  3. Which of the following medications does the ambulatory care nurse an- ticipate the MD will prescribe for a client with chronic Asthma for long-term treatment A. Fluticasone (Flovent) B. Albuterol ( Ventolin) C. Ipratropium (Atrovent) D. Levalbuterol (Xopenex): A. Fluticasone (Flovent)
  4. The Ambulatory care nurse asses a client with Shortness of breath, lack of energy, and dry mouth. Which of the following disease should the ambulatory care nurse suspect? A. COPD B. Congestive Heart Failure C. Asthma D. Respiratory Failure: A COPD
  5. The parent of an eight year old child reports that the child cannot efficiently use the metered dose inhaler. Which of the following actions should the nurse take? A. Give the child a nebulizer B. Give the child a spacer

C. Recommend discontinuation of the medication D. Inform the parent that the medication is not important: B. Give the child a spacer

  1. The ambulatory care nurse is formulating a research question using the PICO format. the "C" in PICO stands for which of the following? A. Comparison B. Characteristics C. Culture D. Cure: B. Characteristics
  2. PICO (T) Format: Formula for creating answerable research questions. P: Population/patient - age, gender, ethnicity, individuals with a certain disorder I: Intervention/indicator (Variable of Interest) - exposure to a disease, risk behavior, prognostic factor C: Comparison/control - could be a placebo or "business as usual" as in no disease, absence of risk factor, Prognostic factor B O: Outcome - risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome T: Time - the time it takes for the intervention to achieve an outcome or how long participants are observed
  3. The ambulatory care nurse is teaching a client how to use the peak flow meter. Which statement indicates that teaching was effective? A. I Should move the indicator to the bottom of the number scale before suing the meter B. I Should blow out as slowly as possible C. I should blow multiple time in a meter during a single test D. I should lie down when using the meter: A. I Should move the indicator to the bottom of the number scale before suing the meter
  4. Which of the following if noted in the clients urine analysis would require further actions? A. Protein B. Bacteria C. Bilirubin D. White Blood Cells.: C. Bilirubin
  5. The client is being scheduled for a lower gastrointestinal study using double-contrast barium enema. Which of the following should be
  1. The ambulatory care nurse is assessing a client. Which questions should the nurse ask to assess the clients health goals? A. It seems to me that you want to be healthy, Is that true? B. What are your health goals? C. Do you want to be healthy? D. Do you exercise?: B. What are your health goals?
  2. The ambulatory care nurse is caring for an elderly client. The nurse caring for the client should know what about elder abuse? A. All victims of elder abuse are victims of poly- victimization B More than 3 in 5 victims are men and 75 years or older C. Elder abuse can be the result of intentional or unintentional neglect D. elder abuse is not an issue, the nurse should not be concerned about.: C. Elder abuse can be the result of intentional or unintentional neglect
  3. The ambulatory care nurse is caring for a 30 year old married woman in the clinic who was accompanied by her husband. Upon assessment, the nurse noted bruises on the clients arm. What action should the nurse take? A. Conduct further assessment without the clients husband in the room. B. Ask both the husband and the client what happened C. Call 911 D. Inform the client to leave her husband for safety: A. Conduct further assess- ment without the clients husband in the room.
  4. When coding for visits of new patients, the key component that must be included to document the correct level of evaluation and management (E/M) are: A. History, physical and medical decision making B. Physical exam and medical decision making C. History and physical exam D. Age, DX, and medical decision making: A. History, physical and medical decision making
  5. If a patient is trying to make an informed decision about whether to have surgery or more conservative treatment for prostate cancer and asks the ambulatory care nurse for advise on making the decision, the

nurse should: A. Advise the patient on the best course of treatment B. Suggest the patient carry our research before deciding C. provide the patient with print and online resources D. Advise the patient to ask the physician for more information: C. provide the patient with print and online resources

  1. An Ambulatory care center has analyzed the type of patient complaints and finds there are four complaints that are most common ( delays, resched- uling, difficulty scheduling and parking) but not easily solvable and that staff members handle these complaints in different manners. The service recovery program should begin by: A. Posting signs apologizing for these problems B. Warning patients in advanced that these problems may occur C. Providing patents with complaint forms D. Establishing protocols for dealing with complaints: D. Establishing protocols for dealing with complaints
  2. If a patient is to have an arthrodesis and injection of corticosteroid into the right knee and the ambulatory care nurse is setting up equipment, the correct needle gauge syringe sizes are: A. 18G needle and 10-20ml syringe B. 20G needle and 20ml syringe C. 16G needle and 10-20ml syringe D. 19g needle and 50ml syringe: A. 18G needle and 10-20ml syringe
  3. The coding system that is used for outpatient procedure claims is: A. ICD-10-PCS B. HCPCS/CPT C. ICD-10-CM D. ICD-9: B. HCPCS/CPT
  4. The issue of licensure portability is especially a concern with: A. Outreach programs B. Collaboration among medical facilities and programs C. Telemedicine D. Recruitment of healthcare personnel: C. Telemedicine
  5. If a leader wants to influence others in an organization to change attitudes, the first step is to: A. Provide incentives to change B. Outline disciplinary actions for failure to change
  1. The ambulatory care nurse is preparing electronic educational material to be viewed over the internet and plans to include both deep links to articles and inline links to images from commercial sites. The nurse should: A. Include the links as desired B. Ask permission to utilize links C. Provide a works cited list D. Provide the course link in the text: B. Ask permission to utilize links
  2. With problem based learning, the role of the instructor is that of: A. Leader B. Lecturer C. Observer D. Facilitator: A. Leader
  3. If delegating a task to staff person, the first issue to consider is whether the: A. Task is suitable for the individual B.. Individual has time to carry out the task C. Individual can be adequately supervised D. Individual wants to carry out the task: A. Task is suitable for the individual
  4. A family practice physician's office schedule is usually fully booked with patients scheduled every 15 minutes, but the MD routinely adds patients who have acute needs to the schedule resulting in delays in seeing patients, unpaid staff OT and staff complaints. The best solution for the nurse manager may be to: A. Schedule staff later in the day B. Suggest referring patient to ED C. As for payment for any OT D. Leave open slots in the schedule: D. Leave open slots in the schedule
  5. When conducting a test for the erythrocyte sedimentation (ESR) rate using the Sediplast kit rack, after the blood in the Sediplast tube is inserted into the vial, the results should be checked in: A. 10 min B. 30 min C. 60 Min D. 90 min: C. 60 min
  6. If a patient comes to the ambulatory care center with a 1inch gash on he left foot from a dog bite, the initial response should be to:

A. Wash the wound area with soap and water B. Irrigate the wound with -ml of NS C. Irrigate the wound with - ml of hydrogen peroxide

prevention policies and procedures should be reassessed at least every: A. month B. 6 months C. 12 months D. 24 Months: C. 12 months

  1. If a physician is registered as a Vaccines for Children's (VFC) provider and plans to administer vaccines to four patients, which of the following patient would be eligible for the program? A. 6 year old whose health insurance is provided by Medicaid B. a 19 year old AA patient C. A 13 year old with insurance coverage for vaccines D. A 3 year old Polynesian patient with insurance but unpaid deductible: A. 6 year old whose health insurance is provided by Medicaid
  2. If an office practice has 3 FTE physicians, approximately how many FTE support staff persons are likely to be necessary? A. 5 B. 10 C. 15 D. 0: C. 15 ( 1 FTE physician requires 4.5-5.5 support staff)
  3. Which of the following ethnic groups is at the highest risk of stroke? A. Caucasians B. Hispanics C. Asians D. African Americans: D. African Americans
  4. The type of budget that is used for daily operations and general expenses, such as salaries associated with an ambulatory surgery center is the: A. Master budget B. Operating Budget C. Capitol Budget D. Cash balance Budget: B. Operating Budget
  5. According to the Spalding classifications system for disinfection and sterilization, an example of an item that would be classified as Semi- critical is: A. Bronchoscope B. Surgical instrument C. BP Cuff D. Bedpan: A. Bronchoscope
  6. If a patients nursing DX is "Activity intolerance" on the care plan and the desired outcomes are the for the patient to feel less tire and carry out activities without signs of physical distress, which of the following is

D. Encourage patient to take mid-morning and mid afternoon naps.: C. instruct patient in energy saving techniques

  1. When preparing a budget for a community education project, the ambula- tory care nurse needs to consider both direct and indirect costs. Indirect costs may include: A. Supplies and Equipment B. Salaries C. Employee benefits D. Housekeeping Services: D. Housekeeping Services
  2. The three goals of accreditation by the national committee for Quality Assurance are (1) better patient experience, (2) Better health and (3): A. Lower staff turnover B. Lower per capita cost C. Lower rates of medical errors D. Higher reimbursement rates: B. Lower per capita cost
  3. An Ambulatory care nurse reviewed clinic statistics regarding the number of patients who missed or came late to an appointment, established a tele- phone reminder system to improve attendance and then conducted a review each week and published findings for the staff showing the improvement. This is an example of: A. Internal benchmarking B. Functional Benchmarking C. External Benchmarking D. Competitive benchmarking: A. Internal benchmarking
  4. If when utilizing the Plan Do Study Act (PDSA) method of continuous quality improvement study of the outcomes of a trial indicates that the solution that was instituted was not effective, the next step is to: A. Return to plan step B. Return to DO step C. Discontinue the process D. Continue to Act step: A. Return to plan step
  5. Plan Do Study Act (PDSA) method of continuous quality improvement study: Plan: Define the problem, brainstorm and collect data Do: Generate solutions, choose one and implement a trial

Study: Evaluate outcomes Act: Identify changes needed for full implementation and continue to monitor

  1. If a patient is scheduled for a routine serum creatinine to evaluate renal function, the patient should be advised to prepare for this test by: A. Carrying out routine activities