Ambulatory Care Nurse Certification Exam (ANCC) 170 Questions with Verified Answers
The Ambulatory care Nurse is triaging a client whose chief
... [Show More] 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 - 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
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 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
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 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
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 ANSWER 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 ANSWER 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 ANSWER 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 ANSWER 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 ANSWER 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 ANSWER 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
D. Non maleficence - CORRECT ANSWER
Which of the following organizations is responsible for evaluating proposed 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 - CORRECT ANSWER C. Institution Review Board
According to the Joint Commission standard, when should the initial assessment 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 - CORRECT ANSWER A. During the orientation process
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 - CORRECT ANSWER A. Use a guide to provide quality of care
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 - CORRECT ANSWER A. The client accepts the need to learn the new skill
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 - CORRECT ANSWER B. Learner's readiness
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 - CORRECT ANSWER C. Both the child and the caregiver
The ambulatory care nurse is caring for a Native Hawaiian whose choice of food intake, health and wellbeing perception can pose barriers to life style modification. To be effective in getting the client to participate in dietary modification, which of the following steps should the nurse take?
A. Give the client a brochure
B. Teach the client about nutrition from a family framework perspective
C. Give the client the web address for the dietary information
D. Recommend a specific diet regimen - CORRECT ANSWER B. Teach the client about nutrition from a family framework perspective
The Ambulatory care nurse is working in the client with a variety of clients from different racial and ethnic groups. When providing care, the nurse should know which group has the highest asthma prevalence of any racial/ethnic group in the USA?
A. Hispanics
B. Caucasian
C. African Americans
D. Asian - CORRECT ANSWER C. African Americans
The Joint commission requires accredited healthcare organizations to develop and use a list of abbreviations that should not be used. Which of the following if documented by the ambulatory care nurse indicate understanding of the "Do not Use" list?
A. QD
B. U
C. Unit
D. IU - CORRECT ANSWER B. U
A client fell in the clinic during the intake process. The ambulatory care nurse is documenting the occurrence. Which of the following indicates proper documentation of the incident?
A. Document the incident in the patients chart
B. Make no mention of the fall in the clients charts
C. Report it the the risk management and they will document the incident
D. Document the occurrence of the fall in the organization's incident reporting system - CORRECT ANSWER D. Document the occurrence of the fall in the organization's incident reporting system
Which of the following actions should the ambulatory care nurse implement for a client who presents tot he clinic with chest pain?
A. Refer the client immediately to the ER
B. Take vital signs and obtain ECG
C. Take detailed history
D. Call the EMS for transport - CORRECT ANSWER B. Take vital signs and obtain ECG
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 - CORRECT ANSWER D. The complexity and the number of clients
Which action by the ambulatory care nurse indicates that he/she is compliant 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 - CORRECT ANSWER A. Asking the client if they have a Advanced Directives
Which of the following medications does the ambulatory care nurse anticipate 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) - CORRECT ANSWER A. Fluticasone (Flovent)
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 - CORRECT ANSWER A COPD
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 - CORRECT ANSWER B. Give the child a spacer
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 - CORRECT ANSWER B. Characteristics
PICO (T) Format - CORRECT ANSWER 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
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 - CORRECT ANSWER A. I Should move the indicator to the bottom of the number scale before suing the meter
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. - CORRECT ANSWER C. Bilirubin
The client is being scheduled for a lower gastrointestinal study using double-contrast barium enema. Which of the following should be included in the clients teaching?
A. The procedure will take 6 hours
B. Have a low residual diet 1-2 days before the procedure
C. Decrease fluid intake after the procedure
D. East a light meal the night before the procedure. - CORRECT ANSWER B. Have a low residual diet 1-2 days before the procedure
The ambulatory care nurse reviews the clients lab results and notices that the creatinine is mg/dl. What action should the nurse take?
A. Notify the healthcare provider immediately
B. Collect urine ample
C. Do nothing, The result is WNL
D. Administer diuretics - CORRECT ANSWER C. Do nothing, The result is WNL
A client wit a DX of bipolar disorder is being seen in the clinic. The healthcare provider prescribed Lithium. Which of the following is important for the ambulatory care nurse to teach a client?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication - CORRECT ANSWER B. Low Sodium level can lead to toxicity
Which of the following statements if reported to the ambulatory care nurse indicates that the treatment for a client with CHF needs to be modified?
A. The client gains 1 pound in hours
B. The client now sleeps sitting up
C. The clients BP is /
D. Increased Activity tolerance. - CORRECT ANSWER B. The client now sleeps sitting up
With the implementation of telemedicine, the method of triaging has changed. What components would an ambulatory care nurse utilize when triaging using the telephone?
A. Take a quick and accurate history in order to make an accurate decision
B. HIPPA law does not allow client to call ambulatory care facility with health issues
C. Call 911 as soon as the client states there is a problem
D. Give information that is general that can be applied to most clients. - CORRECT ANSWER A. Take a quick and accurate history in order to make an accurate decision
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? - CORRECT ANSWER B. What are your health goals?
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. - CORRECT ANSWER C. Elder abuse can be the result of intentional or unintentional neglect
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 - CORRECT ANSWER A. Conduct further assessment without the clients husband in the room.
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 - CORRECT ANSWER A. History, physical and medical decision making
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 - CORRECT ANSWER C. provide the patient with print and online resources
An Ambulatory care center has analyzed the type of patient complaints and finds there are four complaints that are most common ( delays, rescheduling, 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 - CORRECT ANSWER D. Establishing protocols for dealing with complaints
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 - CORRECT ANSWER A. 18G needle and 10-20ml syringe
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 - CORRECT ANSWER B. HCPCS/CPT
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 - CORRECT ANSWER C. Telemedicine
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
C. Outline the desired change
D. Model the desired change - CORRECT ANSWER D. Model the desired change
When conducting a urine permanency test, the specimen should be:
A. First voided in AM
B. Second voiding the AM
C. Obtained after the patient drinks 8 oz of liquid
D. Obtained any time - CORRECT ANSWER A. First voided in AM
In a crisis situation which decisions must be made quickly and effectively, the most effective leadership style is probably:
A. Democratic
B. Laissez-faire
C. Authoritarian
D. Bureaucratic - CORRECT ANSWER C. Authoritarian
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 - CORRECT ANSWER B. Ask permission to utilize links
With problem based learning, the role of the instructor is that of:
A. Leader
B. Lecturer
C. Observer
D. Facilitator - CORRECT ANSWER A. Leader
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 - CORRECT ANSWER A. Task is suitable for the individual
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 - CORRECT ANSWER D. Leave open slots in the schedule
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 - CORRECT ANSWER C. 60 min
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
D. Soak the foot in povidone-iodine/NS (50/50) solution - CORRECT ANSWER D. Soak the foot in povidone-iodine/NS (50/50) solution
If one of the patients nursing diagnosis on the care plan is "Self care deficit" which of the following is an appropriate desired outcome?
A. The patient will achieve maximal physical activity
B. The patient will perform self care within physical limitations and activity restrictions
C. The patient exhibit increased ability to engage in activities
D. The patient will need no assistance with persona care - CORRECT ANSWER B. The patient will perform self care within physical limitations and activity restrictions
If the ambulatory care nurse is interviewing an adolescent patient with autism spectrum disorder and the patient states at the wall and repeatedly states, "You don't want to be here," this likely means that the patient:
A. Senses the nurse doesn't want to be there
B. Wants the nurse to leave
C. Doesn't want to be there
D. Is just repeating a random phrase - CORRECT ANSWER C. Doesn't want to be there
An ambulatory surgery center that has received accreditation and deemed status from the Joint Commission:
A. Does not need to undergo the CMS certification process
B. Must still undergo the CMS certification process
C. Must undergo an abbreviated CMS certification process
D. Can opt to pay a fee rather than undergo CMS certification - CORRECT ANSWER A. Does not need to undergo the CMS certification process
If the Ambulatory nurse is carrying out a point of care rapid HIV test on a patient, the nurse should:
A. Advise the patient that the test is simply routine
B. Remind the patient of the right to refuse test
C. Tell the patient not to worry because most test are negative
D. Discuss the implications of the test with the patient first. - CORRECT ANSWER D. Discuss the implications of the test with the patient first.
According to the CDCs infection prevention and control assessment tool for outpatient settings, the organization's written infection prevention policies and procedures should be reassessed at least every:
A. month
B. 6 months
C. 12 months
D. 24 Months - CORRECT ANSWER C. 12 months
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 - CORRECT ANSWER A. 6 year old whose health insurance is provided by Medicaid
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.20 - CORRECT ANSWER C. 15 ( 1 FTE physician requires 4.5-5.5 support staff) [Show Less]