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AMBULATORY CARE NURSE
CERTIFICATION EXAM (ANCC)
ACTUAL EXAM 170 QUESTIONS
WITH DETAILED VERIFIED
ANSWERS ALREADY GRADED A+
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"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"
"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
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"
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)" "Which of the following ethnic groups is at the highest risk of stroke? A. Caucasians B. Hispanics C. Asians D. African Americans - CORRECT ANSWER=> D. African Americans" "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 - CORRECT ANSWER=> B. Operating Budget" "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 - CORRECT ANSWER=> A. Bronchoscope" "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 an appropriate nursing intervention: A. Keep patient awake during daytime hours B. Limit activities to those that are essential C. instruct patient in energy saving techniques D. Encourage patient to take mid-morning and mid afternoon naps. - CORRECT ANSWER=> C. instruct patient in energy saving techniques" "When preparing a budget for a community education project, the ambulatory care nurse needs to consider both direct and indirect costs. Indirect costs may include: A. Supplies and Equipment B. Salaries C. Employee benefits
"The ambulatory care nurse is reviewing a patient's history to determine if the patient is a candidate for an intrauterine device (IUD). Contraindications for an IUD include: A. Menorrhagia B. History of pelvic inflammatory disease 3 years previously C. History of renal Cancer D. History of ectopic pregnancy - CORRECT ANSWER=> D. History of ectopic pregnancy" "The purpose of an Advanced Beneficiary Notice is to: A. Identify beneficiaries of a wall B. inform Medicare Patients of non coverage C. Inform patients of Medicaid eligibility D. Inform patients of insurance coverage - CORRECT ANSWER=> B. inform Medicare Patients of non coverage" "Which of the following are excluded from the Nurse Licensure compact A. RNs B. LVNs C. LPNs D. APRNs - CORRECT ANSWER=> D. APRNs (They must get a license in each state they plan to work in)" "When setting up a dashboard to show progress towards meeting goals, the first consideration when determining which information to include should be: A. Relevance to goals B. Method of Display C. Frequency of needed updates D. Ease of gathering data - CORRECT ANSWER=> A. Relevance to goals" "The first step in development of a safety and health program to meet OSHA's guidelines is to: A. Takes steps to reduce hazards B. Establish a medical management program C. Conduct a workplace analysis D. Establish a staff training program - CORRECT ANSWER=> D. Establish a staff training program" "When interviewing a patient who reports that everything is "fine" the ambulatory care nurse notes that the patients pupils are dilated, the patient is sweating profusely and the patient
frequently licks the lips. According to these observations the nurse likely concludes that the patient is: A. actually fine B. withholding information C. Experiencing a physical health problem D. Afraid of the nurse - CORRECT ANSWER=> B. withholding information" "Under provisions of the Americans with Disabilities Act (ADA) in relation to access, which of the following is allowed: A. Examining a wheelchair bound patient in a wheelchair because an adjustable exam table is not available B. Refusing to treat a patient because accessible equipment is not available C. Asking a disabled person to bring a caregiver to assist with patients examination D. Having accessible equipment for patient with disabilities in some examination rooms but not all - CORRECT ANSWER=> D. Having accessible equipment for patient with disabilities in some examination rooms but not all" "Waste is considered corrosive and hazardous if it has a pH of: A. Less than 2 or greater than 12. B. Less than 4 or greater than 10. C. Between 6 and 12 D. Greater than 12.5 - CORRECT ANSWER=> A. Less than 2 or greater than 12.5" "When reviewing a number of articles as part of development of Evidence-based practice guidelines, the first step to reading critically should be to: A. Review the authors credentials B. Consider the source C. Read the article conclusion D. Evaluate the overall article - CORRECT ANSWER=> A. Review the authors credentials" "The nursing hazard that is usually of most concern is an ambulatory surgical center is: A. Back injuries B. Slips and falls C. Exposure to bloodborne pathogens D. Latex Allergies - CORRECT ANSWER=> C. Exposure to bloodborne pathogens" "The HIPPA security rule applies to protected health information (PHI) that is transmitted: A. Orally
D. Quaternary - CORRECT ANSWER=> B. Secondary" "Primary prevention examples - CORRECT ANSWER=> - Discuss a low-fat diet and the need for regular physical exercise with clients.
- when a nurse provides health education and training for daycare workers about issues of health and hygiene, such as proper hand hygiene, diapering, and food preparation and storage
- Immunizations, importance of wearing seatbelts, taking folic acid supplementation at preconception to prevent neural tube defects, fluoridation of water supplies to prevent dental caries, and actions taken to reduce human exposure to agents that may cause cancer
- Implement a community level program like walking for exercise to assist citizens in improving health behaviors related to lifestyle.
- Use the Code of Ethics for Nurses to guide your nursing practice
- Use the information exchange process to increase the client's understanding of how to use the health care system and the health promotion strategies that will maintain health.
- Complete a family genogram and assess health risks with the family to contract for family health activities to prevent diseases from developing" "Secondary prevention examples - CORRECT ANSWER=> - Implement blood pressure and cholesterol screening; give a treadmill stress test.
- Health screenings
- teach an asthmatic client to recognize and avoid exposure to asthma triggers and assist the family to implement specific protection strategies such as replacing carpets, keeping air systems clean and free of mold, staying inside when the pollution level is high, and avoiding pets.
- mammography to detect breast cancer, Papanicolaou (Pap) smears to detect cervical cancer, colonoscopy for early detection of colon cancer, prenatal screening of pregnant women to screen for gestational diabetes
- Provide mental health interventions after stressful events.
- The public health nurse provides toxin screenings for migrant workers who may be exposed to pesticides.
- Implement a family-planning program to prevent unintended pregnancies for young couples who attend the local community health center.
- Encourage clients who are pregnant to participate in prenatal care and Special Supplemental Nutrition Program for Women, Infants and Children to increase the number of healthy babies and reduce the costs related to preterm baby care.
- Use case finding to identify existing health problems in your caseload and the population served by your agency. Timely, holistic assessments and interventions can slow disease trajectories and promote healing and health.
- Assess disaster victims and triage for care.
- Investigate an outbreak of flulike illness in a local school.
- Provide programs in child development and behavior management for families who have not yet abused their children but whose children are brought to the attention of social authorities for aggressive behavior problems.
- Develop a way for homeless individuals to read their TB skin test, if necessary, and to transfer the results back to the facility at which the skin test" "tertiary prevention examples - CORRECT ANSWER=> 1. Prevent pressure ulcers after SCI
- Promote independence after TBI
- Referral to support groups
- Rehab" "The three primary elements of motivational interviewing are: A. Collaboration, Evocation, and autonomy B. Orientation, identification and autonomy C. Input, Discussion and output D. Identification of barriers, conflict resolution and implementation - CORRECT ANSWER=> A. Collaboration, Evocation, and autonomy Collaboration: Working with the patient rather than confronting the patient in order to resolve issues Evocation: Drawing out ideas from the patient about problems and solutions rather than imposing ideas of an interviewer Autonomy: Recognizing that the patient is the one who is responsible for making changes and respecting the patients choices." "Female patients should generally be advised to begin breast cancer screening with routine mammos at about the age: A. 20- B. 30- C. 40- D. 50-60 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> D. Asks a question"
"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 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> 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 - CORRECT ANSWER=> B. Churches and shopping areas" "When orienting a patient and/or caregiver to the healthcare delivery system, the first step is to: A. Explain the structure of the healthcare delivery system B. Provide literature regarding the healthcare delivery system C. Ask what the patient and/or caregiver wants to know D. Assess the patients and/or caregiver health literacy - CORRECT ANSWER=> D. Assess the patients and/or caregiver health literacy" "If a patient with severe joint pain and swelling has been diagnosed w/ Rheumatoid Arthritis and has failed to follow through with referral to a rheumatologist, the ambulatory care nurse should:
