NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDAT, Exams of Nursing

Download NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDAT and more Exams Nursing in PDF only on Docsity! NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 - ANS 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 - ANS 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? - ANS B. What Brought you in today? NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 - ANS 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A. I ate my entire meal B. My ears are ringing C. I play with my rother everyday D. Sometimes I am tired - ANS 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 - ANS 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. - ANS D. A client in her 3rd trimester and has signs of preterm labor. NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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. - ANS 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 - ANS 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 - ANS 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 - ANS C. Institution Review Board According to the Joint Commission standard, when should the initial NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ information D. Recommend a specific diet regimen - ANS 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ D. IU - ANS 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ B. Take vital signs and obtain ECG C. Take detailed history D. Call the EMS for transport - ANS 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 - ANS 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 - ANS A. Asking the client if they have a Advanced Directives Which of the following medications does the ambulatory care nurse NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ C. Culture D. Cure - ANS B. Characteristics PICO (T) Format - ANS 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 - ANS A. I Should move the indicator to the bottom of the number scale before suing the meter NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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. - ANS 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. - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ D. Administer diuretics - ANS 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? NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ happened C. Call 911 D. Inform the client to leave her husband for safety - ANS A. Conduct further assessment without the clients husband in the room. NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 - ANS 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 - ANS 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 - ANS 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 - ANS B. HCPCS/CPT NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 - ANS 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 - ANS 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 - ANS A. Task is suitable for the NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ B. Suggest referring patient to ED C. As for payment for any OT D. Leave open slots in the schedule - ANS 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 - ANS 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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. - ANS 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 - ANS 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 - NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ ANS 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 - ANS 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 - ANS 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 - ANS B. Operating Budget NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A. Return to plan step B. Return to DO step C. Discontinue the process D. Continue to Act step - ANS A. Return to plan step Plan Do Study Act (PDSA) method of continuous quality improvement study - ANS Plan: Define the problem, brainstorm and collect data NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ Do: Generate solutions, choose one and implement a trial Study: Evaluate outcomes Act: Identify changes needed for full implementation and continue to monitor 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 B. Fasting for 12 hours C. Avoid Strenuous exercise D. Avoid eating meat products for two days - ANS C. Avoid Strenuous exercise 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ coverage C. Inform patients of Medicaid eligibility D. Inform patients of insurance coverage - ANS 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 - ANS 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 - ANS A. Relevance to goals NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 10.5 C. Between 6 and 12 D. Greater than 12.5 - ANS 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 - ANS 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 - ANS C. Exposure to bloodborne pathogens The HIPPA security rule applies to protected health information (PHI) that is transmitted: A. Orally B. In Writing C. Electronically D. In Any Manner - ANS C. Electronically In a therapeutic relationship between an ambulatory care nurse and a NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ patient, the focus should be on the : NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A. Nurse's Needs B. Patient ideas and feelings C. Medical Needs D. Treatment Options - ANS B. Patient ideas and feelings If the ambulatory care nurse is concerned about a potential influx of patients infected with the Zika Virus, the most appropriate response is to: A. Research the topic and obtain disease- focused date B. Express concerns to other staff members C. Complain about the lack of information D. Suggest Stockpiling mosquito repellant to patients - ANS A. Research the topic and obtain disease-focused date If Medicare has denied a claim, how ling does the appellent have to file an appeal: A. 30 days B. 60 days C. 90 days D. 120 days - ANS D. 120 days Health literacy is directly affected by general literacy, so when educating patients, the ambulatory care nurse should realize that the approximate NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ - 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 - ANS - 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 was administered. - To prevent the spread of disease - Notify partners and trace contacts (HIV) tertiary prevention examples - ANS 1. Prevent pressure ulcers after SCI 2. Promote independence after TBI 3. Referral to support groups 4. Rehab NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ The three primary elements of motivational interviewing are: A. Collaboration, Evocation, and autonomy B. Orientation, identification and autonomy C. Input, Discussion and output NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ ketoacidosis D. HTN - ANS C. Diabetic ketoacidosis NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ Which of the following infectious agents is only transmitted through direct contact, such as when the infectious agent is present on an environment surface? A. C-Diff B. Lyme disease C. Rubella Virus D. Varicella -Zoster virus - ANS A. C-Diff If an ambulatory care nurse wants to determine if there is a recall for a specific medications, the nurse should seek information from the? A. CDC B. Consumer product safety commission C. Agency for toxic substance and disease registry D. Food and Drug Administration - ANS D. Food and Drug Administration 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ C. Acetaminophen D. Levothyroxine - ANS 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 - ANS 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 - ANS D. Atypical ductal hyperplasia NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A. Ignore B. Redirect C. Reward D. Interrupt - ANS 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ caregiver wants to know D. Assess the patients and/or caregiver health literacy - ANS D. Assess the patients and/or caregiver health literacy NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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: A. Take no action, this is the patients choice B. Explain how the treatment can help prevent further deterioration and relive pain C. Advise the patient that he or she is exercising bad judgement D. Remind the patient that RA an cause severe damage - ANS B. Explain how the treatment can help prevent further deterioration and relive pain 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 - ANS 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 NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ 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 - ANS A. Review the group process and achievements In shared governance, empowerment refers to A. The ability to provide input and decisions B. The assignment of a title C. The authority to make decisions D. any type of participation - ANS C. The authority to make decisions A patient who is an inmate in a correctional facility is scheduled for a colonoscopy to determine the cause of rectal bleeding but the patient refuses to sign the consent, The colonoscopy should be: A. Carried out despite the ack of consent B. Carried out because inmates have no rights to informed consent C. Carried out of the physician signs a treatment without consent form D. Cancelled because of no consent - ANS D. Cancelled because of no consent NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ If the ambulatory care nurse (Nurse A) noted another nurse (Nurse B) caused severe injury to a patient because Nurse B abandoned the patient in distress to make a personal call, Nurse B should b: A. Advised that the behavior is inappropriate B. Reported to the state board of nursing C. Reported to the police D. Placed on probation status - ANS B. Reported to the state board of nursing If an ambulatory nurse working in a cancer clinic is in a hurry to leave work and fails to follow protocols for checking IDS allergies resulting in administration of a chemotherapeutic agent to the wrong patient and a severe allergy reaction is an example of A. Gross negligence B. Negligent conduct C. Contributory negligence D. Comparative negligence - ANS A. Gross negligence if a staff member at an ambulatory center downloaded protected health information(PHI) about a politician in order to profit by selling the information to tabloids rules of breach notification require notification of the NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A. Patient only within 60 days B. Patient and the HHS secretary within 60 days C. Patient within 60 days and HHS secretary in the annual report NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ C. Questions related to childhood diseases D. Demographics questions - ANS A. Specific, open ended questions regarding current symptoms and medical history IN what order would the nurse prioritize the care of the following patients presenting to the clinic at the same times: A parent carrying a smiling infant with a fever, a pale and NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ sweaty male wit flank pain for 2 days, a carpenter with a nail in his thumb, and a 3 year old with vomiting A. Flank pain, Infant with fever, 3 year old vomiting, man with nail B. Flank pain, 3 year old vomiting, infant with fever, man with nail C. 3 year old vomiting, infant with fever, flank pain, man with nail D. 3 year old with vomiting, flank pain, man with nail, and infant with fever - ANS B. Flank pain, 3 year old vomiting, infant with fever, man with nail Mom has described her childs symptoms as fever for 3 days, and vomiting for the last 24 hours. She states the child has been very sleepy for the last 2-3 hours. What subtle symptom alerts the nurse that this child needs to be seen as soon as possible A. 3 days of fever B. 3 days of fever , 1 day of vomiting C. 1 day of vomiting D. very sleepy for 2-3 hours with fever for 3 days. - ANS D. very sleepy for 2-3 hours with fever for 3 days. The ambulatory care nurse takes a phone call from the daughter of a 60 year old man stating that he isn't himself today. When questioned further the nurse discovers that the man has had periods of slurred speech for a NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ few minutes on 2 occasions in the last 24 hours. What is your recommendation for this caller regarding what should be done. A. You understand that slurred speech may be the result of too much alcohol or lack of sleep and you encourage her to call back again if it occur B. You advise her to come to the clinic in the next 24-48 hours for some blood work C. You advise her that slurred speech may b a symptoms of TIA or impending stroke, especially in relation to him not being himself and to go to nearest ER D. You tell her you will call her ack when you can contact the MD for advise. - ANS C. You advise her that slurred speech may b a symptoms of TIA or impending stroke, especially in relation to him not being himself and to go to nearest ER A 70 year old female presents to the ambulatory care clinic complaining of fatigue. You begin you triage assessment and he has a HR of 50, Respiratory rate of 24, and BP 70/40. She denies Chest pain but you notice she rubs her elbows and states her arthritis is acting up. What would be your first priority when caring for this patient A. Offer her Tylenol and send her to the waiting room B. offer her Motrin for pain C. Continue her triage and history and finish the paperwork D. place her in a room, do an EKG and notify the MD to see her first - ANS D. place her in a room, do an EKG and notify the MD to see her first NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ to complaint, meds, allergies and past medical history A 50 year old male comes to the clinic stating he cannot shake this "flu" you observe that he is clammy, pale and has an irregular HR. He is a large man with rugged appearance. He is friendly and apologetic for bothering you with his silly complaints. What is your plan of care for this patient A. You suspect he ahs a low tolerance for being ill and offer him Tylenol while he waits to see the MD B. You suspect he has the newest flu going around and offer him hot tea while he waits to see the MD C. You suspect there is more to his complaint than he states and immediately begin a cardiac workup by placing him in a room and ordering EKG D. You finish the triage and send him to the waiting room understanding - ANS C. You suspect there is more to his complaint than he states and immediately begin a cardiac workup by placing him in a room and ordering EKG The ambulatory care setting must include which of the following for the nurse to be able to properly triage a patient. A. Television B. Vending machines C. Private room for triage NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ D. Computer - ANS D. Computer The nurse working in the ambulatory care setting must have which of the following skills to perform the role of triage nurse A Assessment and typing skills NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ B. Assessment and communication skills C. A competitive drive D. The desire to help others - ANS B. Assessment and communication skills The triage nurse is responsible for screening, assessment and the initial patient contact in the ambulatory care setting. It is important to look for verbal and nonverbal cues when doing a triage assessment. What important information should the triage nurse screen for with every patient during every visit regardless of complaint A. Marital status B. Signs of Abuse C. Financial Status D Dental history - ANS B. Signs of Abuse What is the most appropriate way to ask a patient about possible physical abuse during the triage process A. Ask questions regarding abuse in front of the spouse so there is a witness B. Never ask if the information is not offered. It is an invasion of privacy C. Ask the patient directly without the spouse or parent in the room D. Begin describing your own experience in an attempt to get the patient to open up - ANS C. Ask the patient directly without the spouse or parent NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ D. no specific skills are needed to speak over the telephone - ANS C. Listen, use auditory clues such as tone of voice and ask very specific questions related to the client complaint The telephone triage nurse is alone when the phone rings on all three lines. What would be the most appropriate action for the nurse to take wen prioritizing these patients. A. The nurse should answer each call quickly, asking what the complaint is and then placing the client on hold to get next line, mentally taking a priority list B. Ignore the other two lines while triaging one line at a time C. Leave and go find some help D. There is no way to answer efficiently - ANS A. The nurse should answer each call quickly, asking what the complaint is and then placing the client on hold to get next line, mentally taking a priority list The ambulatory care nurse must prioritize 3 calls. one is a complaint of abdominal pain, 2nd a child with respiratory distress and 3 is a client complaining of vaginal bleeding. Which would be the priority A. Vaginal bleeding B. Abdominal Pain NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ C. Child w/ respiratory distress D. Abdominal pain and vaginal bleeding should be attended first and second - ANS C. Child w/ respiratory distress Which statement best describes the coordination of services by the ambulatory care nurse? A. Refers the client to see a Physician but has no obligation to make a specific recommendation B. Use all healthcare resources available to refer the client to the appropriate level of care C. Makes appointment for the physician on duty at the clinic regardless of the needs of the client D. Nurse dos not usually have access to community resources so only referral is to ER - ANS B. Use all healthcare resources available to refer the client to the appropriate level of care Tele-practice or telephone triage is an important part of ambulatory care nursing, using assessment, analysis, planning, intervention and evaluation as part of the process. What forms of measurable information can be used when evaluating the results of a plan of care A. There is no way to follow up on a telephone plan of action B. Documentation of the patients agreement to the pan with call back NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ date, and when and where the patient will follow up so tracking can be done is measurable C. the nurse can only document his or her part of the plan of care to measure results D. The patient doesn't have to agree to the plan before any measurable results can be tracked - ANS B. Documentation of the patients agreement to the pan with call back NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ D. Increased Ketone Levels - ANS A. Hemoglobin A1C NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A client with a post op hip replacement has the following information on the care plan: Client will achieve a decrease in pain to a level 3 by discharge. Where on the care plan should the nurse put this information A. Under Nursing DX B. Under goal Section C. Under intervention/implementation D. Under evaluation - ANS B. Under goal Section Which of the following is an early sign of compartment syndrome A. Increased Pain B. No Pulse C. Muscle Weakness D. Swelling of the Extremities - ANS A. Increased Pain The client with a cough and fever is coming in the ambulatory care clinic for care. Which information should the nurse give the receptionist prior to the clients arrival A. Give the client a mask as soon as the client arrives B. Give everyone in the clinic a ask before the client arrives C. Cancel the appointment and tell the client to reschedule D. Place the client in close proximity to the other clients for comfort - ANS NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A. Give the client a mask as soon as the client arrives The ambulatory care nurse is conducting the medication reconciliation for a client who was recently prescribed warfarin. What medication should the nurse tell the client to discontinue A. Iron Supplements B. Vitamin D C. Metoprolol D. Gingko Biloba - ANS D. Gingko Biloba Which of the following statements made by the client about primary care prevention of Type I DM is correct A. If I take metformin as ordered I will be ok B. The only thing I need to do is to lower my calories C. If I increase my physical activities I will reduce my chance of having Type I DM D. There are no interventions that can prevent Type I DM - ANS D. There are no interventions that can prevent Type I DM Which of the following should the ambulatory care nurse teach a client with Type II DM A. Soak foot in hot water B. Wear slippers or shoes both indoor and outdoor C. Decrease physical Activity NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ D. Amino Acids - ANS A. LDL Particles If a patient is scheduled for a right breast biopsy, but no site markings are visible when the patient is draped, the ambulatory care nurse should A. Assume the surgeon knows the correct site B. Stop the procedure until correct site is confirmed C. Make a note to remind staff to mark surgical sites D. Ask surgeon if the side is correct - ANS B. Stop the procedure until correct site is confirmed When reviewing data as part of process improvement, the ambulatory care nurse notes an improvement in patient satisfaction from 78-92% after the addition of a new staff, this change is probably a A. Random Event B. Common cause Variation C. Special Cause Variation D Statistical Aberration - ANS C. Special Cause Variation When assessing key performance measures as part of the ambulatory care process improvement assessment, which of the following relates to access of care NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ A. FTE support staff per MD B. Rejection/Denial rate of insurance C. Immunization rates D. Average telephone wait time - ANS D. Average telephone wait time Which of the following is a nonverbal clue that a patient may be anxious A. Patient rubs his eyes and yawns NURS 101 AMBULATORY CARE NURSE CERTIFICATION EXAM (ANCC) QUESTIONS WITH ANSWERS 2023 UPDATE A+ B. Patient has flat aspect and responds in monosyllables C. Patient pupils are constricted and patient sniffs repeatedly D. Patient rubs hands together constantly - ANS D. Patient rubs hands together constantly The Ambulatory care nurse is concerned that staff members are not listening carefully or patiently to older patients. Which of the following interactions indicates a listening fault A. Staff person finishes a patients sentences B. Staff person ask additional questions when the patient stops speaking C. Staff person focuses completely on patient when patient speaks D. Staff persons addresses the questions to patient instead of caretaker - ANS A. Staff person finishes a patients sentences If blood specimens are drawn in the ambulatory care center and transported to the library for testing, which of the following specimens must be protected from exposure to light A. CBC B. Bilirubi n C. Glucose D. Parathyroid Hormone - ANS B. Bilirubin