ANCC Ambulatory Care Nursing 3

Question 1

A nurse in an ambulatory surgery center is providing preoperative teaching to a patient scheduled for a same-day procedure. Which instruction is MOST important to reinforce?

Accepted Answer

The patient must arrange for a responsible adult to drive them home after discharge

Answer

The patient may eat a light breakfast on the morning of surgery

Answer

The patient should stop all prescription medications one week before surgery

Answer

The patient can shower with regular soap immediately after the procedure

Question 2

Which approach is MOST consistent with evidence-based practice in ambulatory care nursing?

Accepted Answer

Integrating current best research evidence with clinical expertise and patient preferences

Answer

Following traditional routines that have been used for many years regardless of research

Answer

Implementing the newest interventions immediately upon publication without review

Answer

Relying solely on physician orders for all clinical decisions

Question 3

A patient with asthma visits the ambulatory clinic for a routine follow-up. Which finding would indicate POOR asthma control requiring escalation of therapy?

Accepted Answer

Nighttime awakenings due to asthma symptoms more than twice per month

Answer

Using a rescue inhaler fewer than two days per week

Answer

Peak flow readings consistently above 80% of personal best

Answer

No limitation of normal activities in the past four weeks

Question 4

In ambulatory care, the concept of 'care transitions' is MOST relevant to which nursing intervention?

Accepted Answer

Coordinating a patient's handoff from the hospital to outpatient follow-up to reduce readmission

Answer

Transferring a patient from one exam room to another within the clinic

Answer

Scheduling back-to-back appointments for efficiency

Answer

Transitioning nursing staff between shifts

Question 5

Which screening tool is most commonly recommended in ambulatory care for universal depression screening in adults?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

Beck Anxiety Inventory (BAI)

Answer

Mini-Mental State Examination (MMSE)

Answer

Montreal Cognitive Assessment (MoCA)

Question 6

A nurse in an outpatient oncology infusion clinic is preparing to administer a vesicant chemotherapy agent. Which action is the HIGHEST priority before starting the infusion?

Accepted Answer

Verify IV site patency and assess for signs of extravasation risk

Answer

Confirm the patient's insurance authorization is current

Answer

Ensure the patient has eaten a full meal within the last 30 minutes

Answer

Check if the patient has a preference for IV arm

Question 7

An ambulatory care nurse is developing a population health initiative to reduce cardiovascular disease risk in the clinic's patient panel. Which intervention addresses the BROADEST population-level impact?

Accepted Answer

Implementing a standing order protocol for routine blood pressure screening and follow-up for all patients

Answer

Providing individualized counseling for each patient during annual exams

Answer

Sending reminder letters to patients with known hypertension

Answer

Offering a one-time community health fair