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

Patients receiving anesthesia or sedation must have a responsible adult driver arranged for discharge, as they cannot safely drive themselves due to residual effects.

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

Evidence-based practice integrates best available research, clinical expertise, and patient values/preferences to guide clinical decision-making.

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

Nighttime awakenings more than twice per month is a key indicator of poorly controlled asthma per GINA guidelines and warrants a step-up in therapy.

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

Care transitions in ambulatory nursing refer to coordinating the movement of patients between care settings (hospital to home/outpatient) to ensure safety and continuity.

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

The PHQ-9 is a validated, widely used tool endorsed by the USPSTF for universal depression screening in primary care and ambulatory settings.

ANCC - American Nurses Credentialing Center Practice Test

ANCC - American Nurses Credentialing Center Practice Test

ANCC Ambulatory Care Nursing 3