Ambulatory nurse certification exam
questions with accurate answers
A 53 year old man has recently been diagnosed with diabetes. The
provider has sent him to the nurse for instruction about glucose
monitoring at home. The patient arrives for teaching as scheduled, but
has not yet purchased the electronic monitoring device. Which of the
following would be the best nursing action at this time?
a. Assess the patient's current understanding and his interest in
learning about self-monitoring his glucose.
b. Demonstrate the procedure using the glucose-monitoring device
used in the office.
c. Have the office assistant give him written materials about glucose
control and schedule him to return another day to discuss. correct
answer a. Assess the patients current understanding and his interest in
learning about self-montoring his glucose.
A telephone triage RN receives a call from a 45 year old woman
complaining of a "migraine headache". The nurse determines this
patient has many knowledge deficits related to headaches and their
management. What would be an appropriate rationale for deferring the
education to another time?
a. Migraine headaches are more common in some ethnic minorities,
and the nurse is unsure about this woman's ethnic background.
b. The patient may not be physically or emotionally ready to learn since
she is in significant pain.
,c. Patients with migraine headaches need to be seen and evaluated by
a provider urgently, so the nurse needs to facilitate an urgent
appointment or emergency room visit.
d. She is unable to provide this patient with the clinic's standard
teaching sheet for migraine headaches. correct answer b. The patient
may not be physically or emotionally ready to learn since she is in
significant pain.
An ambulatory nurse should teach adults the importance of routine
screening for which of the following?
a. Lung cancer
b. Ovarian cancer
c. Colorectal cancer
d. bladder cancer correct answer c. Colorectal cancer
Andrew Kim, RN, works as a member of a primary care team. There are
multiple other roles on the team, including physicians, nurse
practitioners, a clinical pharmacist (PharmD), medical assistants, clerks,
and a social worker. A young female patient presents with a conflict in
her family, and anxiety that her husband is leaving them. What would
Andy's best action be?
a. Briefly assess and recommend the social worker's assistance to the
patient.
b. Refer to outpatient psychiatry for crisis intervention.
c. determine if the patient is seeing a counselor'
, d. Ask the physician to provide the assessment and support functions
this patient might require. correct answer a. Briefly access and
recommend the social workers assistance to the patient.
As an advocate for patients, an ambulatory care nurse may provide
coordination of care across service lines and venues. Patient education
by the nurse related to this role may include:
a. Expressing his or her voice in the allocation of health resources.
b. Evaluating services available and applying process improvement to
decrease inefficiencies and resolve gaps.
c. Increasing outreach efforts in the community.
d. Orienting the patient to services available that may meet their needs.
correct answer d. Orienting the patient to services available that may
meet their needs.
Aspirin therapy has recently been approved for primary prevention of
cardiovascular events. However, the risk-to-benefit ratio should be
assessed because aspirin is known to increase risk of:
a. Hot flashes in post-menopausal women.
b. Bronchospasm in patients with asthma
c. Gastrointestinal bleeding
d. Gall bladder information correct answer c. Gastrointestinal bleeding
questions with accurate answers
A 53 year old man has recently been diagnosed with diabetes. The
provider has sent him to the nurse for instruction about glucose
monitoring at home. The patient arrives for teaching as scheduled, but
has not yet purchased the electronic monitoring device. Which of the
following would be the best nursing action at this time?
a. Assess the patient's current understanding and his interest in
learning about self-monitoring his glucose.
b. Demonstrate the procedure using the glucose-monitoring device
used in the office.
c. Have the office assistant give him written materials about glucose
control and schedule him to return another day to discuss. correct
answer a. Assess the patients current understanding and his interest in
learning about self-montoring his glucose.
A telephone triage RN receives a call from a 45 year old woman
complaining of a "migraine headache". The nurse determines this
patient has many knowledge deficits related to headaches and their
management. What would be an appropriate rationale for deferring the
education to another time?
a. Migraine headaches are more common in some ethnic minorities,
and the nurse is unsure about this woman's ethnic background.
b. The patient may not be physically or emotionally ready to learn since
she is in significant pain.
,c. Patients with migraine headaches need to be seen and evaluated by
a provider urgently, so the nurse needs to facilitate an urgent
appointment or emergency room visit.
d. She is unable to provide this patient with the clinic's standard
teaching sheet for migraine headaches. correct answer b. The patient
may not be physically or emotionally ready to learn since she is in
significant pain.
An ambulatory nurse should teach adults the importance of routine
screening for which of the following?
a. Lung cancer
b. Ovarian cancer
c. Colorectal cancer
d. bladder cancer correct answer c. Colorectal cancer
Andrew Kim, RN, works as a member of a primary care team. There are
multiple other roles on the team, including physicians, nurse
practitioners, a clinical pharmacist (PharmD), medical assistants, clerks,
and a social worker. A young female patient presents with a conflict in
her family, and anxiety that her husband is leaving them. What would
Andy's best action be?
a. Briefly assess and recommend the social worker's assistance to the
patient.
b. Refer to outpatient psychiatry for crisis intervention.
c. determine if the patient is seeing a counselor'
, d. Ask the physician to provide the assessment and support functions
this patient might require. correct answer a. Briefly access and
recommend the social workers assistance to the patient.
As an advocate for patients, an ambulatory care nurse may provide
coordination of care across service lines and venues. Patient education
by the nurse related to this role may include:
a. Expressing his or her voice in the allocation of health resources.
b. Evaluating services available and applying process improvement to
decrease inefficiencies and resolve gaps.
c. Increasing outreach efforts in the community.
d. Orienting the patient to services available that may meet their needs.
correct answer d. Orienting the patient to services available that may
meet their needs.
Aspirin therapy has recently been approved for primary prevention of
cardiovascular events. However, the risk-to-benefit ratio should be
assessed because aspirin is known to increase risk of:
a. Hot flashes in post-menopausal women.
b. Bronchospasm in patients with asthma
c. Gastrointestinal bleeding
d. Gall bladder information correct answer c. Gastrointestinal bleeding
