Ambulatory Care Nursing
Certification 2026 | Study
Guide, Practice Questions,
Answers, Rationales &
Exam Review | Complete
Ethics Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,How many medications does it typically take to be D -Five or more
considered "polypharmacy?"
A -Three
B -Ten
C -Twenty-four
D -Five or more
The ANP knows that it is her responsibility to report certain C - drug abuse
things to the proper authorities. Which of the following is Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds,
NOT required to be reported? and child abuse (actual or suspected) are required to be reported to the proper
A - gunshot wound authorities.
B - suspected child abuse
C - drug abuse
D - stab wounds
Prior to undergoing an abdominal sonogram, the patient C - drink a liter of water
should do what? Prior to an abdominal sonogram, the patient is asked to drink water. In addition
A - refrain from food and water for 12 hours fasting for 8 to 12 hours prior to the procedure is often required.
B - empty his or her bladder
C - drink a liter of water
D - empty his or her bowels
Which of the following is NOT part of a nursing diagnosis? C - medical diagnosis
A - statement of the patient's actual health status Nursing diagnoses should never contain medical diagnoses. Rather, the nursing
B -signs of illness diagnosis is a statement of the patient's actual health status, risks for condition
C - medical diagnosis (such as stroke or pulmonary developing, causative and related factors, and signs and symptoms.
blockage)
D - symptoms of illness
Primary care would be considered the cornerstone of D - All of the above
ambulatory care with nurses practicing in which of the
following areas of healthcare?
A - Telehealth services
B - Internal medicine
C - Pediatrics
D - All of the above
Which of the following would FDA stands for? a - Food and Drug Administration
A - Food and Drug Administration This is an agency which regulates both the development and sale of drugs.
B - Food Depression Association
C - Fixed Depression Administration
D - None of the above
Endoscopes are cleaned and _____. A - High level disinfected.
A - High level disinfected. Endoscopes are critical items. Critical items are normally sterilized after being
B - Sterilized. cleaned. Endoscopes cannot be sterilized and require high level disinfection.
C - Low level disinfected.
D - Intermediate level disinfected.
Which of the following is considered an independent D - giving the patient a back rub
nursing action? Independent nursing actions are those which do not require a physician's order.
A - teaching a patient about the new diet she has been Giving a backrub is one of these independent nursing actions. In the age of
prescribed for management of her condition managed care, actions which arise from collaborative care plans are known as
B - assisting the speech therapist by helping the patient interdependent actions.
practice speech exercises
C - administering pain medication to the patient
D - giving the patient a backrub
Which of the following is a digitalis medicine? A - Lanoxin (Digoxin)
A -Lanoxin A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also for
B - Bumex BP support.
C - Zestril Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking
D - Adalat agent.
,Which of the following is not one of the steps in evidence- B - Patient selection
based practice? Patent selection is not one of the steps in evidence-based practice. The steps in
A - Constructing the clinical question evidence-based practice consist of
B - Patient selection 1 - Patient assessment
C - Appropriate selection of resources 2 - Constructing the clinical question
D - Appraise the validity of the evidence 3 - Appropriate selection of resources
4 - Appraise the validity of the evidence
5 - Apply the integrated patient preferences, evidence, and clinical expertise
6 - Performance evaluation with patience
What is true regarding the respiratory synctical virus (RSV) A - This is indicated for children less than 2 years of age with chronic lung disease,
immune globin? and infants <32 weeks.
A - This is indicated for children less than 2 years of age Palivizumab (Synagis) provides temporary, passive immunity for high-risk infants,
with chronic lung disease, and infants <32 weeks. not adults. The polio vaccine (IPV) is contraindicated for those who have had a
B - Contraindications include a reaction to neomycin or reaction to neomycin or streptomycin.
streptomycin products.
C - This is indicated for adults without a history of RSV.
D - Palivizumab (Synagis) provides permanent immunity
for high-risk infants.
A nurse finishes a follow up visit with one of her elderly A - primary
patients and gives him the influenza vaccine before he Primary prevention, such as an immunization, aims to prevent health problems
leaves. This is an example of what type of prevention? before they start. Secondary prevention promotes early detection and treatments of
A - primary diseases. Tertiary prevention is designed to help a patient cope with a current
B - secondary problem or prevent relapse. "Annual" is not a type of prevention.
C - tertiary
D - annual
For successful communication, the major criteria would B - Flexibility
include? The 4 major criteria for successful communication would include: Feedback,
A - Forcefulness Appropriateness, Efficiency, Flexibility
B - Flexibility
C - Evaluation
D - Developmental
A person's knowledge is sometimes measured by which of D - all of the above
the following verbs? Some of the verbs which might be used to measure a person's knowledge could
A -Recall include: Recall, List, Remember, Identify, State, Define
B - List
C - Remember
D - All of the above
A key value in association with "Baby Boomers" would be D - Involvement
considered which of the following? There are 3 key values that are associated with "Baby Boomers:" Involvement,
A - Sacrifice Personal growth, Team
B - Duty
C -Respect for authority
D - Involvement
You are assessing a patient prior to surgery and want to D - Ask a family member, such as the patient's spouse, about the patient's alcohol
check for her surgical risk due to alcohol consumption. use.
That patient tells you that her alcohol use varies and she
does not seem willing to discuss how much she drinks.
Which of the following is an appropriate strategy for getting
the information you need?
A -Present the patient with graphic images of the internal
organs of people who abuse alcohol.
B -Shame the patient into telling you what you need to
know.
C - Refer the patient to a social worker at the hospital.
D - Ask a family member, such as the patient's spouse,
about the patient's alcohol use.
Which of the following is NOT a concern when developing D - Gender
health literacy education for patients?
A - Literacy level.
B - Cultural background.
C - Language.
D - Gender
, When learning in the affective domain, it would involve D - Both A and B
internalization or commitment to which of the following? When a person is learning in the affective domain, it would involve internalization or
A - Feelings commitment to: Feelings, Interests, Attitudes, Beliefs, Values
B - Interests
C - Cognitive
D - Both A and B
Of the following, which would be considered the name for D - Chemical name
when it would reflect the chemical structure of a drug?
A - Generic name
B - Common name
C - Trade name
D - Chemical name
An older patient presents with swelling in the lower C - Brain natriuretic peptide test (BNP)
extremities. Which of the following should be ordered to The BNP measures levels of protein made by your heart will be higher than normal
rule out heart failure? since it is produced by your blood vessels in your heart.
A - CBC
B - Spirometry study
C - Brain natriuretic peptide test
D - Ketone balances
Nurse Grace knows that the most effective way to educate C - Establish a team effort with the patient in the teaching and learning process.
her patient and assist in her patient care plan is to do
what?
A - Insist the patient follow the plan exactly as instructed.
B - Create a schedule for the patient of future office visits
and scheduled treatments.
C - Establish a team effort with the patient in the teaching
and learning process.
D - Ask the patient to involve family members in her care
planning.
Of the following, which would not be considered an A - Headaches
objective symptom for tuberculosis? Some of the objective symptoms for tuberculosis would be: Night sweats, Weight
A - Headaches loss, Fever, Cough which progresses, Hemoptysis (cough up blood)
B - Night sweats
C - Weight loss
D - Fever
An order is being written for insulin, how should the B - 10 units subq
dosage order be written? U for unit is on The Joint Commission's official " Do Not Use" list of abbreviations.
A - 10 ml subq
B - 10 units subq
C - 10 u subq
D - None of the above
Which of the following is NOT a "red flag" of low health B - The patient is not Caucasian.
literacy in a patient? It is important to note that you cannot assess a person's health literacy just by
A - The patient pours pills into his or her hand to identify looking. In fact, the majority of people with low health literacy, according to a recent
them by sight. study, are middle class Caucasians.
B - The patient is not Caucasian.
C - The patient consistently asks you to read healthcare
information because he or she has forgotten eyeglasses at
home.
D - The patient does not ask questions during the
appointment.
POCT and which of the following terms are often used D - Onsite testing
interchangeably?
A - Diagnosing
B - Referrals
C - Consultations
D - Onsite testing
Certification 2026 | Study
Guide, Practice Questions,
Answers, Rationales &
Exam Review | Complete
Ethics Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,How many medications does it typically take to be D -Five or more
considered "polypharmacy?"
A -Three
B -Ten
C -Twenty-four
D -Five or more
The ANP knows that it is her responsibility to report certain C - drug abuse
things to the proper authorities. Which of the following is Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds,
NOT required to be reported? and child abuse (actual or suspected) are required to be reported to the proper
A - gunshot wound authorities.
B - suspected child abuse
C - drug abuse
D - stab wounds
Prior to undergoing an abdominal sonogram, the patient C - drink a liter of water
should do what? Prior to an abdominal sonogram, the patient is asked to drink water. In addition
A - refrain from food and water for 12 hours fasting for 8 to 12 hours prior to the procedure is often required.
B - empty his or her bladder
C - drink a liter of water
D - empty his or her bowels
Which of the following is NOT part of a nursing diagnosis? C - medical diagnosis
A - statement of the patient's actual health status Nursing diagnoses should never contain medical diagnoses. Rather, the nursing
B -signs of illness diagnosis is a statement of the patient's actual health status, risks for condition
C - medical diagnosis (such as stroke or pulmonary developing, causative and related factors, and signs and symptoms.
blockage)
D - symptoms of illness
Primary care would be considered the cornerstone of D - All of the above
ambulatory care with nurses practicing in which of the
following areas of healthcare?
A - Telehealth services
B - Internal medicine
C - Pediatrics
D - All of the above
Which of the following would FDA stands for? a - Food and Drug Administration
A - Food and Drug Administration This is an agency which regulates both the development and sale of drugs.
B - Food Depression Association
C - Fixed Depression Administration
D - None of the above
Endoscopes are cleaned and _____. A - High level disinfected.
A - High level disinfected. Endoscopes are critical items. Critical items are normally sterilized after being
B - Sterilized. cleaned. Endoscopes cannot be sterilized and require high level disinfection.
C - Low level disinfected.
D - Intermediate level disinfected.
Which of the following is considered an independent D - giving the patient a back rub
nursing action? Independent nursing actions are those which do not require a physician's order.
A - teaching a patient about the new diet she has been Giving a backrub is one of these independent nursing actions. In the age of
prescribed for management of her condition managed care, actions which arise from collaborative care plans are known as
B - assisting the speech therapist by helping the patient interdependent actions.
practice speech exercises
C - administering pain medication to the patient
D - giving the patient a backrub
Which of the following is a digitalis medicine? A - Lanoxin (Digoxin)
A -Lanoxin A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also for
B - Bumex BP support.
C - Zestril Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking
D - Adalat agent.
,Which of the following is not one of the steps in evidence- B - Patient selection
based practice? Patent selection is not one of the steps in evidence-based practice. The steps in
A - Constructing the clinical question evidence-based practice consist of
B - Patient selection 1 - Patient assessment
C - Appropriate selection of resources 2 - Constructing the clinical question
D - Appraise the validity of the evidence 3 - Appropriate selection of resources
4 - Appraise the validity of the evidence
5 - Apply the integrated patient preferences, evidence, and clinical expertise
6 - Performance evaluation with patience
What is true regarding the respiratory synctical virus (RSV) A - This is indicated for children less than 2 years of age with chronic lung disease,
immune globin? and infants <32 weeks.
A - This is indicated for children less than 2 years of age Palivizumab (Synagis) provides temporary, passive immunity for high-risk infants,
with chronic lung disease, and infants <32 weeks. not adults. The polio vaccine (IPV) is contraindicated for those who have had a
B - Contraindications include a reaction to neomycin or reaction to neomycin or streptomycin.
streptomycin products.
C - This is indicated for adults without a history of RSV.
D - Palivizumab (Synagis) provides permanent immunity
for high-risk infants.
A nurse finishes a follow up visit with one of her elderly A - primary
patients and gives him the influenza vaccine before he Primary prevention, such as an immunization, aims to prevent health problems
leaves. This is an example of what type of prevention? before they start. Secondary prevention promotes early detection and treatments of
A - primary diseases. Tertiary prevention is designed to help a patient cope with a current
B - secondary problem or prevent relapse. "Annual" is not a type of prevention.
C - tertiary
D - annual
For successful communication, the major criteria would B - Flexibility
include? The 4 major criteria for successful communication would include: Feedback,
A - Forcefulness Appropriateness, Efficiency, Flexibility
B - Flexibility
C - Evaluation
D - Developmental
A person's knowledge is sometimes measured by which of D - all of the above
the following verbs? Some of the verbs which might be used to measure a person's knowledge could
A -Recall include: Recall, List, Remember, Identify, State, Define
B - List
C - Remember
D - All of the above
A key value in association with "Baby Boomers" would be D - Involvement
considered which of the following? There are 3 key values that are associated with "Baby Boomers:" Involvement,
A - Sacrifice Personal growth, Team
B - Duty
C -Respect for authority
D - Involvement
You are assessing a patient prior to surgery and want to D - Ask a family member, such as the patient's spouse, about the patient's alcohol
check for her surgical risk due to alcohol consumption. use.
That patient tells you that her alcohol use varies and she
does not seem willing to discuss how much she drinks.
Which of the following is an appropriate strategy for getting
the information you need?
A -Present the patient with graphic images of the internal
organs of people who abuse alcohol.
B -Shame the patient into telling you what you need to
know.
C - Refer the patient to a social worker at the hospital.
D - Ask a family member, such as the patient's spouse,
about the patient's alcohol use.
Which of the following is NOT a concern when developing D - Gender
health literacy education for patients?
A - Literacy level.
B - Cultural background.
C - Language.
D - Gender
, When learning in the affective domain, it would involve D - Both A and B
internalization or commitment to which of the following? When a person is learning in the affective domain, it would involve internalization or
A - Feelings commitment to: Feelings, Interests, Attitudes, Beliefs, Values
B - Interests
C - Cognitive
D - Both A and B
Of the following, which would be considered the name for D - Chemical name
when it would reflect the chemical structure of a drug?
A - Generic name
B - Common name
C - Trade name
D - Chemical name
An older patient presents with swelling in the lower C - Brain natriuretic peptide test (BNP)
extremities. Which of the following should be ordered to The BNP measures levels of protein made by your heart will be higher than normal
rule out heart failure? since it is produced by your blood vessels in your heart.
A - CBC
B - Spirometry study
C - Brain natriuretic peptide test
D - Ketone balances
Nurse Grace knows that the most effective way to educate C - Establish a team effort with the patient in the teaching and learning process.
her patient and assist in her patient care plan is to do
what?
A - Insist the patient follow the plan exactly as instructed.
B - Create a schedule for the patient of future office visits
and scheduled treatments.
C - Establish a team effort with the patient in the teaching
and learning process.
D - Ask the patient to involve family members in her care
planning.
Of the following, which would not be considered an A - Headaches
objective symptom for tuberculosis? Some of the objective symptoms for tuberculosis would be: Night sweats, Weight
A - Headaches loss, Fever, Cough which progresses, Hemoptysis (cough up blood)
B - Night sweats
C - Weight loss
D - Fever
An order is being written for insulin, how should the B - 10 units subq
dosage order be written? U for unit is on The Joint Commission's official " Do Not Use" list of abbreviations.
A - 10 ml subq
B - 10 units subq
C - 10 u subq
D - None of the above
Which of the following is NOT a "red flag" of low health B - The patient is not Caucasian.
literacy in a patient? It is important to note that you cannot assess a person's health literacy just by
A - The patient pours pills into his or her hand to identify looking. In fact, the majority of people with low health literacy, according to a recent
them by sight. study, are middle class Caucasians.
B - The patient is not Caucasian.
C - The patient consistently asks you to read healthcare
information because he or she has forgotten eyeglasses at
home.
D - The patient does not ask questions during the
appointment.
POCT and which of the following terms are often used D - Onsite testing
interchangeably?
A - Diagnosing
B - Referrals
C - Consultations
D - Onsite testing
