AMBULATORY CARE NURSE
CERTIFICATION EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS|FREQUENTLY
TESTED QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED
PASS 2026/2027
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 risk management and they will document the incident
D. Document the occurrence of the fall in the organization's incident reporting system
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 to
the clinic with chest pain?
A. Refer the client immediately to the ER
B. Take vital signs and obtain ECG
C. Take detailed history
D. Call the EMS for transport
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
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 an Advanced Directives
B. Completing a head to toe assessment
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,C. Reviewing the clients care plan
D. Complying with the client's right to refuse medication
A. Asking the client if they have an Advanced Directives
Which of the following medications does the ambulatory care nurse anticipate the MD will prescribe for
a client with chronic Asthma for long-term treatment
A. Fluticasone (Flovent)
B. Albuterol ( Ventolin)
C. Ipratropium (Atrovent)
D. Levalbuterol (Xopenex)
A. Fluticasone (Flovent)
The Ambulatory care nurse asses a client with Shortness of breath, lack of energy, and dry mouth. Which
of the following disease should the ambulatory care nurse suspect?
A. COPD
B. Congestive Heart Failure
C. Asthma
D. Respiratory Failure
A COPD
The parent of an eight year old child reports that the child cannot efficiently use the metered dose
inhaler. Which of the following actions should the nurse take?
A. Give the child a nebulizer
B. Give the child a spacer
C. Recommend discontinuation of the medication
D. Inform the parent that the medication is not important
B. Give the child a spacer
The ambulatory care nurse is formulating a research question using the PICO format. the "C" in PICO
stands for which of the following?
A. Comparison
B. Characteristics
C. Culture
D. Cure
B. Characteristics
PICO (T) Format
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
2|Page
,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
A. I Should move the indicator to the bottom of the number scale before suing the meter
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.
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.
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
D. Administer diuretics
C. Do nothing, the result is WNL
A client with 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?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication
B. Low Sodium level can lead to toxicity
Which of the following statements if reported to the ambulatory care nurse indicates that the treatment
for a client with CHF needs to be modified?
3|Page
, A. The client gains 1 pound in hours
B. The client now sleeps sitting up
C. The clients BP is /
D. Increased Activity tolerance.
B. The client now sleeps sitting up
With the implementation of telemedicine, the method of triaging has changed. What components
would an ambulatory care nurse utilize when triaging using the telephone?
A. Take a quick and accurate history in order to make an accurate decision
B. HIPPA law does not allow client to call ambulatory care facility with health issues
C. Call 911 as soon as the client states there is a problem
D. Give information that is general that can be applied to most clients.
A. Take a quick and accurate history in order to make an accurate decision
The ambulatory care nurse is assessing a client. Which questions should the nurse ask to assess the
clients health goals?
A. It seems to me that you want to be healthy, Is that true?
B. What are your health goals?
C. Do you want to be healthy?
D. Do you exercise?
B. What are your health goals?
The ambulatory care nurse is caring for an elderly client. The nurse caring for the client should know
what about elder abuse?
A. All victims of elder abuse are victims of poly-victimization
B More than 3 in 5 victims are men and 75 years or older
C. Elder abuse can be the result of intentional or unintentional neglect
D. elder abuse is not an issue, the nurse should not be concerned about.
C. Elder abuse can be the result of intentional or unintentional neglect
The ambulatory care nurse is caring for a 30 year old married woman in the clinic who was accompanied
by her husband. Upon assessment, the nurse noted bruises on the clients arm. What action should the
nurse take?
A. Conduct further assessment without the clients husband in the room.
B. Ask both the husband and the client what happened
C. Call 911
D. Inform the client to leave her husband for safety
A. Conduct further assessment without the clients husband in the room.
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
4|Page
CERTIFICATION EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS|FREQUENTLY
TESTED QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED
PASS 2026/2027
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 risk management and they will document the incident
D. Document the occurrence of the fall in the organization's incident reporting system
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 to
the clinic with chest pain?
A. Refer the client immediately to the ER
B. Take vital signs and obtain ECG
C. Take detailed history
D. Call the EMS for transport
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
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 an Advanced Directives
B. Completing a head to toe assessment
1|Page
,C. Reviewing the clients care plan
D. Complying with the client's right to refuse medication
A. Asking the client if they have an Advanced Directives
Which of the following medications does the ambulatory care nurse anticipate the MD will prescribe for
a client with chronic Asthma for long-term treatment
A. Fluticasone (Flovent)
B. Albuterol ( Ventolin)
C. Ipratropium (Atrovent)
D. Levalbuterol (Xopenex)
A. Fluticasone (Flovent)
The Ambulatory care nurse asses a client with Shortness of breath, lack of energy, and dry mouth. Which
of the following disease should the ambulatory care nurse suspect?
A. COPD
B. Congestive Heart Failure
C. Asthma
D. Respiratory Failure
A COPD
The parent of an eight year old child reports that the child cannot efficiently use the metered dose
inhaler. Which of the following actions should the nurse take?
A. Give the child a nebulizer
B. Give the child a spacer
C. Recommend discontinuation of the medication
D. Inform the parent that the medication is not important
B. Give the child a spacer
The ambulatory care nurse is formulating a research question using the PICO format. the "C" in PICO
stands for which of the following?
A. Comparison
B. Characteristics
C. Culture
D. Cure
B. Characteristics
PICO (T) Format
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
2|Page
,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
A. I Should move the indicator to the bottom of the number scale before suing the meter
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.
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.
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
D. Administer diuretics
C. Do nothing, the result is WNL
A client with 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?
A. You can breast feed while taking the medication
B. Low Sodium level can lead to toxicity
C. Minimize fluid intake
D. There is no need to use contraceptives while on this medication
B. Low Sodium level can lead to toxicity
Which of the following statements if reported to the ambulatory care nurse indicates that the treatment
for a client with CHF needs to be modified?
3|Page
, A. The client gains 1 pound in hours
B. The client now sleeps sitting up
C. The clients BP is /
D. Increased Activity tolerance.
B. The client now sleeps sitting up
With the implementation of telemedicine, the method of triaging has changed. What components
would an ambulatory care nurse utilize when triaging using the telephone?
A. Take a quick and accurate history in order to make an accurate decision
B. HIPPA law does not allow client to call ambulatory care facility with health issues
C. Call 911 as soon as the client states there is a problem
D. Give information that is general that can be applied to most clients.
A. Take a quick and accurate history in order to make an accurate decision
The ambulatory care nurse is assessing a client. Which questions should the nurse ask to assess the
clients health goals?
A. It seems to me that you want to be healthy, Is that true?
B. What are your health goals?
C. Do you want to be healthy?
D. Do you exercise?
B. What are your health goals?
The ambulatory care nurse is caring for an elderly client. The nurse caring for the client should know
what about elder abuse?
A. All victims of elder abuse are victims of poly-victimization
B More than 3 in 5 victims are men and 75 years or older
C. Elder abuse can be the result of intentional or unintentional neglect
D. elder abuse is not an issue, the nurse should not be concerned about.
C. Elder abuse can be the result of intentional or unintentional neglect
The ambulatory care nurse is caring for a 30 year old married woman in the clinic who was accompanied
by her husband. Upon assessment, the nurse noted bruises on the clients arm. What action should the
nurse take?
A. Conduct further assessment without the clients husband in the room.
B. Ask both the husband and the client what happened
C. Call 911
D. Inform the client to leave her husband for safety
A. Conduct further assessment without the clients husband in the room.
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
4|Page
