AMBULATORY CARE NURSING CERTIFICATION FINAL PAPER
QUESTIONS AND COMPLETE SOLUTIONS
The ambulatory care nurse is caring for a Native Hawaiian whose choice of food
intake, health and wellbeing perception can pose barriers to life style modification. To
be effective in getting the client to participate in dietary modification, which of the
following steps should the nurse take?
A. Give the client a brochure
B. Teach the client about nutrition from a family framework perspective
C. Give the client the web address for the dietary information
D. Recommend a specific diet regimen - ✔✔B. Teach the client about nutrition from a
family framework perspective
✔✔The Ambulatory care nurse is working in the client with a variety of clients from
different racial and ethnic groups. When providing care, the nurse should know which
group has the highest asthma prevalence of any racial/ethnic group in the USA?
A. Hispanics
B. Caucasian
C. African Americans
D. Asian - ✔✔C. African Americans
✔✔The Joint commission requires accredited healthcare organizations to develop and
use a list of abbreviations that should not be used. Which of the following if documented
by the ambulatory care nurse indicate understanding of the "Do not Use" list?
A. QD
B. U
C. Unit
D. IU - ✔✔B. U
✔✔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 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 tot he 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 a Advanced Directives
B. Completing a head to toe assessment
C. Reviewing the clients care plan
D. Complying with the client's right to refuse medication - ✔✔A. Asking the client if they
have a 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
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 wit 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?
QUESTIONS AND COMPLETE SOLUTIONS
The ambulatory care nurse is caring for a Native Hawaiian whose choice of food
intake, health and wellbeing perception can pose barriers to life style modification. To
be effective in getting the client to participate in dietary modification, which of the
following steps should the nurse take?
A. Give the client a brochure
B. Teach the client about nutrition from a family framework perspective
C. Give the client the web address for the dietary information
D. Recommend a specific diet regimen - ✔✔B. Teach the client about nutrition from a
family framework perspective
✔✔The Ambulatory care nurse is working in the client with a variety of clients from
different racial and ethnic groups. When providing care, the nurse should know which
group has the highest asthma prevalence of any racial/ethnic group in the USA?
A. Hispanics
B. Caucasian
C. African Americans
D. Asian - ✔✔C. African Americans
✔✔The Joint commission requires accredited healthcare organizations to develop and
use a list of abbreviations that should not be used. Which of the following if documented
by the ambulatory care nurse indicate understanding of the "Do not Use" list?
A. QD
B. U
C. Unit
D. IU - ✔✔B. U
✔✔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 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 tot he 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 a Advanced Directives
B. Completing a head to toe assessment
C. Reviewing the clients care plan
D. Complying with the client's right to refuse medication - ✔✔A. Asking the client if they
have a 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
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 wit 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?
