Ambulatory nurse certification exam questions with
complete solutions
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 Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers c. Gastrointestinal
bleeding
Childhood obesity has become a national health problem in the
United States. Topics important to include in counseling for the
parents of school-aged children include:
a. Diets high in energy are also high in nutritional value.
b. Provide a variety of foods, including grains, fruits, and
vegetables.
c. School-aged children will automatically choose the right
nutrients for themselves if they see their parents and other role
models doing so.
complete solutions
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 Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers c. Gastrointestinal
bleeding
Childhood obesity has become a national health problem in the
United States. Topics important to include in counseling for the
parents of school-aged children include:
a. Diets high in energy are also high in nutritional value.
b. Provide a variety of foods, including grains, fruits, and
vegetables.
c. School-aged children will automatically choose the right
nutrients for themselves if they see their parents and other role
models doing so.
