Ambulatory Nurse Certification Exam
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. - ------------ANS: 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. - ------------ANS: 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 - ------------ANS: 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. - ------------ANS: 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. -
------------ANS: 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 - ------------ANS: 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.
d. A multivitamin is important to supplement a child's diet at this age. -
------------ANS: b. Provide a variety of foods, including grains, fruits, and vegetables.
Following a breast biopsy under moderate sedation, the nurse is preparing to
discharge the patient. What patient education is the most important for the patient's
safety in the next few hours?
a. How to take care of the wound and identify signs of infection.
b. How to obtain the biopsy results.
c. Eating and drinking lightly until the nausea from the sedation subsides.
d. Avoiding driving or operating machinery for the rest of the day. - ------------ANS: d.
Avoiding drinking or operating machinery for the rest of the day.
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. - ------------ANS: 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. - ------------ANS: 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 - ------------ANS: 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. - ------------ANS: 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. -
------------ANS: 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 - ------------ANS: 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.
d. A multivitamin is important to supplement a child's diet at this age. -
------------ANS: b. Provide a variety of foods, including grains, fruits, and vegetables.
Following a breast biopsy under moderate sedation, the nurse is preparing to
discharge the patient. What patient education is the most important for the patient's
safety in the next few hours?
a. How to take care of the wound and identify signs of infection.
b. How to obtain the biopsy results.
c. Eating and drinking lightly until the nausea from the sedation subsides.
d. Avoiding driving or operating machinery for the rest of the day. - ------------ANS: d.
Avoiding drinking or operating machinery for the rest of the day.
