AMBULATORY CARE NURSE CERTIFICATION
EXAM 4 2026 FULL SOLVED QUESTIONS
ANSWERS PATIENT ASSESSMENT AND CARE
COORDINATION REVIEW SHEET
◉ 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.
Answer: 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.
,Answer: 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.
Answer: 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.
Answer: 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).
Answer: 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.
Answer: 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.
Answer: 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.
Answer: B. Characteristics
◉ PICO (T) Format.
Answer: 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
EXAM 4 2026 FULL SOLVED QUESTIONS
ANSWERS PATIENT ASSESSMENT AND CARE
COORDINATION REVIEW SHEET
◉ 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.
Answer: 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.
,Answer: 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.
Answer: 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.
Answer: 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).
Answer: 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.
Answer: 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.
Answer: 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.
Answer: B. Characteristics
◉ PICO (T) Format.
Answer: 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
