AMBULATORY CARE NURSE CERTIFICATION FINAL
EXAM ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔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?
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?
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
C. History and physical exam
D. Age, DX, and medical decision making - ✔✔A. History, physical and medical
decision making
✔✔If a patient is trying to make an informed decision about whether to have surgery or
more conservative treatment for prostate cancer and asks the ambulatory care nurse for
advise on making the decision, the nurse should:
A. Advise the patient on the best course of treatment
B. Suggest the patient carry our research before deciding
C. provide the patient with print and online resources
D. Advise the patient to ask the physician for more information - ✔✔C. provide the
patient with print and online resources
✔✔An Ambulatory care center has analyzed the type of patient complaints and finds
there are four complaints that are most common ( delays, rescheduling, difficulty
scheduling and parking) but not easily solvable and that staff members handle these
complaints in different manners. The service recovery program should begin by:
A. Posting signs apologizing for these problems
B. Warning patients in advanced that these problems may occur
C. Providing patents with complaint forms
D. Establishing protocols for dealing with complaints - ✔✔D. Establishing protocols for
dealing with complaints
✔✔If a patient is to have an arthrodesis and injection of corticosteroid into the right knee
and the ambulatory care nurse is setting up equipment, the correct needle gauge
syringe sizes are:
A. 18G needle and 10-20ml syringe
B. 20G needle and 20ml syringe
C. 16G needle and 10-20ml syringe
D. 19g needle and 50ml syringe - ✔✔A. 18G needle and 10-20ml syringe
✔✔The coding system that is used for outpatient procedure claims is:
A. ICD-10-PCS
B. HCPCS/CPT
C. ICD-10-CM
, D. ICD-9 - ✔✔B. HCPCS/CPT
✔✔The issue of licensure portability is especially a concern with:
A. Outreach programs
B. Collaboration among medical facilities and programs
C. Telemedicine
D. Recruitment of healthcare personnel - ✔✔C. Telemedicine
✔✔If a leader wants to influence others in an organization to change attitudes, the first
step is to:
A. Provide incentives to change
B. Outline disciplinary actions for failure to change
C. Outline the desired change
D. Model the desired change - ✔✔D. Model the desired change
✔✔When conducting a urine permanency test, the specimen should be:
A. First voided in AM
B. Second voiding the AM
C. Obtained after the patient drinks 8 oz of liquid
D. Obtained any time - ✔✔A. First voided in AM
✔✔In a crisis situation which decisions must be made quickly and effectively, the most
effective leadership style is probably:
A. Democratic
B. Laissez-faire
C. Authoritarian
D. Bureaucratic - ✔✔C. Authoritarian
✔✔The ambulatory care nurse is preparing electronic educational material to be viewed
over the internet and plans to include both deep links to articles and inline links to
images from commercial sites. The nurse should:
A. Include the links as desired
B. Ask permission to utilize links
C. Provide a works cited list
D. Provide the course link in the text - ✔✔B. Ask permission to utilize links
✔✔With problem based learning, the role of the instructor is that of:
A. Leader
B. Lecturer
C. Observer
D. Facilitator - ✔✔A. Leader
✔✔If delegating a task to staff person, the first issue to consider is whether the:
A. Task is suitable for the individual
EXAM ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔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?
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?
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
C. History and physical exam
D. Age, DX, and medical decision making - ✔✔A. History, physical and medical
decision making
✔✔If a patient is trying to make an informed decision about whether to have surgery or
more conservative treatment for prostate cancer and asks the ambulatory care nurse for
advise on making the decision, the nurse should:
A. Advise the patient on the best course of treatment
B. Suggest the patient carry our research before deciding
C. provide the patient with print and online resources
D. Advise the patient to ask the physician for more information - ✔✔C. provide the
patient with print and online resources
✔✔An Ambulatory care center has analyzed the type of patient complaints and finds
there are four complaints that are most common ( delays, rescheduling, difficulty
scheduling and parking) but not easily solvable and that staff members handle these
complaints in different manners. The service recovery program should begin by:
A. Posting signs apologizing for these problems
B. Warning patients in advanced that these problems may occur
C. Providing patents with complaint forms
D. Establishing protocols for dealing with complaints - ✔✔D. Establishing protocols for
dealing with complaints
✔✔If a patient is to have an arthrodesis and injection of corticosteroid into the right knee
and the ambulatory care nurse is setting up equipment, the correct needle gauge
syringe sizes are:
A. 18G needle and 10-20ml syringe
B. 20G needle and 20ml syringe
C. 16G needle and 10-20ml syringe
D. 19g needle and 50ml syringe - ✔✔A. 18G needle and 10-20ml syringe
✔✔The coding system that is used for outpatient procedure claims is:
A. ICD-10-PCS
B. HCPCS/CPT
C. ICD-10-CM
, D. ICD-9 - ✔✔B. HCPCS/CPT
✔✔The issue of licensure portability is especially a concern with:
A. Outreach programs
B. Collaboration among medical facilities and programs
C. Telemedicine
D. Recruitment of healthcare personnel - ✔✔C. Telemedicine
✔✔If a leader wants to influence others in an organization to change attitudes, the first
step is to:
A. Provide incentives to change
B. Outline disciplinary actions for failure to change
C. Outline the desired change
D. Model the desired change - ✔✔D. Model the desired change
✔✔When conducting a urine permanency test, the specimen should be:
A. First voided in AM
B. Second voiding the AM
C. Obtained after the patient drinks 8 oz of liquid
D. Obtained any time - ✔✔A. First voided in AM
✔✔In a crisis situation which decisions must be made quickly and effectively, the most
effective leadership style is probably:
A. Democratic
B. Laissez-faire
C. Authoritarian
D. Bureaucratic - ✔✔C. Authoritarian
✔✔The ambulatory care nurse is preparing electronic educational material to be viewed
over the internet and plans to include both deep links to articles and inline links to
images from commercial sites. The nurse should:
A. Include the links as desired
B. Ask permission to utilize links
C. Provide a works cited list
D. Provide the course link in the text - ✔✔B. Ask permission to utilize links
✔✔With problem based learning, the role of the instructor is that of:
A. Leader
B. Lecturer
C. Observer
D. Facilitator - ✔✔A. Leader
✔✔If delegating a task to staff person, the first issue to consider is whether the:
A. Task is suitable for the individual
