Ambulatory nurse certification exam
Questions and Verified Answers
2024/2025
Aw53wyearwoldwmanwhaswrecentlywbeenwdiagnosedwwithwdiabetes.wThewproviderwhaswsentwhi
mwtowthewnursewforwinstructionwaboutwglucosewmonitoringwatwhome.wThewpatientwarriveswforw
teachingwaswscheduled,wbutwhaswnotwyetwpurchasedwthewelectronicwmonitoringwdevice.wWhi
chwofwthewfollowingwwouldwbewthewbestwnursingwactionwatwthiswtime?w
a.wAssesswthewpatient'swcurrentwunderstandingwandwhiswinterestwinwlearningwaboutwself-
monitoringwhiswglucose.
b.wDemonstratewthewprocedurewusingwthewglucose-monitoringwdevicewusedwinwthewoffice.
c.wHavewthewofficewassistantwgivewhimwwrittenwmaterialswaboutwglucosewcontrolwandwsched
ulewhimwtowreturnwanotherwdaywtowdiscuss.w-wCORRECTwANSWER-
a.wAssesswthewpatientswcurrentwunderstandingwandwhiswinterestwinwlearningwaboutwself-
montoringwhiswglucose.
AwtelephonewtriagewRNwreceiveswawcallwfromwaw45wyearwoldwwomanwcomplainingwofwaw"migr
ainewheadache".wThewnursewdetermineswthiswpatientwhaswmanywknowledgewdeficitswrelated
wtowheadacheswandwtheirwmanagement.wWhatwwouldwbewanwappropriatewrationalewforwdefer
ringwtheweducationwtowanotherwtime?
a.wMigrainewheadacheswarewmorewcommonwinwsomewethnicwminorities,wandwthewnursewiswu
nsurewaboutwthiswwoman'swethnicwbackground.
b.wThewpatientwmaywnotwbewphysicallyworwemotionallywreadywtowlearnwsincewshewiswinwsignifi
cantwpain.
c.wPatientswwithwmigrainewheadacheswneedwtowbewseenwandwevaluatedwbywawproviderwurge
ntly,wsowthewnursewneedswtowfacilitatewanwurgentwappointmentworwemergencywroomwvisit.w
d.wShewiswunablewtowprovidewthiswpatientwwithwthewclinic'swstandardwteachingwsheetwforwmigr
ainewheadaches.w-wCORRECTwANSWER-
b.wThewpatientwmaywnotwbewphysicallyworwemotionallywreadywtowlearnwsincewshewiswinwsignifi
cantwpain.
Anwambulatorywnursewshouldwteachwadultswthewimportancewofwroutinewscreeningwforwwhichw
ofwthewfollowing?w
a.wLungwcancer
b.wOvarianwcancer
c.wColorectalwcancer
d.wbladderwcancerw-wCORRECTwANSWER-c.wColorectalwcancer
AndrewwKim,wRN,wworkswaswawmemberwofwawprimarywcarewteam.wTherewarewmultiplewotherw
roleswonwthewteam,wincludingwphysicians,wnursewpractitioners,wawclinicalwpharmacistw(Phar
mD),wmedicalwassistants,wclerks,wandwawsocialwworker.wAwyoungwfemalewpatientwpresentsw
, withwawconflictwinwherwfamily,wandwanxietywthatwherwhusbandwiswleavingwthem.wWhatwwouldw
Andy'swbestwactionwbe?
a.wBrieflywassesswandwrecommendwthewsocialwworker'swassistancewtowthewpatient.
b.wReferwtowoutpatientwpsychiatrywforwcrisiswintervention.
c.wdeterminewifwthewpatientwiswseeingwawcounselor'
d.wAskwthewphysicianwtowprovidewthewassessmentwandwsupportwfunctionswthiswpatientwmight
wrequire.w-wCORRECTwANSWER-
a.wBrieflywaccesswandwrecommendwthewsocialwworkerswassistancewtowthewpatient.
Aswanwadvocatewforwpatients,wanwambulatorywcarewnursewmaywprovidewcoordinationwofwcar
ewacrosswservicewlineswandwvenues.wPatientweducationwbywthewnursewrelatedwtowthiswrolewm
aywinclude:
a.wExpressingwhisworwherwvoicewinwthewallocationwofwhealthwresources.
b.wEvaluatingwserviceswavailablewandwapplyingwprocesswimprovementwtowdecreasewineffici
encieswandwresolvewgaps.
c.wIncreasingwoutreachweffortswinwthewcommunity.
d.wOrientingwthewpatientwtowserviceswavailablewthatwmaywmeetwtheirwneeds.w-
wCORRECTwANSWER-
d.wOrientingwthewpatientwtowserviceswavailablewthatwmaywmeetwtheirwneeds.
Aspirinwtherapywhaswrecentlywbeenwapprovedwforwprimarywpreventionwofwcardiovascularwev
ents.wHowever,wthewrisk-to-
benefitwratiowshouldwbewassessedwbecausewaspirinwiswknownwtowincreasewriskwof:
a.wHotwflasheswinwpost-menopausalwwomen.
b.wBronchospasmwinwpatientswwithwasthma
c.wGastrointestinalwbleeding
d.wGallwbladderwinformationw-wCORRECTwANSWER-c.wGastrointestinalwbleeding
ChildhoodwobesitywhaswbecomewawnationalwhealthwproblemwinwthewUnitedwStates.wTopicswi
mportantwtowincludewinwcounselingwforwthewparentswofwschool-agedwchildrenwinclude:w
a.wDietswhighwinwenergywarewalsowhighwinwnutritionalwvalue.
b.wProvidewawvarietywofwfoods,wincludingwgrains,wfruits,wandwvegetables.
c.wSchool-
agedwchildrenwwillwautomaticallywchoosewthewrightwnutrientswforwthemselveswifwtheywseewthe
irwparentswandwotherwrolewmodelswdoingwso.
d.wAwmultivitaminwiswimportantwtowsupplementwawchild'swdietwatwthiswage.w-
wCORRECTwANSWER-
b.wProvidewawvarietywofwfoods,wincludingwgrains,wfruits,wandwvegetables.
Followingwawbreastwbiopsywunderwmoderatewsedation,wthewnursewiswpreparingwtowdischarge
wthewpatient.wWhatwpatientweducationwiswthewmostwimportantwforwthewpatient'swsafetywinwthew
nextwfewwhours?
a.wHowwtowtakewcarewofwthewwoundwandwidentifywsignswofwinfection.
b.wHowwtowobtainwthewbiopsywresults.
c.wEatingwandwdrinkingwlightlywuntilwthewnauseawfromwthewsedationwsubsides.
Questions and Verified Answers
2024/2025
Aw53wyearwoldwmanwhaswrecentlywbeenwdiagnosedwwithwdiabetes.wThewproviderwhaswsentwhi
mwtowthewnursewforwinstructionwaboutwglucosewmonitoringwatwhome.wThewpatientwarriveswforw
teachingwaswscheduled,wbutwhaswnotwyetwpurchasedwthewelectronicwmonitoringwdevice.wWhi
chwofwthewfollowingwwouldwbewthewbestwnursingwactionwatwthiswtime?w
a.wAssesswthewpatient'swcurrentwunderstandingwandwhiswinterestwinwlearningwaboutwself-
monitoringwhiswglucose.
b.wDemonstratewthewprocedurewusingwthewglucose-monitoringwdevicewusedwinwthewoffice.
c.wHavewthewofficewassistantwgivewhimwwrittenwmaterialswaboutwglucosewcontrolwandwsched
ulewhimwtowreturnwanotherwdaywtowdiscuss.w-wCORRECTwANSWER-
a.wAssesswthewpatientswcurrentwunderstandingwandwhiswinterestwinwlearningwaboutwself-
montoringwhiswglucose.
AwtelephonewtriagewRNwreceiveswawcallwfromwaw45wyearwoldwwomanwcomplainingwofwaw"migr
ainewheadache".wThewnursewdetermineswthiswpatientwhaswmanywknowledgewdeficitswrelated
wtowheadacheswandwtheirwmanagement.wWhatwwouldwbewanwappropriatewrationalewforwdefer
ringwtheweducationwtowanotherwtime?
a.wMigrainewheadacheswarewmorewcommonwinwsomewethnicwminorities,wandwthewnursewiswu
nsurewaboutwthiswwoman'swethnicwbackground.
b.wThewpatientwmaywnotwbewphysicallyworwemotionallywreadywtowlearnwsincewshewiswinwsignifi
cantwpain.
c.wPatientswwithwmigrainewheadacheswneedwtowbewseenwandwevaluatedwbywawproviderwurge
ntly,wsowthewnursewneedswtowfacilitatewanwurgentwappointmentworwemergencywroomwvisit.w
d.wShewiswunablewtowprovidewthiswpatientwwithwthewclinic'swstandardwteachingwsheetwforwmigr
ainewheadaches.w-wCORRECTwANSWER-
b.wThewpatientwmaywnotwbewphysicallyworwemotionallywreadywtowlearnwsincewshewiswinwsignifi
cantwpain.
Anwambulatorywnursewshouldwteachwadultswthewimportancewofwroutinewscreeningwforwwhichw
ofwthewfollowing?w
a.wLungwcancer
b.wOvarianwcancer
c.wColorectalwcancer
d.wbladderwcancerw-wCORRECTwANSWER-c.wColorectalwcancer
AndrewwKim,wRN,wworkswaswawmemberwofwawprimarywcarewteam.wTherewarewmultiplewotherw
roleswonwthewteam,wincludingwphysicians,wnursewpractitioners,wawclinicalwpharmacistw(Phar
mD),wmedicalwassistants,wclerks,wandwawsocialwworker.wAwyoungwfemalewpatientwpresentsw
, withwawconflictwinwherwfamily,wandwanxietywthatwherwhusbandwiswleavingwthem.wWhatwwouldw
Andy'swbestwactionwbe?
a.wBrieflywassesswandwrecommendwthewsocialwworker'swassistancewtowthewpatient.
b.wReferwtowoutpatientwpsychiatrywforwcrisiswintervention.
c.wdeterminewifwthewpatientwiswseeingwawcounselor'
d.wAskwthewphysicianwtowprovidewthewassessmentwandwsupportwfunctionswthiswpatientwmight
wrequire.w-wCORRECTwANSWER-
a.wBrieflywaccesswandwrecommendwthewsocialwworkerswassistancewtowthewpatient.
Aswanwadvocatewforwpatients,wanwambulatorywcarewnursewmaywprovidewcoordinationwofwcar
ewacrosswservicewlineswandwvenues.wPatientweducationwbywthewnursewrelatedwtowthiswrolewm
aywinclude:
a.wExpressingwhisworwherwvoicewinwthewallocationwofwhealthwresources.
b.wEvaluatingwserviceswavailablewandwapplyingwprocesswimprovementwtowdecreasewineffici
encieswandwresolvewgaps.
c.wIncreasingwoutreachweffortswinwthewcommunity.
d.wOrientingwthewpatientwtowserviceswavailablewthatwmaywmeetwtheirwneeds.w-
wCORRECTwANSWER-
d.wOrientingwthewpatientwtowserviceswavailablewthatwmaywmeetwtheirwneeds.
Aspirinwtherapywhaswrecentlywbeenwapprovedwforwprimarywpreventionwofwcardiovascularwev
ents.wHowever,wthewrisk-to-
benefitwratiowshouldwbewassessedwbecausewaspirinwiswknownwtowincreasewriskwof:
a.wHotwflasheswinwpost-menopausalwwomen.
b.wBronchospasmwinwpatientswwithwasthma
c.wGastrointestinalwbleeding
d.wGallwbladderwinformationw-wCORRECTwANSWER-c.wGastrointestinalwbleeding
ChildhoodwobesitywhaswbecomewawnationalwhealthwproblemwinwthewUnitedwStates.wTopicswi
mportantwtowincludewinwcounselingwforwthewparentswofwschool-agedwchildrenwinclude:w
a.wDietswhighwinwenergywarewalsowhighwinwnutritionalwvalue.
b.wProvidewawvarietywofwfoods,wincludingwgrains,wfruits,wandwvegetables.
c.wSchool-
agedwchildrenwwillwautomaticallywchoosewthewrightwnutrientswforwthemselveswifwtheywseewthe
irwparentswandwotherwrolewmodelswdoingwso.
d.wAwmultivitaminwiswimportantwtowsupplementwawchild'swdietwatwthiswage.w-
wCORRECTwANSWER-
b.wProvidewawvarietywofwfoods,wincludingwgrains,wfruits,wandwvegetables.
Followingwawbreastwbiopsywunderwmoderatewsedation,wthewnursewiswpreparingwtowdischarge
wthewpatient.wWhatwpatientweducationwiswthewmostwimportantwforwthewpatient'swsafetywinwthew
nextwfewwhours?
a.wHowwtowtakewcarewofwthewwoundwandwidentifywsignswofwinfection.
b.wHowwtowobtainwthewbiopsywresults.
c.wEatingwandwdrinkingwlightlywuntilwthewnauseawfromwthewsedationwsubsides.
