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Exam Code: AMB-BC
Certification Name: Ambulatory Care Nursing Board Certified
Administered by: American Nurses Credentialing Center (ANCC)
Number of Questions: 150 (including 25 unscored pretest questions)
Scored Questions: 125
Question Format: Multiple-choice (single best answer)
Time Allotted: 3 hours (180 minutes)
Passing Standard: Scaled score of 350 (on a scale of 0-500)
Exam Delivery: Computer-based testing (Pearson VUE test centers or online proctored)

- Disease Process (e.g.- acute- chronic)
- Medications
- Preventative care/health promotion
- Expected outcomes (e.g.- optimal health indicators)

- Treatment evaluation
- Triage (e.g.- in-person- virtual- telehealth)
- Physical and psychosocial exam
- Clinical data interpretation (e.g.- documentation and chart review)

- Care coordination (e.g.- patient resources- population management)
- Disease-specific interventions
- Clinical tasks (e.g.- procedures- point of care testing- wound care)

- Scope and Standards of Practice (i.e.- ANA- AAACN- legal and regulatory bodies)
- Professional development
- Fiscal health (i.e.- reimbursement- resource allocation- billable services)
- Patient- family- and staff advocacy
- Leadership (e.g.- risk management- process improvement)
- Safety and security (e.g.- incident reporting- disaster training- safety rounds- root cause analysis)

- Modes of educational delivery
- Diverse populations
- Communication barriers (e.g.- language- technology- cognitive/sensory disabilities- health literacy)
- Professional communication (e.g.- building trust- therapeutic communication- conflict resolution)

- Chronic Disease Management: Diabetes- hypertension- COPD- heart failure
- Acute Care in Ambulatory Settings: Minor injuries- infections- asthma exacerbations
- Health Promotion & Disease Prevention: Immunizations- screenings (mammograms- colonoscopies)- smoking cessation
- Medication Management: Polypharmacy- adherence- reconciliation
- Telehealth & Remote Monitoring: Virtual visits- RPM (Remote Patient Monitoring)- mHealth
- Wound Care: Basic wound exam- sterile techniques- diabetic foot care
- Pain Management: Non-opioid strategies- NSAIDs- referral to pain specialists

- Care Transitions: Hospital-to-home- SNF (Skilled Nursing Facility) coordination
- Interprofessional Collaboration: Roles of PCPs- specialists- social workers- pharmacists
- Patient Navigation: Helping patients access resources- overcoming barriers
- Discharge Planning: Follow-up appointments- medication education
- Referral Management: Timely specialist referrals- tracking consults

- Health Literacy: Teach-back method- plain language
- Self-Management Education: Diabetes self-care- inhaler techniques
- Cultural Competency: Addressing disparities- language interpreters
- Motivational Interviewing: OARS (Open-ended questions- Affirmations- Reflections- Summaries)
- Advocacy: Ensuring patient rights- ethical decision-making

- Evidence-Based Practice (EBP): Implementing clinical guidelines
- Quality Metrics: HEDIS (Healthcare Effectiveness Data and Information Set)- CAHPS (Consumer Assessment of Healthcare Providers and Systems)
- Patient Safety: Fall prevention- medication errors- infection control
- Root Cause Analysis (RCA): Identifying system failures
- Regulatory Compliance: HIPAA- OSHA- Joint Commission standards

- Scope of Practice: State nursing regulations- delegation to LPNs/MA
- Ethical Issues: Informed consent- patient autonomy
- Leadership Skills: Conflict resolution- team communication
- Professional Development: Certification maintenance- continuing education (CE)
- Healthcare Economics: Value-based care- bundled payments

- Ambulatory Care: Outpatient clinics- urgent care- telehealth
- Population Health: Risk stratification- preventive care
- SBAR (Situation-Background-Assessment-Recommendation): Communication tool
- ACO (Accountable Care Organization): Value-based care model
- EHR (Electronic Health Record): Documentation- interoperability