Ambulatory Care Nursing Certification Exam Question & Answers, Exams of Nursing

Download Ambulatory Care Nursing Certification Exam Question & Answers and more Exams Nursing in PDF only on Docsity! Ambulatory Care Nursing Certification Exam Question & Answers How many medications does it typically take to be considered "polypharmacy?" A -Three B -Ten C -Twenty-four D -Five or more - Correct Answers ✅D -Five or more The ANP knows that it is her responsibility to report certain things to the proper authorities. Which of the following is NOT required to be reported? A - gunshot wound B - suspected child abuse C - drug abuse D - stab wounds - Correct Answers ✅C - drug abuse Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds, and child abuse (actual or suspected) are required to be reported to the proper authorities. Prior to undergoing an abdominal sonogram, the patient should do what? A - refrain from food and water for 12 hours B - empty his or her bladder Ambulatory Care Nursing Certification Exam Question & Answers C - drink a liter of water D - empty his or her bowels - Correct Answers ✅C - drink a liter of water Prior to an abdominal sonogram, the patient is asked to drink water. In addition fasting for 8 to 12 hours prior to the procedure is often required. Which of the following is NOT part of a nursing diagnosis? A - statement of the patient's actual health status B -signs of illness C - medical diagnosis (such as stroke or pulmonary blockage) D - symptoms of illness - Correct Answers ✅C - medical diagnosis Nursing diagnoses should never contain medical diagnoses. Rather, the nursing diagnosis is a statement of the patient's actual health status, risks for condition developing, causative and related factors, and signs and symptoms. Primary care would be considered the cornerstone of ambulatory care with nurses practicing in which of the following areas of healthcare? A - Telehealth services B - Internal medicine C - Pediatrics Ambulatory Care Nursing Certification Exam Question & Answers Which of the following is not one of the steps in evidence-based practice? A - Constructing the clinical question B - Patient selection C - Appropriate selection of resources D - Appraise the validity of the evidence - Correct Answers ✅B - Patient selection Patent selection is not one of the steps in evidence-based practice. The steps in evidence-based practice consist of 1 - Patient assessment 2 - Constructing the clinical question 3 - Appropriate selection of resources 4 - Appraise the validity of the evidence 5 - Apply the integrated patient preferences, evidence, and clinical expertise 6 - Performance evaluation with patience What is true regarding the respiratory synctical virus (RSV) immune globin? A - This is indicated for children less than 2 years of age with chronic lung disease, and infants <32 weeks. Ambulatory Care Nursing Certification Exam Question & Answers B - Contraindications include a reaction to neomycin or streptomycin products. C - This is indicated for adults without a history of RSV. D - Palivizumab (Synagis) provides permanent immunity for high-risk infants. - Correct Answers ✅A - This is indicated for children less than 2 years of age with chronic lung disease, and infants <32 weeks. Palivizumab (Synagis) provides temporary, passive immunity for high- risk infants, not adults. The polio vaccine (IPV) is contraindicated for those who have had a reaction to neomycin or streptomycin. A nurse finishes a follow up visit with one of her elderly patients and gives him the influenza vaccine before he leaves. This is an example of what type of prevention? A - primary B - secondary C - tertiary D - annual - Correct Answers ✅A - primary Primary prevention, such as an immunization, aims to prevent health problems before they start. Secondary prevention promotes early detection and treatments of diseases. Tertiary prevention is designed to help a patient cope with a current problem or prevent relapse. "Annual" is not a type of prevention. For successful communication, the major criteria would include? Ambulatory Care Nursing Certification Exam Question & Answers A - Forcefulness B - Flexibility C - Evaluation D - Developmental - Correct Answers ✅B - Flexibility The 4 major criteria for successful communication would include: Feedback, Appropriateness, Efficiency, Flexibility A person's knowledge is sometimes measured by which of the following verbs? A -Recall B - List C - Remember D - All of the above - Correct Answers ✅D - all of the above Some of the verbs which might be used to measure a person's knowledge could include: Recall, List, Remember, Identify, State, Define A key value in association with "Baby Boomers" would be considered which of the following? A - Sacrifice B - Duty C -Respect for authority D - Involvement - Correct Answers ✅D - Involvement Ambulatory Care Nursing Certification Exam Question & Answers D - Ketone balances - Correct Answers ✅C - Brain natriuretic peptide test (BNP) The BNP measures levels of protein made by your heart will be higher than normal since it is produced by your blood vessels in your heart. Nurse Grace knows that the most effective way to educate her patient and assist in her patient care plan is to do what? A - Insist the patient follow the plan exactly as instructed. B - Create a schedule for the patient of future office visits and scheduled treatments. C - Establish a team effort with the patient in the teaching and learning process. D - Ask the patient to involve family members in her care planning. - Correct Answers ✅C - Establish a team effort with the patient in the teaching and learning process. Of the following, which would not be considered an objective symptom for tuberculosis? A - Headaches B - Night sweats C - Weight loss D - Fever - Correct Answers ✅A - Headaches Ambulatory Care Nursing Certification Exam Question & Answers Some of the objective symptoms for tuberculosis would be: Night sweats, Weight loss, Fever, Cough which progresses, Hemoptysis (cough up blood) An order is being written for insulin, how should the dosage order be written? A - 10 ml subq B - 10 units subq C - 10 u subq D - None of the above - Correct Answers ✅B - 10 units subq U for unit is on The Joint Commission's official " Do Not Use" list of abbreviations. Which of the following is NOT a "red flag" of low health literacy in a patient? A - The patient pours pills into his or her hand to identify them by sight. B - The patient is not Caucasian. C - The patient consistently asks you to read healthcare information because he or she has forgotten eyeglasses at home. D - The patient does not ask questions during the appointment. - Correct Answers ✅B - The patient is not Caucasian. Ambulatory Care Nursing Certification Exam Question & Answers It is important to note that you cannot assess a person's health literacy just by looking. In fact, the majority of people with low health literacy, according to a recent study, are middle class Caucasians. POCT and which of the following terms are often used interchangeably? A - Diagnosing B - Referrals C - Consultations D - Onsite testing - Correct Answers ✅D - Onsite testing ________ would be the feeling of distress, suffering, and/or discomfort that is considered a symptom of a condition? A - Temperature B - Pain C - Management D - Cultural - Correct Answers ✅B - Pain Pain would be the feeling of distress, suffering, and/or discomfort that is considered a symptom of a condition. In 1968, McCafferty defined pain as "Pain is whatever the patient that is experiencing the pain says it is." Ambulatory Care Nursing Certification Exam Question & Answers Which of the following is NOT a nonmedical expense? A - Linen. B - Uniform. C - Office supplies. D - Hypodermics. - Correct Answers ✅D - Hypodermics. Of the following, which would not be a predisposing factor that might cause a patient to develop a tubercle bacillus infection? A - Cirrhosis B - Alcoholism C - Poor nutrition D - The health care workers that care for low-risk patients - Correct Answers ✅D - The health care workers that care for low-risk patients The ______ is supposed to protect the patients' rights, help them to participate in their healthcare decisions, and provide adequate healthcare education. A - Teacher B - Advocate C - Administrator D - None of the above - Correct Answers ✅B - Advocate Ambulatory Care Nursing Certification Exam Question & Answers When identifying barriers such as language which can obstruct the provision of optimal patient care, which standard of care with the Standards of Professional Clinical Practice for the Ambulatory Care Nurse would it be considered? A - Standard 6 B - Standard 1 C - Standard 4 D - Standard 3 - Correct Answers ✅B - Standard 1 These would include such barriers as language, behavioral health issues, and culture. Nurse Terri is assessing a female patient with red, itchy spots on various parts of the body. She mentions she has no allergies but has recently switched soaps and is trying a new detergent. Terri suspects this is what type of irritation? A - irritant contact dermatitis B - cellulitis C - allergic purpura D - psoriasis - Correct Answers ✅A - irritant contact dermatitis Irritant contact dermatitis is a type of rash that is caused by exposure to external irritants such as cosmetics, plants, or even fabrics, and is usually diagnosed when known allergies are not present. Patients can Ambulatory Care Nursing Certification Exam Question & Answers often experience this type of dermatitis when trying new cosmetics and laundry soaps and the problem will often be resolved once the use of this product is discontinued. How far out do most health care facilities' capital budgets plan? A - 5-10 years. B - Less than 1 year. C - 20 years. D - 1-3 years. - Correct Answers ✅D - 1-3 years. Because they deal with long-life items, most capital budgets plan for 1- 3 years out from the present. It is important for nurses who work on budgets to be aware of their facility's capital budget plans for the next years so that they can appropriately request budget resources for their own units. Factors which could have the potential to promote communication would include all but which of the following? A - Respect B - Space C - Caring D - Openness - Correct Answers ✅B - Space Ambulatory Care Nursing Certification Exam Question & Answers When a nurse is planning an event to raise awareness of preventing a disease, the first types of research that should be done is what causes the disease and why. Once this information is documented, the nurse can build her lesson around methods of prevention, warnings signs, etc. One of the more important steps for the ambulatory care nurse during diagnosis would be which of the following? A - Documentation of information B - CT equipment C - State disease control D - X-ray equipment - Correct Answers ✅A - Documentation of information Which of the following abnormal heart sounds is a result of the blood flowing past the normally closed valve? A - valve regurgitation B - valvular stenosis C - ventricular or atrial failure D - electrical conduction defects - Correct Answers ✅A - valve regurgitation The sound of valvular regurgitation is known as a murmur. Murmurs can have a blowing or swishing sound and are categorized in a degree of I to VI. Grade I murmurs are very soft, while grade VI murmurs are Ambulatory Care Nursing Certification Exam Question & Answers extremely loud and can be heard with the stethoscope one inch away from the chest wall. Each person has how many intelligences (according to Howard Garner's multiple intelligence theory)? A - 8 B - 12 C - 3 D - 38 - Correct Answers ✅A - 8 According to the Howard Garner's multiple intelligence theory, each individual has 8 intelligences. These intelligences form the basis for the individuals learning throughout their life. You are conducting an assessment with a male patient. It is important to know that a normal prostate is the size of what? A - grape B - peanut C - orange D - walnut - Correct Answers ✅D - walnut A normal prostate is the size of a walnut. An enlarged prostate can be a sign of prostate cancer or other health conditions. Ambulatory Care Nursing Certification Exam Question & Answers What type of budget should be done for a new practice? A - Zero based. B - Hyperlink Process. C - Historical based budget. D - Capital budget. - Correct Answers ✅A - Zero based. Established practices used historical based budgets that are based off previous years. Zero based budgets are used with new practices and requires expenses to be tracked and managed carefully. You are performing an assessment with a patient. On auscultation of heart sounds, you hear a scratching, creaking sound. Which of the following conditions might this heart sound indicate? A - congestive heart failure B - benign heart murmur C - pericarditis D - pneumothorax - Correct Answers ✅C - pericarditis. Patients with pericarditis will often have a scratching or creaking sound. This is known as a pericardial friction rub and results from inflammation of the pericardium. Ambulatory Care Nursing Certification Exam Question & Answers Which of the following is NOT one of the key questions of the Ask Me 3 Model? A - What is my main problem? B - What is the mortality rate for my problem? C - What do I need to do? D - Why is it important for me to do this? - Correct Answers ✅B - What is the mortality rate for my problem? The Ask Me 3 model provides three questions that patients should be able to answer at the end of a health care visit. The mortality rate of a given health problem may be a concern, but this model is more centered on ensuring patient understanding of the condition and the necessary next steps. Disinfectant solution needs to be marked with the name, _______. A - Date prepared and the date expired. B - Date prepared. C - Date expired. D - Solution density. - Correct Answers ✅A - Date prepared and the date expired. Everything needs to be clearly labeled when sterilizing equipment. Solutions needs to be labeled with their names, the date they are made, and their expiration date. Ambulatory Care Nursing Certification Exam Question & Answers A nurse encourages a patient with diabetes to eat healthier and exercise using open ended questions and encouragement. What type of interview is she using? A - Community education. B - Motivational interview. C - Group education. D - Aligning with the patient. - Correct Answers ✅B - Motivational interview. All of the answers are teaching strategies. A motivational interview is used to educate patients and guide them to change unhealthy behavior. Some primary indications for a patient to have a pacemaker implanted? A - Heart block B - Bradyarrhythmias C - Asystole D - All of the above - Correct Answers ✅D - All of the above The following indications would be for the patient that is symptomatic or those refractory to pharmacological therapy. Some of the primary indications for a patient to have a pacemaker implanted would include: Asystole, Sick-sinus syndrome, Atrial tachyarrhythmias, Bradyarrhythmias, Heart block. Ambulatory Care Nursing Certification Exam Question & Answers The principles of MI (motivational interviewing) would include all of the following except? A - Avoid argumentation CC C - Express empathy D - Roll with resistance - Correct Answers ✅B - Argue with the person The five principles of MI would include: Avoid argumentation, Express empathy, Roll with resistance, To develop discrepancy, Support self- efficacy Which of the following steps is LEAST likely to alleviate the hazards associated with changing between day and night shifts? A - Giving employees plenty of advance notice of schedules. B - Putting nurses on either permanent day or permanent night shifts. C - Keeping schedules as regular as possible. D - Encouraging employees to avoid caffeine, alcohol, and other substances that might interfere with sleep. - Correct Answers ✅B - Putting nurses on either permanent day or permanent night shifts. Shiftwork carries numerous risks, including sleep deprivation and resulting health issues such as immune system depression and digestive problems. Changing shifts often carries problems, but keeping employees on permanent night shifts also carries risks including loss of Ambulatory Care Nursing Certification Exam Question & Answers D - USGS protocols - Correct Answers ✅B - Respiratory Care protocols __________ would be when a nurse is talking with a patient and their verbal communication doesn't match their non-verbal communication? A - Incongruent B - Congruent C - Discongruent D - Non-congruent - Correct Answers ✅A - Incongruent Which of the following classifications of medications contain "thy?" A - Sulfonamides B - Glucocorticoids and corticosteroids C - Thyroid hormones D - Nitrates - Correct Answers ✅C - Thyroid hormones Thyroid hormones contain "thy. "Glucocorticoids and costicosteroids end with "sone." Nitrates contain "nitr." Sulfonamides include "sulf." Of the following, which is the greatest risk factor for childhood obesity? Ambulatory Care Nursing Certification Exam Question & Answers A - Lack of cognitive stimulation. B - Poverty. C - Parental divorce. D - Parental Education. - Correct Answers ✅A - Lack of cognitive stimulation. While all the choices listed are risk factors, lack of cognitive stimulation is most strongly associated with childhood obesity. Healthcare education and screening must thus address this issue. A brief account by the patient of any signs or symptoms he or she is experiencing is known as what? A - functional assessment B - focused assessment C - review of systems D - systemic review - Correct Answers ✅C - review of systems In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he or she has experienced in various body systems. It is important that these be in a patient's own words to perform the most complete and accurate assessment. The preparation of a patient for "anticipated developmental or situational crisis" is known as _____. A - Anticipatory guidance. Ambulatory Care Nursing Certification Exam Question & Answers B - Preventative care. C - Anticipatory care. D - Preemptive care. - Correct Answers ✅A - Anticipatory guidance. Anticipatory guidance is a nursing intervention in which nurses attempt to prepare patients and/or caregivers for potential developments or situations in treatment. This can involve educating them about potential side effects and negative outcomes. In a critical care setting, it may be necessary to conduct anticipatory guidance with families as well depending on what type of aftercare the patient may need after discharge. Which of the following should be the FIRST step in cleaning up blood or other body fluids from a floor? A - Spray the area with a 1:10 solution of bleach and water. B - Put out orange cones or caution signs. C - Blot up as much of the material as possible. D - Put on latex gloves. - Correct Answers ✅D - Put on latex gloves. When cleaning up blood, vomit, feces, urine, or other body fluids, the first step should always be to put on protective gear. At a minimum, latex gloves should be donned. If there is a possibility of fluid spraying, goggles should be worn; in situations where clothing might come into contact with the spill, a protective gown should also be worn. Which of the following falls within the normal range for BUN:Cr? Ambulatory Care Nursing Certification Exam Question & Answers C - 200 to 300 D - 300 - Correct Answers ✅C - 200 to 300 When defibrillating a patient, the shock levels are typically:First-200 joules, Second-200 to 300 joules, All of the rest-360 joules In the clinic, which step of the nursing process does Nurse Betty use to determine if the patient understands the health information he was just presented? A - implementation B - evaluation C - assessment D - goal planning - Correct Answers ✅B - evaluation The evaluation step of the nursing process includes the nurse observing the patient and asking questions to get a better idea of the person as a whole and to ensure he is learning the health information needed. This also gives the patient a chance to ask questions and clear up any misunderstandings. A hospitalized patient is diagnosed with pressure ulcers. What is one type of independent nursing intervention that can be used to help the patient? A - Apply a drying agent to reduce moisture at the site. Ambulatory Care Nursing Certification Exam Question & Answers B - Change the patient's positions to minimize pressure on the ulcers. C - Order surgical removal of the necrotic tissue. D - Soak the areas in Epsom salt. - Correct Answers ✅B - Change the patient's positions to minimize pressure on the ulcers. Changing a patient's position reduces stress and pressure to the ulcer site and promotes healing. Applying a drying agent would not be effective since wounds need moisture to heal, and soaking would not relieve pressure and could spread infection. Surgical removal of the tissue would need to be prescribed and performed by a physician. The nurse is educating an adult patient regarding medications for asthma. Which order would be the most appropriate for administration? A - Albuterol, Flovent, Tobramycin B - Flovent, Intal, Tobramycin C - Tobramycin, Intal, Albuterol D - Intal, Tobramycin, Albuterol - Correct Answers ✅A - Albuterol, Flovent, Tobramycin Telephone triage may be a responsibility of the ambulatory care nurse. What are the appropriate components of telephone triage? A - The nurse should give generic information and leave the responsibility to the patient or caller B - The nurse should immediately call 911 Ambulatory Care Nursing Certification Exam Question & Answers C - The nurse should state that he or she is unable to discuss medical information and refer the patient to the primary care physician D - The nurse must clearly identify him- or herself, take a quick and accurate history, and quickly be able to make a decision - Correct Answers ✅D - The nurse must clearly identify him- or herself, take a quick and accurate history, and quickly be able to make a decision What are the best question types to ask when gaining information from a patient? A - specific, open-ended questions regarding current symptoms and medical history B - general questions with yes or no answers C - questions related to childhood diseases D - demographics questions - Correct Answers ✅A - specific, open- ended questions regarding current symptoms and medical history In what order would the nurse prioritize the care of the following patients presenting to the clinic at the same time: a parent carrying a smiling infant with a fever, a pale and sweaty male with flank pain for two days, a carpenter with a nail in his thumb, and a three-year-old with vomiting. A - flank pain, three-year-old with vomiting, infant with a fever, and man with the nail Ambulatory Care Nursing Certification Exam Question & Answers B - past medical history, past surgical history, medications, allergies, and insurance information C - current demographics, current insurance, complaint, medical history, and surgical history D - current complaint, past 24-48 hours leading up to complaint, medications, allergies, and past medical history - Correct Answers ✅D - current complaint, past 24-48 hours leading up to complaint, medications, allergies, and past medical history The ambulatory care setting must include which of the following for the nurse to be able to properly triage a patient? A - television B - computer C - vending machines D - private room for triage - Correct Answers ✅D - private room for triage A 50-year-old male comes to the clinic stating he cannot shake this "flu." You observe that he is clammy, pale, and has an irregular heart rate. He is a large man with a rugged appearance. He is friendly and apologetic for bothering you with his silly complaints. What is your plan of care for this patient? Ambulatory Care Nursing Certification Exam Question & Answers A - You suspect there is more to his complaint than he states and immediately begin a cardiac workup by placing him in a room and ordering an EKG B - You suspect he has the newest flu going around and offer him hot tea while he waits to see the physician C - You suspect he has a low tolerance for being ill and offer him Tylenol while he waits to see the physician D - You finish the triage and send him to the waiting room, understanding that the flu affects everyone differently - Correct Answers ✅A - You suspect there is more to his complaint than he states and immediately begin a cardiac workup by placing him in a room and ordering an EKG Each person has how many intelligences (according to Howard Garner's multiple intelligence theory)? - Correct Answers ✅8 - According to the Howard Garner's multiple intelligence theory, each individual has 8 intelligences. These intelligences form the basis for the individuals learning throughout their life. You are conducting an assessment with a male patient. It is important to know that a normal prostate is the size of what? A -grape B -peanut C -orange Ambulatory Care Nursing Certification Exam Question & Answers D -walnut - Correct Answers ✅D - Walnut What type of budget should be done for a new practice? A- Zero based B -Hyperlink Process C -Historical based budget D -Capital budget. - Correct Answers ✅A - Zero based - Zero based budgets are used with new practices and requires expenses to be tracked and managed carefully. You are performing an assessment with a patient. On auscultation of heart sounds, you hear a scratching, creaking sound. Which of the following conditions might this heart sound indicate? A -congestive heart failure B -benign heart murmur C -pericarditis D -pneumothorax - Correct Answers ✅C - pericarditis - Patients with pericarditis will often have a scratching or creaking sound. This is known as a pericardial friction rub and results from inflammation of the pericardium. The 5 M's of categorizing information (according to the Failure Mode and Effect Analysis) would include all but which of the following? Ambulatory Care Nursing Certification Exam Question & Answers A -Heart block B -Bradyarrhythmias C -Asystole D -All of the above - Correct Answers ✅D -All of the above The following indications would be for the patient that is symptomatic or those refractory to pharmacological therapy. Some of the primary indications for a patient to have a pacemaker implanted would include: Asystole, Sick-sinus syndrome, Atrial tachyarrhythmias, Bradyarrhythmias, Heart block At what point in the autoclaving process are wrapped items considered sterile? A -As soon as they reach the recommended temperature. B -Immediately on removal from the autoclave, even if wrapping is still wet. C -As soon as the wrapping is dry. D -As soon as they reach room temperature after removal from the autoclave and all wrappings are dry. - Correct Answers ✅D -As soon as they reach room temperature after removal from the autoclave and all wrappings are dry. -It may take several hours for items to be fully dry and cool to room temperature after removing them from the autoclave. Wet packs must at all times be considered non-sterile, even if they have cooled to room temperature. Ambulatory Care Nursing Certification Exam Question & Answers What are the 5 steps of the nursing process? - Correct Answers ✅Assessment Diagnosis Planning Implementation Evaluation The preparation of a patient for "anticipated developmental or situational crisis" is known as _____. A -Anticipatory guidance. B -Preventative care. C -Anticipatory care. D -Preemptive care. - Correct Answers ✅A -Anticipatory guidance. Anticipatory guidance is a nursing intervention in which nurses attempt to prepare patients and/or caregivers for potential developments or situations in treatment. This can involve educating them about potential side effects and negative outcomes. A brief account by the patient of any signs or symptoms he or she is experiencing is known as what? A -functional assessment Ambulatory Care Nursing Certification Exam Question & Answers B -focused assessment C -review of systems D -systemic review - Correct Answers ✅C -review of systems In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he or she has experienced in various body systems. It is important that these be in a patient's own words to perform the most complete and accurate assessment. Of the following, which is the greatest risk factor for childhood obesity? A -Lack of cognitive stimulation. B - Poverty. C -Parental divorce. D -Parental Education. - Correct Answers ✅A -Lack of cognitive stimulation. A person's knowledge is sometimes measured by which of the following verbs? A -Recall B -List C -Remember D -All of the above - Correct Answers ✅D -All of the above Ambulatory Care Nursing Certification Exam Question & Answers would be when a leader aligns themselves with others to help obtain information, ideas, advice, power, and influence? A -Consensus-building B -Negotiation C -Networking D -Development - Correct Answers ✅C -Networking Networking would be when a leader aligns themselves with others to help obtain information, ideas, advice, power, and influence. The most effective negotiation process would have a win-win outcome. What is the MOST effective form of research a nurse can do before establishing a diabetes prevention course for patients? A -Making a list of the local endocrinologists that are currently treating diabetic patients. B -Estimating what age groups would attend the course. C -Documenting what causes diabetes and why. D -Finding diabetic-friendly recipes to share with the class. - Correct Answers ✅C -Documenting what causes diabetes and why. When a nurse is planning an event to raise awareness of preventing a disease, the first types of research that should be done is what causes the disease and why. Once this information is documented, the nurse can build her lesson around methods of prevention, warnings signs, etc. Ambulatory Care Nursing Certification Exam Question & Answers Which of the following abnormal heart sounds is a result of the blood flowing past the normally closed valve? A - valve regurgitation B -valvular stenosis C -ventricular or atrial failure D -electrical conduction defects - Correct Answers ✅A - valve regurgitation The sound of valvular regurgitation is known as a murmur. Murmurs can have a blowing or swishing sound and are categorized in a degree of I to VI. Grade I murmurs are very soft, while grade VI murmurs are extremely loud and can be heard with the stethoscope one inch away from the chest wall. Each person has how many intelligences (according to Howard Garner's multiple intelligence theory)? A -8 B -12 C -3 D -38 - Correct Answers ✅A -8 Tips for the ambulatory care nurse in association with communication would NOT include? A -Use open ended questions Ambulatory Care Nursing Certification Exam Question & Answers B -Don't gather feedback from staff members C -Conduct communication at the proper time and place D -Use fewer words - Correct Answers ✅B -Don't gather feedback from staff members In a clinical workflow chart, what is the link that moves the workflow forward between processes? A -Dynamic connector. B -Hyperlink Process. C -On-page connector. D -Off-page connector. - Correct Answers ✅B -Hyperlink Process. All of the answers are part of the workflow chart dictionary. The hyperlink process is also called the hot link. It moves the workflow forward between processes. Which of the following is meant to standardize the patient care practices? A -OSHA regulations B -Respiratory Care protocols C -MSDS sheets D -USGS protocols - Correct Answers ✅B -Respiratory Care protocols Ambulatory Care Nursing Certification Exam Question & Answers C -FERPA D -HIPAA - Correct Answers ✅C -FERPA FERPA stands for Family Educational Rights and Privacy Act. This is a federal law which helps to protect the privacy of student educational records. When defibrillating a patient, the second shock is typically at which dose? A -100 B -360 C -200 to 300 D -300 - Correct Answers ✅C -200 to 300 When defibrillating a patient, the shock levels are typically: First-200 joules Second-200 to 300 joules All of the rest-360 joules You are conducting an assessment with a patient who says that sometimes she feels as though she should have been born male. She prefers to dress in men's clothing and feels disgust toward the overtly female parts of her body. Which of the following is an appropriate nursing diagnosis for this patient? Ambulatory Care Nursing Certification Exam Question & Answers A- delusions B -thought processes, altered C -gender dysphoria D -personal identity disturbance - Correct Answers ✅C -gender dysphoria This patient is demonstrating gender dysphoria. Gender dysphoria is the feeling of discomfort or distress that might occur in people whose gender identity differs from their sex assigned at birth or sex-related physical characteristics. What is the overarching vision of Healthy People 2020? A -To provide universal health care. B- To promote a society in which all people live long, healthy lives. C -To eliminate poverty worldwide. D -To reduce healthcare costs. - Correct Answers ✅B- To promote a society in which all people live long, healthy lives. Which of the following is a qualitative method used in nursing research? A -Charting changes in blood pressure over time. B -Survey questions that ask patients to rate their satisfaction on a scale of 0 to 10. Ambulatory Care Nursing Certification Exam Question & Answers C -Analyzing patient narratives to discover what education they received about their diagnoses. D -Data charting the number of nursing hours per patient day over the last two years. - Correct Answers ✅C -Analyzing patient narratives to discover what education they received about their diagnoses. Qualitative research looks at the patient's response to his actual or potential medical issues. This method looks at the "why" and "how" of decision-making. NIC would stand for which of the following? A -Neurology Institute Classes B -Nerve Institute Commission C -Nursing Interventions Classifications D -Neuropathy Insurance Classes - Correct Answers ✅C -Nursing Interventions Classifications A defibrillator would be used for which of the following cardiac rhythms? A -Pulseless ventricular tachycardia B -Atrial tachycardia C -Second degree block D -Sinus bradycardia - Correct Answers ✅A -Pulseless ventricular tachycardia Ambulatory Care Nursing Certification Exam Question & Answers D -brain, heart, and lungs - Correct Answers ✅A -brain and spinal cord The central nervous system (CNS) is the main control center for the body. It is comprised of the brain and spinal cord. Why is it recommended that pregnant women be screened for domestic violence? A -The bodily strains of pregnancy may create injuries similar to domestic violence. B -Pregnant women are at the greatest risk for both new and continuing domestic violence. C -Concern for the welfare of the unborn child. D -Such screenings are covered by insurance when part of prenatal care. - Correct Answers ✅B -Pregnant women are at the greatest risk for both new and continuing domestic violence. Because they represent a group with the high risk of domestic violence, all pregnant women should be screened for domestic violence even if they have not reported violence before. Violence may begin during pregnancy, or a woman may be more willing to report violence out of concern for her child than she might have been previously. When judging the quality of care, which method evaluates performance after the patient is released? A -Quality improvement. Ambulatory Care Nursing Certification Exam Question & Answers B -A retrospective nursing audit. C -Qualitative research. D -A concurrent nursing audit . - Correct Answers ✅B -A retrospective nursing audit. Nursing audits are done to improve the quality of care. There are two types of audits, concurrent and retrospective. A retrospective nursing audit is done after a patient is released. What is indirect cost subtracted from the contribution margin? A -Gross income. B -Volume projection. C -Net income. D -Capital budget. - Correct Answers ✅C -Net income. The net income is the contribution margin minus the indirect costs. This indicates how much money is left after all expenses are paid. The ambulatory care nurse should know that critical thinking would require all BUT which of the following skills? A -Synthesis B -Inferences C -Explanation D -Interpretation - Correct Answers ✅A -Synthesis Ambulatory Care Nursing Certification Exam Question & Answers The skills used for critical thinking would be: Inferences, Explanation, Interpretation, Analysis If the ambulatory care nurse is looking at a chest x-ray, the posterior ribs will appear as? A -Circular angle B -At a sharper downward angle C -At a curved downward angle D -At a curved upward angle - Correct Answers ✅B -At a SHARPER downward angle The stages of Kohlberg's Stages of Moral Reasoning would include?A - Preconventional B -Ultraconventional C -Concurrent D -Provisional - Correct Answers ✅A -Preconventional The 3 stages of Kohlberg's Stages of Moral Reasoning as a function of cognitive development: Preconventional, Conventional, Postconventional Which of the following would be considered the branch of pharmacology that includes the use of the medications to treat, prevent or diagnose? Ambulatory Care Nursing Certification Exam Question & Answers C -Primary D -Primordial. - Correct Answers ✅B -Secondary Secondary Examining the abnormal skin growth is an example of secondary prevention due to the fact the patient has already come forward with an abnormality or possible illness and the nurse is examining it to ensure there are no further complications from it. Although the patient is not having symptoms at this time, the nurse will monitor the growth to see if he will in the future. A parent with whom you are discussing immunizations says that she refuses to vaccinate her child because vaccines cause autism. What model of health are you encountering in this situation? A -Clinical model B -Holistic model. C -Health belief model D -Total wellness model. - Correct Answers ✅C -Health belief model In the health belief model, a patient (or in this case, parent) will choose to comply with treatment based on the beliefs he or she holds about the disease and the benefits and risk of the treatment. You are asked to phone a patient with the results of her maternal serum screening test. This patient's results are abnormal. What should be the next step in her care? A -follow up visit for re-testing Ambulatory Care Nursing Certification Exam Question & Answers B -referral to a genetic counselor C -schedule of an emergency C-section D -continuance of her initial prenatal care regimen - Correct Answers ✅B -referral to a genetic counselor Because the maternal serum screening test (also known as the triple marker test) is used to detect risk for genetic abnormalities, patients with abnormal results should be referred to a genetic counselor. Nurse Teresa is assessing a patient who has been diagnosed with congestive heart failure. She leans in to listen to his breathing and knows his breath sounds should sound like what? A -deep, coarse breaths B -raspy gasps C -chest rubbing D -fine crackling - Correct Answers ✅D -fine crackling A fine crackling sound can be heard in patient breathing for patients that have been diagnosed with heart failure. This noise is made due to fluid in the alveoli and the expansion of elastic fibers as air goes in and out. Successful communication requires the use of simple, clear words delivered at a pace suitable for the participants. This is known as which of the following? Ambulatory Care Nursing Certification Exam Question & Answers A -Efficiency B -Feedback C -Evaluation D -Implementation - Correct Answers ✅A -Efficiency Efficiency would be considered correct for a type of major criteria that is associated with successful communication where there are simple, clear words delivered at a pace that is suitable to the participants. Several control measures exist with prevention of disease. The following are all accurate statements regarding control measures except: A -Measures directed against the reservoir include isolation, quarantine, and insect spraying. B -Measures that interrupt the transmission of organisms include water purification, milk pasteurization, and barrier protection during sexual intercourse. C -Measures that reduce host susceptibility include immunization, appropriate use of antibiotics, and improved nutrition. D -Measures that cure disease include adequate diagnosis, appropriate treatment regimen, and necessary follow-up and homecare. - Correct Answers ✅D -Measures that cure disease include adequate diagnosis, appropriate treatment regimen, and necessary follow-up and homecare. Ambulatory Care Nursing Certification Exam Question & Answers C -2.5 to 3 liters D -1.0 to 1.5 liters - Correct Answers ✅C -2.5 to 3 liters The patient's interstitial fluid needs to exceed 2.5 to 3 liters before it becomes apparent. This edema is typically caused by expansion of the interstitial fluid volume. Nurse Nicole's patient has been diagnosed with severe poison ivy rash. Which of the following statements is not accurate advice Nurse Nicole might give to her patient? A -Resist scratching as it can cause the rash to spread. B -Take short, lukewarm baths or cool showers. C -Apply calamine lotion or hydrocortisone cream to itchy patches. D - Cover with cool compresses for several minutes at a time. - Correct Answers ✅A -Resist scratching as it can cause the rash to spread. As an ANP, you will have to counsel on dietary intake. The following are accurate statements regarding dietary intake except for: A -The EAR is the Estimated Average Requirement. B -Adequate Intake (AI) is the recommended average daily intake level based on observed or experimentally determined estimates of nutrient intakes by a group of healthy people. C -The Recommended Dietary Allowance (RDA) is the average daily dietary nutrient intake level sufficient to meet nutrient requirements of nearly all healthy individuals. Ambulatory Care Nursing Certification Exam Question & Answers D -The Tolerable Upper Intake Level (TUIL) is the highest number of calories allowed for a certain weight. - Correct Answers ✅D -The Tolerable Upper Intake Level (TUIL) is the highest number of calories allowed for a certain weight. The Tolerable Upper Intake Level is the highest average daily nutrient intake level that is likely to pose no risk of adverse effects to almost all individuals of the general population. The 6 clinical practice standards for the ambulatory care nursing would include all but which of the following? A -Financial B -Nursing diagnosis C -Planning D -Evaluation - Correct Answers ✅A -Financial There are 6 clinical practice standards for the ambulatory care nursing: Assessment, Nursing diagnosis, Identification of expected outcomes/goals, Planning, Implementation, Evaluation The more common side effects of anticholinergics would include all but which of the following? A -Hyperpyrexia B -Dry lips C -Blurred vision Ambulatory Care Nursing Certification Exam Question & Answers D -Schizophrenia - Correct Answers ✅D -Schizophrenia With learning, the person typically changes which of the following because of knowledge that is new? A -Occupations B -Behavior C -Physical functional status D -Financial process - Correct Answers ✅B -Behavior Learning helps the person to change the following as a result of exposure to knowledge that is new: Behavior, Emotional, functioning, Mental The ANP recognizes the danger signals for skin disease. Which of the following skin diseases is characterized (among other things) by a petechial rash appearing on the wrist and ankles and spreading rapidly toward the trunk and the face on the second to third day of the disease? A -Rocky Mountain Spotted Fever B -Shingles C -Meningococcemia D -Actinic Keratosis - Correct Answers ✅A -Rocky Mountain Spotted Fever Ambulatory Care Nursing Certification Exam Question & Answers prevent future ulcers. Which of the following is NOT appropriate patient education for this patient? A -The patient should attempt to shift positions on his own every 15 minutes or so. B -The patient should do wheelchair pushups if he has sufficient upper- body strength. C -The patient should restrict his fluid intake. D -The patient should take steps to stay adequately hydrated. - Correct Answers ✅C -The patient should restrict his fluid intake. Good hydration may actually help prevent pressure ulcers. Wheelchair users should also shift position every 15 minutes or so, or use pressure- release wheelchairs, to help lower their risk of ulcers. Patients with sufficient upper-body strength can also do wheelchair pushups to relieve pressure. Nurse Jan is examining a patient in the clinic who has been recently diagnosed with emphysema. While in the office he becomes short of breath and restless. What is the best instruction Jan can provide with her assessment? A -to take deep breaths very slowly B -to hold his breath for 15 seconds or until he is calm C -to take rapid shallow breaths to increase air flow D -to perform pursed lip breathing. - Correct Answers ✅D -to perform pursed lip breathing. Ambulatory Care Nursing Certification Exam Question & Answers The process of pursed lip breathing is designed to prevent the collapse of the lung and lung tissues. This breathing also helps the patient control his own rate and depth of his breathing, which calms and soothes the patient during stressful moments. Which of the following is an example of indirect costs? A -Medical equipment. B -Gas. C -Salaries. D -Insurance. - Correct Answers ✅B -Gas. According to Bloom's Taxonomy in 1956, which of the following would be considered a learning domain? A -Concurrent B -Release C -Affective D -Assumption - Correct Answers ✅C -Affective According to Bloom, the 3 learning domains would be: Cognitive, Affective, Psychomotor The limitations when using technology for learning would include all but which of the following? Ambulatory Care Nursing Certification Exam Question & Answers A -There would be face-to-face training time B -Computer literacy of learner and instructor C -Content not appropriate for technology D -The cost is high - Correct Answers ✅A -There would be face-to- face training time You are providing pre-procedural care to a patient who will undergo TEE. Which of the following is NOT part of patient preparation for this procedure? A -The patient should fast for 6 hours prior to the procedure. B -The back of the patient's throat is sprayed with topical anesthetic. C -The patient should remove dentures. D -The patient is put under general anesthetic. - Correct Answers ✅B -The back of the patient's throat is sprayed with topical anesthetic. Common side effects of loop diuretics would include which of the following? A -Ototoxicity B -Confusion C -Dehydration D -All of the above - Correct Answers ✅D -All of the above Ambulatory Care Nursing Certification Exam Question & Answers A -hemopexis B -hemoptysis C -tuberculosis D -hemorrhage - Correct Answers ✅B -hemoptysis Hemoptysis is the expectoration of blood from the trachea. A hemorrhage is an internal or external bleed and hemopexis is a blood coagulation. What is a method to ensure evidence based nursing practices? A -Diagnostic codes. B -Ambulatory care. C -Mentorship. D -Clinical pathways. - Correct Answers ✅C -Mentorship. Mentorship is a method that ensures evidence based nursing is passed on. Research and clinical support also ensure that evidence based nursing continues. A patient with an Mean Corpuscular Volume (MCV) of 60 fL is likely suffering from which of the following? A -Hemolytic anemia B -Iron deficiency anemia C -Pernicious anemia Ambulatory Care Nursing Certification Exam Question & Answers D -Macrocytic anemia - Correct Answers ✅B -Iron deficiency anemia An MCV of 60 is considered quite low, and is a sign of iron deficiency anemia. All the other choices listed here are associated with higher than normal MCV. You are conducting an assessment with a patient. The patient tells you during the assessment that he is sure that the gastrointestinal discomfort he is experiencing is the result of the nurses in his long-term care facility poisoning his food. Which of the following is an appropriate nursing diagnosis for this patient? A -delusional B -impaired mentation C -altered nutrition D -disturbed thought processes - Correct Answers ✅D -disturbed thought processes Which of the following medicines should be used sparingly in the elderly because as people get older, their kidneys are less able to excrete it? A -antihypertensives B -Digoxin C -analgesics Ambulatory Care Nursing Certification Exam Question & Answers D -antidiabetic drugs - Correct Answers ✅B -Digoxin Analgesics - Cause confusion or dizziness. Antidiabetic drugs - lower blood sugar levels for extended period of time. Antihypertensives - slow the heart rate and worsen depression. Digoxin - less able to excrete as people get older. Which of the following is NOT likely to present a barrier to patient learning? A -Pain. B -Anxiety about paying for treatment. C -Lack of information about the diagnosis on the part of the patient. D -Negative past experiences with medical care. - Correct Answers ✅C -Lack of information about the diagnosis on the part of the patient. Which of the following is used to sterilize medical equipment that is sensitive to heat or moisture? A -Autoclave. B -Ethylene Oxide. C -Peracetic acid. D -Microwaves. - Correct Answers ✅B -Ethylene Oxide. Ambulatory Care Nursing Certification Exam Question & Answers A -Guiding stage. B -Following stage. C -Directing stage. D -Recommendation stage. - Correct Answers ✅D - Recommendation stage. A condition in which the fluid in the chest of a pneumonia patient becomes infected is known as what? A -bactermi B -empyema.C -sepsis D- pneumothorax - Correct Answers ✅B -empyema. This condition occurs when the fluid in the lungs becomes infected. A chest tube, or more rarely surgery, is required for treatment. A principle of professional boundaries would not include? A -It would be the responsibility of the patient to delineate and maintain boundaries between themselves and the nurses. B -The nurse should always work within the "zone of helpfulness," C -The nurse would be the person responsible for delineating and maintaining boundaries between themselves and patients. D -The nurse should avoid any dual relationships with patients. - Correct Answers ✅A -It would be the responsibility of the patient to delineate and maintain boundaries between themselves and the nurses. Ambulatory Care Nursing Certification Exam Question & Answers In regards to behavior, which of the following would CARE stand for? A -Commission, assessment, realism, and encourage B -Clarify, assess, realistic, and evaluation C -Clarify, articulate, request, and encourage D -Check, analyze, revolve, and encourage - Correct Answers ✅B - Clarify, assess, realistic, and evaluation Which of the following has the MOST influence on an individual's health status? A -Income. B -Gender B -Race. F - Health literacy. - Correct Answers ✅F - Health literacy.Recent studies have shown that a person's health literacy level is the greatest deteriminant of his or her health status, over and above income, SES, race, and education. Which of the following is an appropriate way to pass sharps to other care providers during a procedure? A -Announce that you are handing a sharp to your colleague. B - Sharps should be exchanged through a sharp tray, never by hand. Ambulatory Care Nursing Certification Exam Question & Answers C - A fresh sharp should be used by each care provider. D - Hand the sharp to your colleague with the sharp end pointing away from him or her. - Correct Answers ✅B - Sharps should be exchanged through a sharp tray, never by hand. You are conducting an assessment with a patient who is being admitted prior to surgery for breast cancer. She expresses that she is worried that she will not be able to provide care for her two small children while she is recovering, and she is concerned that her husband will not provide the same kind of care she does. She says she feels very guilty about the amount of time she will take to recover, and she does not know how she will feel about her husband having to take over day-to- day parenting tasks during that time. Which of the following is an appropriate diagnosis for this patient? A -parental role confusion B -risk for parental role confusion C -parental role conflict D -Self-esteem deficit. Situational, r/t confusion over parental role performance - Correct Answers ✅D -Self-esteem deficit. Situational, r/t confusion over parental role performance Though the patient is anxious about parental responsibilities, what she is experiencing is not parental role conflict or confusion. Rather, she is experiencing confusion about her own role in parenting during recovery. This is manifesting in feelings of guilt and low self-esteem. Report a problem with this question Ambulatory Care Nursing Certification Exam Question & Answers B -1 C -4 D -3 - Correct Answers ✅C -4 Four hours make up .1 FTEs. A single FTE is 40 hours of work or a full time work week. Which of the following would be considered the fundamental belief that the moral rightness of an action would be determined solely by it's consequences? A -Deontology B -Utilitarianism C -Autonomy D -Virtue ethics - Correct Answers ✅B -Utilitarianism Utilitarianism is often used as the basis for deciding how healthcare dollars should be used. In the United States, which ethnic/racial group has the highest incidence of asthma? A -Hispanic B -White-non Hispanic C -African-American D -Chinese - Correct Answers ✅C -African-American Ambulatory Care Nursing Certification Exam Question & Answers When performing a test, its reliability can be affected by all but which of the following? A -The type of test items B -Group variability C -The number of test items D -The difficulty of the test items - Correct Answers ✅A -The type of test items Your patient brings you some information about her condition that she has printed off of the Internet. Which of the following should give you concerns about its validity? A -It is from WebMD. B -It is from the website of a university with a well known medical school. C -No references are listed. D -The article focuses on the negative outcomes of your patient's condition. - Correct Answers ✅C -No references are listed. The "Generation X" was born between 1960 and 1980. Which of the following would not be considered a key value for them? A -Optimism Ambulatory Care Nursing Certification Exam Question & Answers B -Flexibility C -Self-reliance D -Diversity - Correct Answers ✅A -Optimism The key values for the "Generation X" would include: Diversity Self-reliance Practicality Work/life balance Flexibility Skepticism In an ambulatory care environment, keeping data in a central location so that it can be maintained in the library and retrieved by other healthcare professionals for use in deciding care is referred to as which of the following? A -History based tracking B -Evidence based medicine C -Evidence tracking system D -Symptom tracking system - Correct Answers ✅B -Evidence based medicine This allows other doctors to be more informed about the things that are going on in the area and adapt to them. Ambulatory Care Nursing Certification Exam Question & Answers A patient complains that her stools have been liquid or semi-liquid in form for several days. She also reports a drop in appetite. The ACNP can safely diagnosis her symptoms as indicating what? A -regular constipation B -common diarrhea C -fecal impaction D -stomach virus - Correct Answers ✅C -fecal impaction How long after a needlestick injury should you be retested for Hepatitis C? A -One week. B -One month. C -Six weeks. D -One year. - Correct Answers ✅C -Six weeks. ________ would be considered a liquid form of a herb which is brewed from root, seeds or bark? A -Decoction B -Tincture C -Extract D -Tea - Correct Answers ✅A -Decoction Ambulatory Care Nursing Certification Exam Question & Answers Of the following medications, which is a calcium blocking agent? A -Lanoxin B -Bumex C -Zestril D -Adalat - Correct Answers ✅D -Adalat Lanoxin is a digitalis medicine commonly used in patients with heart conditions. Bumex is a loop diuretic. Zestril is an ACE inhibitor. The culture that would be at a lower risk to develop diabetes mellitus would be considered? A -Non-Hispanic white B -Hispanic American C -Native American D -African American - Correct Answers ✅A -Non-Hispanic white Native Americans, African Americans, and Hispanic Americans are more prone to develop diabetes mellitus. The method of adding a video camera to a fluoroscope in order to have a photographic record of the diagnostic procedure is known as what? A -radiography B -cineradiography Ambulatory Care Nursing Certification Exam Question & Answers C -ultrasonography D -videography - Correct Answers ✅B -cineradiography In cineradiography, a video camera is attached to the fluoroscope. In this way, there is photographic/video documentation of the movement the fluoroscopy is designed to examine, allowing for better diagnosis. In the United States, which organization regulates the development and sale of medications? A -DOJ B -OSHA C -USDHHS D -AMA - Correct Answers ✅C -USDHHS stands for United States Department of Health and Human Services. This is the organization which regulates the development and sale of medications. They help assure safety and efficacy. Which of the following is effective at treating pernicious anemia? A -Nembutal B -Hydroxocobalamin IM C -Azulfidine D -Esidrix - Correct Answers ✅B -Hydroxocobalamin IM