AMB-BC | Assessment and Evaluation
AMB-BC | Ambulance Care Nursing Exam | Assessment and
Evaluation
A pediatric client was prescribed Tapazole, and the parents reported that they sometimes missed
doses. Which manifestation of non-adherence would the ambulatory nurse expect to see?
A.Palpitation
B. Constipation
C. Coldness
D. Weight gain - Correct Answer- Answer: A. Palpitation
Rationale: Tapazole® is used to treat hyperthyroidism. Signs and symptoms of hyperthyroidism
include palpitation, heat sensitivity, and weight loss. Nervousness, anxiety, and irritability are
also common, as are mood changes, difficulty sleeping, and feeling tired all the time.
The ambulatory care nurse is conducting an abdominal assessment on a client. When the nurse
palpates the lower border of the liver, the nurse asks the client to take a deep breath and hold it.
The client complains of a sharp pain located in the right upper quadrant. How should the nurse
document this finding in the medical health record?
A. Positive Blumberg sign.
B. Presence of pain at McBurney point. C. Positive Murphy sign.
D. Positive Psoas sign. - Correct Answer- Answer: C. Positive Murphy sign
Rationale: The Murphy sign is elicited when the client takes a deep breath while pressure is
applied to the right upper quadrant of the abdomen (pressure on the gallbladder). When the deep
breath is held due to the pain caused by exhalation, this sign is indicative of cholecystitis.
A client is taking gentamicin, which change in lab would be of the greatest concern to the
ambulatory care nurse.
, AMB-BC | Assessment and Evaluation
A. BUN levels increased from 8 to 18.
B. Creatinine levels increased from 1.2 to 1.5
C. Potassium levels increased from 4.5 to 3.5
D. Sodium levels increased from 135 to 145 - Correct Answer- Answer: B. Creatinine levels
increased from 1.2 to 1.5. Rationale: Gentamicin used concurrently with other nephrotoxic
medicines, such as vancomycin, cyclosporine, and amphotericin B, can enhance the risk of
nephrotoxicity. Creatinine and BUN levels reflect the health of the kidneys. BUN levels range
from 8 to 24, and creatinine levels range 0.5 to 1.2
The effect of serotonin syndrome is potentiated when taking St. John's wort, and which other
drug?
A. Albuterol
B. Digoxin
C. Paxil
D. Lopressor - Correct Answer- Answer: C. Paxil
Rationale: St. John's Wort may lead to serotonin syndrome if used with other serotonergic drugs
like selective serotonin reuptake inhibitors (Zoloft, Paxil, and Prozac).
The nurse in the pediatric clinic is conducting a screening using the Denver II test with a 9-
month-old infant. Which of the fine motor skills would the nurse assess?
A. Pincher grasp
B. Smile and stare
C. Cry with stranger
D. Banging two cubes - Correct Answer- Answer: A. Pincher grasp
Rationale: The examination consists of up to 125 questions, divided into the following sections:
the personal-social category, fine motor-adaptive, language category, and gross motor skills
category. The fine motor-adaptive section assesses coordination of the hands and eyes, dexterity
with little things, such as gripping (pincher grasp) or sketching.
, AMB-BC | Assessment and Evaluation
The nurse is working in a substance abuse clinic. Which of the following statements indicates
that the nurse understands the signs and symptoms of cocaine and heroin use?
A. Clients using cocaine may have bradycardia.
B. Clients using heroin may have constricted pupils.
C. Clients using cocaine may have constricted pupils.
D. Clients using heroin may have increased respiration. - Correct Answer- Answer: B. Clients
using heroin may have constricted pupils.
Rationale: Signs of heroin use are constricted pupils, extreme itching, warm, flushed skin,
forced, pressured speech, and shortness of breath.
The nurse in the clinic is caring for a client with nephrotic syndrome. Which of the following
indicates that the client is getting better?
A.Decrease ketone.
B.Increase protein in the blood.
C. Decrease protein levels in the urine.
D.Increase ketone. - Correct Answer- Answer: C. Decrease protein levels in the urine. Rationale:
One of the classic signs of nephrotic syndrome is proteinuria. One indication that the diagnosis
of nephrotic syndrome is resolved is a decrease in protein levels in the urine.
The nurse is caring for a client who recently found out that she was diagnosed with gonorrhea.
The client is concerned about others knowing of the diagnosis. Which of the following
statements by the nurse is correct?
A. "Don't worry, no one has to know; your secret is safe."
B. "We have to notify your partner."
C. "By law, we have to report it to the local health department."
D. "We must notify your employer." - Correct Answer- Answer: C. "By law, we have to report it
to the local health department."
Rationale: The gonococcal infection, more often known as gonorrhea, is an infection that is
spread by sexual contact and is caused by bacteria. It is required to be reported to the health
department.
AMB-BC | Ambulance Care Nursing Exam | Assessment and
Evaluation
A pediatric client was prescribed Tapazole, and the parents reported that they sometimes missed
doses. Which manifestation of non-adherence would the ambulatory nurse expect to see?
A.Palpitation
B. Constipation
C. Coldness
D. Weight gain - Correct Answer- Answer: A. Palpitation
Rationale: Tapazole® is used to treat hyperthyroidism. Signs and symptoms of hyperthyroidism
include palpitation, heat sensitivity, and weight loss. Nervousness, anxiety, and irritability are
also common, as are mood changes, difficulty sleeping, and feeling tired all the time.
The ambulatory care nurse is conducting an abdominal assessment on a client. When the nurse
palpates the lower border of the liver, the nurse asks the client to take a deep breath and hold it.
The client complains of a sharp pain located in the right upper quadrant. How should the nurse
document this finding in the medical health record?
A. Positive Blumberg sign.
B. Presence of pain at McBurney point. C. Positive Murphy sign.
D. Positive Psoas sign. - Correct Answer- Answer: C. Positive Murphy sign
Rationale: The Murphy sign is elicited when the client takes a deep breath while pressure is
applied to the right upper quadrant of the abdomen (pressure on the gallbladder). When the deep
breath is held due to the pain caused by exhalation, this sign is indicative of cholecystitis.
A client is taking gentamicin, which change in lab would be of the greatest concern to the
ambulatory care nurse.
, AMB-BC | Assessment and Evaluation
A. BUN levels increased from 8 to 18.
B. Creatinine levels increased from 1.2 to 1.5
C. Potassium levels increased from 4.5 to 3.5
D. Sodium levels increased from 135 to 145 - Correct Answer- Answer: B. Creatinine levels
increased from 1.2 to 1.5. Rationale: Gentamicin used concurrently with other nephrotoxic
medicines, such as vancomycin, cyclosporine, and amphotericin B, can enhance the risk of
nephrotoxicity. Creatinine and BUN levels reflect the health of the kidneys. BUN levels range
from 8 to 24, and creatinine levels range 0.5 to 1.2
The effect of serotonin syndrome is potentiated when taking St. John's wort, and which other
drug?
A. Albuterol
B. Digoxin
C. Paxil
D. Lopressor - Correct Answer- Answer: C. Paxil
Rationale: St. John's Wort may lead to serotonin syndrome if used with other serotonergic drugs
like selective serotonin reuptake inhibitors (Zoloft, Paxil, and Prozac).
The nurse in the pediatric clinic is conducting a screening using the Denver II test with a 9-
month-old infant. Which of the fine motor skills would the nurse assess?
A. Pincher grasp
B. Smile and stare
C. Cry with stranger
D. Banging two cubes - Correct Answer- Answer: A. Pincher grasp
Rationale: The examination consists of up to 125 questions, divided into the following sections:
the personal-social category, fine motor-adaptive, language category, and gross motor skills
category. The fine motor-adaptive section assesses coordination of the hands and eyes, dexterity
with little things, such as gripping (pincher grasp) or sketching.
, AMB-BC | Assessment and Evaluation
The nurse is working in a substance abuse clinic. Which of the following statements indicates
that the nurse understands the signs and symptoms of cocaine and heroin use?
A. Clients using cocaine may have bradycardia.
B. Clients using heroin may have constricted pupils.
C. Clients using cocaine may have constricted pupils.
D. Clients using heroin may have increased respiration. - Correct Answer- Answer: B. Clients
using heroin may have constricted pupils.
Rationale: Signs of heroin use are constricted pupils, extreme itching, warm, flushed skin,
forced, pressured speech, and shortness of breath.
The nurse in the clinic is caring for a client with nephrotic syndrome. Which of the following
indicates that the client is getting better?
A.Decrease ketone.
B.Increase protein in the blood.
C. Decrease protein levels in the urine.
D.Increase ketone. - Correct Answer- Answer: C. Decrease protein levels in the urine. Rationale:
One of the classic signs of nephrotic syndrome is proteinuria. One indication that the diagnosis
of nephrotic syndrome is resolved is a decrease in protein levels in the urine.
The nurse is caring for a client who recently found out that she was diagnosed with gonorrhea.
The client is concerned about others knowing of the diagnosis. Which of the following
statements by the nurse is correct?
A. "Don't worry, no one has to know; your secret is safe."
B. "We have to notify your partner."
C. "By law, we have to report it to the local health department."
D. "We must notify your employer." - Correct Answer- Answer: C. "By law, we have to report it
to the local health department."
Rationale: The gonococcal infection, more often known as gonorrhea, is an infection that is
spread by sexual contact and is caused by bacteria. It is required to be reported to the health
department.
