AMBULATORY CARE NURSING CERTIFICATION
EXAMINATION TEST PAPER QUESTIONS AND
SOLUTIONS
ANSWERS GRADED A+
✔✔Strategic plans have the following Elements - ✔✔Mission
Long-term goals
Competitive strategy
Policies
Needed Resources key assumptions
✔✔Steps of the Nursing process - ✔✔Assessment
Diagnosis
Plan
Implementation
Evaluation
✔✔Root Cause Analysis - ✔✔Method to determine the fundamental reason that causes
variations in performance
Focuses on SYSTEMS. Vs individuals
✔✔Objective six of TB - ✔✔Fever
Night sweats
Cough (worsening)
He Optus is
Wt loss
✔✔Should you admin to pts w/ hx of Positive Mantoux Test? - ✔✔No
✔✔Potential cross rxns to TB skin testing - ✔✔W/ antigens started b/w myobacteria &
prior vaccination w/ Bacillus Calmette-Gudrun (live)
✔✔How big should TB wheel be? - ✔✔6-10mm
✔✔Basis of reading for TB test - ✔✔Depends on absence/presence of induration
Not always visible, sweep in 2-inch diameter
✔✔Positive TB test shows - ✔✔>5mm w/ risk factors
High incidence group >15mm
✔✔Systolic Pressure - ✔✔Condition of heart & great arteries
✔✔Diastolic pressure - ✔✔Arteriolar or Peripheral vascular Resistance
,✔✔Correct size of BP cuff - ✔✔Bladder width should cover 40% of arm circumfrance @
midpoint
Bladder length should cover 80-100% of upper arm or thigh circumfrance
Ends should not overlap
✔✔If a cuff is too small/narrow - ✔✔Could give a falsely high reading
✔✔Contraindications for BP in an extremity - ✔✔Mastectomy
Serious injury
Lymph node dissection
AV fistula
✔✔Where to place the stethoscope head when taking BP - ✔✔Antecubital fossa
✔✔Korotkoff's Sound represents - ✔✔Systolic pressure
✔✔Where to take a pulse in infant or child - ✔✔Apical
✔✔EKG leads - ✔✔V1 - 4th intercostal,R sterna border
V2 - 4th intercostal, L sterna border
V3 - Midway b/w V2 and V4
V4 - 5th intercostal, L midclavicular line
V5 - 5th intercostal, anterior axillary line
V6 - 5th intercostal, L midaxillary line
✔✔Why would a provider perform a R-sided EKG? - ✔✔To confirm inferior heart attacks
or for use on pt's with dextrocardia
✔✔BMI formula - ✔✔wt (kg) / ht (m)^2
✔✔Underweight BMI - ✔✔<18.5
✔✔Normal bmi - ✔✔18.5-24.9
✔✔Overweight BMI - ✔✔25.0-29.9
✔✔Obese BMI - ✔✔>30
✔✔For which visual acuity should you refer to eye clinic? - ✔✔AT 20/40 or less
✔✔Avoid before Fecal Occult Blood (Guaiac Test) - ✔✔ASA & NSAIS 7 days prior to
test
Vitamin C, red meats, raw fruit/vegetables
, ✔✔Temperature Comparisons to normal rangw - ✔✔Oral - 36.4-37.5
Axillary - 0.5 degrees C LOWER than Oral
Rectal - B/w 0.4 degrees C and 0.5 degrees C HIGHER than oral
Tympanic - 0.8 degrees HIGHEr than oral
✔✔Risk Factors for Cataracts - ✔✔Smoking
Alcohol use
Exposure to UV light
Corticosteroid use
Black race
✔✔Risk factors for age-r/t Macular Degeneration - ✔✔Smoking
Family hx
White race
✔✔Peak flow rate Monitoring Levels - ✔✔Green - 80-100% (good asthma control
Yellow - 50-80% Signals caution, meds
Red - <50% Signals danger, take quick-relief med and emergent care if not improved
✔✔Definition of Cultural Awareness - ✔✔Conscious learning process through which he
individual becomes appreciative of & sensitive to the cultures of other people
✔✔Definition of Cultural knowledge - ✔✔Process of understanding the key aspects of a
group's culture, especially r/t interpretations of health illness, & healthcare practices
✔✔Definition of Cultural skill - ✔✔Ability to collect relevant data regarding health hx's &
performing a culturally specific assessments
✔✔Definition of Cultural encounter - ✔✔Cross-cultural interactions
✔✔Mal d' ojo - ✔✔Evil eye
Hispanic
✔✔Which culture may avert their eyes when listening or talking to a superior? - ✔✔Arab
✔✔Which culture may consider it impolite if you speak with your hands in your pockets?
- ✔✔South America
✔✔Zones for space for different interactions - ✔✔Intimate
Personal
Public
✔✔Definition of Collectible - ✔✔The actual amount received
EXAMINATION TEST PAPER QUESTIONS AND
SOLUTIONS
ANSWERS GRADED A+
✔✔Strategic plans have the following Elements - ✔✔Mission
Long-term goals
Competitive strategy
Policies
Needed Resources key assumptions
✔✔Steps of the Nursing process - ✔✔Assessment
Diagnosis
Plan
Implementation
Evaluation
✔✔Root Cause Analysis - ✔✔Method to determine the fundamental reason that causes
variations in performance
Focuses on SYSTEMS. Vs individuals
✔✔Objective six of TB - ✔✔Fever
Night sweats
Cough (worsening)
He Optus is
Wt loss
✔✔Should you admin to pts w/ hx of Positive Mantoux Test? - ✔✔No
✔✔Potential cross rxns to TB skin testing - ✔✔W/ antigens started b/w myobacteria &
prior vaccination w/ Bacillus Calmette-Gudrun (live)
✔✔How big should TB wheel be? - ✔✔6-10mm
✔✔Basis of reading for TB test - ✔✔Depends on absence/presence of induration
Not always visible, sweep in 2-inch diameter
✔✔Positive TB test shows - ✔✔>5mm w/ risk factors
High incidence group >15mm
✔✔Systolic Pressure - ✔✔Condition of heart & great arteries
✔✔Diastolic pressure - ✔✔Arteriolar or Peripheral vascular Resistance
,✔✔Correct size of BP cuff - ✔✔Bladder width should cover 40% of arm circumfrance @
midpoint
Bladder length should cover 80-100% of upper arm or thigh circumfrance
Ends should not overlap
✔✔If a cuff is too small/narrow - ✔✔Could give a falsely high reading
✔✔Contraindications for BP in an extremity - ✔✔Mastectomy
Serious injury
Lymph node dissection
AV fistula
✔✔Where to place the stethoscope head when taking BP - ✔✔Antecubital fossa
✔✔Korotkoff's Sound represents - ✔✔Systolic pressure
✔✔Where to take a pulse in infant or child - ✔✔Apical
✔✔EKG leads - ✔✔V1 - 4th intercostal,R sterna border
V2 - 4th intercostal, L sterna border
V3 - Midway b/w V2 and V4
V4 - 5th intercostal, L midclavicular line
V5 - 5th intercostal, anterior axillary line
V6 - 5th intercostal, L midaxillary line
✔✔Why would a provider perform a R-sided EKG? - ✔✔To confirm inferior heart attacks
or for use on pt's with dextrocardia
✔✔BMI formula - ✔✔wt (kg) / ht (m)^2
✔✔Underweight BMI - ✔✔<18.5
✔✔Normal bmi - ✔✔18.5-24.9
✔✔Overweight BMI - ✔✔25.0-29.9
✔✔Obese BMI - ✔✔>30
✔✔For which visual acuity should you refer to eye clinic? - ✔✔AT 20/40 or less
✔✔Avoid before Fecal Occult Blood (Guaiac Test) - ✔✔ASA & NSAIS 7 days prior to
test
Vitamin C, red meats, raw fruit/vegetables
, ✔✔Temperature Comparisons to normal rangw - ✔✔Oral - 36.4-37.5
Axillary - 0.5 degrees C LOWER than Oral
Rectal - B/w 0.4 degrees C and 0.5 degrees C HIGHER than oral
Tympanic - 0.8 degrees HIGHEr than oral
✔✔Risk Factors for Cataracts - ✔✔Smoking
Alcohol use
Exposure to UV light
Corticosteroid use
Black race
✔✔Risk factors for age-r/t Macular Degeneration - ✔✔Smoking
Family hx
White race
✔✔Peak flow rate Monitoring Levels - ✔✔Green - 80-100% (good asthma control
Yellow - 50-80% Signals caution, meds
Red - <50% Signals danger, take quick-relief med and emergent care if not improved
✔✔Definition of Cultural Awareness - ✔✔Conscious learning process through which he
individual becomes appreciative of & sensitive to the cultures of other people
✔✔Definition of Cultural knowledge - ✔✔Process of understanding the key aspects of a
group's culture, especially r/t interpretations of health illness, & healthcare practices
✔✔Definition of Cultural skill - ✔✔Ability to collect relevant data regarding health hx's &
performing a culturally specific assessments
✔✔Definition of Cultural encounter - ✔✔Cross-cultural interactions
✔✔Mal d' ojo - ✔✔Evil eye
Hispanic
✔✔Which culture may avert their eyes when listening or talking to a superior? - ✔✔Arab
✔✔Which culture may consider it impolite if you speak with your hands in your pockets?
- ✔✔South America
✔✔Zones for space for different interactions - ✔✔Intimate
Personal
Public
✔✔Definition of Collectible - ✔✔The actual amount received
