Ambulatory Care Nursing Certification Questions With Correct Answers 2023/2024 Update (ACTUAL)(A+)

How many medications does it typically take to be considered "polypharmacy?" A -Three B -Ten C -Twenty-four D -Five or more - Correct Answer-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 Answer-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 C - drink a liter of water D - empty his or her bowels - Correct Answer-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 Answer-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 D - All of the above - Correct Answer-D - All of the above Which of the following would FDA stands for? A - Food and Drug Administration B - Food Depression Association C - Fixed Depression Administration D - None of the above - Correct Answer-a - Food and Drug Administration This is an agency which regulates both the development and sale of drugs. Endoscopes are cleaned and _____. A - High level disinfected. B - Sterilized. C - Low level disinfected. D - Intermediate level disinfected. - Correct Answer-A - High level disinfected. Endoscopes are critical items. Critical items are normally sterilized after being cleaned. Endoscopes cannot be sterilized and require high level disinfection. Which of the following is considered an independent nursing action? A - teaching a patient about the new diet she has been prescribed for management of her condition B - assisting the speech therapist by helping the patient practice speech exercises C - administering pain medication to the patient D - giving the patient a backrub - Correct Answer-D - giving the patient a back rub Independent nursing actions are those which do not require a physician's order. Giving a backrub is one of these independent nursing actions. In the age of managed care, actions which arise from collaborative care plans are known as interdependent actions. Which of the following is a digitalis medicine? A -Lanoxin B - Bumex C - Zestril D - Adalat - Correct Answer-A - Lanoxin (Digoxin) A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also for BP support. Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking agent. 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 Answer-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. 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 Answer-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 Answer-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? A - Forcefulness B - Flexibility C - Evaluation D - Developmental - Correct Answer-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 Answer-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 Answer-D - Involvement There are 3 key values that are associated with "Baby Boomers:" Involvement, Personal growth, Team You are assessing a patient prior to surgery and want to check for her surgical risk due to alcohol consumption. That patient tells you that her alcohol use varies and she does not seem willing to discuss how much she drinks. Which of the following is an appropriate strategy for getting the information you need? A -Present the patient with graphic images of the internal organs of people who abuse alcohol. B -Shame the patient into telling you what you need to know. C - Refer the patient to a social worker at the hospital. D - Ask a family member, such as the patient's spouse, about the patient's alcohol use. - Correct Answer-D - Ask a family member, such as the patient's spouse, about the patient's alcohol use. Which of the following is NOT a concern when developing health literacy education for patients? A - Literacy level. B - Cultural background. C - Language. D - Gender - Correct Answer-D - Gender When learning in the affective domain, it would involve internalization or commitment to which of the following? A - Feelings B - Interests C - Cognitive D - Both A and B - Correct Answer-D - Both A and B When a person is learning in the affective domain, it would involve internalization or commitment to: Feelings, Interests, Attitudes, Beliefs, Values Of the following, which would be considered the name for when it would reflect the chemical structure of a drug? A - Generic name B - Common name C - Trade name D - Chemical name - Correct Answer-D - Chemical name An older patient presents with swelling in the lower extremities. Which of the following should be ordered to rule out heart failure? A - CBC B - Spirometry study C - Brain natriuretic peptide test D - Ketone balances - Correct Answer-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 Answer-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 Answer-A - Headaches 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 Answer-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 Answer-B - The patient is not Caucasian. 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 Answer-D - Onsite testing ________ would be the feeling of distress, suffering, and/or discomfort that is considered a symptom of a condition? A - Temperature t B - Pain C - Managemen D - Cultural - Correct Answer-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." Nurse Agnes has just finished assessing her pregnant patient who has been diagnosed with gestational diabetes in the second half of her pregnancy. What does the nurse need the patient to do to help dietary and insulin needs? A - increase her insulin doses B - increase calorie intake C - decrease her insulin doses D - decrease calorie intake - Correct Answer-B - increase calorie intake When a pregnant woman increases her caloric intake in the latter half of her pregnancy, glucose will cross the placenta but the insulin will not. The fetus has a high demand for glucose and when that is paired with the patient's changing hormones, the result is an elevated blood glucose level. During which of the following situations is full barrier precautions likely to be required? A - Treating a patient with pneumonia. B - Treating a patient with chicken pox. C - Treating a patient who is suspected of having avian flu. D - Treating a patient with an open wound. - Correct Answer-C - Treating a patient who is suspected of having avian flu. Treating a patient who is suspected of having avian flu CDC guidelines recommend full barrier precautions for all known and suspected cases of avian flu, due to the high degree of transmission of the disease. Full barrier precautions are also used in treating patients with known or suspected cases of SARS and pandemic influenza, as well as hemorrhagic diseases ___________ would be considered the nurse's competency that results from training. A - Education B - Language C - Culture D - Proficiency - Correct Answer-D - Proficiency The ambulatory care nurse's role would have all except which of the following role dimensions? A - Workload B - Risk management C - Benefits D - Leadership - Correct Answer-C - Benefits Some of the role dimensions for the ambulatory care nurse would include: Workload, Risk management, Leadership, Staffing, Competency concerns, Workplace regulatory compliance Which of the following is NOT a nonmedical expense? A - Linen. B - Uniform. C - Office supplies. D - Hypodermics. - Correct Answer-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 Answer-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 Answer-B - Advocate 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 Answer-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 Answer-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 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 Answer-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 Answer-B - Space Some of the factors which could have the potential to promote communication would include: Respect, Caring, Openness, Disposition, Warmth/friendliness, Empathy, Honesty, Competence ___________ 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 Answer-C - Networking Details which should be focused on when choosing a glucometer would include all but which of the following? A - The type of lancing device B - Coding the machine C - The look of the meter D - The color of the meter - Correct Answer-D - The color of the meter There are 7 details which should be focused on when choosing a glucometer: The type of the lancing device, Coding of the machine, The look/display of the meter, The memory capacity of the meter, The sample size which will be needed, How long does it take for a result, Are there any additional features Which of the following emphasizes preventive services like notification of contacts for patients with infectious diseases, screenings, and immunization at the local level? A - Local schools B - Local pharmacies C - Public Health departments D - State disease control - Correct Answer-C - Public Health departments Public Health departments emphasize preventive services like notification of contacts for patients with infectious diseases, screenings, and immunization at the local level. The public health department plays an integral Lowell Community Health. 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 Answer-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. 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 Answer-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 Answer-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 Answer-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 Answer-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. 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 Answer-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?