CERTIFICATION EXAM 2024
Definition of Ambulatory care nursing - ANSWER....complex, multifaceted specialty that
encompasses independent and collaborative practice.
Ambulatory Care Nursing includes - ANSWER....clinical, management, education,
research
Ambulatory nurses work with patients who seek care for - ANSWER....health
promotion, health maintenance, health related problems
Services focus on cost-effective ways to: - ANSWER....maximize wellness, prevent
illness, disability, disease and minimize symptoms of acute minor ailments
Supports patients in managing chronic disease- - ANSWER....to effect a more positive
health status throughout the lifespan up to & including a peaceful death
Conceptual framework is a guide/map that specifies: - ANSWER....essential concepts
& skills in an area of practice and relationships between major content and skill area
Major Roles of the Ambulatory Care Nurse - ANSWER....Clinical Practice, Professional
development, & Organizational operation systems
Care management defined - ANSWER....collaborated process of assessment,
planning, facilitation, and advocacy for options and services to meet individuals needs
Continuum of Health care - ANSWER....refers to the categories of care and care
services that address healthcare needs across the consumers' life span
Primary Care: - ANSWER....principle point of contact within a health care system-
integrates primary services with other levels of care. Involves widest scope of health
care. Continuity is key characteristic
Secondary care: - ANSWER....synonymous with hospital services
Tertiary Care: - ANSWER....highly specialized, highly technological hospital services
Mass Casualty Triaging - ANSWER....First responders using START to evaluate
victims and assign them to one of 4 categories
Mass casualty (RED) - ANSWER....Immediate
Mass casualty (YELLOW) - ANSWER....Delayed
,Mass casualty (Green) - ANSWER....Walking wounded/minor
Mass casualty (black) - ANSWER....Deceased/expectant
Coordination of care includes - ANSWER....resource utilization, transition management,
case management, disease management
Autonomy - ANSWER....the right to choose one's own course of action without coercion
Beneficence - ANSWER....doing what is good. requires determining "good" in the
situation, understanding what is in the best interest of the patient
Non-maleficence - ANSWER....avoiding harm, either intentionally or as an unintended
outcome
Justice - ANSWER....fair and equitable distribution of resources
Veracity - ANSWER....truth telling
confidentially - ANSWER....Respecting the privacy of both parties and keeping details
secret
fidelity - ANSWER....faithfulness, keeping of promises
advocacy - ANSWER....act or process of supporting a cause or proposal
nursing advocacy - ANSWER....combines knowledge with actions
Assessment/Nursing process - ANSWER....assessment, diagnosis, planning &
organizing, implementation, evaluating responses, reassessment & revision of the plan
Order of performing a physical assessment (non abd) - ANSWER....Inspection,
palpitation, percussion, auscultation
Order of abdominal assessment - ANSWER....inspection, auscultation, percussion,
palpation
The 7 dimensions of a symptoms (Scholar) - ANSWER....S=Symptoms associated
C=Characteristics (quantitate/qualitative)
H=History w/this problem
O=Onset (when, sudden, gradual)
L=Location (where/radiates)
A=Aggravating factors
R=Relieving factor
, Nursing Diagnosis - ANSWER....Analyze and interpret the data
Planning - ANSWER....involves the patient & family, determine goals/outcomes, apply
critical thinking
Implementation - ANSWER....Pt education & teaching, perform the nursing actions
Evaluation - ANSWER....determine effectiveness of interventions, revise as indicated
The ambulatory care nurses function under 3 major roles - ANSWER....Organizational
Professional
Clinical
Organizational roles include - ANSWER....Policies and procedures
Professional roles include - ANSWER....Evidence-based practice
Clinical roles include - ANSWER....Assessment and critical thinking
Social workers - ANSWER....Provide PSYCHOSOCIAL assessments, ongoing
counseling & tx
Serve as a consultant to the team
Dietician - ANSWER....Nutritional screen/assessments
Definition of Case Management - ANSWER....The collaborative process that assesses,
plans, implements, coordinates, monitors, and evaluates options & services to meet an
individual's needs
5 Rights of delegation - ANSWER....Right Task
Right Circumstance
Right Person
Right Directions/communication
Right supervision & evaluation
If a task is not w/in the scope of nursing practice, it cannot be delgated -
ANSWER....No
Definition of Staffing Ratio - ANSWER....Ratio of nurses or nursing personal to
providers
Airborne dz - ANSWER....Chicken Pox
Measles
TB
Influenza
Sars