AMBULATORY CARE NURSING
CERTIFICATION REVIEW 2024 QUESTIONS
AND ANSWERS
Definition of Relative Value Unit Correct Answer Used to
approximate work done by physicians based on knowledge &
skills required
EST by HCFA/CMS
The 3 elements of a Relative Value Unit Correct Answer Values
for the physician work
The practice expense
Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local)
Correct Answer Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance Correct Answer Includes commercial
INDEMNITY & MANAGED care plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
Definition of Capitation Correct Answer Managed care approach
that pays providers a flat fee per pt regardless of the care the pt
consumes
Disease Management Correct Answer Use of standardized, EB
care plans to manage pts w/ specific chronic medical conditions to
ensure best practice is employed to manage pt care processes
,Health promotion Correct Answer Education of pts on illness
prevention w/ self care
Case management/care coordination Correct Answer Population-
based management of panels of pts over time that are @ risk for
comorbidities, re-hospitalizations, or adverse outcomes
Focuses on maximizing control of chronic dz & prevent
exacerbations
Financial Planning - strategic plan Correct Answer Spans 3-5
years & used to drive operational goals & short-term budget
cycles
Strategic plans have the following Elements Correct Answer
Mission
Long-term goals
Competitive strategy
Policies
Needed Resources key assumptions
Steps of the Nursing process Correct Answer Assessment
Diagnosis
Plan
Implementation
Evaluation
Root Cause Analysis Correct Answer Method to determine the
fundamental reason that causes variations in performance
Focuses on SYSTEMS. Vs individuals
Objective six of TB Correct Answer Fever
Night sweats
Cough (worsening)
He Optus is
Wt loss
,Should you admin to pts w/ hx of Positive Mantoux Test? Correct
Answer No
Potential cross rxns to TB skin testing Correct Answer W/
antigens started b/w myobacteria & prior vaccination w/ Bacillus
Calmette-Gudrun (live)
How big should TB wheel be? Correct Answer 6-10mm
Basis of reading for TB test Correct Answer Depends on
absence/presence of induration
Not always visible, sweep in 2-inch diameter
Positive TB test shows Correct Answer >5mm w/ risk factors
High incidence group >15mm
Systolic Pressure Correct Answer Condition of heart & great
arteries
Diastolic pressure Correct Answer Arteriolar or Peripheral
vascular Resistance
Correct size of BP cuff Correct Answer 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 Correct Answer Could give a falsely
high reading
Contraindications for BP in an extremity Correct Answer
Mastectomy
Serious injury
, Lymph node dissection
AV fistula
Where to place the stethoscope head when taking BP Correct
Answer Antecubital fossa
Korotkoff's Sound represents Correct Answer Systolic pressure
Where to take a pulse in infant or child Correct Answer Apical
EKG leads Correct Answer 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? Correct Answer
To confirm inferior heart attacks or for use on pt's with
dextrocardia
BMI formula Correct Answer wt (kg) / ht (m)^2
Underweight BMI Correct Answer <18.5
Normal bmi Correct Answer 18.5-24.9
Overweight BMI Correct Answer 25.0-29.9
Obese BMI Correct Answer >30
For which visual acuity should you refer to eye clinic? Correct
Answer AT 20/40 or less
CERTIFICATION REVIEW 2024 QUESTIONS
AND ANSWERS
Definition of Relative Value Unit Correct Answer Used to
approximate work done by physicians based on knowledge &
skills required
EST by HCFA/CMS
The 3 elements of a Relative Value Unit Correct Answer Values
for the physician work
The practice expense
Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local)
Correct Answer Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance Correct Answer Includes commercial
INDEMNITY & MANAGED care plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
Definition of Capitation Correct Answer Managed care approach
that pays providers a flat fee per pt regardless of the care the pt
consumes
Disease Management Correct Answer Use of standardized, EB
care plans to manage pts w/ specific chronic medical conditions to
ensure best practice is employed to manage pt care processes
,Health promotion Correct Answer Education of pts on illness
prevention w/ self care
Case management/care coordination Correct Answer Population-
based management of panels of pts over time that are @ risk for
comorbidities, re-hospitalizations, or adverse outcomes
Focuses on maximizing control of chronic dz & prevent
exacerbations
Financial Planning - strategic plan Correct Answer Spans 3-5
years & used to drive operational goals & short-term budget
cycles
Strategic plans have the following Elements Correct Answer
Mission
Long-term goals
Competitive strategy
Policies
Needed Resources key assumptions
Steps of the Nursing process Correct Answer Assessment
Diagnosis
Plan
Implementation
Evaluation
Root Cause Analysis Correct Answer Method to determine the
fundamental reason that causes variations in performance
Focuses on SYSTEMS. Vs individuals
Objective six of TB Correct Answer Fever
Night sweats
Cough (worsening)
He Optus is
Wt loss
,Should you admin to pts w/ hx of Positive Mantoux Test? Correct
Answer No
Potential cross rxns to TB skin testing Correct Answer W/
antigens started b/w myobacteria & prior vaccination w/ Bacillus
Calmette-Gudrun (live)
How big should TB wheel be? Correct Answer 6-10mm
Basis of reading for TB test Correct Answer Depends on
absence/presence of induration
Not always visible, sweep in 2-inch diameter
Positive TB test shows Correct Answer >5mm w/ risk factors
High incidence group >15mm
Systolic Pressure Correct Answer Condition of heart & great
arteries
Diastolic pressure Correct Answer Arteriolar or Peripheral
vascular Resistance
Correct size of BP cuff Correct Answer 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 Correct Answer Could give a falsely
high reading
Contraindications for BP in an extremity Correct Answer
Mastectomy
Serious injury
, Lymph node dissection
AV fistula
Where to place the stethoscope head when taking BP Correct
Answer Antecubital fossa
Korotkoff's Sound represents Correct Answer Systolic pressure
Where to take a pulse in infant or child Correct Answer Apical
EKG leads Correct Answer 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? Correct Answer
To confirm inferior heart attacks or for use on pt's with
dextrocardia
BMI formula Correct Answer wt (kg) / ht (m)^2
Underweight BMI Correct Answer <18.5
Normal bmi Correct Answer 18.5-24.9
Overweight BMI Correct Answer 25.0-29.9
Obese BMI Correct Answer >30
For which visual acuity should you refer to eye clinic? Correct
Answer AT 20/40 or less
