Ambulatory certification Exam Questions
With Revised Correct Detailed Answers
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What is true about asthma. - ✔✔Chronically inflamed airways are hypersensitive to triggers.
What medication would be most likely prescribed daily for control of mild persistent asthma. - ✔✔Low
dose corticosteroid
Green zone of asthma action plan - ✔✔80-100% of personal best good control. Continue with current
meds.
Yellow zone peak flow - ✔✔- 50-79% of personal best/baseline
- indicates caution
- something is triggering asthma
- quick relief meds and monitor
Red zone action plan for asthma. - ✔✔Danger,take quick relief drug and seek immediate care if no
immediate response.50% or less
What is true about asthma. - ✔✔Asthma exacerbation rarely occur suddenly,without any warning signs.
Adult with sinusitis advise to - ✔✔Increase fluids and humidification.
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symptoms of TB disease - ✔✔weight loss, fever, night sweats, weakness,fatigue,enlarged lymph nodes.
A child with temp of 101.0 orally with no other symptoms what do you advise - ✔✔To avoid bundling or
over dressing, light weight clothes. Avoid blankets
Example of primary education is - ✔✔Sex education
Telephone triage is - ✔✔An interaction that occurs over the telephone involving identification of the
nature and urgency of the clients health care needs and determination of the appropriate disposition
What is the best example of a nurse using clinical reasoning in telehealth. - ✔✔The recognition of slurred
speech and facial drooping and numbness are signs of a stroke.
Patient complains of the worst pain she has ever had. The nurse should - ✔✔Further assess the
characteristics and location of the pain and related symptoms
What is the value of a set of decision support tools online to guide telehealth. - ✔✔Serves as a checklist to
increase the likelihood that nothing of importance is overlooked.
Once ruling out underlying disease process the nurse would advise what for muscle strain. - ✔✔Maintain
activity as tolerated. Best rest is not recommended.
school age children for rehydration we recommend - ✔✔Half strength sports drinks
Upon finding an unconscious patient elderly woman in the floor of a restroom. After establishing
unresponsiveness the nurse first action is - ✔✔Check for breathing and call for help.
Patient with complaints of suddenly being lightheaded and shortness of breath while playing basketball.
They think he might have been stung. The nurse should first - ✔✔Assess airway and vital signs notify
ems
Signs of volume overload - ✔✔Edema,neck vein distention sudden weight gain.,
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Single women with 2 children requesting assistance with help for health care needs would be most likely
eligible for - ✔✔Medicaid
In managing pain in a culturally diverse populations the following steps would be helpful for the nurse
to develop cultural competency and humility includes - ✔✔Re envision how being human links people of
various cultures together. Understanding one's own preconceived notions about different religions.
Developing relationships and acknowledging patients and caregivers in a professional and personal
level.
What is true concerning a blood pressure reading in an office. - ✔✔Sitting and standing blood pressure is
recommended. Patients should abstain from smoking or drinking caffeinated beverages prior to exam.
Cuff should cover 2/3 of the length of the upper arm and 80% of the circumference of the upper arm.
What is true about COPD - ✔✔Spirometry is required for diagnosis
Institute for Safe Medication Practices (ISMP) - ✔✔An organization devoted to safe medication practices
and the prevention of errors
Patient with sickle cell has a fever of 101.5 orally and mild leg pain. The nurse should - ✔✔Tell the mom
to bring him in immediately to be evaluated
Best definition of prediabetes is - ✔✔Slightly elevated fasting blood glucose and a1C level.
Education for a newly diagnosed type 2 diabetic - ✔✔Recognize acute complications such as hypo and
hyperglycemia and when to seek medical care.
Patient with a history of Htn,hyperlipidemia type 2 diabetes with increasing less stable blood glucose
resulting in hyperglycemia at night would benefit for a consult to - ✔✔Endocrinologist,dietitian,clinical
pharmacist
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Patient on zocor with an ldl 180 and Hdl is 25 what are your conclusion - ✔✔His lipids are normal. No
change is needed.
dash - ✔✔Low cholesterol and total fat,low fat dairy products,increased fruits and vegetables
What is true for palliative care. - ✔✔Goals are to prevent and relieve suffering and support quality of life.
end of life care options. Concerns of the patient might be - ✔✔That the patient is worried that he will
become a burden on his wife and family to provide all of his care.
Acute symptoms of opioid overdose is - ✔✔respiratory depression, depressed mental status, muscle
flaccidity, miosis, hypotension,small pupils,unable to arouse,slow or no breathing
What is true concerning a patient and depression with a terminal illness. - ✔✔Antidepressant may be
helpful to improve pain control
Education for a family facing imminent death should include - ✔✔The family may fear giving a dose of
pain medication may hasten death.
Untreated htn may lead to target organ damage in a patients - ✔✔Eyes
Chronic Systolic Heart Failure what medication can cause decompensation - ✔✔Decongestant,anti
acids,and non steroidal anti inflammatory meds
moderate sedation - ✔✔- responds to verbal commands
What is true about a preoperative informed consent - ✔✔If a patient is mentally incompetent,they cannot
legally consent to a procedure
Instructions for a stool guiac test should include - ✔✔Avoid orange juice and high levels of vitamin c.
To assess a patient with metastatic breast cancer who states her pain pills aren't working. The nurse
should do what - ✔✔Have the patient rate their pain and describe the characteristics
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