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Exam (elaborations)

AMBULATORY CARE NURSING CERTIFICATION EXAMINATION SCRIPT 2025/2026 QUESTIONS WITH ANSWERS GRADED A+

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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

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2024/2025
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AMBULATORY CARE NURSING CERTIFICATION
EXAMINATION SCRIPT 2025/2026 QUESTIONS WITH
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

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