AMBULATORY CARE NURSE CERTIFICATION
EXAM 2024 TESTBANK /ANCC CERTIFICATION
EXAM
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
Definition of Disinfection - ANSWER Process that destroys many or all pathogenic
microorganisms (EXCEPT bacteria/spores), or inanimate objects usually by use of
liquid chemical or wet pasteurization
,Vs Sterilization - ANSWER Eliminates all microbial life
"Critical Items" - ANSWER Enters Sterile Tissue
Must be sterilized
Semi-critical items - ANSWER HIgh-level disinfection
Items that contact mucous membranes or non-intact skin
Ex. Respiratory/anesthesia equipment, endoscopes, laryngoscopes blades,
cystoscope, esophageal/anorectal, diaphragms
Non-critical items - ANSWER Must be cleaned/decontaminated
Items that contact intact skin, but NOT mucous membranes
BP cuffs/environmental items
Total Costs of running an ambulatory practice has 3 Categories - ANSWER Fixed
Variable
Mixed Costs
Definition of Net Income - ANSWER Revenue, less expense, after all expenses are
paid
*needs to be determines for funding new projects
Definition of Service Unit - ANSWER Basic measure of a product or service being
provided by an organization
Example of Service Unit - ANSWER Individual pt encounter (Office visit, NV,
Procedures)
Definition of Direct Cost - ANSWER Costs of resources for providing a specific
service directly r/t the delivery of patient care
Example of Direct Cost - ANSWER Nursing Salaries
Supplies
Medications
Definition of Indirect Costs - ANSWER Costs within a service unit that are not
incurred for direct pt care
Example of Indirect Costs - ANSWER Clerical support staff
Rent
Laundry
Housekeeping
Utilities
Definition of Revenue - ANSWER Total amount of income received or that is
entitles to be received based on services rendered
Definition of Relevant Range - ANSWER Normal range of an expected activity for a
cost center
, Example of Relevant Range - ANSWER Anticipated # of pt office visits monthly or
yearly
Definition of Fixed Costs - ANSWER Costs that are fixed in the context of a
Relevant Range.
Cost does not change with a change in visit volumes
Example of Fixed costs - ANSWER Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - ANSWER Costs that vary w/ changes in volumes of
service units
Examples of Variable Costs - ANSWER Meds
Supplies
Direct staffing
Beyond minimum
OT
Definition of Mixed Costs - ANSWER Costs that include both fixed and variable
costs
Examples of mixed costs - ANSWER Utilities
Minimum costs are fixed, but may vary based on weather extremes or need fo
periodic extended hours
Staffing: minimum level is fixed, w/ variation r/t volume
Definition of Relative Value Unit - 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 - ANSWER Values for the physician work
The practice expense
Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local) - ANSWER Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance - ANSWER Includes commercial INDEMNITY & MANAGED care
plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
EXAM 2024 TESTBANK /ANCC CERTIFICATION
EXAM
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
Definition of Disinfection - ANSWER Process that destroys many or all pathogenic
microorganisms (EXCEPT bacteria/spores), or inanimate objects usually by use of
liquid chemical or wet pasteurization
,Vs Sterilization - ANSWER Eliminates all microbial life
"Critical Items" - ANSWER Enters Sterile Tissue
Must be sterilized
Semi-critical items - ANSWER HIgh-level disinfection
Items that contact mucous membranes or non-intact skin
Ex. Respiratory/anesthesia equipment, endoscopes, laryngoscopes blades,
cystoscope, esophageal/anorectal, diaphragms
Non-critical items - ANSWER Must be cleaned/decontaminated
Items that contact intact skin, but NOT mucous membranes
BP cuffs/environmental items
Total Costs of running an ambulatory practice has 3 Categories - ANSWER Fixed
Variable
Mixed Costs
Definition of Net Income - ANSWER Revenue, less expense, after all expenses are
paid
*needs to be determines for funding new projects
Definition of Service Unit - ANSWER Basic measure of a product or service being
provided by an organization
Example of Service Unit - ANSWER Individual pt encounter (Office visit, NV,
Procedures)
Definition of Direct Cost - ANSWER Costs of resources for providing a specific
service directly r/t the delivery of patient care
Example of Direct Cost - ANSWER Nursing Salaries
Supplies
Medications
Definition of Indirect Costs - ANSWER Costs within a service unit that are not
incurred for direct pt care
Example of Indirect Costs - ANSWER Clerical support staff
Rent
Laundry
Housekeeping
Utilities
Definition of Revenue - ANSWER Total amount of income received or that is
entitles to be received based on services rendered
Definition of Relevant Range - ANSWER Normal range of an expected activity for a
cost center
, Example of Relevant Range - ANSWER Anticipated # of pt office visits monthly or
yearly
Definition of Fixed Costs - ANSWER Costs that are fixed in the context of a
Relevant Range.
Cost does not change with a change in visit volumes
Example of Fixed costs - ANSWER Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - ANSWER Costs that vary w/ changes in volumes of
service units
Examples of Variable Costs - ANSWER Meds
Supplies
Direct staffing
Beyond minimum
OT
Definition of Mixed Costs - ANSWER Costs that include both fixed and variable
costs
Examples of mixed costs - ANSWER Utilities
Minimum costs are fixed, but may vary based on weather extremes or need fo
periodic extended hours
Staffing: minimum level is fixed, w/ variation r/t volume
Definition of Relative Value Unit - 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 - ANSWER Values for the physician work
The practice expense
Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local) - ANSWER Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance - ANSWER Includes commercial INDEMNITY & MANAGED care
plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
