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1 y/y 107
Ambulatory Care Nursing Certification Test Exam
Questions and Rationalized Answers
- Howymanyymedicationsydoesyitytypicallyytakeytoybeyconsideredy"polyphar-ymacy?" Ay-Three By-Ten Cy-Twenty-four Dy-Fiveyorymore:yDy-Fiveyorymore
- TheyANPyknowsythatyityisyheryresponsibilityytoyreportycertainythingsytoytheyproperyauthor ities.yWhichyofytheyfollowingyisyNOTyrequiredytoybeyreported? Ay-ygunshotywound By-ysuspectedychildyabuse Cy-ydrugyabuse Dy-ystabywounds:yCy-ydrugyabuse Drugyabuseyisynotyrequiredybyylawytoybeyreported.yGunshotywounds,ystabywounds,yandychildyabu sey(actualyorysuspected)yareyrequiredytoybeyreportedytoytheyproperyauthorities.
- Priorytoyundergoingyanyabdominalysonogram,ytheypatientyshouldydoywhat? Ay-yrefrainyfromyfoodyandywateryfory 12 yhours By-yemptyyhisyoryherybladder Cy-ydrinkyayliteryofywater Dy-yemptyyhisyoryherybowels:yCy-ydrinkyayliteryofywater Priorytoyanyabdominalysonogram,ytheypatientyisyaskedytoydrinkywater.yInyadditionyfastingyfory 8 ytoy 12 y hoursypriorytoytheyprocedureyisyoftenyrequired.
- WhichyofytheyfollowingyisyNOTypartyofyaynursingydiagnosis? Ay-ystatementyofytheypatient'syactualyhealthystatus By-signsyofyillness Cy-ymedicalydiagnosisy(suchyasystrokeyorypulmonaryyblockage) Dy-ysymptomsyofyillness:yCy-ymedicalydiagnosis Nursingydiagnosesyshouldyneverycontainymedicalydiagnoses.yRather,ytheynursingydiagnosisyisyaysta
2 y/y 107 tementyofytheypatient'syactualyhealthystatus,yrisksyforyconditionydeveloping,ycausativeyandyrelated yfactors,yandysignsyandysymptoms.
- Primaryycareywouldybeyconsideredytheycornerstoneyofyambulatoryycareywithynursesypracti cingyinywhichyofytheyfollowingyareasyofyhealthcare? Ay-yTelehealthyservices By-yInternalymedicine Cy-yPediatrics Dy-yAllyofytheyabove:yDy-yAllyofytheyabove
- WhichyofytheyfollowingywouldyFDAystandsyfor? Ay-yFoodyandyDrugyAdministration By-yFoodyDepressionyAssociation
4 y/y 107 Cy-yAppropriateyselectionyofyresources Dy-yAppraiseytheyvalidityyofytheyevidence:yBy-yPatientyselection Patentyselectionyisynotyoneyofytheystepsyinyevidence-basedypractice.yTheystepsyinyevidence- basedypracticeyconsistyof 1 - yPatientyassessment 2 - yConstructingytheyclinicalyquestion
5 y/y 107 3 - yAppropriateyselectionyofyresources 4 - yAppraiseytheyvalidityyofytheyevidence 5 - yApplyytheyintegratedypatientypreferences,yevidence,yandyclinicalyexpertise 6 - yPerformanceyevaluationywithypatience
- Whatyisytrueyregardingytheyrespiratoryysyncticalyvirusy(RSV)yimmuneyglo-ybin? Ay- yThisyisyindicatedyforychildrenylessythany 2 yyearsyofyageywithychronicylungydisease,yandyinfantsy< 32 yweeks. By-yContraindicationsyincludeyayreactionytoyneomycinyorystreptomycinyprod-yucts. Cy-yThisyisyindicatedyforyadultsywithoutyayhistoryyofyRSV. Dy-yPalivizumaby(Synagis)yprovidesypermanentyimmunityyforyhigh-riskyinfants.- :yAy- yThisyisyindicatedyforychildrenylessythany 2 yyearsyofyageywithychronicylungydisease,yandyinfantsy<32ywe eks. Palivizumaby(Synagis)yprovidesytemporary,ypassiveyimmunityyforyhigh- riskyinfants,ynotyadults.yTheypolioyvacciney(IPV)yisycontraindicatedyforythoseywhoyhaveyhadyayrea ctionytoyneomycinyorystreptomycin.
- Aynurseyfinishesyayfollowyupyvisitywithyoneyofyheryelderlyypatientsyandygivesyhimytheyinfluen zayvaccineybeforeyheyleaves.yThisyisyanyexampleyofywhatytypeyofyprevention? Ay-yprimary By-ysecondary Cy-ytertiary Dy-yannual:yAy-yprimary Primaryyprevention,ysuchyasyanyimmunization,yaimsytoypreventyhealthyproblemsybeforeytheyyst art.ySecondaryypreventionypromotesyearlyydetectionyandytreatmentsyofydiseases.yTertiaryypreve ntionyisydesignedytoyhelpyaypatientycopeywithyaycurrentyproblemyorypreventyrelapse.y"Annual"yisy notyaytypeyofyprevention.
- Forysuccessfulycommunication,ytheymajorycriteriaywouldyinclude? Ay-yForcefulness By-yFlexibility Cy-yEvaluation
7 y/y 107 Cy-yRemember Dy-yAllyofytheyabove:yDy-yallyofytheyabove Someyofytheyverbsywhichymightybeyusedytoymeasureyayperson'syknowledgeycouldyinclude:yRecall,yL ist,yRemember,yIdentify,yState,yDefine
- Aykeyyvalueyinyassociationywithy"BabyyBoomers"ywouldybeyconsideredywhichyofytheyf ollowing? Ay-ySacrifice By-yDuty Cy-Respectyforyauthority Dy-yInvolvement:yDy-yInvolvement Thereyarey 3 ykeyyvaluesythatyareyassociatedywithy"BabyyBoomers:"yInvolvement,yPersonalygrowth,yT eam
- Youyareyassessingyaypatientypriorytoysurgeryyandywantytoycheckyforyherysur- ygicalyriskydueytoyalcoholyconsumption.yThatypatientytellsyyouythatyheryalcoholyuseyvariesyan dysheydoesynotyseemywillingytoydiscussyhowymuchysheydrinks.yWhichyofytheyfollowingyisyanya ppropriateystrategyyforygettingytheyinformationyyouyneed? Ay- Presentytheypatientywithygraphicyimagesyofytheyinternalyorgansyofypeopleywhoyabuseyalco hol. By-Shameytheypatientyintoytellingyyouywhatyyouyneedytoyknow. Cy-yReferytheypatientytoyaysocialyworkeryatytheyhospital. Dy- yAskyayfamilyymember,ysuchyasytheypatient'syspouse,yaboutytheypatient'syalcoholyuse.:yDy- yAskyayfamilyymember,ysuchyasytheypatient'syspouse,yaboutytheypatient'syalcoholyuse.
- WhichyofytheyfollowingyisyNOTyayconcernywhenydevelopingyhealthyliteracyyeducationyfor ypatients? Ay-yLiteracyylevel. By-yCulturalybackground. Cy-yLanguage. Dy-yGender:yDy-yGender
- Whenylearningyinytheyaffectiveydomain,yitywouldyinvolveyinternalizationyorycommitmen
8 y/y 107 tytoywhichyofytheyfollowing? Ay-yFeelings By-yInterests Cy-yCognitive Dy-yBothyAyandyB:yDy-yBothyAyandyB Whenyaypersonyisylearningyinytheyaffectiveydomain,yitywouldyinvolveyinternalizationyorycommitmentyt o:yFeelings,yInterests,yAttitudes,yBeliefs,yValues
10 y/y 107 By-y 10 yunitsysubq Cy-y 10 yuysubq Dy-yNoneyofytheyabove:yBy-y 10 yunitsysubq UyforyunityisyonyTheyJointyCommission'syofficialy"yDoyNotyUse"ylistyofyabbreviations.
11 y/y 107
- WhichyofytheyfollowingyisyNOTyay"redyflag"yofylowyhealthyliteracyyinyaypatient? Ay-yTheypatientypoursypillsyintoyhisyoryheryhandytoyidentifyythemybyysight. By-yTheypatientyisynotyCaucasian. Cy- yTheypatientyconsistentlyyasksyyouytoyreadyhealthcareyinformationybecauseyheyorysheyhasyforgo ttenyeyeglassesyatyhome. Dy-yTheypatientydoesynotyaskyquestionsyduringytheyappointment.:yBy- yTheypatientyisynotyCaucasian. Ityisyimportantytoynoteythatyyouycannotyassessyayperson'syhealthyliteracyyjustybyylooking.yInyfact,ythey majorityyofypeopleywithylowyhealthyliteracy,yaccordingytoyayrecentystudy,yareymiddleyclassyCaucasi ans.
- POCTyandywhichyofytheyfollowingytermsyareyoftenyusedyinterchangeably? Ay-yDiagnosing By-yReferrals Cy-yConsultations Dy-yOnsiteytesting:yDy-yOnsiteytesting
- wouldybeytheyfeelingyofydistress,ysuffering,yand/orydiscomfortythatyisyconsider edyaysymptomyofyaycondition? Ay-yTemperature By-yPain Cy-yManagement Dy-yCultural:yBy-yPain Painywouldybeytheyfeelingyofydistress,ysuffering,yand/orydiscomfortythatyisyconsideredyaysymptomy ofyaycondition.yIny1968,yMcCaffertyydefinedypainyasy"Painyisywhateverytheypatientythatyisyexperienc ingytheypainysaysyityis."
- NurseyAgnesyhasyjustyfinishedyassessingyherypregnantypatientywhoyhasybeenydiagnosedy withygestationalydiabetesyinytheysecondyhalfyofyherypregnancy.yWhatydoesytheynurseyneedythey patientytoydoytoyhelpydietaryyandyinsulinyneeds? Ay-yincreaseyheryinsulinydoses By-yincreaseycalorieyintake Cy-ydecreaseyheryinsulinydoses
13 y/y 107 By-yTreatingyaypatientywithychickenypox. Cy-yTreatingyaypatientywhoyisysuspectedyofyhavingyavianyflu. Dy-yTreatingyaypatientywithyanyopenywound.:yCy- yTreatingyaypatientywhoyisysuspectedyofyhavingyavianyflu. TreatingyaypatientywhoyisysuspectedyofyhavingyavianyfluyCDCyguidelinesyrecommendyfullybarrieryp recautionsyforyallyknownyandysuspectedycasesyofyavianyflu,ydueytoytheyhighydegreeyofytransmissi onyofytheydisease.yFullybarrieryprecautionsyareyalsoyusedyinytreatingypatientsywithyknownyorysuspe ctedycasesyofySARSyandypandemicyinfluenza,yasywellyasyhemorrhagicydiseases
- wouldybeyconsideredytheynurse'sycompetencyythatyresultsyfromytrain ing. Ay-yEducation By-yLanguage Cy-yCulture Dy-yProficiency:yDy-yProficiency
- Theyambulatoryycareynurse'syroleywouldyhaveyallyexceptywhichyofytheyfollowingyrol eydimensions? Ay-yWorkload By-yRiskymanagement Cy-yBenefits Dy-yLeadership:yCy-yBenefits Someyofytheyroleydimensionsyforytheyambulatoryycareynurseywouldyinclude:yWorkload,yRiskymanag ement,yLeadership,yStaffing,yCompetencyyconcerns,yWorkplaceyregula-ytoryycompliance
- WhichyofytheyfollowingyisyNOTyaynonmedicalyexpense? Ay-yLinen. By-yUniform. Cy-yOfficeysupplies. Dy-yHypodermics.:yDy-yHypodermics.
- Ofytheyfollowing,ywhichywouldynotybeyaypredisposingyfactorythatymightycauseyaypati entytoydevelopyaytubercleybacillusyinfection? Ay-yCirrhosis By-yAlcoholism
14 y/y 107 Cy-yPoorynutrition Dy-yTheyhealthycareyworkersythatycareyforylow-riskypatients:yDy- yTheyhealthycareyworkersythatycareyforylow-riskypatients
- They isysupposedytoyprotectytheypatients'yrights,yhelpythemytoyparticipateyinytheiryhealthc areydecisions,yandyprovideyadequateyhealthcareyeducation.
16 y/y 107 resourcesyforytheiryownyunits.
- Factorsywhichycouldyhaveytheypotentialytoypromoteycommunicationywouldyincludeyallyb utywhichyofytheyfollowing? Ay-yRespect
17 y/y 107 By-ySpace Cy-yCaring Dy-yOpenness:yBy-ySpace Someyofytheyfactorsywhichycouldyhaveytheypotentialytoypromoteycommunicationywouldyinclude:yRes pect,yCaring,yOpenness,yDisposition,yWarmth/friendliness,yEmpathy,yHonesty,yCompetence
- wouldybeywhenyayleaderyalignsythemselvesywithyothersytoyhelpyobtainyinfo rmation,yideas,yadvice,ypower,yandyinfluence? Ay-yConsensus-building By-yNegotiation Cy-yNetworking Dy-yDevelopment:yCy-yNetworking
- Detailsywhichyshouldybeyfocusedyonywhenychoosingyayglucometerywouldyincludeyallyb utywhichyofytheyfollowing? Ay-yTheytypeyofylancingydevice By-yCodingytheymachine Cy-yTheylookyofytheymeter Dy-yTheycoloryofytheymeter:yDy-yTheycoloryofytheymeter Thereyarey 7 ydetailsywhichyshouldybeyfocusedyonywhenychoosingyayglucometer:yTheytypeyofytheyla ncingydevice,yCodingyofytheymachine,yTheylook/displayyofytheymeter,yTheymemoryycapacityyofythe ymeter,yTheysampleysizeywhichywillybeyneeded,yHowylongydoesyitytakeyforyayresult,yAreythereyanyyad ditionalyfeatures
- Whichyofytheyfollowingyemphasizesypreventiveyservicesylikeynotificationyofycontactsyfory patientsywithyinfectiousydiseases,yscreenings,yandyimmunizationyatytheylocalylevel? Ay-yLocalyschools By-yLocalypharmacies Cy-yPublicyHealthydepartments Dy-yStateydiseaseycontrol:yCy-yPublicyHealthydepartments PublicyHealthydepartmentsyemphasizeypreventiveyservicesylikeynotificationyofycon- ytactsyforypatientsywithyinfectiousydiseases,yscreenings,yandyimmunizationyatytheylocalylevel.yTheypu blicyhealthydepartmentyplaysyanyintegralyLowellyCommunityyHealth.
- WhatyisytheyMOSTyeffectiveyformyofyresearchyaynurseycanydoybeforeyestab-
19 y/y 107 whatycausesydiabetesyandywhy. Whenyaynurseyisyplanningyanyeventytoyraiseyawarenessyofypreventingyaydisease,ytheyfirstytypesyofyres earchythatyshouldybeydoneyisywhatycausesytheydiseaseyandywhy.yOnceythisyinformationyisydocumente d,ytheynurseycanybuildyherylessonyaroundymethodsyofyprevention,ywarningsysigns,yetc.
- Oneyofytheymoreyimportantystepsyforytheyambulatoryycareynurseyduringydiagnosisyw ouldybeywhichyofytheyfollowing? Ay-yDocumentationyofyinformation By-yCTyequipment Cy-yStateydiseaseycontrol Dy-yX-rayyequipment:yAy-yDocumentationyofyinformation
- Whichyofytheyfollowingyabnormalyheartysoundsyisyayresultyofytheybloodyflowingypasty theynormallyyclosedyvalve? Ay-yvalveyregurgitation By-yvalvularystenosis Cy-yventricularyoryatrialyfailure Dy-yelectricalyconductionydefects:yAy-yvalveyregurgitation Theysoundyofyvalvularyregurgitationyisyknownyasyaymurmur.yMurmursycanyhaveyayblowingyoryswis hingysoundyandyareycategorizedyinyaydegreeyofyIytoyVI.yGradeyIymurmursyareyveryysoft,ywhileygradeyV Iymurmursyareyextremelyyloudyandycanybeyheardywithytheystethoscopeyoneyinchyawayyfromytheych estywall.
- Eachypersonyhasyhowymanyyintelligencesy(accordingytoyHowardyGarner'symultipleyinte lligenceytheory)? Ay-y 8 By-y 12 Cy-y 3 Dy-y38:yAy-y 8 AccordingytoytheyHowardyGarner'symultipleyintelligenceytheory,yeachyindividualyhasy 8 yintelligenc es.yTheseyintelligencesyformytheybasisyforytheyindividualsylearningythrough-youtytheirylife.
- Youyareyconductingyanyassessmentywithyaymaleypatient.yItyisyimportantytoyknowythatyayn ormalyprostateyisytheysizeyofywhat? Ay-ygrape
20 y/y 107 By-ypeanut Cy-yorange Dy-ywalnut:yDy-ywalnut Aynormalyprostateyisytheysizeyofyaywalnut.yAnyenlargedyprostateycanybeyaysignyofyprostateycanceryory otheryhealthyconditions.
