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AMBULATORY CARE NURSE CERTIFICATION EXAM
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AMBULATORY CARE NURSE CERTIFICATION EXAM
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AMBULATORY CARE NURSE CERTIFICATION EXAM 2024TESTBANK /ANCC CERTIFICATION EXAM 450
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES / A+ GRADE ASSURED
How many medications does it typically take to be considered "polypharmacy?"
A -Three
B -Ten
C -Twenty-four
D -Five or more - ANSWER: D -Five or more
The ANP knows that it is her responsibility to report certain things to the proper
authorities. Which of the following is NOT required to be reported?
A - gunshot wound
B - suspected child abuse
C - drug abuse
D - stab wounds - ANSWER: C - drug abuse
Drug abuse is not required by law to be reported. Gunshot wounds, stab wounds,
and child abuse (actual or suspected) are required to be reported to the proper
authorities.
Prior to undergoing an abdominal sonogram, the patient should do what?
A - refrain from food and water for 12 hours
B - empty his or her bladder
C - drink a liter of water
D - empty his or her bowels - ANSWER: C - drink a liter of water
Prior to an abdominal sonogram, the patient is asked to drink water. In addition
fasting for 8 to 12 hours prior to the procedure is often required.
Which of the following is NOT part of a nursing diagnosis?
A - statement of the patient's actual health status
B -signs of illness
C - medical diagnosis (such as stroke or pulmonary blockage)
D - symptoms of illness - ANSWER: C - medical diagnosis
Nursing diagnoses should never contain medical diagnoses. Rather, the nursing
diagnosis is a statement of the patient's actual health status, risks for condition
developing, causative and related factors, and signs and symptoms.
Primary care would be considered the cornerstone of ambulatory care with nurses
practicing in which of the following areas of healthcare?
A - Telehealth services
B - Internal medicine
C - Pediatrics
D - All of the above - ANSWER: D - All of the above
,Which of the following would FDA stands for?
A - Food and Drug Administration
B - Food Depression Association
C - Fixed Depression Administration
D - None of the above - ANSWER: a - Food and Drug Administration
This is an agency which regulates both the development and sale of drugs.
Endoscopes are cleaned and _____.
A - High level disinfected.
B - Sterilized.
C - Low level disinfected.
D - Intermediate level disinfected. - ANSWER: A - High level disinfected.
Endoscopes are critical items. Critical items are normally sterilized after being
cleaned. Endoscopes cannot be sterilized and require high level disinfection.
Which of the following is considered an independent nursing action?
A - teaching a patient about the new diet she has been prescribed for management
of her condition
B - assisting the speech therapist by helping the patient practice speech exercises
C - administering pain medication to the patient
D - giving the patient a backrub - ANSWER: D - giving the patient a back rub
Independent nursing actions are those which do not require a physician's order.
Giving a backrub is one of these independent nursing actions. In the age of managed
care, actions which arise from collaborative care plans are known as interdependent
actions.
Which of the following is a digitalis medicine?
A -Lanoxin
B - Bumex
C - Zestril
D - Adalat - ANSWER: A - Lanoxin (Digoxin)
A digitalis medication is a cardiac glycoside that treats CHF and arrhythmias also for
BP support.
Bumex is a loop diuretic. Zestril is an ACE inhibitor. Adalat is a calcium blocking
agent.
Which of the following is not one of the steps in evidence-based practice?
A - Constructing the clinical question
B - Patient selection
C - Appropriate selection of resources
D - Appraise the validity of the evidence - ANSWER: B - Patient selection
Patent selection is not one of the steps in evidence-based practice. The steps in
evidence-based practice consist of
1 - Patient assessment
2 - Constructing the clinical question
3 - Appropriate selection of resources
4 - Appraise the validity of the evidence
,5 - Apply the integrated patient preferences, evidence, and clinical expertise
6 - Performance evaluation with patience
What is true regarding the respiratory synctical virus (RSV) immune globin?
A - This is indicated for children less than 2 years of age with chronic lung disease,
and infants <32 weeks.
B - Contraindications include a reaction to neomycin or streptomycin products.
C - This is indicated for adults without a history of RSV.
D - Palivizumab (Synagis) provides permanent immunity for high-risk infants. -
ANSWER: A - This is indicated for children less than 2 years of age with chronic lung
disease, and infants <32 weeks.
Palivizumab (Synagis) provides temporary, passive immunity for high-risk infants, not
adults. The polio vaccine (IPV) is contraindicated for those who have had a reaction
to neomycin or streptomycin.
A nurse finishes a follow up visit with one of her elderly patients and gives him the
influenza vaccine before he leaves. This is an example of what type of prevention?
A - primary
B - secondary
C - tertiary
D - annual - ANSWER: A - primary
Primary prevention, such as an immunization, aims to prevent health problems
before they start. Secondary prevention promotes early detection and treatments of
diseases. Tertiary prevention is designed to help a patient cope with a current
problem or prevent relapse. "Annual" is not a type of prevention.
For successful communication, the major criteria would include?
A - Forcefulness
B - Flexibility
C - Evaluation
D - Developmental - ANSWER: B - Flexibility
The 4 major criteria for successful communication would include: Feedback,
Appropriateness, Efficiency, Flexibility
A person's knowledge is sometimes measured by which of the following verbs?
A -Recall
B - List
C - Remember
D - All of the above - ANSWER: D - all of the above
Some of the verbs which might be used to measure a person's knowledge could
include: Recall, List, Remember, Identify, State, Define
A key value in association with "Baby Boomers" would be considered which of the
following?
A - Sacrifice
B - Duty
C -Respect for authority
, D - Involvement - ANSWER: D - Involvement
There are 3 key values that are associated with "Baby Boomers:" Involvement,
Personal growth, Team
You are assessing a patient prior to surgery and want to check for her surgical risk
due to alcohol consumption. That patient tells you that her alcohol use varies and
she does not seem willing to discuss how much she drinks. Which of the following is
an appropriate strategy for getting the information you need?
A -Present the patient with graphic images of the internal organs of people who
abuse alcohol.
B -Shame the patient into telling you what you need to know.
C - Refer the patient to a social worker at the hospital.
D - Ask a family member, such as the patient's spouse, about the patient's alcohol
use. - ANSWER: D - Ask a family member, such as the patient's spouse, about the
patient's alcohol use.
Which of the following is NOT a concern when developing health literacy education
for patients?
A - Literacy level.
B - Cultural background.
C - Language.
D - Gender - ANSWER: D - Gender
When learning in the affective domain, it would involve internalization or
commitment to which of the following?
A - Feelings
B - Interests
C - Cognitive
D - Both A and B - ANSWER: D - Both A and B
When a person is learning in the affective domain, it would involve internalization or
commitment to: Feelings, Interests, Attitudes, Beliefs, Values
Of the following, which would be considered the name for when it would reflect the
chemical structure of a drug?
A - Generic name
B - Common name
C - Trade name
D - Chemical name - ANSWER: D - Chemical name
An older patient presents with swelling in the lower extremities. Which of the
following should be ordered to rule out heart failure?
A - CBC
B - Spirometry study
C - Brain natriuretic peptide test
D - Ketone balances - ANSWER: C - Brain natriuretic peptide test (BNP)
The BNP measures levels of protein made by your heart will be higher than normal
since it is produced by your blood vessels in your heart.
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