Ambulatory Care Nursing Certification
Questions and answers graded a+ \\\pass !!! 100%
Open angle glaucoma -answer-obstruction to the outflow of aqueous humor from the
anterior to posterior chamber
causes loss of peripheral vision, eye pain, and redness
Cataract -answer-opacification of the lens resulting in diminished vision, poor night
vision, & sensitivity to glare
Jaeger card -answer-tests for near vision
each eye individually at 14 inch
amasser grid -answer-test for macular degeneration
center dot w/ surrounding lines
5 major food groups -answer-bread, cereal, rice, & pasta
vegetable group
fruit group
mild, yogurt, & cheese
meat, poultry, fish, dry beans, eggs, & nuts
Unintentional wt loss -answer->5% over 1 month
7.5% over 3 months
>10% over 6 months
waist-to-hip ratio -answer-abdominal girth / hip circumference
values >1.0 for men or 0.8 for women indicate upper body obesity
anti-obesity drugs -answer-phentermine (short-term use only)
Orlistat
Restrictive bariatric procedures -answer-laparoscopic gastric banding
Ventrical banded gastroplasty
Flumist (live flu vaccine) -answer-May be given to healthy, non-pregnant adults free of
chronic illness up through age 49
Implantation presencey sx -answer-light bleeding w/ mild cramping the may appear 12-
15 days after fertilization
,Newbown/infant screening labs -answer-Phenulketonura
hypothyroidism
sickle cell anemia
Measuring length if infant -answer-measure on flat surface w/ infant on back
length generally increases by 50% by 1 year of age
Wt increase in infants -answer-generally doubles by age 6 months
triples by 1 year of age
Head circumference measurements -answer-measure broadest part across forehead
and occiput
average growth is 1cm/month for first year
When is the first dental screening? -answer-age 1
Atonic phases in seizure -answer-loss of muscle tone
absence seizure (petit mal) -answer-type of seizure resulting in brief loss of
consciousness, usually 10 seconds or less, w/ absence of hypertonicity or musclaujlr
contracture.
predominantly in children
aura -answer-subjective indication of oncoming seizure
change in tase, vision, or smell
focal seizure -answer-seizure activity initiating from one side of the brain
seizure activity on opposite side of the body
epilepsy -answer-dx for congenital or acquired brain dz resulting in seizure actvity
tonic clonic seizure (grand mal) -answer-increased neuronal activity in the brain w/
presenting loc, muscle rigidity, involuntary muscular twitching, & incontinence
Status epilepticus -answer-increased neuronal activity in the b rain resulting in seizure
activity that continues for >10minutes
medical emergency
3 types of causes for sz activity -answer-physiological
iatrogenic
idiopathic
Most common seizure medications -answer-phenytoin
carbamazepine
topiramate
, gabapentin
phenobarbital
Kussmaul respirations -answer-rapid/deep breaths
indicate DKA
arterial blood gas is required to dx
What CBG level indicates emergency care or UC -answer-less than 70
Medications for TB -answer-isoniazid
pyridoxine
rifampin
ethambutol
Primary prevention for active TB -answer-annual tb screening for health care workers &
residents of long-term care facilities
definition of dysthymia -answer-depression that is chronic in nature; milder than major
depression
lasting up to 2 years
atypical (psychotic) depression -answer-there is a severe depressive illness that is
accompanied by some form of psychosis
ex. hallucinations or delusions
What substance should be avoided when taking an MAOI -answer-tyramin
found in wine, cheeses, pickles, & some OTC medicines
Mandatory public health disclosures for PHI -answer-abuse, neglect, domestic violence
hiv/aids
cancer
immunization
Time limit of filing complaint of discrimination -answer-180 days of violation
Standard precautions include: -answer-hand hygiene
Use of PPE
safe injection practices
safe handling of potentially contaminated equipment or surfaces in the patient
environment
respiratory hygiene/cough etiquette
When should you notify nearest OSHA facility after a fatal accident or one that results in
the hospitalization of 3 or more employeees? -answer-within 8 hours
Questions and answers graded a+ \\\pass !!! 100%
Open angle glaucoma -answer-obstruction to the outflow of aqueous humor from the
anterior to posterior chamber
causes loss of peripheral vision, eye pain, and redness
Cataract -answer-opacification of the lens resulting in diminished vision, poor night
vision, & sensitivity to glare
Jaeger card -answer-tests for near vision
each eye individually at 14 inch
amasser grid -answer-test for macular degeneration
center dot w/ surrounding lines
5 major food groups -answer-bread, cereal, rice, & pasta
vegetable group
fruit group
mild, yogurt, & cheese
meat, poultry, fish, dry beans, eggs, & nuts
Unintentional wt loss -answer->5% over 1 month
7.5% over 3 months
>10% over 6 months
waist-to-hip ratio -answer-abdominal girth / hip circumference
values >1.0 for men or 0.8 for women indicate upper body obesity
anti-obesity drugs -answer-phentermine (short-term use only)
Orlistat
Restrictive bariatric procedures -answer-laparoscopic gastric banding
Ventrical banded gastroplasty
Flumist (live flu vaccine) -answer-May be given to healthy, non-pregnant adults free of
chronic illness up through age 49
Implantation presencey sx -answer-light bleeding w/ mild cramping the may appear 12-
15 days after fertilization
,Newbown/infant screening labs -answer-Phenulketonura
hypothyroidism
sickle cell anemia
Measuring length if infant -answer-measure on flat surface w/ infant on back
length generally increases by 50% by 1 year of age
Wt increase in infants -answer-generally doubles by age 6 months
triples by 1 year of age
Head circumference measurements -answer-measure broadest part across forehead
and occiput
average growth is 1cm/month for first year
When is the first dental screening? -answer-age 1
Atonic phases in seizure -answer-loss of muscle tone
absence seizure (petit mal) -answer-type of seizure resulting in brief loss of
consciousness, usually 10 seconds or less, w/ absence of hypertonicity or musclaujlr
contracture.
predominantly in children
aura -answer-subjective indication of oncoming seizure
change in tase, vision, or smell
focal seizure -answer-seizure activity initiating from one side of the brain
seizure activity on opposite side of the body
epilepsy -answer-dx for congenital or acquired brain dz resulting in seizure actvity
tonic clonic seizure (grand mal) -answer-increased neuronal activity in the brain w/
presenting loc, muscle rigidity, involuntary muscular twitching, & incontinence
Status epilepticus -answer-increased neuronal activity in the b rain resulting in seizure
activity that continues for >10minutes
medical emergency
3 types of causes for sz activity -answer-physiological
iatrogenic
idiopathic
Most common seizure medications -answer-phenytoin
carbamazepine
topiramate
, gabapentin
phenobarbital
Kussmaul respirations -answer-rapid/deep breaths
indicate DKA
arterial blood gas is required to dx
What CBG level indicates emergency care or UC -answer-less than 70
Medications for TB -answer-isoniazid
pyridoxine
rifampin
ethambutol
Primary prevention for active TB -answer-annual tb screening for health care workers &
residents of long-term care facilities
definition of dysthymia -answer-depression that is chronic in nature; milder than major
depression
lasting up to 2 years
atypical (psychotic) depression -answer-there is a severe depressive illness that is
accompanied by some form of psychosis
ex. hallucinations or delusions
What substance should be avoided when taking an MAOI -answer-tyramin
found in wine, cheeses, pickles, & some OTC medicines
Mandatory public health disclosures for PHI -answer-abuse, neglect, domestic violence
hiv/aids
cancer
immunization
Time limit of filing complaint of discrimination -answer-180 days of violation
Standard precautions include: -answer-hand hygiene
Use of PPE
safe injection practices
safe handling of potentially contaminated equipment or surfaces in the patient
environment
respiratory hygiene/cough etiquette
When should you notify nearest OSHA facility after a fatal accident or one that results in
the hospitalization of 3 or more employeees? -answer-within 8 hours
