Ambulatory Certification Prep - Nursing World Sample Test 25 Questions with Verified Answers,100% CORRECT

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Ambulatory Certification Prep - Nursing World Sample Test 25 Questions with Verified Answers The ambulatory care nurse is teaching a patient who is newly diagnosed with diabetes, and cautions the... patient against taking nonsteroidal anti-inflammatory medication, because of the: A Additional stress on kidney function. B Additional stress on liver function. C Effect on the liver when combined with an oral hypoglycemic agent. D Interference with insulin absorption. - CORRECT ANSWER Additional stress on kidney function. The most effective strategy for improving patient adherence to the care regimen is to: A Involve the patient's family in the treatment plan. B Partner with the patient in the teaching/learning process. C Reinforce that the patient must follow the plan of care. D Schedule more frequent follow-up visits. - CORRECT ANSWER Partner with the patient in the teaching/learning process. The ambulatory care nurse's decision to delegate duties depends primarily upon A Expertise in clinical pathways. B Self-awareness skills. C Staffing needs. D State regulatory mandates. - CORRECT ANSWER State regulatory mandates. A graduate nursing student is collecting data for a research study and requests a patient's chart. The ambulatory care nurse initially determines: A The purpose of the research study. B The specific data requested by the nursing student. C Whether informed consent has been obtained. D Whether the nursing supervisor has approved the study. - CORRECT ANSWER Whether informed consent has been obtained. A patient with inspiratory and expiratory wheezing from increased asthma attacks requests an adjustment to the prescribed asthma medication. The ambulatory care nurse: A Administers a rescue inhaler. B Asks whether the patient is currently wheezing. C Determines that patient's peak flow measurement. D Refers the patient for a chest x-ray. - CORRECT ANSWER determines that patient's peak flow measurement. The primary responsibility of nursing case management within the home health care setting is to: A Ensure that care is closely monitored. B Ensure that medications are reconciled. C Provide continuity of care. D Provide education on disease self-management. - CORRECT ANSWER provide continuity of care. A patient undergoes an excision of a sebaceous cyst. The ambulatory care nurse provides the patient with specific written and verbal instructions about wound care, signs and symptoms of infection, and when to follow up for suture removal. The nurse demonstrates skill in following up with this patient, post-procedure, by: A Calling the patient, according to facility policy, to evaluate the patient's condition. B Calling the patient to remind him or her not to drive until the next appointment. C Mailing the patient a card reminding him or her to schedule an annual physical. D Mailing the patient a survey to assess the facility's performance. - CORRECT ANSWER calling the patient, according to facility policy, to evaluate the patient's condition. A benefit of protocol use during telephone triage is to: A Develop a flexible treatment plan. B Enhance decision making. C Increase patient compliance. D Provide personalized patient care. - CORRECT ANSWER Enhance decision making. A 20-year-old patient calls the clinic about a friend who has been excessively drinking alcohol all day. The ambulatory care nurse first determines whether the friend is: A Combative. B Exhibiting labored breathing. C Hallucinating. D Slurring his or her speech. - CORRECT ANSWER Exhibiting labored breathing. An older adult patient asks for renewal of a medication for tremors, describing the medication as an oval, pink pill with a scored line in the middle. The pharmacy is closed. The ambulatory care nurse attempts to assist in identifying the medication by: A Advising the patient to call back and schedule an appointment with a social worker. B Informing the patient that he or she may not request a medication renewal until the next scheduled visit. C Setting up an appointment for the patient to see a mental health provider, to rule out dementia. D Using an online resource such as RxList.com or Medscape.com to search for medications that fit the patient's description. - CORRECT ANSWER Using an online resource such as RxList.com or Medscape.com to search for medications that fit the patient's description. A self-management priority for a patient with asthma is to provide quick relief therapy for: A Bronchospasm. B Hives. C Triggers. D Wheezing. - CORRECT ANSWER Bronchospasm The ambulatory care nurse demonstrates knowledge of factors involved in obtaining an accurate medication reconciliation during a patient's office visit, when he or she says: A "Holistic products do not need to be included on the record." B "Medications prescribed by other providers do not need to be included on the record." C "Natural products may interact with other drugs." D "Over-the-counter products and herbal supplements are not considered medications." - CORRECT ANSWER Natural products may interact with other drugs." After a stroke, a patient is referred to a rehabilitation facility. The effects of stroke include aphasia, left-sided paresis, and difficulty swallowing. Which consultation service does the ambulatory care nurse prioritize for this patient? A Occupational therapy. B Physical therapy. C Social services. C Speech therapy. - CORRECT ANSWER Speech therapy. As the case manager of a patient's treatment activities, the ambulatory care nurse meets with each team member. The nurse observes that the primary care provider's plan for the patient is inconsistent with the team leader's plan of intervention. To achieve a consistent approach, the nurse: A Calls a team meeting, so that all members can share their understanding of the patient's needs. B Conducts a literature review for treatment plan options. C Contacts the primary care provider and tells him or her of the disparate approaches. D Monitors the inconsistencies and presents them to the unit manager. - CORRECT ANSWER Calls a team meeting, so that all members can share their understanding of the patient's needs. A 15-year-old mother who has a three-month-old infant develops a nonemergent illness requiring hospitalization. The consent for admission and treatment is properly signed by the: A Ethics committee. B Infant's grandparent. C Infant's mother. D Mother's legal guardian. - CORRECT ANSWER Infant's mother. Which diagnostic measurement, for a 74-year-old African-American male patient with diabetes mellitus, indicates the need for a multidisciplinary team approach? A A blood pressure of 118/60 mm Hg. B A low-density lipoprotein level of 100 mg/dL. C A microalbuminuria less than 30 mcg/mg. D A serum creatinine level of 2.2 mg/dL. - CORRECT ANSWER A serum creatinine level of 2.2 mg/dL. The ambulatory care nurse meets with a patient with chronic renal failure, whom the health care team thinks is an excellent candidate for home hemodialysis. Using the principles of therapeutic communication, the nurse asks the patient: A "Are you aware that nurses will come to your home to help with your care?" B "Did you know that it is possible to have a dialysis machine in your home?" C "Is there anyone in your home who might be willing to help care for you?" D "Would you like to hear the plan of care that we chose for you during our case conference today?" - CORRECT ANSWER "Did you know that it is possible to have a dialysis machine in your home?" A middle-age patient, who comes to the clinic in dirty clothes with a foul odor, reports feeling scared and stalked. To build trust and rapport, what is the ambulatory care nurse's most appropriate action? A Assuring the patient that he or she will be seen today. B Offering the patient something to drink and a safe place to relax, before interviewing him or her. C Recommending that the patient talk with a social worker today. D Suggesting that the patient find a homeless shelter, or seek help at the public health clinic. - CORRECT ANSWER Offering the patient something to drink and a safe place to relax, before interviewing him or her. An ambulatory care nurse demonstrates cultural competency by: A Learning the patient's health beliefs. B Practicing the patient's customs. C Speaking to the patient in his or her native language. D Teaching the patient what he or she needs to know. - CORRECT ANSWER Learning the patient's health beliefs. The Hispanic-American parent of an 11-year-old patient reports that the child has fainted on several occasions. Upon questioning the parent, the ambulatory care nurse learns that a curandera, or shaman, has administered blood pressure medication to the normotensive child to treat evil spirits. To successfully care for the child, the nurse's action is to: A Administer IV fluids. B Evaluate the parent's beliefs about illness and healing. C Interview the patient and the parent separately. report the family to Child Protective Services. - CORRECT ANSWER Evaluate the parent's beliefs about illness and healing. An ambulatory clinical practice council (CPC) provides an important venue in which the ambulatory care nurse can: A Discuss focused outpatient, nursing-sensitive indicators. B Participate in developing ambulatory care operating budgets. C Participate in developing evidence-based ambulatory care practice changes. D Receive information from various hospital-wide committees. - CORRECT ANSWER Participate in developing evidence-based ambulatory care practice changes. The school nurse examines a 14-year-old male student who reports feeling feverish for days. The student has a temperature of 102°F (38.9°C), a cough, and a generalized red, blotchy rash. After notifying the student's parents and sending him home from school, the nurse's next action is to: A Hold an immunization clinic. B Notify the parents of all students of a potential measles outbreak. C Report a suspected case of measles to the local health department. D Review the records of all students to determine their immunization status. - CORRECT ANSWER Report a suspected case of measles to the local health department. Which question demonstrates advocacy within the health care organization for ambulatory care nursing? A "How does the ambulatory care nurse ensure that patients sign their advance directives?" B "How does the ambulatory care nurse formulate a discharge plan on the day of discharge?" C "How does the ambulatory care nurse manage care for the patient and family as defined by the profession?" D "How does the ambulatory care nurse provide quality care in a cost-containment environment?" - CORRECT ANSWER "How does the ambulatory care nurse provide quality care in a cost-containment environment?" The most appropriate method for teaching insulin self-administration to a patient who is newly diagnosed with type 2 diabetes is to: A Enroll the patient in a group class on diabetes. B Offer a brief demonstration and request a return demonstration. C Provide the patient with written instructions on insulin administration. D Show a video that demonstrates insulin self-administration. - CORRECT ANSWER Offer a brief demonstration and request a return demonstration. Which activity is an example of secondary prevention? A Administering an inactivated poliovirus vaccine. B Conducting screening tests for visual defects. C Fitting a prosthetic limb. D Providing a walker to prevent falls. - CORRECT ANSWER Conducting screening tests for visual defects. [Show More]

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