Ambulatory Care Nurse Certification Exam (Ancc) Questions With Answers2024, Exams of Nursing

Download Ambulatory Care Nurse Certification Exam (Ancc) Questions With Answers2024 and more Exams Nursing in PDF only on Docsity! Ambulatory Care Nurse Certification Exam (Ancc) Questions With Answers2024 The Ambulatory care Nurse is triaging a client whose chief complaint is chest pain. What is a priority action for the nurse to take? A. Complete full head to toe B. Administer ASA C. Perform Electrocardiogram (ECG) D. Call 911 - ✅ C. Perform an Electrocardiogram Which of the following is essential for the ambulatory care nurse to remind the client of when performing an Electrocardiogram? A. Take a deep breath during the test B. Hold you breath during the test C. Try not to move during the test D. You may keep your bra on during the test - ✅ C. Try not to move during the test The Ambulatory Care nurse is assessing a client. Which of the following questions will yield more information from the client? A. Are you feeling pain? B. What brought you in today? C. How many Children do you have? D. When was your last menstrual period? - ✅ B. What Brought you in today? The ambulatory care nurse is conducting an annual assessment of a client. The client denies frequent urination, blurry vision, excessive thirst or hunger. The clients Blood sugar is 500mg/dl by finger stick. What should the nurse do next? A. Transport client to the ER B. Notify the healthcare provider immediately C. Retest the Blood glucose D. Order a Hemoglobin A1c - ✅ C. Retest the blood glucose Which of the following laboratory test is most effective in monitoring a client with DM blood glucose level? A. Urine Glucose Level B. Glucometer blood glucose testing C. Hemoglobin A1C D. Creatinine Levels - ✅ C. Hemoglobin A1C The client complains of sporadic Abnormal heart rate. An ECG performed showed Normal Sinus rhythm. Labs were WNL and assessment revealed no cardiovascular abnormalities. Which of the following should the nurse anticipate the healthcare provider will order? A. Halter Monitoring B. I will not eat Mushrooms for 48-72 hours The ambulatory care nurse is scheduling the client for gFOBT. Which statement made by the client indicates that teaching was effective? A. This is an invasive test C. I can take ASA if I am having a headache D. I will reduce my fiber intake - ✅ B. I will not eat Mushrooms for 48-72 hours Prioritization is an important aspect of the ambulatory care nurse's time management plan. Which of the following clients would the nurse see first? A. A client with a BS of 150mg/dl and is asymptomatic B. A client who complains of blood in urine 24hours POP TURP C. A client with a blood pressure of 140/89 and is asymptomatic D. A client in her 3rd trimester and has signs of preterm labor. - ✅ D. A client in her 3rd trimester and has signs of preterm labor. A client informed the ambulatory care nurse that the internet is very helpful to her when reviewing health information. Which actin is appropriate for the nurse to take? A. Encourage the client to continue her independence by taking her health in her own hands. B. Educate the client on credible websites and the importance of protecting private information C. Do nothing. The client is knowledgeable about using the internet. D. Document the clients response in the chart. - ✅ B. Educate the client on credible websites and the importance of protecting private information Which of the following strategies is appropriate when facilitating conflict resolution? A. Choose a side as soon as possible B. Refrain from judging C. Use minimal choices and options to reach a speedy solution D. Blame the guilty party - ✅ B. Refrain from judging The ambulatory care nurse is working with a healthcare organization that is seeking Magnet recognition. Which of the following activities by the nurse is the best supporting evidence in the Magnet application process A. Being the charge nurse in the clinic B. Participating in the nurses week celebration C. Advancing to RN2 on the clinical ladder D. Being the chairperson of the evidenced based council committee - ✅ D. Being the chairperson of the evidenced based council committee There are three ethical principles for human research. Which of the following means the client has the right to elf determination? A. Respect B. Justice C. Beneficence D. Non maleficence - ✅ Which of the following organizations is responsible for evaluating proposed research studies prior to their commencement? A. Centers for disease control and prevention B. Department of Health and Human services C. Institution Review Board D. Office of Disease prevention and Health Promotion - ✅ C. Institution Review Board According to the Joint Commission standard, when should the initial assessment of the nurse competencies be conducted in a health care setting? A. During the orientation process B. Prior to the orientation process C. During Nursing school D. After the orientation process - ✅ A. During the orientation process The purpose of using Scope and Standards of Practice for Ambulatory Care Nursing includes which if the following? A. Use a guide to provide quality of care B. Use to prevent law suits C. Use to increase the income of the facility D. Use to train nurses - ✅ A. Use a guide to provide quality of care The ambulatory care nurse is teaching a client ho to change their wound dressing. Which of the following indicates emotional readiness to learn? A. The client accepts the need to learn the new skill B. The client has the psychomotor function to change the dressing C. The client is a wound care medical MD D. The client has dressed his/her own wound in the past - ✅ A. The client accepts the need to learn the new skill To educate the client the ambulatory care nurse needs a systematic and planned process that consists of teaching and learning. Which of the following factors could influence the education process? A. Culture B. Learner's readiness C. Gender D. Socio-Economic Status - ✅ B. Learner's readiness The Ambulatory care nurse is discharging a 10-year-old child from the pediatric clinic. To whom should the nurse given the discharge teaching? A. The Child B. The mother C. Both the child and the caregiver Which of the following is used to determine the type and the numbers of staff needed in an ambulatory clinic? A. Only the volume of client B. Nurses; years of experience C. Nurses college degree D. The complexity and the number of clients - ✅ D. The complexity and the number of clients Which action by the ambulatory care nurse indicates that he/she is compliant with the client self-determination Act? A. Asking the client if they have a Advanced Directives B. Completing a head to toe assessment C. Reviewing the clients care plan D. Complying with the client's right to refuse medication - ✅ A. Asking the client if they have a Advanced Directives Which of the following medications does the ambulatory care nurse anticipate the MD will prescribe for a client with chronic Asthma for long- term treatment A. Fluticasone (Flovent) B. Albuterol ( Ventolin) C. Ipratropium (Atrovent) D. Levalbuterol (Xopenex) - ✅ A. Fluticasone (Flovent) The Ambulatory care nurse asses a client with Shortness of breath, lack of energy, and dry mouth. Which of the following disease should the ambulatory care nurse suspect? A. COPD B. Congestive Heart Failure C. Asthma D. Respiratory Failure - ✅ A COPD The parent of an eight year old child reports that the child cannot efficiently use the metered dose inhaler. Which of the following actions should the nurse take? A. Give the child a nebulizer B. Give the child a spacer C. Recommend discontinuation of the medication D. Inform the parent that the medication is not important - ✅ B. Give the child a spacer The ambulatory care nurse is formulating a research question using the PICO format. the "C" in PICO stands for which of the following? A. Comparison B. Characteristics C. Culture D. Cure - ✅ B. Characteristics PICO (T) Format - ✅ Formula for creating answerable research questions. P: Population/patient - age, gender, ethnicity, individuals with a certain disorder I: Intervention/indicator (Variable of Interest) - exposure to a disease, risk behavior, prognostic factor C: Comparison/control - could be a placebo or "business as usual" as in no disease, absence of risk factor, Prognostic factor B B. The client now sleeps sitting up C. The clients BP is / D. Increased Activity tolerance. - ✅ B. The client now sleeps sitting up With the implementation of telemedicine, the method of triaging has changed. What components would an ambulatory care nurse utilize when triaging using the telephone? A. Take a quick and accurate history in order to make an accurate decision B. HIPPA law does not allow client to call ambulatory care facility with health issues C. Call 911 as soon as the client states there is a problem D. Give information that is general that can be applied to most clients. - ✅ A. Take a quick and accurate history in order to make an accurate decision The ambulatory care nurse is assessing a client. Which questions should the nurse ask to assess the clients health goals? A. It seems to me that you want to be healthy, Is that true? B. What are your health goals? C. Do you want to be healthy? D. Do you exercise? - ✅ B. What are your health goals? The ambulatory care nurse is caring for an elderly client. The nurse caring for the client should know what about elder abuse? A. All victims of elder abuse are victims of poly- victimization B More than 3 in 5 victims are men and 75 years or older C. Elder abuse can be the result of intentional or unintentional neglect D. elder abuse is not an issue, the nurse should not be concerned about. - ✅ C. Elder abuse can be the result of intentional or unintentional neglect The ambulatory care nurse is caring for a 30 year old married woman in the clinic who was accompanied by her husband. Upon assessment, the nurse noted bruises on the clients arm. What action should the nurse take? A. Conduct further assessment without the clients husband in the room. B. Ask both the husband and the client what happened C. Call 911 D. Inform the client to leave her husband for safety - ✅ A. Conduct further assessment without the clients husband in the room. When coding for visits of new patients, the key component that must be included to document the correct level of evaluation and management (E/M) are: A. History, physical and medical decision making B. Physical exam and medical decision making C. History and physical exam D. Age, DX, and medical decision making - ✅ A. History, physical and medical decision making If a patient is trying to make an informed decision about whether to have surgery or more conservative treatment for prostate cancer and asks the ambulatory care nurse for advise on making the decision, the nurse should: A. Advise the patient on the best course of treatment B. Suggest the patient carry our research before deciding C. provide the patient with print and online resources D. Advise the patient to ask the physician for more information - ✅ C. provide the patient with print and online resources An Ambulatory care center has analyzed the type of patient complaints and finds there are four complaints that are most common ( delays, rescheduling, difficulty scheduling and parking) but not easily solvable and that staff members handle these complaints in different manners. The service recovery program should begin by: A. Posting signs apologizing for these problems B. Warning patients in advanced that these problems may occur C. Providing patents with complaint forms D. Establishing protocols for dealing with complaints - ✅ D. Establishing protocols for dealing with complaints If a patient is to have an arthrodesis and injection of corticosteroid into the right knee and the ambulatory care nurse is setting up equipment, the correct needle gauge syringe sizes are: A. 18G needle and 10-20ml syringe B. 20G needle and 20ml syringe C. 16G needle and 10-20ml syringe D. 19g needle and 50ml syringe - ✅ A. 18G needle and 10-20ml syringe The coding system that is used for outpatient procedure claims is: A. ICD-10-PCS B. HCPCS/CPT C. ICD-10-CM D. ICD-9 - ✅ B. HCPCS/CPT The issue of licensure portability is especially a concern with: A. Outreach programs B. Collaboration among medical facilities and programs C. Telemedicine D. Recruitment of healthcare personnel - ✅ C. Telemedicine If a leader wants to influence others in an organization to change attitudes, the first step is to: A. Provide incentives to change B. Outline disciplinary actions for failure to change C. Outline the desired change D. Model the desired change - ✅ D. Model the desired change B. 30 min C. 60 Min D. 90 min - ✅ C. 60 min If a patient comes to the ambulatory care center with a 1inch gash on he left foot from a dog bite, the initial response should be to: A. Wash the wound area with soap and water B. Irrigate the wound with -ml of NS C. Irrigate the wound with - ml of hydrogen peroxide D. Soak the foot in povidone-iodine/NS (50/50) solution - ✅ D. Soak the foot in povidone-iodine/NS (50/50) solution If one of the patients nursing diagnosis on the care plan is "Self care deficit" which of the following is an appropriate desired outcome? A. The patient will achieve maximal physical activity B. The patient will perform self care within physical limitations and activity restrictions C. The patient exhibit increased ability to engage in activities D. The patient will need no assistance with persona care - ✅ B. The patient will perform self care within physical limitations and activity restrictions If the ambulatory care nurse is interviewing an adolescent patient with autism spectrum disorder and the patient states at the wall and repeatedly states, "You don't want to be here," this likely means that the patient: A. Senses the nurse doesn't want to be there B. Wants the nurse to leave C. Doesn't want to be there D. Is just repeating a random phrase - ✅ C. Doesn't want to be there An ambulatory surgery center that has received accreditation and deemed status from the Joint Commission: A. Does not need to undergo the CMS certification process B. Must still undergo the CMS certification process C. Must undergo an abbreviated CMS certification process D. Can opt to pay a fee rather than undergo CMS certification - ✅ A. Does not need to undergo the CMS certification process If the Ambulatory nurse is carrying out a point of care rapid HIV test on a patient, the nurse should: A. Advise the patient that the test is simply routine B. Remind the patient of the right to refuse test C. Tell the patient not to worry because most test are negative D. Discuss the implications of the test with the patient first. - ✅ D. Discuss the implications of the test with the patient first. According to the CDCs infection prevention and control assessment tool for outpatient settings, the organization's written infection prevention policies and procedures should be reassessed at least every: A. month B. 6 months C. 12 months D. 24 Months - ✅ C. 12 months If a physician is registered as a Vaccines for Children's (VFC) provider and plans to administer vaccines to four patients, which of the following patient would be eligible for the program? A. 6 year old whose health insurance is provided by Medicaid B. a 19 year old AA patient C. A 13 year old with insurance coverage for vaccines D. A 3 year old Polynesian patient with insurance but unpaid deductible - ✅ A. 6 year old whose health insurance is provided by Medicaid If an office practice has 3 FTE physicians, approximately how many FTE support staff persons are likely to be necessary? A. 5 B. 10 C. 15 D.20 - ✅ C. 15 ( 1 FTE physician requires 4.5-5.5 support staff) Which of the following ethnic groups is at the highest risk of stroke? A. Caucasians B. Hispanics C. Asians D. African Americans - ✅ D. African Americans The type of budget that is used for daily operations and general expenses, such as salaries associated with an ambulatory surgery center is the: A. Master budget B. Operating Budget C. Capitol Budget D. Cash balance Budget - ✅ B. Operating Budget According to the Spalding classifications system for disinfection and sterilization, an example of an item that would be classified as Semi-critical is: A. Bronchoscope B. Surgical instrument C. BP Cuff D. Bedpan - ✅ A. Bronchoscope If a patients nursing DX is "Activity intolerance" on the care plan and the desired outcomes are the for the patient to feel less tire and carry out activities without signs of physical distress, which of the following is an appropriate nursing intervention: A. Keep patient awake during daytime hours B. Limit activities to those that are essential C. instruct patient in energy saving techniques D. Encourage patient to take mid-morning and mid afternoon naps. - ✅ C. instruct patient in energy saving techniques When preparing a budget for a community education project, the ambulatory care nurse needs to consider both direct and indirect costs. Indirect costs may include: A. Supplies and Equipment B. Salaries C. Employee benefits D. Housekeeping Services - ✅ D. Housekeeping Services The three goals of accreditation by the national committee for Quality Assurance are (1) better patient experience, (2) Better health and (3): A. Lower staff turnover B. Lower per capita cost C. Lower rates of medical errors D. Higher reimbursement rates - ✅ B. Lower per capita cost An Ambulatory care nurse reviewed clinic statistics regarding the number of patients who missed or came late to an appointment, established a telephone reminder system to improve attendance and then conducted a review each week and published findings for the staff showing the improvement. This is an example of: A. Internal benchmarking B. Functional Benchmarking C. External Benchmarking D. Competitive benchmarking - ✅ A. Internal benchmarking If when utilizing the Plan Do Study Act (PDSA) method of continuous quality improvement study of the outcomes of a trial indicates that the solution that was instituted was not effective, the next step is to: A. Return to plan step B. Return to DO step C. Discontinue the process D. Continue to Act step - ✅ A. Return to plan step Plan Do Study Act (PDSA) method of continuous quality improvement study - ✅ Plan: Define the problem, brainstorm and collect data When interviewing a patient who reports that everything is "fine" the ambulatory care nurse notes that the patients pupils are dilated, the patient is sweating profusely and the patient frequently licks the lips. According to these observations the nurse likely concludes that the patient is: A. actually fine B. withholding information C. Experiencing a physical health problem D.Afraid of the nurse - ✅ B. withholding information Under provisions of the Americans with Disabilities Act (ADA) in relation to access, which of the following is allowed: A. Examining a wheelchair bound patient in a wheelchair because an adjustable exam table is not available B. Refusing to treat a patient because accessible equipment is not available C. Asking a disabled person to bring a caregiver to assist with patients examination D. Having accessible equipment for patient with disabilities in some examination rooms but not all - ✅ D. Having accessible equipment for patient with disabilities in some examination rooms but not all Waste is considered corrosive and hazardous if it has a pH of: A. Less than 2 or greater than 12.5 B. Less than 4 or greater than 10.5 C. Between 6 and 12 D. Greater than 12.5 - ✅ A. Less than 2 or greater than 12.5 When reviewing a number of articles as part of development of Evidence- based practice guidelines, the first step to reading critically should be to: A. Review the authors credentials B. Consider the source C. Read the article conclusion D. Evaluate the overall article - ✅ A. Review the authors credentials The nursing hazard that is usually of most concern is an ambulatory surgical center is: A. Back injuries B. Slips and falls C. Exposure to bloodborne pathogens D. Latex Allergies - ✅ C. Exposure to bloodborne pathogens The HIPPA security rule applies to protected health information (PHI) that is transmitted: A. Orally B. In Writing C. Electronically D. In Any Manner - ✅ C. Electronically In a therapeutic relationship between an ambulatory care nurse and a patient, the focus should be on the : A. Nurse's Needs B. Patient ideas and feelings C. Medical Needs D. Treatment Options - ✅ B. Patient ideas and feelings If the ambulatory care nurse is concerned about a potential influx of patients infected with the Zika Virus, the most appropriate response is to: A. Research the topic and obtain disease- focused date B. Express concerns to other staff members C. Complain about the lack of information D. Suggest Stockpiling mosquito repellant to patients - ✅ A. Research the topic and obtain disease-focused date If Medicare has denied a claim, how ling does the appellent have to file an appeal: A. 30 days B. 60 days C. 90 days D. 120 days - ✅ D. 120 days Health literacy is directly affected by general literacy, so when educating patients, the ambulatory care nurse should realize that the approximate percentage of adults in the US who are classified as illiterate or low literate is: A. 25% B. 40% C. 50% D. 70% - ✅ C. 50% The Ambulatory care nurse is participating in a community effort to screen for hypertension. Screening for disease is an example of what type of prevention: A. Primary B. Secondary C. Tertiary D. Quaternary - ✅ B. Secondary Primary prevention examples - ✅ - Discuss a low-fat diet and the need for regular physical exercise with clients. - when a nurse provides health education and training for daycare workers about issues of health and hygiene, such as proper hand hygiene, diapering, and food preparation and storage - Immunizations, importance of wearing seatbelts, taking folic acid supplementation at preconception to prevent neural tube defects, fluoridation of water supplies to prevent dental caries, and actions taken to reduce human exposure to agents that may cause cancer - Implement a community level program like walking for exercise to assist citizens in improving health behaviors related to lifestyle. - Use the Code of Ethics for Nurses to guide your nursing practice - Use the information exchange process to increase the client's understanding of how to use the health care system and the health promotion strategies that will maintain health. - Complete a family genogram and assess health risks with the family to contract for family health activities to prevent diseases from developing Autonomy: Recognizing that the patient is the one who is responsible for making changes and respecting the patients choices. Female patients should generally be advised to begin breast cancer screening with routine mammos at about the age: A. 20-30 B. 30-40 C. 40-50 D. 50-60 - ✅ C. 40-50 One of the primary indications that a patient is ready to learn is when the patient: A. Appears confused B. Expresses frustration C. Admits lack of knowledge D.Asks a question - ✅ D. Asks a question When assessing a patient over the telephone, the ambulatory care nurse is unsure what the client is saying because the patient's explanation is confusing. Which of the following is the best response? A. Could you explain that again, I just want to make sure I understand B. That was so confusing, Could you repeat it? C. I'm afraid I didn't understand what you were saying D. Is there someone else present who could explain this to me - ✅ A. Could you explain that again, I just want to make sure I understand If a female patient at an ambulatory care clinic speaks only Arabic and is accompanied by her 8 year old daughter and a male neighbor who both peak English and Arabic, the best way to communicate is: A. Use pantomime to help the patient communicate B. Ask the daughter to translate C. Ask the neighbor to translate D. Arrange for a medical Translator - ✅ D. Arrange for a medical Translator When providing anticipatory guidance to a patient who has recently been diagnosed with DM type I, the most important information that the ambulatory care nurse should cover is how to deal with: A. Weight loss B. Changes in Activity C. Diabetic ketoacidosis D. HTN - ✅ C. Diabetic ketoacidosis Which of the following infectious agents is only transmitted through direct contact, such as when the infectious agent is present on an environment surface? A. C-Diff B. Lyme disease C. Rubella Virus D. Varicella -Zoster virus - ✅ A. C-Diff If an ambulatory care nurse wants to determine if there is a recall for a specific medications, the nurse should seek information from the? A. CDC B. Consumer product safety commission C. Agency for toxic substance and disease registry D. Food and Drug Administration - ✅ D. Food and Drug Administration If a patient is scheduled for a colonoscopy, the patient should be advised that the procedure will generally require the patient to withhold which of the following medications for 7-14 days before the test A. Iron supplements B. Antihypertensive C. Acetaminophen D. Levothyroxine - ✅ A. Iron supplements A Patient is to undergo the MOHS procedure for a removal of a squamous cell carcinoma from the left face. The patient should be advised that following the initial excision of the lesion, the patient will be expected to A. Stay flat for 72 hours B. Wait for the results of the tissue analysis C. Be discharged from the facility D. Consult a plastic surgeon for repair - ✅ B. Wait for the results of the tissue analysis Which of the following conditions of the breast may pose the greatest risk for the development of breast cancer A. Lipoma B. Cyst C. Epithelial related calcifications D. Atypical ductal hyperplasia - ✅ D. Atypical ductal hyperplasia As part of the hazard vulnerability assessment, the family practice clinic has noted a number of areas (earthquake, fire, infant abduction and bomb threats) in which their risk is moderate to high. The next step is to A. Identify cost related to decreasing risk B. Increase staff education regarding risk C. Assess preparedness for each risk element D. Hire a consultant to advise clinic on reducing risk - ✅ C. Assess preparedness for each risk element The ambulatory care nurse is educating a patient one-on-one to manage clean intermittent catheterization (CIC) independently. The best method to assess the effectiveness of teaching i to ask the patient to A. Describe the procedures involved B. Take a quiz about the procedure A. Redirection B. Diversion C. Reflection D. Restatement - ✅ C. Reflection When entering the examining room of a patient who is deaf and facing away from the door, the ambulatory care nurse should A. Approach from the direction the patient is facing B. Say the patients name C. Approach and touch the patient D. Clap hands or tap your foot. - ✅ D. Clap hands or tap your foot. (Sensitive to vibrations) if a patient with severe dysarthria because of MS but with good cognition is admitted to an ambulatory surgery center and needs to answer questions. the best way to get information is to ask A. Open ended questions B. Yes/no questions C. The patient to write answers D. Questions of the caregiver - ✅ B. Yes/no questions In handoff communication, the SBAR technique involves S B A and r is: A. Rating B. Recommendation C. Response D. Requirement - ✅ B. Recommendation Patient with passive aggressive personalities often attempt to hide an underlying feeling of A. Depression B. Hurt C. Guilt D. anger - ✅ D. anger If the ambulatory care nurse leader of a task group has completed the tasks assigned to the group and is in its final termination phase, the primary role of the nurse leader is to A. Review the group process and achievements B. Disband the group without further input C. Evaluate the participation of the group members D. Make recommendations about future projects - ✅ A. Review the group process and achievements In shared governance, empowerment refers to A. The ability to provide input and decisions B. The assignment of a title C. The authority to make decisions D. any type of participation - ✅ C. The authority to make decisions A patient who is an inmate in a correctional facility is scheduled for a colonoscopy to determine the cause of rectal bleeding but the patient refuses to sign the consent, The colonoscopy should be: A. Carried out despite the ack of consent B. Carried out because inmates have no rights to informed consent C. Carried out of the physician signs a treatment without consent form D. Cancelled because of no consent - ✅ D. Cancelled because of no consent If the ambulatory care nurse (Nurse A) noted another nurse (Nurse B) caused severe injury to a patient because Nurse B abandoned the patient in distress to make a personal call, Nurse B should b: A. Advised that the behavior is inappropriate B. Reported to the state board of nursing C. Reported to the police D. Placed on probation status - ✅ B. Reported to the state board of nursing If an ambulatory nurse working in a cancer clinic is in a hurry to leave work and fails to follow protocols for checking IDS allergies resulting in administration of a chemotherapeutic agent to the wrong patient and a severe allergy reaction is an example of A. Gross negligence B. Negligent conduct C. Contributory negligence D. Comparative negligence - ✅ A. Gross negligence if a staff member at an ambulatory center downloaded protected health information(PHI) about a politician in order to profit by selling the information to tabloids rules of breach notification require notification of the A. Patient only within 60 days B. Patient and the HHS secretary within 60 days C. Patient within 60 days and HHS secretary in the annual report D. Patient the media and the HHS within 60 days. - ✅ C. Patient within 60 days and HHS secretary in the annual report Which of the following healthcare services can an adolescent younger than 18 access or refuse without a parental knowledge or consent in most states A. Emergency contraceptives B. Abortion C. Chemotherapy D. Transfusion - ✅ A. Emergency contraceptives The process of time management begins y A. picking a time management tool vomiting C. 1 day of vomiting D. very sleepy for 2-3 hours with fever for 3 days. - ✅ D. very sleepy for 2-3 hours with fever for 3 days. The ambulatory care nurse takes a phone call from the daughter of a 60 year old man stating that he isn't himself today. When questioned further the nurse discovers that the man has had periods of slurred speech for a few minutes on 2 occasions in the last 24 hours. What is your recommendation for this caller regarding what should be done. A. You understand that slurred speech may be the result of too much alcohol or lack of sleep and you encourage her to call back again if it occur B. You advise her to come to the clinic in the next 24-48 hours for some blood work C. You advise her that slurred speech may b a symptoms of TIA or impending stroke, especially in relation to him not being himself and to go to nearest ER D. You tell her you will call her ack when you can contact the MD for advise. - ✅ C. You advise her that slurred speech may b a symptoms of TIA or impending stroke, especially in relation to him not being himself and to go to nearest ER A 70 year old female presents to the ambulatory care clinic complaining of fatigue. You begin you triage assessment and he has a HR of 50, Respiratory rate of 24, and BP 70/40. She denies Chest pain but you notice she rubs her elbows and states her arthritis is acting up. What would be your first priority when caring for this patient A. Offer her Tylenol and send her to the waiting room B. offer her Motrin for pain C. Continue her triage and history and finish the paperwork D. place her in a room, do an EKG and notify the MD to see her first - ✅ D. place her in a room, do an EKG and notify the MD to see her first A mother presents to the clinic with a very wheezy 3 year old in her arms. You notice the child is pale and listless. What is your immediate response A. Triage the infant before the other patients waiting B. Bring the child to an exam room and wait for MD C. Bring the child to an exam room to finish triage in the privacy of a room D. Bring the child to a room, Get the MD, and prepare to give Nebulizer treatment and possible transfer to acute facility - ✅ D. Bring the child to a room, Get the MD, and prepare to give Nebulizer treatment and possible transfer to acute facility What nonverbal clues would indicate that a patient of any age is having difficulty breathing A. Change in color, retractions and noisy breathing B. laughing and joking during triage assessment C. Slight wheezing when lifting heavy objects D. Sweating in a warm room with exertion - ✅ A. Change in color, retractions and noisy breathing What would be the most appropriate order of importance for information an adult client shares when coming to a clinic visit. A. Past medical, past surgical, medications, allergies and insurance information The ambulatory care nurse must prioritize 3 calls. one is a complaint of abdominal pain, 2nd a child with respiratory distress and 3 is a client complaining of vaginal bleeding. Which would be the priority A. Vaginal bleeding B. Abdominal Pain C. Child w/ respiratory distress D. Abdominal pain and vaginal bleeding should be attended first and second - ✅ C. Child w/ respiratory distress Which statement best describes the coordination of services by the ambulatory care nurse? A. Refers the client to see a Physician but has no obligation to make a specific recommendation B. Use all healthcare resources available to refer the client to the appropriate level of care C. Makes appointment for the physician on duty at the clinic regardless of the needs of the client D. Nurse dos not usually have access to community resources so only referral is to ER - ✅ B. Use all healthcare resources available to refer the client to the appropriate level of care Tele-practice or telephone triage is an important part of ambulatory care nursing, using assessment, analysis, planning, intervention and evaluation as part of the process. What forms of measurable information can be used when evaluating the results of a plan of care A. There is no way to follow up on a telephone plan of action B. Documentation of the patients agreement to the pan with call back date, and when and where the patient will follow up so tracking can be done is measurable C. the nurse can only document his or her part of the plan of care to measure results D. The patient doesn't have to agree to the plan before any measurable results can be tracked - ✅ B. Documentation of the patients agreement to the pan with call back date, and when and where the patient will follow up so tracking can be done is measurable The nurse in the ambulatory care setting uses a fax machine to gain information about a client from another facility. what must be included with the fax in order to obtain this information A. Fax cover sheet B. fax cover sheet and signed release of information C. signed release of information D. no need for anything but a phone call from the facility - ✅ B. fax cover sheet and signed release of information Which of the following influence how nurses practice? A. Suggestions from other colleagues B. Clinical Pathways C. Evidence-based practice D. Organization policy - ✅ C. Evidence-based practice What database should the ambulatory clinic nurse use when searching for nursing articles A. Medscape B. Webmd C. Google Chrome D. CINHAHL - ✅ D. CINHAHL The ambulatory care nurse is developing a care plan for a client. The client is at risk for ineffective breathing related to COPD, where on the care plan should the nurse put this information A. Under nursing DX B. Under the goal C. Under intervention D. Under evaluation - ✅ A. Under nursing DX Which of the following is the cause of Type I DM A. Insulin Resistance B. Glucose Intolerance w/first trimester C. Alpha cell destruction D. Beta Cell Destruction - ✅ D. Beta Cell Destruction Which of the following indicates that the client is adhering to plan of care A. Hemoglobin A1C B. Polyuria C. Polydipsia D. Increased Ketone Levels - ✅ A. Hemoglobin A1C A client with a post op hip replacement has the following information on the care plan: Client will achieve a decrease in pain to a level 3 by discharge. Where on the care plan should the nurse put this information A. Under Nursing DX B. Under goal Section C. Under intervention/implementation D. Under evaluation - ✅ B. Under goal Section Which of the following is an early sign of compartment syndrome A. Increased Pain B. No Pulse C. Muscle Weakness D. Swelling of the Extremities - ✅ A. Increased Pain The client with a cough and fever is coming in the ambulatory care clinic for care. Which information should the nurse give the receptionist prior to the clients arrival A. Give the client a mask as soon as the client arrives B. Give everyone in the clinic a ask before the client HDL particles C. Triglycerides D. Amino Acids - ✅ A. LDL Particles If a patient is scheduled for a right breast biopsy, but no site markings are visible when the patient is draped, the ambulatory care nurse should A. Assume the surgeon knows the correct site B. Stop the procedure until correct site is confirmed C. Make a note to remind staff to mark surgical sites D. Ask surgeon if the side is correct - ✅ B. Stop the procedure until correct site is confirmed When reviewing data as part of process improvement, the ambulatory care nurse notes an improvement in patient satisfaction from 78-92% after the addition of a new staff, this change is probably a A. Random Event B. Common cause Variation C. Special Cause Variation D Statistical Aberration - ✅ C. Special Cause Variation When assessing key performance measures as part of the ambulatory care process improvement assessment, which of the following relates to access of care A. FTE support staff per MD B. Rejection/Denial rate of insurance C. Immunization rates D. Average telephone wait time - ✅ D. Average telephone wait time Which of the following is a nonverbal clue that a patient may be anxious A. Patient rubs his eyes and yawns B. Patient has flat aspect and responds in monosyllables C. Patient pupils are constricted and patient sniffs repeatedly D. Patient rubs hands together constantly - ✅ D. Patient rubs hands together constantly The Ambulatory care nurse is concerned that staff members are not listening carefully or patiently to older patients. Which of the following interactions indicates a listening fault A. Staff person finishes a patients sentences B. Staff person ask additional questions when the patient stops speaking C. Staff person focuses completely on patient when patient speaks D. Staff persons addresses the questions to patient instead of caretaker - ✅ A. Staff person finishes a patients sentences If blood specimens are drawn in the ambulatory care center and transported to the library for testing, which of the following specimens must be protected from exposure to light A. CBC B. Bilirubi n C. Glucose