Ambulatory nurse certification exam Question & Answers 2024, Exams of Nursing

Download Ambulatory nurse certification exam Question & Answers 2024 and more Exams Nursing in PDF only on Docsity! Ambulatory nurse certification exam Question & Answers 2024 The nursing process is foundational to the process of patient education. Which of the following describes the evaluation phase of patient education? a. Tailoring teaching, learning strategies, and interventions. b. Measuring learning attained and level of self-efficacy. c. Determining readiness to learn and learning needs? d. Mutually setting goals and outcomes expected. - Correct Answers ✅B. Measuring learning attained and level of self-efficacy For patients with chronic pain, educational interventions should include: a. Masking nonverbal indications of pain to reduce the anxiety of their family and other caregivers. b. Learning to tolerate mild to moderate pain without interventions to avoid addiction to pain medications. c. Recognizing distraction and relaxation techniques are rarely helpful in reducing pain significantly. d. Understanding the length of action of various medications and which can be taken together or alternately. - Correct Answers ✅D. Understanding the length of action of various medications and which can be taken together or alternately. Ambulatory nurse certification exam Question & Answers 2024 Patients with chronic illnesses need to develop the ability to deal with all the disease and its treatment entail. Core skills for chronic disease self-management include: a. Understanding the evidence-based guidelines. b. Becoming familiar with community and Internet resources. c. Problem solving, decision making, and taking actions. d. Focusing on the health issues that contribute to emergency department visits or hospitalizations. - Correct Answers ✅C. Problem-solving, decision making and taking actions. The Patient Protection and Affordable Care Act of 2010 (PPACA) encourages health care providers to focus on efforts such as implementing evidence-based educational programs and encourage patient self-efficacy. What is the best definition of patient self-efficacy? a. The patient plays a central role in preventing and managing his or her illness. b. Health plans cover preventive services and wellness care, making them more affordable to patients. c. Nurses and other providers of health care are responsible for reinforcing patients' and families' responsibility for health care. d. The patient's perception of his or her own ability to attain health care goals. - Correct Answers ✅d. The patients perception of his or her own ability to attain health care goals. Ambulatory nurse certification exam Question & Answers 2024 A 53 year old man has recently been diagnosed with diabetes. The provider has sent him to the nurse for instruction about glucose monitoring at home. The patient arrives for teaching as scheduled, but has not yet purchased the electronic monitoring device. Which of the following would be the best nursing action at this time? a. Assess the patient's current understanding and his interest in learning about self-monitoring his glucose. b. Demonstrate the procedure using the glucose-monitoring device used in the office. c. Have the office assistant give him written materials about glucose control and schedule him to return another day to discuss. - Correct Answers ✅a. Assess the patients current understanding and his interest in learning about self-montoring his glucose. Primary prevention of HIV and other sexually transmitted diseases (STDs) would include the following: a. Use of condoms and avoidance of anonymous partners. b. Vaccination against herpes, hepatitis and meninogococcal infections.. c. Prophylactic antibiotics for any oral sex. d. Annual health screenings. - Correct Answers ✅a. use of condoms and avoidance of anonymous partners. One of the developmental considerations for teaching an adolescent is : Ambulatory nurse certification exam Question & Answers 2024 a. They tend to build on past life experiences which may be relevant to the new learning. b. They are reflecting on unsatisfactory life aspects. c. One should anticipate negative responses, but support autonomy by involving them in decision-making whenever possible. d. Parents are strong role models for the development of health habits at this stage. - Correct Answers ✅c. One should anticipate negative responses, but support autonomy by involving them in decision-making whenever possible. An ambulatory nurse should teach adults the importance of routine screening for which of the following? a. Lung cancer b. Ovarian cancer c. Colorectal cancer d. bladder cancer - Correct Answers ✅c. Colorectal cancer Legal mandates for professional nurses to educate patients include: a. The Joint Commission's requirements b. State's nurse practice acts. c. American Nurses Association's standards of practice. d. American Hospital Association's list of patient rights. - Correct Answers ✅b. State's nurse practice acts. Ambulatory nurse certification exam Question & Answers 2024 As an advocate for patients, an ambulatory care nurse may provide coordination of care across service lines and venues. Patient education by the nurse related to this role may include: a. Expressing his or her voice in the allocation of health resources. b. Evaluating services available and applying process improvement to decrease inefficiencies and resolve gaps. c. Increasing outreach efforts in the community. d. Orienting the patient to services available that may meet their needs. - Correct Answers ✅d. Orienting the patient to services available that may meet their needs. Ms. Brown, a 21 year old university student, has been diagnosed with hepatitis A. she insists she is able to return to classes. An important aspect of her patient education includes: a. Hepatitis A is contagious and she needs to take precautions to prevent its transmission to others. b. Hepatitis A is a reportable disease, so she needs to contact the health department. c. She probably contracted this illness because has not been taking good care of herself, with proper rest and nutrition. d. Smoking or secondhand smoke exposure will delay her recovery. - Correct Answers ✅a. Hepatitis A is contagious and she needs to take precautions to prevent its transmission to others. Ambulatory nurse certification exam Question & Answers 2024 a. Migraine headaches are more common in some ethnic minorities, and the nurse is unsure about this woman's ethnic background. b. The patient may not be physically or emotionally ready to learn since she is in significant pain. c. Patients with migraine headaches need to be seen and evaluated by a provider urgently, so the nurse needs to facilitate an urgent appointment or emergency room visit. d. She is unable to provide this patient with the clinic's standard teaching sheet for migraine headaches. - Correct Answers ✅b. The patient may not be physically or emotionally ready to learn since she is in significant pain. Aspirin therapy has recently been approved for primary prevention of cardiovascular events. However, the risk-to-benefit ratio should be assessed because aspirin is known to increase risk of: a. Hot flashes in post-menopausal women. b. Bronchospasm in patients with asthma c. Gastrointestinal bleeding d. Gall bladder information - Correct Answers ✅c. Gastrointestinal bleeding Which of the following is cited frequently as a barrier to patient counseling in ambulatory care? a. Lack of interest by patients Ambulatory nurse certification exam Question & Answers 2024 b. Time constraints for clinicians and the episodic nature of interactions. c. Inability to overcome language barrier and low literacy. d. Lack of community resources and printed materials. - Correct Answers ✅b. Time constraints for Clinicians and episodic nature of interactions Motivational interviewing has been described as a patient-centered and collaborative method of changing behavior. A feature of motivational interviewing involves individuals who: a. Learn by observing others b. Change behavior in response to reinforcements; increasing rewards for healthy behaviors and decreasing rewards for unhealthy ones. c. Take health related action if they perceive susceptibility to and severity of an illness can be reduced by taking the action. d. Have self-eficacy and can be guided to evaluate their own behavior and generate their own behavior and generate their own solutions to change. - Correct Answers ✅d. Have self-eficacy and can be guided to evaluate their own behavior and generate their own solutions to change. In providing health education about weight management to a large group, which instructional method is most likely to be successful? a. Case study Ambulatory nurse certification exam Question & Answers 2024 b. Role playing c. Powerpoint presentation and discussion. d. Simulation exercises - Correct Answers ✅c. Powerpoint presentation and discussion Whitney, a 24- year-old African American, presented in labor for her first baby, having had no prenatal care. She does not want any extra tests done on her baby, and does not see the reason for hang the baby tested for sickle cell disease, since she had her husband are both healthy. Her nurse would best explain the reason for the testing by saying: a. One in 10 African Americans has sickle cell trait, and 1 in 325 has sickle cell disease. b. Whitney may have sickle cell disease and not know it, because the chronic anemia and vasocculsive effects of sickle cell disease usually occur when a woman is older. c. Although she and her husband may be healthy they may still have sickle cell trait, which could result in disease in their baby. d. There are four major variants of the disease, and she or her husband may have one of the milder forms. - Correct Answers ✅c. Although she and her husband may be healthy they may still have sickle cell trait which could result in disease in their baby. The goal of performance improvement is to: Ambulatory nurse certification exam Question & Answers 2024 a. Conveniently accessible via public transportation. b. Signage at the street is visible and clearly describes the facility. c. The parking lot and curbs do not pose fall hazards and allow for wheelchair and stretcher access. d. The facade and landscaping are attractive and congruent with the environment. - Correct Answers ✅c. The parking lot and curbs do not pose fall hazards and allow for wheelchair and stretcher access. The waiting area for all the specialities is planned for one centralized location, with check in windows for each clinical unit. Privacy of the check in and registration areas is supported by partitioning and sound proofing. A play area for children is planned in one cluster of seating. What other layout issue for the entrance, check-in, and waiting areas would be most important from a nursing perspective? a. The space is warm and welcoming. b. The patient's entrance is separate from the staff entrance. c. There are bulletproof glass enclosures around the cashiers. d. There is a separate waiting space for patients with potentially communicable diseases. - Correct Answers ✅d. There is a separate waiting space for patients with potentially communicable diseases. Prior to final approval of the space plan, the nurse manager identifies several additional clinical concerns. Which of the following is most important to safe patient care? Ambulatory nurse certification exam Question & Answers 2024 a. Appropriate containers to hold dirty instruments for transport, disposal, or reprocessing. b. A flag or light system for communicating the status of the exam and treatment rooms. c. Standarized exam room layouts d. Space for patient teaching and nursing interventions in close proximity to the telephone work space. - Correct Answers ✅a. appropriate containers to hold dirty instruments for transport, disposal or reprocessing. In managing the budget of an outpatient clinic, which of the following would be considered a direct and variable cost of providing patient services? a. Rent of the suite of offices and exam rooms b. Cost of the human resources department, which manages hiring, payroll, and benefits. c. Cost of the vaccines and other stock medications. d. Liability insurance. - Correct Answers ✅C. Cost of the vaccines and other stock medications The general surgery physician group is planning to hire a bariatric surgeon to provide surgical interventions for patients who are morbidly obese. Which of the following facilities and equipment changes would be most important for staff safety? Ambulatory nurse certification exam Question & Answers 2024 a. Hallway and doorway clearance will accommodate extra-wide wheelchairs? b. The area to discharge the patient from the clinic is near the exit of the building. c. Patient transfer and lift devices are provided. d. There are hallway safety rails installed. - Correct Answers ✅c. patient transfer and lift devices are provided. When doing a check on the emergency cart's defibrillator, the nurse finds it fails to charge rapidly to the appropriate level. In contacting the equipment maintenance department, she learns there have been similar issues with several defibrillators in the facility. After assuring well-functioning equipment is in place in the patient care areas, what is the most important action she should take next? a. Assure a report is submitted to the manufacturer and the food and drug administration regarding the equipment failure. b. Negotiate with the manufacturer for replacement or reimbursement for the defective equipment. c. Educate other personnel about the policy regarding use of defibrillators. d. Reassess how many defibrillators and other types of emergency equipment need to be available for patient emergencies across the facility. - Correct Answers ✅a. Assure a report is submitted to the manufacturer and the food and drug administration regarding the equipment failure.