AMBULATORY CARE NURSING QUESTIONS AND ANSWERS

AMBULATORY CARE NURSING QUESTIONS AND ANSWERS How many medications does it typically take to be considered "polypharmacy?" A -Three B -Ten C -Twenty-four D -Five or more - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. Nurse Grace knows that the most effective way to educate her patient and assist in her patient care plan is to do what? A - Insist the patient follow the plan exactly as instructed. B - Create a schedule for the patient of future office visits and scheduled treatments. C - Establish a team effort with the patient in the teaching and learning process. D - Ask the patient to involve family members in her care planning. - CORRECT ANSWER-C - Establish a team effort with the patient in the teaching and learning process. Of the following, which would not be considered an objective symptom for tuberculosis? A - Headaches B - Night sweats C - Weight loss D - Fever - CORRECT ANSWER-A - Headaches Some of the objective symptoms for tuberculosis would be: Night sweats, Weight loss, Fever, Cough which progresses, Hemoptysis (cough up blood) An order is being written for insulin, how should the dosage order be written? A - 10 ml subq B - 10 units subq C - 10 u subq D - None of the above - CORRECT ANSWER-B - 10 units subq U for unit is on The Joint Commission's official " Do Not Use" list of abbreviations. Which of the following is NOT a "red flag" of low health literacy in a patient? A - The patient pours pills into his or her hand to identify them by sight. B - The patient is not Caucasian. C - The patient consistently asks you to read healthcare information because he or she has forgotten eyeglasses at home. D - The patient does not ask questions during the appointment. - CORRECT ANSWERB - The patient is not Caucasian. It is important to note that you cannot assess a person's health literacy just by looking. In fact, the majority of people with low health literacy, according to a recent study, are middle class Caucasians. POCT and which of the following terms are often used interchangeably?