AMBULATORY CERTIFICATION SAMPLE TEST REVIEWS

AMBULATORY CERTIFICATION SAMPLE TEST REVIEWS 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 ANSWERWhether 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 RxL or M to search for medications that fit the patient's description. - CORRECT ANSWER-Using an online resource such as RxL or M 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.