Reviewed Answers.
A 50 year old male comes to the clinic stating he cannot shake this "flu". You observe
that he is clammy, plae, and has an irregular heart rate. He is a large man with a rugged
appearance. He is friendly and apolgetic for bothering you with his silly complaints.
What is your plan of care for this patient? - ANSWER-
A 70 year old female prsents to the ambulatory care clinic complaining of fatigue. You
begin your triage assessment and she has a heart rate of 50, a repsiratory rate of 24,
and a blood pressure of 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? - ANSWER-
A mother presents to the ambulatory clinic with a very wheezy three year old in her
arms. You notice the child is pale and listless. What is your immediate response? -
ANSWER-
A nurse refers a client to the community hospital education program for new diabetics.
Which category of care management does this fall under? - ANSWER-
A nurse working in the ambulatory care setting is offering patient education to a 50 year
old male client. Which statement demonstrates an understanding of the meaning of
secondary prevention? - ANSWER-
A parent brings her teenage son into the ambulatory care facility stating that he has
been wheezing for a day or two with no history of asthma. The boy does not appear to
be in distress but does have an audible wheeze. What non invasive procedure might a
nurse consider as part of the physical assessment? - ANSWER-
Activities taht require ambulatory nurses to apply critical thinking include - ANSWER-
Analyzing information in development of a diagnosis and plan of care
An 18 year old female presents to the ambulatory care clinic complaining of pelvic pain
and foul discharge. What would be the most appropriate nursing interventions for this
patient? - ANSWER-
An adult male presents to the ambulatory care setting with a 24 hour history of
wheezing, coughing, and shortness of breath. What would be the most appropriate
invasive procedure that he may require from the nurse in this setting? - ANSWER-
, Decision support tools, such as prototcols, guidelines or algorithms, generally have the
following characteristics - ANSWER-They provide standardization and decrease
omissions
Describe the process of protecting the privacy of the patient during a non invasive
procedure, such as and EKG - ANSWER-
Federal and state laws require public health reporting in which of the following situations
- ANSWER-Diagnosis of a serious communicable disease
In School Age Children with acute vomiting, rehydration therapy might include which of
the following - ANSWER-half-strength sports drinks and popscicles
In what order would the nurse prioritize the care of the following patients presenting to
the clinic at the same time: a parent carrying a smiling infant with a fever, a pale and
sweaty male with flank pain for tow days, a carpenter with a nail in his thumb, and a
three year old with vomiting? - ANSWER-
Joshua is a 5 year old with siclke cell disease. his mother called to report that Joshua
has a fever over 101.5 orally. The nurse should: - ANSWER-tell the mother to bring
Joshua in right away to be evaluated.
Mom has described her child's symptoms as a fever for three days and vomiting for the
last 24 hours. She states the child has been very sleepy for the last two to three hours.
What subtle symptom alerts the nurse that this child needs to be seen as soon as
possible. - ANSWER-
Mr. McIntire is a 37 year old patient who has a 25 a pack-year history of smoking.
Today he has told his physician that he is ready to quit, and Ryan, the ambulatory care
nurse, has been asked to assist Mr. McIntire. Which of the following describes a
potential method to assist this patient to quit smoking? - ANSWER-A) Explain that
relapsing is part of the process
B) Advise Mr. McIntire about the harms of smoking, which impact nearly every organ in
the body
C) Set specific goals and a quit date
D) Use motivational interviewing to help him understand his ambivalence about quitting
Primary prevention of Human Immunodeficiency Virus and other sexually transmitted
diseases would include the following - ANSWER-A) Use of Condoms and avoidance of
anonymous partners.
B) Vaccination against herpes, hepatitis, and menigococcal infections,
C) Prophylactic antibiotics or any oral sex
D) Annual Health Screenings
Promoting advocacy and positive patient/family relations includes - ANSWER-Providing
service recovery processes that resolve patient/family complaints or concerns