AMBULATORY CERTIFICATION PREP - NURSING WORLD SAMPLE TEST
QUESTIONS AND ACTUAL ANSWERS
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. ANS -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. ANS -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. ANS -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. ANS -Whether 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. ANS -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. ANS -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. ANS -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. ANS -Enhance decision making.
QUESTIONS AND ACTUAL ANSWERS
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. ANS -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. ANS -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. ANS -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. ANS -Whether 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. ANS -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. ANS -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. ANS -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. ANS -Enhance decision making.
