Ambulatory Care Test Emergency Preparedness and Urgent Care 2 — Questions and Answers
Question 1: What is the recommended ratio of chest compressions to rescue breaths for adult CPR by a single healthcare provider in an ambulatory setting?
- 15:2
- 30:2 (Correct answer)
- 20:2
- 30:1
Correct answer: 30:2
Current AHA guidelines recommend a 30:2 compression-to-ventilation ratio for adult CPR performed by a single healthcare provider.
Question 2: In an ambulatory care setting, which condition most commonly triggers a 'code blue' or medical emergency call?
- Severe hypertension
- Cardiac arrest or respiratory arrest (Correct answer)
- Acute allergic reaction
- Hypoglycemic episode
Correct answer: Cardiac arrest or respiratory arrest
Code blue is universally triggered by cardiac or respiratory arrest, requiring immediate resuscitation response.
Question 3: A patient in the ambulatory clinic is having a generalized tonic-clonic seizure. What is the priority nursing action?
- Restrain the patient to prevent injury
- Insert a tongue blade to protect the airway
- Position the patient on their side and protect from injury (Correct answer)
- Administer oral anticonvulsants immediately
Correct answer: Position the patient on their side and protect from injury
The priority during a seizure is to position the patient on their side (recovery position) to prevent aspiration and protect from environmental hazards.
Question 4: Which of the following is a key component of an ambulatory care facility's hazard vulnerability analysis (HVA)?
- Employee satisfaction surveys
- Assessment of likely emergencies, their probability, and facility impact (Correct answer)
- Annual financial audit results
- Patient satisfaction scores
Correct answer: Assessment of likely emergencies, their probability, and facility impact
An HVA systematically evaluates the probability and potential impact of various emergency events to prioritize preparedness efforts.
Question 5: A patient with suspected carbon monoxide poisoning presents to an ambulatory care clinic. What is the immediate treatment?
- Administer supplemental oxygen via non-rebreather mask and call 911 (Correct answer)
- Place the patient in a prone position and monitor vitals
- Administer sodium bicarbonate IV
- Perform hyperventilation therapy
Correct answer: Administer supplemental oxygen via non-rebreather mask and call 911
High-flow 100% oxygen via a non-rebreather mask accelerates CO elimination and is the immediate treatment, followed by emergency transfer.
Question 6: Which action is appropriate when an ambulatory care patient expresses suicidal ideation during a routine visit?
- Schedule a follow-up appointment in two weeks
- Conduct a suicide risk assessment and implement a safety plan (Correct answer)
- Refer to a psychiatrist without immediate intervention
- Document the statement and continue the visit normally
Correct answer: Conduct a suicide risk assessment and implement a safety plan
Suicidal ideation requires immediate risk assessment (using tools like Columbia Protocol), a safety plan, and appropriate level of care determination.
Ambulatory Care Test Emergency Preparedness and Urgent Care 2
What is the recommended ratio of chest compressions to rescue breaths for adult CPR by a single healthcare provider in an ambulatory setting?