Ambulatory Care Test Emergency Preparedness and Urgent Care 3

Question 1

Under which federally required standard must ambulatory care facilities that accept Medicare develop and maintain an emergency preparedness program?

Accepted Answer

CMS Emergency Preparedness Rule (42 CFR 491)

Answer

CMS finalized an Emergency Preparedness Rule requiring Medicare/Medicaid-certified providers, including ambulatory surgical centers, to maintain an emergency preparedness program.

Question 2

A patient presents with a blood glucose of 42 mg/dL and altered consciousness in an ambulatory clinic. What is the priority intervention?

Accepted Answer

Administer glucagon IM or IV dextrose 50% if IV access is available

Answer

In a patient with altered consciousness, oral carbohydrates are contraindicated due to aspiration risk; glucagon IM or IV dextrose 50% is the appropriate intervention.

Question 3

What is the primary purpose of a drill or tabletop exercise in ambulatory care emergency preparedness?

Accepted Answer

To test and improve staff response to emergency scenarios in a controlled setting

Answer

Emergency drills and tabletop exercises identify gaps in plans and staff preparedness, allowing improvement before a real emergency occurs.

Question 4

Which of the following correctly describes the Incident Command System (ICS) in an ambulatory care emergency?

Accepted Answer

A standardized management structure for coordinating emergency response

Answer

ICS provides a scalable, standardized management hierarchy that coordinates personnel and resources during an emergency response.

Question 5

A patient receiving IV contrast for a procedure develops urticaria, hypotension, and wheezing. This presentation is consistent with which type of reaction?

Accepted Answer

Anaphylactoid reaction

Answer

Urticaria, hypotension, and bronchospasm following contrast administration indicate an anaphylactoid reaction, which is treated similarly to anaphylaxis with epinephrine.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Emergency Preparedness and Urgent Care 3