Ambulatory Care Test Telehealth Nursing Practice

Question 1

A nurse in Ohio is about to give telehealth advice to a patient who is currently in Kentucky. Which factor primarily decides whether the nurse may legally practice in this encounter?

Accepted Answer

The state where the patient is located at the time of the encounter

Answer

Under the NCSBN model, nursing practice happens where the patient is located. The nurse must hold a license that is valid in the patient's state, either a Kentucky license or a multistate Nurse Licensure Compact (NLC) privilege.

Question 2

What is the main purpose of using evidence-based, standardized protocols during telephone or virtual nursing encounters?

Accepted Answer

To support consistent, safe decisions while still allowing nursing judgment

Answer

Telehealth protocols give the nurse a structured, evidence-based framework that reduces variation and risk. They do not replace the RN's clinical judgment, and they do not allow unlicensed staff to perform triage on their own.

Question 3

A patient enrolled in a heart failure remote monitoring program sends a weight gain of 2.5 lb overnight. What should the ambulatory care nurse do first?

Accepted Answer

Contact the patient to assess symptoms and follow the HF action plan

Answer

A gain of more than 2 lb in a day (or 5 lb in a week) is a common heart failure alert threshold. The nurse should assess the patient promptly, checking for dyspnea and edema, and then act on the action plan or escalate. Waiting until the next visit wastes the benefit of remote monitoring, and sending the patient to the ED without an assessment skips a step.

Question 4

Which practice best protects patient privacy during a video visit?

Accepted Answer

Confirming patient identity and using a secure, HIPAA-compliant platform from a private location

Answer

Telehealth privacy requires verifying the patient's identity, using a secure platform covered by a Business Associate Agreement, and making sure both ends of the call are private.

Question 5

During a telephone encounter, which approach best compensates for the nurse's inability to see the patient?

Accepted Answer

Using open-ended questions and asking the patient or caregiver to describe or measure findings

Answer

Without visual cues, nurses gather data through open-ended questions, active listening, and guided self-assessment, such as asking the patient to take their temperature, describe a rash, or count respirations.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Telehealth Nursing Practice