Ambulatory Care Test Ambulatory Care Nursing 2

Question 1

A patient calls the ambulatory care clinic reporting chest tightness and shortness of breath after starting a new ACE inhibitor. What is the nurse's priority action?

Accepted Answer

Instruct the patient to call 911 immediately and stop the medication

Answer

Advise the patient to take an antacid and call back if symptoms worsen

Answer

Schedule an appointment for the following week

Answer

Tell the patient this is a normal side effect that will resolve

Question 2

Which documentation element is most critical when a nurse triages a telephone call in an ambulatory care setting?

Accepted Answer

The time, caller's name, chief complaint, advice given, and follow-up plan

Answer

The patient's insurance information

Answer

A summary of the patient's last office visit

Answer

The prescribing physician's contact number

Question 3

A nurse is preparing a patient with type 2 diabetes for a colonoscopy. The patient takes metformin daily. What instruction is most important?

Accepted Answer

Hold metformin 48 hours before the procedure and after until renal function is confirmed normal

Answer

Continue metformin the morning of the procedure with a sip of water

Answer

Switch to insulin the day before the procedure

Answer

Reduce the metformin dose by half for one week prior

Question 4

An ambulatory care nurse is reviewing quality improvement data showing a high rate of patients not filling new prescriptions. Which intervention is most likely to improve adherence?

Accepted Answer

Providing medication counseling and teach-back before the patient leaves the clinic

Answer

Mailing reminder postcards one week after the visit

Answer

Calling patients one month after the visit to ask if they filled the prescription

Answer

Asking the physician to write a second copy of the prescription

Question 5

A patient with chronic obstructive pulmonary disease (COPD) presents for a routine visit. Which finding should the ambulatory nurse prioritize reporting to the provider?

Accepted Answer

Oxygen saturation of 87% on room air today

Answer

FEV1/FVC ratio of 0.68 documented in the chart from last year

Answer

Pack-year history of 30 years

Answer

Mild bilateral ankle edema consistent with prior visits

Question 6

When performing a medication reconciliation for a newly established patient in an ambulatory care clinic, which source of information is considered the gold standard?

Accepted Answer

A brown-bag review where the patient brings all current medications to the visit

Answer

The medication list from the patient's previous electronic health record

Answer

The pharmacy's prescription fill history

Answer

The patient's self-reported verbal list

Question 7

A nurse administers an influenza vaccine to a patient who then reports feeling faint. What is the first action the nurse should take?

Accepted Answer

Have the patient lie down and elevate the legs, then monitor vital signs

Answer

Administer epinephrine 0.3 mg IM immediately

Answer

Call 911 before doing anything else

Answer

Give the patient juice and crackers to raise blood sugar

Ambulatory Care Test Ambulatory Care Nursing 2

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