Ambulatory Care Test Ambulatory Care Nursing 5

Question 1

A patient in the ambulatory oncology clinic asks why their chemotherapy is being given in smaller weekly doses rather than the traditional larger doses every three weeks. What is the most accurate nursing explanation?

Accepted Answer

Metronomic or dose-dense schedules can reduce cumulative toxicity while maintaining antitumor effect

Answer

Metronomic dosing strategies aim to minimize toxicity and exploit anti-angiogenic properties while maintaining efficacy compared to traditional bolus dosing.

Question 2

Under HIPAA, an ambulatory care nurse may share a patient's protected health information (PHI) without written authorization in which situation?

Accepted Answer

Disclosing information to the patient's treating specialist for care coordination

Answer

HIPAA permits disclosure of PHI for treatment purposes, including sharing with providers directly involved in the patient's care, without additional authorization.

Question 3

A nurse is reviewing a patient's chart before a dermatology visit and notices the patient has not had a tetanus booster (Td) in 12 years. The patient is age 52 with no other immunization concerns. What is the nurse's best action?

Accepted Answer

Notify the provider of the immunization gap and obtain an order for Tdap before the patient leaves

Answer

Ambulatory nurses use every healthcare encounter to close immunization gaps; flagging the gap to the provider and obtaining a same-visit order optimizes the opportunity.

Question 4

A patient diagnosed with depression is being seen for a routine physical in the ambulatory care clinic. The PHQ-9 score is 19. The patient denies suicidal ideation. What is the most appropriate nursing action?

Accepted Answer

Alert the provider immediately and ensure the patient is not left alone until the provider evaluates

Answer

A PHQ-9 score of 19 indicates severe depression; the provider must be immediately informed so the patient can receive timely evaluation and safety planning.

Question 5

An ambulatory care nurse is coordinating care for a patient recently discharged from the hospital after a heart failure exacerbation. Which nursing action best reduces 30-day readmission risk?

Accepted Answer

Scheduling a follow-up visit within 7 days of discharge, conducting a medication reconciliation, and performing a teach-back on daily weights and symptom monitoring

Answer

Early post-discharge follow-up, medication reconciliation, and confirmed patient education on self-monitoring are the evidence-based bundle most effective at reducing heart failure readmissions.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Nursing 5