Ambulatory Care Test Ambulatory Care Patient Assessment and Triage 4

Question 1

Which of the following is the MOST reliable early indicator of shock in an ambulatory patient?

Accepted Answer

Tachycardia with cool, clammy skin and anxiety

Answer

Compensatory tachycardia with peripheral vasoconstriction (cool, clammy skin) and altered mentation are early signs of shock before hypotension develops.

Question 2

A patient calls the advice line reporting she took double her prescribed metformin dose by accident 2 hours ago. She is asymptomatic. What is the BEST triage response?

Accepted Answer

Direct her to the emergency department and monitor for signs of lactic acidosis

Answer

Metformin overdose carries risk of lactic acidosis, a potentially life-threatening complication requiring emergency evaluation even if initially asymptomatic.

Question 3

The AIMS (Abnormal Involuntary Movement Scale) is used in ambulatory care to monitor patients for side effects of:

Accepted Answer

Antipsychotic medications

Answer

The AIMS scale screens for tardive dyskinesia and other involuntary movement disorders associated with antipsychotic medications.

Question 4

A patient with a known peanut allergy reports tingling lips and throat tightness after eating at a restaurant 15 minutes ago. She has her EpiPen. The nurse should FIRST:

Accepted Answer

Direct her to use her EpiPen immediately and call 911

Answer

Throat tightness indicates potential airway involvement in anaphylaxis; epinephrine is the first-line treatment and 911 must be called.

Question 5

When performing a mental status examination in the ambulatory setting, which component assesses whether the patient knows today's date, their location, and who they are?

Accepted Answer

Orientation

Answer

Orientation tests awareness of person, place, and time, which are foundational components of cognitive functioning.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Patient Assessment and Triage 4