Ambulatory Care Test Medication Management and Reconciliation 2

Question 1

Which patient population is at the HIGHEST risk for adverse drug events in ambulatory care?

Accepted Answer

Older adults aged 65 and above

Answer

Young adults aged 18–30

Answer

Adolescents with chronic illness

Answer

Pregnant women in the first trimester

Question 2

A nurse uses the 'teach-back' method after counseling a patient on a new medication. What is the purpose of this technique?

Accepted Answer

To verify the patient correctly understood the medication instructions

Answer

To document that verbal education was provided

Answer

To test the patient's general health literacy

Answer

To satisfy regulatory billing requirements

Question 3

A patient is prescribed a medication classified as a high-alert drug by ISMP. What does this designation indicate?

Accepted Answer

Errors with this medication have a higher likelihood of causing significant patient harm

Answer

The medication is rarely prescribed and requires special ordering

Answer

The medication is controlled and requires DEA scheduling

Answer

The medication must be refrigerated at all times

Question 4

During medication reconciliation, a discrepancy is found between the patient's reported medications and the EHR medication list. What is the nurse's FIRST action?

Accepted Answer

Document the discrepancy and notify the prescribing provider for clarification

Answer

Update the EHR medication list immediately without further verification

Answer

Instruct the patient to stop the unrecorded medication

Answer

Refer the patient to pharmacy without notifying the provider

Question 5

Which of the following is an example of a look-alike/sound-alike (LASA) drug pair that requires extra caution?

Accepted Answer

Hydroxyzine and hydralazine

Answer

Lisinopril and losartan

Answer

Metoprolol and metformin

Answer

Omeprazole and ondansetron

Question 6

A patient states they stopped taking their antihypertensive medication because of side effects. What is the ambulatory nurse's priority action?

Accepted Answer

Assess which side effect the patient experienced and notify the provider

Answer

Document the patient's non-adherence and move on

Answer

Instruct the patient to restart the medication immediately

Answer

Refer the patient directly to the pharmacy for a medication change

Question 7

Which statement about medication therapy management (MTM) services in ambulatory care is MOST accurate?

Accepted Answer

MTM is a pharmacist-led service that optimizes medication use and improves patient outcomes

Answer

MTM is provided exclusively by physicians during office visits

Answer

MTM is only available to patients with Medicare Part A

Answer

MTM replaces the nurse's role in medication education