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

Older adults are at highest risk due to polypharmacy, age-related pharmacokinetic changes, reduced renal and hepatic clearance, and increased sensitivity to drug effects.

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

Teach-back confirms comprehension by asking patients to explain the information in their own words, allowing the nurse to identify and correct misunderstandings.

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

ISMP high-alert medications are drugs that bear a heightened risk of causing significant patient harm when used in error, warranting special safeguards.

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

Discrepancies must be reported to the prescribing provider for clinical review and resolution, as only the provider can determine the appropriate course of action.

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

Hydroxyzine (an antihistamine/anxiolytic) and hydralazine (an antihypertensive) are a classic LASA pair identified by ISMP due to their similar names and very different effects.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Medication Management and Reconciliation 2