ANCC Ambulatory Care Nursing 2

Question 1

A nurse working in an ambulatory infusion center notes that a patient's IV site is red, warm, and swollen. This finding is MOST consistent with:

Accepted Answer

Phlebitis

Answer

Infiltration

Answer

Air embolism

Answer

Speed shock

Question 2

In ambulatory care nursing, which ethical principle is best demonstrated when a nurse ensures a patient understands their diagnosis and treatment options before signing a consent form?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Nonmaleficence

Question 3

A nurse is reviewing a patient's medication list and identifies a potential drug-drug interaction. The MOST appropriate next step is to:

Accepted Answer

Contact the prescribing provider to clarify the order before administration

Answer

Administer the medications as prescribed and monitor the patient

Answer

Withhold all medications until the physician returns

Answer

Instruct the patient not to take the medications at home

Question 4

When implementing a quality improvement initiative in an ambulatory care clinic, the PDSA (Plan-Do-Study-Act) cycle is used primarily to:

Accepted Answer

Test changes on a small scale before widespread implementation

Answer

Evaluate individual nurse performance annually

Answer

Create new policies without staff input

Answer

Eliminate the need for data collection

Question 5

A clinic nurse is assessing a patient's pain on a 0-10 numeric rating scale. The patient rates pain as 7/10. Which intervention is MOST appropriate?

Accepted Answer

Assess the quality, location, and duration of pain, then collaborate with the provider for a treatment plan

Answer

Document the score and reassess at the next scheduled visit

Answer

Administer the maximum dose of all available analgesics immediately

Answer

Reassure the patient that a score of 7 is manageable and advise rest

Question 6

In ambulatory care, which federal law primarily governs the privacy and security of patient health information?

Accepted Answer

Health Insurance Portability and Accountability Act (HIPAA)

Answer

Occupational Safety and Health Act (OSHA)

Answer

Emergency Medical Treatment and Labor Act (EMTALA)

Answer

Americans with Disabilities Act (ADA)

Question 7

Which action BEST demonstrates cultural competence in an ambulatory care nursing encounter?

Accepted Answer

Asking the patient about their health beliefs and preferred language before teaching

Answer

Assuming all patients from the same country share identical beliefs

Answer

Using family members as interpreters to save time

Answer

Providing education only in English to promote consistency