Ambulatory Test | Ambulatory Test, Exams of Nursing

Ambulatory Test | Ambulatory Test | Ambulatory Test

Typology: Exams

2022/2023

Available from 08/31/2023

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Ambulatory Test
The mother of a 3-yar old boy, Chase, calls the primary care clinic for advice about Chase's fever. She
reports Chase does not appear to be uncomfortable, is playing quietly, and is eating and drinking, but
his temperature is 101.0F orally. The nurse should recommend the following" -
- Administer acetaminophen, dosing according to the guidelines on the clinic website
- Dress in lightweight clothing and avoid overdressing. Avoid bundling blankets.
How many doses of MMR should kids receive before 7? -
2
Adults born before 1957- immune
Live virus--> Contraindicated in pregnant women and people with long term immunosuppresive
therapy
Which of the following would be commonly recommended for treatment of mild URI in children under
6? -
- Administer acetaminophen or ibuprofen for fever or pain. (DO NOT USE ASPIRIN)
Subjective data:
- Fever for 3 days
- Sore throat for 5 days
- Nasal congestion for 2 weeks
- Cough for 3 weeks
A nurse is performing telephone triage determines the nature and urgency of the patient's problem using
clinical reasoning, tapping their knowledge and experience. This is an example of which component of
the telehealth nursing process? -
Diagnosis
Assessment= data collection
Diagnosis= continuing to analyze data gathered to develop an effective plan of care
Implementation= putting the plan into place
Evaluation= Achievement of expected outcomes
Nurses in surgical clinics are concerned that patients are not following presurgical inst -
A 26 year old female patient calls the clinic stating that she has the "worst pain I've ever had" in her
abdomen. The nurse should -
- Instruct her to call 9-1-1
- Further assess the characteristics and location of the pain and related symptoms
In a family practice clinic the nurse observes a medical assistant preparing to take the BP of a 66 year
old general medicine examination. Which of the following is not true? -
- In addition to sitting, standing BP is recommended
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Ambulatory Test

The mother of a 3-yar old boy, Chase, calls the primary care clinic for advice about Chase's fever. She reports Chase does not appear to be uncomfortable, is playing quietly, and is eating and drinking, but his temperature is 101.0F orally. The nurse should recommend the following" -

  • Administer acetaminophen, dosing according to the guidelines on the clinic website
  • Dress in lightweight clothing and avoid overdressing. Avoid bundling blankets. How many doses of MMR should kids receive before 7? - 2 Adults born before 1957- immune Live virus--> Contraindicated in pregnant women and people with long term immunosuppresive therapy Which of the following would be commonly recommended for treatment of mild URI in children under 6? -
  • Administer acetaminophen or ibuprofen for fever or pain. (DO NOT USE ASPIRIN) Subjective data:
  • Fever for 3 days
  • Sore throat for 5 days
  • Nasal congestion for 2 weeks
  • Cough for 3 weeks A nurse is performing telephone triage determines the nature and urgency of the patient's problem using clinical reasoning, tapping their knowledge and experience. This is an example of which component of the telehealth nursing process? - Diagnosis Assessment= data collection Diagnosis= continuing to analyze data gathered to develop an effective plan of care Implementation= putting the plan into place Evaluation= Achievement of expected outcomes Nurses in surgical clinics are concerned that patients are not following presurgical inst - A 26 year old female patient calls the clinic stating that she has the "worst pain I've ever had" in her abdomen. The nurse should -
  • Instruct her to call 9-1-
  • Further assess the characteristics and location of the pain and related symptoms In a family practice clinic the nurse observes a medical assistant preparing to take the BP of a 66 year old general medicine examination. Which of the following is not true? -
  • In addition to sitting, standing BP is recommended
  • The medical assistant should take BP while the patient is seated on the exam table after waiting 5 minutes Width: 40% of arm Length: 80%-100 of arm Measure both arms initially Inflate cuff rapidly 30mmHg above point where radial pulse is no longer palpable High blood pressure is defined as 140/ Which of the following is true about chronic obstructive pulmonary disease (COPD) -
    • Spirometry is required for to establish dx of COPD
  • Conjugated PCV-13 is routinely used (IN CHILDREN!) to reduce risk of community-acquired pneumococcal pneumonia in patients with COPD
  • PSV23 used to reduce risk of PNA Which agency collects reports of medication-related hazards and disseminates medication safety information, risk-reduction tools, and error prevention strategies? - Institute of Safe Medications Practices: "advance patient safety by preventing medication errors" Joe is a 68 year old patient with a 7 tear olf history of DM2. Has history of HTN, HLD. Polyuria. Which referrals could improve his DM control? - Endocrinologist, dietician, clinical pharmacist DASH diet - Low cholesterol and total fat, low fat dairy and increased fruits and vegetables. Reduces BP 8-14mmHg In preparing the family for a patient's imminent death, which of the following should be included in education? - The family may fear giving a dose of pain medication may hasten death Which of the following statements describes a person who is moderately sedated - Responds purposelessly to verbal commands Use of medication resulting in amnesia and/or analgesia Patient responds purposely to verbal commands Independently maintains airway Cardiovascular function maintained Minimal sedation (anxiolysis) - Patient responds normally to verbal commands Cognitive function and coordination may be impaired
    Ventilatory and cardiac functions remain unaffected Deep sedation/analgesia -

A cardiology office has implemented interactive voice recognition (IVRT) to monitor the status of patients with chronic health failure (CHF) Which of the following is the most important feature of IVRT? - The IVRT system needs to allow fir a referral to a human resource when needed. Ambulatory care applications of IVRT include appt scheduling and reminders, as well as post- appointment/procedure f/u What is the AAACN metric? - Accuracy, Authorship, Attribution, Currency, and Nursing practice relevance In times of stress, communication between health care providers and patients and families can be more challenging. In this context, which of the following is true? - When discussing concerns with the patient and family, consider both their current and past concerns When transitioning a patient's care from one health care provider to another, effective handofff communication is supported by - Using a structured, comprehensive tool or model NOT SBAR In times of stress, communication between health care providers and patients and families can be more challenging. In this context, which of the following is true? - Assess for expressions of excessive anger that would indicate the presence of conflict Mr. Brown us very upset about how long he waited - Acknowledge the delay, let him know his provider will be available in 10 minutes, and ask what he would like to do NOT small token or gesture What's the Standards of Professional Performance for ambulatory care nursing - Ethics, education, communication, professional practice evaluation What statement is consistent with application of motivational interviewing? - How might things be different if you... Method of guiding patients to explore their own health behaviors and to strengthen their own motivation to change. Nursing documentation assists to support which of the following purposes in the medical record - Provides credible evidence of proof of care Purpose of medical record -

  1. provide the most credible evidence or legal proof that care given to patient met the legal standard of care
  2. Serve as a communication tool for health care providers that tells the patients story while he or she is receiving care at a facility or clinic
  1. Provide attorney's information to help analyze the merits of a malpractice claim and as defense to claims of negligence or intentional misconduct 4, Implement quality improvement initiatives
  2. Review of services and needs for utilization review to determine the appropriate level of care to obtain third party reimbursement Rule of thumb for medical records - At least 6 years The purpose of a rating sustem for levels of evidence in EBP is - Allow the reviewer to estimate the quality and strength of the evidence The Enhanced Nurse Licensure Compac t(eNLC) difers from NLC - It allows telehealth nursing practice across eNLC states without additional licenses Nurse License Compact (NLC) - Enacted in 24/50 states. allows nurses to practice across state lines, physically and electronically unles sone is under discipline or a monitoring agreement that restricts interstate practice Nurses are licensed where they live. The "home" state. Other than home state is called the "remote" state APRNS must apply in each state in which they practice. Exemption: federal facilities Nurse practice standards - Serve as a guide for the structure and processes in the delivery of nursing care The ANA code of Ethics - Administer patient care with compassion Best pratcices for management of chronic pain using opioid therapy -
    • Ensuring availability of naloxone when opioid and benzo therapy is prescribed Which is true about delegation for an RN - The delegated nurse remains responsible for the delegated task