Ambulatory Nurse Care Certification (ANCC) Exam - Q & A If the ambulatory care nurse leader of a task group has completed the tasks assigned to the
... [Show More] group and is in its final termination phase, the primary role of the nurse leader is to A. Review the group process and achievements B. Disband the group without further input C. Evaluate the participation of the group members D. Make recommendations about future projects In shared governance, empowerment refers to A. The ability to provide input and decisions B. The assignment of a title C. The authority to make decisions D. any type of participation A patient who is an inmate in a correctional facility is scheduled for a colonoscopy to determine the cause of rectal bleeding but the patient refuses to sign the consent, The colonoscopy should be: A. Carried out despite the ack of consent B. Carried out because inmates have no rights to informed consent C. Carried out of the physician signs a treatment without consent form D. Cancelled because of no consent If the ambulatory care nurse (Nurse A) noted another nurse (Nurse B) caused severe injury to a patient because Nurse B abandoned the patient in distress to make a personal call, Nurse B should b: A. Advised that the behavior is inappropriate B. Reported to the state board of nursing C. Reported to the police D. Placed on probation status If an ambulatory nurse working in a cancer clinic is in a hurry to leave work and fails to follow protocols for checking IDS allergies resulting in administration of a chemotherapeutic agent to the wrong patient and a severe allergy reaction is an example of A. Gross negligence B. Negligent conduct C. Contributory negligence D. Comparative negligence If a staff member at an ambulatory center downloaded protected health information (PHI) about a politician in order to profit by selling the information to tabloids rules of breach notification require notification of the A. Patient only within 60 days B. Patient and the HHS secretary within 60 days C. Patient within 60 days and HHS secretary in the annual report D. Patient the media and the HHS within 60 days. Which of the following healthcare services can an adolescent younger than 18 access or refuse without a parental knowledge or consent in most states A. Emergency contraceptives B. Abortion C. Chemotherapy D. Transfusion The process of time management begins y A. picking a time management tool B. Setting goals and priorities C. Organizing routines D. Ignoring interruptions The nurse is educating an adult patient regarding medications for asthma. Which order would be the most appropriate for administration? A. Flovent, Intal, Tobramycin B. Tobramycin, Intal, Albuterol C. Albuterol, Flovent, Tobramycin D. Intal, Tobramycin, Albuterol (bronchodilator first to open, Corticosteroid to reduce inflammation, ABX last to make sure more can be absorbed) Telephone triage may be a responsibility of the ambulatory care nurse. What are the appropriate components of telephone triage? A. The nurse should state that he or she is unable to discuss medical information and refer the patient to the PCP B. The nurse must clearly identify him or herself, take a quick and accurate history and quickly be able to make a decision C. The nurse should call 911 D. The nurse should give generic information and leave the responsibility to the patient or caller What are the best question types to ask when gaining information from a patient? A. Specific, open ended questions regarding current symptoms and medical history B. General questions with a yes or no answer C. Questions related to childhood diseases D. Demographics questions IN what order would the nurse prioritize the care of the following patients presenting to the clinic at the same times: A parent carrying a smiling infant with a fever, a pale and sweaty male wit flank pain for 2 days, a carpenter with a nail in his thumb, and a 3 year old with vomiting A. Flank pain, Infant with fever, 3 year old vomiting, man with nail B. Flank pain, 3 year old vomiting, infant with fever, man with nail C. 3 year old vomiting, infant with fever, flank pain, man with nail D. 3 year old with vomiting, flank pain, man with nail, and infant with fever Mom has described her child’s symptoms as fever for 3 days, and vomiting for the last 24 hours. She states the child has been very sleepy for the last 2-3 hours. What subtle symptom alerts the nurse that this child needs to be seen as soon as possible A. 3 days of fever B. 3 days of fever , 1 day of vomiting C. 1 day of vomiting D. very sleepy for 2-3 hours with fever for 3 days. The ambulatory care nurse takes a phone call from the daughter of a 60 year old man stating that he isn't himself today. When questioned further the nurse discovers that the man has had periods of slurred speech for a few minutes on 2 occasions in the last 24 hours. What is your recommendation for this caller regarding what should be done? A. You understand that slurred speech may be the result of too much alcohol or lack of sleep and you encourage her to call back again if it occur B. You advise her to come to the clinic in the next 24-48 hours for some blood work C. You advise her that slurred speech may b a symptoms of TIA or impending stroke, especially in relation to him not being himself and to go to nearest ER D. You tell her you will call her ack when you can contact the MD for advice. A 70 year old female presents to the ambulatory care clinic complaining of fatigue. You begin you triage assessment and he has a HR of 50, Respiratory rate of 24, and BP 70/40. She denies Chest pain but you notice she rubs her elbows and states her arthritis is acting up. What would be your first priority when caring for this patient? A. Offer her Tylenol and send her to the waiting room B. offer her Motrin for pain C. Continue her triage and history and finish the paperwork D. place her in a room, do an EKG and notify the MD to see her first A mother presents to the clinic with a very wheezy 3 year old in her arms. You notice the child is pale and listless. What is your immediate response A. Triage the infant before the other patients waiting B. Bring the child to an exam room and wait for MD C. Bring the child to an exam room to finish triage in the privacy of a room D. Bring the child to a room, Get the MD, and prepare to give Nebulizer treatment and possible transfer to acute facility What nonverbal clues would indicate that a patient of any age is having difficulty breathing? A. Change in color, retractions and noisy breathing B. laughing and joking during triage assessment C. Slight wheezing when lifting heavy objects D. Sweating in a warm room with exertion What would be the most appropriate order of importance for information an adult client shares when coming to a clinic visit. A. Past medical, past surgical, medications, allergies and insurance information B. Current complaints, past 24-48 ours leading to complaint, meds, allergies and past medical history C. Current meds, allergies, past medical and past surgical D. Current demographics, current insurance, complaint, medical history and surgical history A 50 year old male comes to the clinic stating he cannot shake this "flu" you observe that he is clammy, pale and has an irregular HR. He is a large man with rugged appearance. He is friendly and apologetic for bothering you with his silly complaints. What is your plan of care for this patient? A. You suspect he has a low tolerance for being ill and offer him Tylenol while he waits to see the MD B. You suspect he has the newest flu going around and offer him hot tea while he waits to see the MD C. You suspect there is more to his complaint than he states and immediately begin a cardiac workup by placing him in a room and ordering EKG D. You finish the triage and send him to the waiting room understanding The ambulatory care setting must include which of the following for the nurse to be able to properly triage a patient. [Show Less]