AMBULATORY CARE UPDATED END OF COURSE
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔_________ would be considered the federal law which helps to protect the privacy
of student educational records?
A - FMLA
B - ADA
C - FERPA
D - HIPAA - ✔✔C - FERPA
FERPA stands for Family Educational Rights and Privacy Act. This is a federal law
which helps to protect the privacy of student educational records.
✔✔When defibrillating a patient, the second shock is typically at which dose?
A - 100
B - 360
C - 200 to 300
D - 300 - ✔✔C - 200 to 300
When defibrillating a patient, the shock levels are typically:First-200 joules, Second-200
to 300 joules, All of the rest-360 joules
✔✔In the clinic, which step of the nursing process does Nurse Betty use to determine if
the patient understands the health information he was just presented?
A - implementation
B - evaluation
C - assessment
D - goal planning - ✔✔B - evaluation
The evaluation step of the nursing process includes the nurse observing the patient and
asking questions to get a better idea of the person as a whole and to ensure he is
learning the health information needed. This also gives the patient a chance to ask
questions and clear up any misunderstandings.
✔✔A hospitalized patient is diagnosed with pressure ulcers. What is one type of
independent nursing intervention that can be used to help the patient?
A - Apply a drying agent to reduce moisture at the site.
B - Change the patient's positions to minimize pressure on the ulcers. C - Order surgical
removal of the necrotic tissue.
D - Soak the areas in Epsom salt. - ✔✔B - Change the patient's positions to minimize
pressure on the ulcers.
Changing a patient's position reduces stress and pressure to the ulcer site and
promotes healing. Applying a drying agent would not be effective since wounds need
moisture to heal, and soaking would not relieve pressure and could spread infection.
Surgical removal of the tissue would need to be prescribed and performed by a
physician.
,✔✔The nurse is educating an adult patient regarding medications for asthma. Which
order would be the most appropriate for administration?
A - Albuterol, Flovent, Tobramycin
B - Flovent, Intal, Tobramycin
C - Tobramycin, Intal, Albuterol
D - Intal, Tobramycin, Albuterol - ✔✔A - Albuterol, Flovent, Tobramycin
✔✔Telephone triage may be a responsibility of the ambulatory care nurse. What are the
appropriate components of telephone triage?
A - The nurse should give generic information and leave the responsibility to the patient
or caller
B - The nurse should immediately call 911
C - The nurse should state that he or she is unable to discuss medical information and
refer the patient to the primary care physician
D - The nurse must clearly identify him- or herself, take a quick and accurate history,
and quickly be able to make a decision - ✔✔D - The nurse must clearly identify him- or
herself, take a quick and accurate history, and quickly be able to make a decision
✔✔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 yes or no answers
C - questions related to childhood diseases
D - demographics questions - ✔✔A - specific, open-ended questions regarding current
symptoms and medical history
✔✔In what order would the nurse prioritize the care of the following patients presenting
to the clinic at the same time: a parent carrying a smiling infant with a fever, a pale and
sweaty male with flank pain for two days, a carpenter with a nail in his thumb, and a
three-year-old with vomiting.
A - flank pain, three-year-old with vomiting, infant with a fever, and man with the nail
B - three-year-old with vomiting, flank pain, man with the nail, and infant with fever
C - flank pain, infant with fever, three-year-old with vomiting, and man with the nail
D - three-year-old with vomiting, infant with fever, flank pain, and man with the nail -
✔✔A - flank pain, three-year-old with vomiting, infant with a fever, and man with the nail
✔✔Mom has described her child's symptoms as fever for three days and vomiting for
the last 24 hours. She states the child has been very sleepy for the last two to three
hours. What subtle symptom alerts the nurse that this child needs to be seen as soon
as possible?
A - three days of fever
B - three days of fever, one day of vomiting
C - very sleepy for two to three hours with a fever for three days
D - one day of vomiting - ✔✔B - three days of fever, one day of vomiting
,✔✔A 70-year-old female presents to the ambulatory care clinic complaining of fatigue.
You begin your triage assessment, and she has a heart rate of 50, a respiratory rate of
24, and a blood pressure of 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 Motrin for pain
B - Offer her Tylenol for pain and send her to the waiting room
C - Continue her triage and history and finish the paperwork
D - Place her in a room, do an electrocardiogram (EKG), and notify the physician to see
her before the other patients in the clinic because of the possibility of a heart problem -
✔✔D - Place her in a room, do an electrocardiogram (EKG), and notify the physician to
see her before the other patients in the clinic because of the possibility of a heart
problem
✔✔What nonverbal clues would indicate that a patient of any age is having difficulty
breathing?
A - sweating in a warm room with exertion
B - slight wheezing when lifting heavy objects
C - laughing and joking during a triage assessment
D - change in color, retractions, and noisy breathing - ✔✔D - change in color,
retractions, and noisy breathing
✔✔What would be the most appropriate order of importance for information an adult
client shares when coming to a clinic visit?
A - Current medications, allergies, past medical history, and past surgical history
B - past medical history, past surgical history, medications, allergies, and insurance
information
C - current demographics, current insurance, complaint, medical history, and surgical
history
D - current complaint, past 24-48 hours leading up to complaint, medications, allergies,
and past medical history - ✔✔D - current complaint, past 24-48 hours leading up to
complaint, medications, allergies, and past medical history
✔✔The ambulatory care setting must include which of the following for the nurse to be
able to properly triage a patient?
A - television
B - computer
C - vending machines
D - private room for triage - ✔✔D - private room for triage
✔✔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 heart rate. He is a large man with
a 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 there is more to his complaint than he states and immediately begin a
cardiac workup by placing him in a room and ordering an EKG
B - You suspect he has the newest flu going around and offer him hot tea while he waits
to see the physician
C - You suspect he has a low tolerance for being ill and offer him Tylenol while he waits
to see the physician
D - You finish the triage and send him to the waiting room, understanding that the flu
affects everyone differently - ✔✔A - 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
an EKG
✔✔Each person has how many intelligences (according to Howard Garner's multiple
intelligence theory)? - ✔✔8 - According to the Howard Garner's multiple intelligence
theory, each individual has 8 intelligences. These intelligences form the basis for the
individuals learning throughout their life.
✔✔You are conducting an assessment with a male patient. It is important to know that a
normal prostate is the size of what?
A -grape
B -peanut
C -orange
D -walnut - ✔✔D - Walnut
✔✔What type of budget should be done for a new practice?
A- Zero based
B -Hyperlink Process
C -Historical based budget
D -Capital budget. - ✔✔A - Zero based - Zero based budgets are used with new
practices and requires expenses to be tracked and managed carefully.
✔✔You are performing an assessment with a patient. On auscultation of heart sounds,
you hear a scratching, creaking sound. Which of the following conditions might this
heart sound indicate?
A -congestive heart failure
B -benign heart murmur
C -pericarditis
D -pneumothorax - ✔✔C - pericarditis - Patients with pericarditis will often have a
scratching or creaking sound. This is known as a pericardial friction rub and results from
inflammation of the pericardium.
✔✔The 5 M's of categorizing information (according to the Failure Mode and Effect
Analysis) would include all but which of the following?
A -Materials
B -Maneuvering
C -Methods
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔_________ would be considered the federal law which helps to protect the privacy
of student educational records?
A - FMLA
B - ADA
C - FERPA
D - HIPAA - ✔✔C - FERPA
FERPA stands for Family Educational Rights and Privacy Act. This is a federal law
which helps to protect the privacy of student educational records.
✔✔When defibrillating a patient, the second shock is typically at which dose?
A - 100
B - 360
C - 200 to 300
D - 300 - ✔✔C - 200 to 300
When defibrillating a patient, the shock levels are typically:First-200 joules, Second-200
to 300 joules, All of the rest-360 joules
✔✔In the clinic, which step of the nursing process does Nurse Betty use to determine if
the patient understands the health information he was just presented?
A - implementation
B - evaluation
C - assessment
D - goal planning - ✔✔B - evaluation
The evaluation step of the nursing process includes the nurse observing the patient and
asking questions to get a better idea of the person as a whole and to ensure he is
learning the health information needed. This also gives the patient a chance to ask
questions and clear up any misunderstandings.
✔✔A hospitalized patient is diagnosed with pressure ulcers. What is one type of
independent nursing intervention that can be used to help the patient?
A - Apply a drying agent to reduce moisture at the site.
B - Change the patient's positions to minimize pressure on the ulcers. C - Order surgical
removal of the necrotic tissue.
D - Soak the areas in Epsom salt. - ✔✔B - Change the patient's positions to minimize
pressure on the ulcers.
Changing a patient's position reduces stress and pressure to the ulcer site and
promotes healing. Applying a drying agent would not be effective since wounds need
moisture to heal, and soaking would not relieve pressure and could spread infection.
Surgical removal of the tissue would need to be prescribed and performed by a
physician.
,✔✔The nurse is educating an adult patient regarding medications for asthma. Which
order would be the most appropriate for administration?
A - Albuterol, Flovent, Tobramycin
B - Flovent, Intal, Tobramycin
C - Tobramycin, Intal, Albuterol
D - Intal, Tobramycin, Albuterol - ✔✔A - Albuterol, Flovent, Tobramycin
✔✔Telephone triage may be a responsibility of the ambulatory care nurse. What are the
appropriate components of telephone triage?
A - The nurse should give generic information and leave the responsibility to the patient
or caller
B - The nurse should immediately call 911
C - The nurse should state that he or she is unable to discuss medical information and
refer the patient to the primary care physician
D - The nurse must clearly identify him- or herself, take a quick and accurate history,
and quickly be able to make a decision - ✔✔D - The nurse must clearly identify him- or
herself, take a quick and accurate history, and quickly be able to make a decision
✔✔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 yes or no answers
C - questions related to childhood diseases
D - demographics questions - ✔✔A - specific, open-ended questions regarding current
symptoms and medical history
✔✔In what order would the nurse prioritize the care of the following patients presenting
to the clinic at the same time: a parent carrying a smiling infant with a fever, a pale and
sweaty male with flank pain for two days, a carpenter with a nail in his thumb, and a
three-year-old with vomiting.
A - flank pain, three-year-old with vomiting, infant with a fever, and man with the nail
B - three-year-old with vomiting, flank pain, man with the nail, and infant with fever
C - flank pain, infant with fever, three-year-old with vomiting, and man with the nail
D - three-year-old with vomiting, infant with fever, flank pain, and man with the nail -
✔✔A - flank pain, three-year-old with vomiting, infant with a fever, and man with the nail
✔✔Mom has described her child's symptoms as fever for three days and vomiting for
the last 24 hours. She states the child has been very sleepy for the last two to three
hours. What subtle symptom alerts the nurse that this child needs to be seen as soon
as possible?
A - three days of fever
B - three days of fever, one day of vomiting
C - very sleepy for two to three hours with a fever for three days
D - one day of vomiting - ✔✔B - three days of fever, one day of vomiting
,✔✔A 70-year-old female presents to the ambulatory care clinic complaining of fatigue.
You begin your triage assessment, and she has a heart rate of 50, a respiratory rate of
24, and a blood pressure of 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 Motrin for pain
B - Offer her Tylenol for pain and send her to the waiting room
C - Continue her triage and history and finish the paperwork
D - Place her in a room, do an electrocardiogram (EKG), and notify the physician to see
her before the other patients in the clinic because of the possibility of a heart problem -
✔✔D - Place her in a room, do an electrocardiogram (EKG), and notify the physician to
see her before the other patients in the clinic because of the possibility of a heart
problem
✔✔What nonverbal clues would indicate that a patient of any age is having difficulty
breathing?
A - sweating in a warm room with exertion
B - slight wheezing when lifting heavy objects
C - laughing and joking during a triage assessment
D - change in color, retractions, and noisy breathing - ✔✔D - change in color,
retractions, and noisy breathing
✔✔What would be the most appropriate order of importance for information an adult
client shares when coming to a clinic visit?
A - Current medications, allergies, past medical history, and past surgical history
B - past medical history, past surgical history, medications, allergies, and insurance
information
C - current demographics, current insurance, complaint, medical history, and surgical
history
D - current complaint, past 24-48 hours leading up to complaint, medications, allergies,
and past medical history - ✔✔D - current complaint, past 24-48 hours leading up to
complaint, medications, allergies, and past medical history
✔✔The ambulatory care setting must include which of the following for the nurse to be
able to properly triage a patient?
A - television
B - computer
C - vending machines
D - private room for triage - ✔✔D - private room for triage
✔✔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 heart rate. He is a large man with
a 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 there is more to his complaint than he states and immediately begin a
cardiac workup by placing him in a room and ordering an EKG
B - You suspect he has the newest flu going around and offer him hot tea while he waits
to see the physician
C - You suspect he has a low tolerance for being ill and offer him Tylenol while he waits
to see the physician
D - You finish the triage and send him to the waiting room, understanding that the flu
affects everyone differently - ✔✔A - 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
an EKG
✔✔Each person has how many intelligences (according to Howard Garner's multiple
intelligence theory)? - ✔✔8 - According to the Howard Garner's multiple intelligence
theory, each individual has 8 intelligences. These intelligences form the basis for the
individuals learning throughout their life.
✔✔You are conducting an assessment with a male patient. It is important to know that a
normal prostate is the size of what?
A -grape
B -peanut
C -orange
D -walnut - ✔✔D - Walnut
✔✔What type of budget should be done for a new practice?
A- Zero based
B -Hyperlink Process
C -Historical based budget
D -Capital budget. - ✔✔A - Zero based - Zero based budgets are used with new
practices and requires expenses to be tracked and managed carefully.
✔✔You are performing an assessment with a patient. On auscultation of heart sounds,
you hear a scratching, creaking sound. Which of the following conditions might this
heart sound indicate?
A -congestive heart failure
B -benign heart murmur
C -pericarditis
D -pneumothorax - ✔✔C - pericarditis - Patients with pericarditis will often have a
scratching or creaking sound. This is known as a pericardial friction rub and results from
inflammation of the pericardium.
✔✔The 5 M's of categorizing information (according to the Failure Mode and Effect
Analysis) would include all but which of the following?
A -Materials
B -Maneuvering
C -Methods
