QUESTIONS AND ANSWERS SURE A+
✔✔Plan Do Study Act (PDSA) method of continuous quality improvement study -
✔✔Plan: Define the problem, brainstorm and collect data
Do: Generate solutions, choose one and implement a trial
Study: Evaluate outcomes
Act: Identify changes needed for full implementation and continue to monitor
✔✔If a patient is scheduled for a routine serum creatinine to evaluate renal function, the
patient should be advised to prepare for this test by:
A. Carrying out routine activities
B. Fasting for 12 hours
C. Avoid Strenuous exercise
D. Avoid eating meat products for two days - ✔✔C. Avoid Strenuous exercise
✔✔The ambulatory care nurse is reviewing a patient's history to determine if the patient
is a candidate for an intrauterine device (IUD). Contraindications for an IUD include:
A. Menorrhagia
B. History of pelvic inflammatory disease 3 years previously
C. History of renal Cancer
D. History of ectopic pregnancy - ✔✔D. History of ectopic pregnancy
✔✔The purpose of an Advanced Beneficiary Notice is to:
A. Identify beneficiaries of a wall
B. inform Medicare Patients of non coverage
C. Inform patients of Medicaid eligibility
D. Inform patients of insurance coverage - ✔✔B. inform Medicare Patients of non
coverage
✔✔Which of the following are excluded from the Nurse Licensure compact
A. RNs
B. LVNs
C. LPNs
D. APRNs - ✔✔D. APRNs (They must get a license in each state they plan to work in)
✔✔When setting up a dashboard to show progress towards meeting goals, the first
consideration when determining which information to include should be:
A. Relevance to goals
B. Method of Display
C. Frequency of needed updates
D. Ease of gathering data - ✔✔A. Relevance to goals
,✔✔The first step in development of a safety and health program to meet OSHA's
guidelines is to:
A. Takes steps to reduce hazards
B. Establish a medical management program
C. Conduct a workplace analysis
D. Establish a staff training program - ✔✔D. Establish a staff training program
✔✔When interviewing a patient who reports that everything is "fine" the ambulatory care
nurse notes that the patients pupils are dilated, the patient is sweating profusely and the
patient frequently licks the lips. According to these observations the nurse likely
concludes that the patient is:
A. actually fine
B. withholding information
C. Experiencing a physical health problem
D. Afraid of the nurse - ✔✔B. withholding information
✔✔Under provisions of the Americans with Disabilities Act (ADA) in relation to access,
which of the following is allowed:
A. Examining a wheelchair bound patient in a wheelchair because an adjustable exam
table is not available
B. Refusing to treat a patient because accessible equipment is not available
C. Asking a disabled person to bring a caregiver to assist with patients examination
D. Having accessible equipment for patient with disabilities in some examination rooms
but not all - ✔✔D. Having accessible equipment for patient with disabilities in some
examination rooms but not all
✔✔Waste is considered corrosive and hazardous if it has a pH of:
A. Less than 2 or greater than 12.5
B. Less than 4 or greater than 10.5
C. Between 6 and 12
D. Greater than 12.5 - ✔✔A. Less than 2 or greater than 12.5
✔✔When reviewing a number of articles as part of development of Evidence-based
practice guidelines, the first step to reading critically should be to:
A. Review the authors credentials
B. Consider the source
C. Read the article conclusion
D. Evaluate the overall article - ✔✔A. Review the authors credentials
✔✔The nursing hazard that is usually of most concern is an ambulatory surgical center
is:
A. Back injuries
B. Slips and falls
C. Exposure to bloodborne pathogens
D. Latex Allergies - ✔✔C. Exposure to bloodborne pathogens
, ✔✔The HIPPA security rule applies to protected health information (PHI) that is
transmitted:
A. Orally
B. In Writing
C. Electronically
D. In Any Manner - ✔✔C. Electronically
✔✔In a therapeutic relationship between an ambulatory care nurse and a patient, the
focus should be on the :
A. Nurse's Needs
B. Patient ideas and feelings
C. Medical Needs
D. Treatment Options - ✔✔B. Patient ideas and feelings
✔✔If the ambulatory care nurse is concerned about a potential influx of patients infected
with the Zika Virus, the most appropriate response is to:
A. Research the topic and obtain disease-focused date
B. Express concerns to other staff members
C. Complain about the lack of information
D. Suggest Stockpiling mosquito repellant to patients - ✔✔A. Research the topic and
obtain disease-focused date
✔✔If Medicare has denied a claim, how ling does the appellent have to file an appeal:
A. 30 days
B. 60 days
C. 90 days
D. 120 days - ✔✔D. 120 days
✔✔Health literacy is directly affected by general literacy, so when educating patients,
the ambulatory care nurse should realize that the approximate percentage of adults in
the US who are classified as illiterate or low literate is:
A. 25%
B. 40%
C. 50%
D. 70% - ✔✔C. 50%
✔✔The Ambulatory care nurse is participating in a community effort to screen for
hypertension. Screening for disease is an example of what type of prevention:
A. Primary
B. Secondary
C. Tertiary
D. Quaternary - ✔✔B. Secondary