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Nursing


AMB-BC


ANCC Ambulatory Care Nursing Board Certified


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When conducting a physical assessment, which of the following findings would be of concern for an ambulatory care nurse?


  1. Slight tachycardia (heart rate of 100 bpm).

  2. Mildly elevated blood pressure (140/90 mmHg).


    ilateral pedal edema. wer: D

    anation: Bilateral pedal edema, which refers to swelling in both feet a es, can be indicative of various underlying conditions, such as heart fa dney disease. It requires further evaluation and intervention by the ulatory care nurse to determine the cause and provide appropriate care


    stion: 2


    ch of the following is an example of primary prevention in ambulatory


    dministering vaccinations to school-aged children.

    roviding smoking cessation counseling to a patient with lung cancer. onducting regular blood pressure screenings for adults.

    ducating a patient with diabetes on proper foot care.

  3. Respiratory rate of 18 breaths per minute.

  4. B


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  1. A

  2. P

  3. C

  4. E


Answer: A


Explanation: Primary prevention focuses on preventing diseases or injuries before they occur. Administering vaccinations to school-aged children is an example of primary prevention, as it aims to prevent the occurrence of vaccine- preventable diseases by providing immunization at an early age.


In care coordination, which of the following actions demonstrates effective population management?


  1. Providing a patient with a list of community resources for support.

    ollaborating with a specialist to develop a patient's care plan. eferring a patient to a physical therapist for rehabilitation.


    wer: B


    anation: Conducting regular diabetes education classes for a group of nts is an example of effective population management. It involves iding education and resources to a specific population with a shared h ition, promoting self-management, and improving overall health outc


    stion: 4


    tient with a chronic respiratory condition presents to the ambulatory c with increased dyspnea and wheezing. Which medication would the

    ct to administer initially?


    orticosteroid inhaler. nticholinergic inhaler.

  2. Conducting regular diabetes education classes for a group of patients.

  3. C

  4. R

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  1. C

  2. A

  3. Beta-agonist inhaler.

  4. Leukotriene modifier. Answer: C

Explanation: In the management of acute exacerbations of respiratory conditions, the initial medication choice is a short-acting beta-agonist inhaler.

This medication helps relieve bronchospasm and improve airflow, providing immediate relief to the patient's dyspnea and wheezing symptoms.


Question: 5


A patient presents to the ambulatory care clinic with acute appendicitis symptoms. What is the priority action for the nurse?


dminister intravenous pain medication. rder a computed tomography (CT) scan. repare the patient for surgical intervention.

ssess the patient's vital signs and abdominal exam. wer: D

anation: When a patient presents with acute appendicitis symptoms, t ity action for the ambulatory care nurse is to assess the patient's vital s erform an abdominal examination. These assessments help determine rity of the condition and guide further interventions, such as pain agement, diagnostic imaging, or surgical referral.


stion: 6


ch of the following interventions is specific to managing diabetes in ulatory care?

  1. A

  2. O

  3. P

  4. A


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  1. Administering nebulized bronchodilators.

  2. Initiating anticoagulation therapy.

  3. Teaching carbohydrate counting for meal planning.

  4. Performing wound debridement. Answer: C

Explanation: Teaching carbohydrate counting for meal planning is a disease- specific intervention for managing diabetes in ambulatory care. It helps individuals with diabetes to understand and manage their carbohydrate intake, which is essential for blood glucose control and overall diabetes management.


Question: 7


ting. What should the ambulatory care nurse do next?


dvise the patient to go to the nearest emergency department. chedule an in-person appointment for further evaluation. ecommend over-the-counter medication for symptomatic relief. ssess the patient's vital signs and ask additional questions.


wer: A


anation: The patient's symptoms of severe abdominal pain, fever, and ting may indicate a potentially serious condition that requires immedi cal attention. In this case, the ambulatory care nurse should advise the nt to go to the nearest emergency department for further evaluation an ment.


stion: 8


When evaluating treatment effectiveness for a patient with hypertension, w

During a telehealth triage, a patient reports severe abdominal pain, fever, and vomi


  1. A

  2. S

  3. R

  4. A

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of the following is the optimal health indicator?


  1. Blood pressure within the target range.

  2. Decreased need for antihypertensive medications.

  3. Reduction in overall cholesterol levels.

  4. Increased exercise tolerance.

hich

Answer: A


Explanation: The optimal health indicator for evaluating treatment effectiveness in a patient with hypertension is achieving and maintaining blood pressure within the target range. Blood pressure control is a key factor in reducing the risk of cardiovascular complications associated with hypertension.