Ambulatory Care Test Emergency Preparedness and Urgent Care 1 — Questions and Answers
Question 1: A patient in an ambulatory care waiting room suddenly collapses and is unresponsive. What is the first action the nurse should take?
- Call 911 immediately
- Activate the emergency response system and assess for breathing and pulse (Correct answer)
- Begin CPR without assessment
- Retrieve the AED from the hallway
Correct answer: Activate the emergency response system and assess for breathing and pulse
The first step following patient collapse is to activate the emergency response system and perform a rapid assessment for breathing and pulse before initiating CPR.
Question 2: Which document outlines an ambulatory care facility's planned response to emergencies such as natural disasters or mass casualty events?
- HIPAA Security Plan
- Emergency Operations Plan (EOP) (Correct answer)
- Infection Control Manual
- Patient Safety Committee Charter
Correct answer: Emergency Operations Plan (EOP)
The Emergency Operations Plan (EOP) details a facility's preparedness strategies, roles, and procedures for responding to emergencies and disasters.
Question 3: What does the acronym RACE stand for in ambulatory care fire emergency response?
- Run, Assess, Communicate, Evacuate
- Rescue, Alarm, Confine, Extinguish/Evacuate (Correct answer)
- Report, Alert, Clear, Exit
- Remove, Announce, Contain, Escape
Correct answer: Rescue, Alarm, Confine, Extinguish/Evacuate
RACE stands for Rescue (those in danger), Alarm (activate fire alarm), Confine (close doors to contain fire), and Extinguish/Evacuate.
Question 4: A patient in an ambulatory clinic presents with a suspected anaphylactic reaction. Which medication is the first-line treatment?
- Diphenhydramine (Benadryl)
- Methylprednisolone
- Epinephrine 1:1000 IM (Correct answer)
- Albuterol nebulization
Correct answer: Epinephrine 1:1000 IM
Epinephrine 1:1000 administered intramuscularly in the lateral thigh is the first-line and life-saving treatment for anaphylaxis.
Question 5: Which triage category in the START triage system indicates a patient who is deceased or has unsurvivable injuries?
- Red
- Yellow
- Green
- Black (Correct answer)
Correct answer: Black
In START triage, Black (expectant) designates patients who are deceased or have injuries incompatible with survival given available resources.
Question 6: An ambulatory surgery patient develops malignant hyperthermia intraoperatively. Which drug is the specific antidote?
- Propofol
- Dantrolene (Correct answer)
- Succinylcholine
- Neostigmine
Correct answer: Dantrolene
Dantrolene sodium is the specific pharmacological treatment for malignant hyperthermia, acting by inhibiting calcium release from the sarcoplasmic reticulum.
Ambulatory Care Test Emergency Preparedness and Urgent Care 1
A patient in an ambulatory care waiting room suddenly collapses and is unresponsive.
What is the first action the nurse should take?