Clinical Nurse Specialist CNS Adult Practice Test - Question List

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66. A nurse reviews the laboratory results of a client admitted due to crushing left-sided substernal chest pain. The nurse determines that which of the following findings supports a diagnosis of acute myocardial infarction?
  1. Level of LDH rises within the first 8 hours of MI
  2. Myoglobulin level rises after the first 24 hours
  3. Normal CK-MB within the first 24 hours
  4. Total creatine kinase rises within 24 hours after cardiac damage
67. A nurse is caring for an elderly female with a right-sided weakness. The client is immobile and bed-bound for most of the day. The nurse implements which intervention for the prevention of skin breakdown and development of pressure ulcers in the elderly?
  1. Increase the client’s intake of carbohydrates.
  2. Application of alcohol to the skin.
  3. Use antibacterial soaps during bathing.
  4. Use layer of cornstarch on sheet.
68. A staff nurse recognizes that the dose prescribed for a client is higher than the safe dosage for the client. The medication is scheduled to be administered, but the nurse is unable to reach the physician. The most appropriate nursing action is to:
  1. Administer the medication as prescribed
  2. Administer the safe dose
  3. Hold the medication until the physician is contacted
  4. Call the nursing supervisor
69. A client diagnosed with acquired immune deficiency syndrome is admitted for pneumocystis carinii pneumonia. In which of the following situations should the nurse intervene?
  1. A medical technician wears a pair of gloves to obtain a blood sample from the client.
  2. The LPN takes the client’s blood pressure wearing gloves and a mask.
  3. A maintenance staff cleans spilled blood with a household bleach diluted in water.
  4. The nurse student washes her hands before and after contact with the client.
70. A client is evaluated for seizures for the first time. The nurse expects which of the following diagnostic procedures to be ordered first?
  1. Computed tomography scan
  2. Magnetic resonance imaging
  3. Electroencephalography
  4. Skull radiography

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