Practice Quiz

Clinical Nurse Specialist CNS Adult Practice Test - Question List

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6. Nina the New Nurse loves her job! She is working on the medical/surgical. unit, and has received reports on the clients she will care for from the off-going shift. She is prioritizing her first rounds of the day. Which of the following clients should Nina the New Nurse see first?
  1. 55-year-old female, right mastectomy two days ago; Jackson-Pratt draining serosanguineous fluid, 23cc for last shift.
  2. 25-year-old male, gunshot wound to left thigh; 2.5cm area of dark drainage observed on dressing.
  3. 58-year-old male, abdominal-perineal resection 4 days ago; complaining of chills.
  4. 30-year-old female, hysterectomy 3 days ago; complaining of pain.
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7. Hank Smith, a 36-year-old bartender, was admitted for a total cystectomy with creation of an ileal conduit. Hank was diagnosed with a bladder tumor six months ago. While emptying and cleaning the stoma, the nurse is incorrect when she does which of the following?
  1. Maintains an aseptic technique all throughout the procedure.
  2. Changes the urine collection appliance on a timely schedule.
  3. Instructs the client to sit upright on the bed.
  4. Changes the appliance during early morning.
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8. Nina the New Nurse was floated to a unit she was unfamiliar with. Wanting to be helpful and thought of as a team player, she accepted a very heavy assignment. According to the ICN Code of Ethics for Nurses, which of the four principle elements did Nina the New Nurse violate?
  1. Nurses and people
  2. Nurses and practice
  3. Nurses and co-workers
  4. Nurses and the profession
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9. A nurse is caring for Mr. Kline, a 56-year-old client who was admitted because of esophageal cancer. A gastrostomy tube (PEG) was inserted six weeks ago. During assessment, the nurse notes reddish color and swelling around the insertion site. The most appropriate action of the nurse is to:
  1. Clean the insertion site with normal saline solution and cover with sterile gauze.
  2. Notify the physician immediately.
  3. This is expected during the first few weeks after a creation of PEG, and she can continue feeding.
  4. Flush the PEG with cold water to soothe the irritated insertion site.
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10. In an upper respiratory tract infection, secretion of copious amounts of mucus can affect a client’s appetite. Which of the following interventions can best help increase the palatability of food for a client with an upper respiratory infection?
  1. Increase oral fluid intake.
  2. Offer oral care before eating.
  3. Offer citrus juice before eating.
  4. Remove sputum containers and trash from the eating area.
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