Clinical Nurse Specialist CNS Adult Practice Test - Question List

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11. A 20-year-old male client with a BMI of 33 has been admitted for recurrent chest pains and difficulty breathing. During the assessment, it is found that his father and mother both suffered from myocardial infarction before the age of 50. Which of the following nursing actions is the first step to prevent the client from having a myocardial infarction?
  1. Encourage the client to initiate and maintain a regular exercise program.
  2. Instruct the client to avoid fatty and high-calorie meals.
  3. Assess the client’s level of interest in weight reduction programs.
  4. Educate the client about the risks of obesity and myocardial infarction.
12. What is meant by the term values?
  1. The belief that something is completely right or wrong, at all times.
  2. Principles based on experience, culture, religion, and education that influence decisions and/or behavior.
  3. Principles or standards influencing professional conduct.
13. After receiving the client assignments for the day, which client should the nurse assess first?
  1. A client newly diagnosed with Parkinson’s disease preparing for discharge
  2. A client scheduled for arthroscopy in two hours
  3. A client requiring wound dressing changes
  4. A client receiving oxygen who demonstrated labored breathing during the previous shift
14. A nurse assesses the cranial nerves of a client with head trauma. The nurse assesses cranial nerve VIII by performing which of the following?
  1. Checking the client’s visual fields
  2. Eliciting the gag reflex
  3. Observing for swaying when walking
  4. Asking the client to identify substances by their tastes
15. A nurse is teaching a 75-year-old client how to use an aluminum walker appropriately. Which of the following techniques are accurate?
  1. The client lifts and moves the walker forward, steps forward with the good leg, followed by the affected leg.
  2. The client lifts and moves the walker forward 10 inches, and steps forward with the affected leg first, followed by the good leg.
  3. The client pushes the walker forward as the walker bears the weight of the client.
  4. The client glides the walker forward 18 inches and swings both legs forward.

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