Clinical Nurse Specialist CNS Adult Practice Test - Question List

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16. During a staffing crisis, the nurse manager decides that the most efficient nursing modality to implement is:
  1. Primary nursing
  2. Functional nursing
  3. Team nursing
  4. Case management
17. A nurse is on the elevator when she overhears a group of medical interns discussing the case of a male client who was found to be positive for human immunodeficiency virus. The nurse knows that which client right might have been breached?
  1. Right to continuity of care
  2. Right to refuse treatment
  3. Right to refuse third-party interference in their medical care
  4. Right to be treated confidentially
18. A client has an indwelling urinary catheter. Which of the following nursing interventions is best to prevent bladder infections?
  1. Irrigate the catheter with sterile saline solution twice daily.
  2. Encourage the client to take showers and prevent tub baths.
  3. Restrict fluid intake.
  4. Open the drainage system once daily.
19. An elderly client with a swallowing disorder is at increased risk for aspiration. Which of the following is an inappropriate nursing action?
  1. Encourage the client to increase consumption of full-fat milk products
  2. Dentures are securely worn while eating
  3. Syringes are avoided when feeding the client
  4. The client is placed in semi-Fowler’s during feeding and for 30 minutes thereafter
20. Nina the New Nurse is preparing to receive a client who will be transferred from the recovery room to her unit. The recovery room nurse reports the client is awake and alert after colon surgery and vital signs are stable. The patient has no complaints of pain or nausea and has an NG tube to low suction draining serosanguineous fluid. Nina the New Nurse’s team is very busy now; she is trying to determine which task can safely be delegated to the nursing assistant on her team. Which of the following tasks can safely be delegated to the nursing assistant?
  1. Observe the color and record the amount of drainage collected by the NG tube.
  2. Measure and record vital signs every two hours.
  3. Irrigate NG tube as needed.
  4. Perform mouth care, and skin care to nares, as needed.

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