Clinical Nurse Specialist CNS Adult Practice Test - Question List

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1. Nina the New Nurse has assessed a new client, admitted for sudden altered level of consciousness (ALOC). She also reviewed the current lab results, which are as follows:
Na+ 156
CL- 100
K+ 4.0
HCO 21
BUN 86
Bld. Glucose 100

Nina the New Nurse is entering a nursing diagnosis on the care plan based on the information she has gathered. Which nursing diagnosis is most appropriate?
  1. Fluid volume deficit.
  2. Self-care deficit: feeding.
  3. Alteration in urinary elimination.
  4. Trick question! There isn’t enough information provided in the above scenario to determine a nursing diagnosis!
2. After a complete bowel rest, a client is prescribed a clear liquid diet. The nurse making the dietary plan for the client keeps in mind that a clear liquid diet consists of the following except:
  1. Bouillon
  2. Gelatin
  3. Milk
  4. Coffee
3. A nurse is assessing a newly-admitted client. Assessment reveals that the client has muscle weakness, muscle spasticity, and an unsteady gait. Based on the findings, which of the following is the most appropriate nursing diagnosis?
  1. Activity intolerance
  2. Impaired physical mobility
  3. Risk for impaired skin integrity
  4. Self-care deficit
4. A high-fiber diet is thought to reduce the risk of colon cancer because it:
  1. absorbs water from the intestinal wall.
  2. promotes the excretion of bile.
  3. stops diarrhea.
  4. is low in kilocalories.
5. Which of the following diets is suggested for the client with AIDS?
  1. High calorie, high fat
  2. High calorie, high carbohydrate
  3. Low calorie, low protein
  4. High calorie, high protein

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