Practice Quiz

Clinical Nurse Specialist CNS Adult Practice Test - Question List

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51. A nurse is caring for a female client who was admitted less than a week ago, due to moderate depression. The client tells the nurse that she feels much better now and is more than excited to interact with other clients. The nurse’s immediate action is to:
  1. Notify the physician to reduce the dosage of the client’s medications
  2. Allow the client to have some in-room activities
  3. Increase suicide precautions
  4. Recommend discharge
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52. A client was ordered to have urinalysis. The laboratory report reveals that the specific gravity of the client’s urine is 1.50. What is the most probable cause of the client’s urine specific gravity result?
  1. Dehydration
  2. Diabetes insipidus
  3. Use of diuretic drugs
  4. Renal failure
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53. An older client with Alzheimer’s disease is agitated and angry. The most appropriate nursing action to calm the client is to:
  1. Encourage the client to join a group activity in the day room.
  2. Restrain the client using soft restraints until the client calms down.
  3. Isolate the client in a room until the client is less agitated.
  4. Turn down the volume of the radio.
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54. A client with obsessive-compulsive disorder is admitted for treatment of skin breakdown. The nurse asked the client to refrain from washing his hands too much. Upon hearing this, the client became agitated. The client’s nursing care should be based upon the understanding that:
  1. OCD behavioral patterns decrease anxiety.
  2. Behavioral patterns increase during stressful times.
  3. OCD behavioral patterns result in undoing and repression.
  4. Behavioral patterns can be interrupted consciously if the client tries.
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55. Which of the following shows therapeutic use of a defense mechanism?
  1. A 25-year-old client with paranoid delusions
  2. A 38-year-old client who had a traumatic experience and developed amnesia
  3. A 15-year-old client dressing and talking like his attending physician
  4. A 27-year old client who suddenly experienced blindness after seeing her husband with another woman
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