Clinical Nurse Specialist CNS Adult Practice Test - Question List

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56. A nurse is conducting preoperative teaching for a client scheduled for coronary artery bypass graft surgery in 1 week. The client has been taking aspirin. Which of the following statements, if made by the client, suggests that the client understands the teachings?
  1. “I need to continue my intake of aspirin until the day of the surgery to prevent bleeding.”
  2. “I must discontinue my intake of aspirin at least 48 hours before surgery to prevent blood clots.”
  3. “Aspirin can cause blood clot formation.”
  4. “I must discontinue my intake of aspirin at least 48 hours before surgery to prevent bleeding after surgery.”
57. A client was diagnosed with panic disorder a few months ago after going through a traumatic accident. The client has been taking medications and attending therapy for two months now. What is a desirable outcome observed by the nurse?
  1. Resumed work at the office.
  2. Panic attacks lasting for 10 minutes.
  3. Gaining more appetite.
  4. Titrating medications when feeling better.
58. A client is admitted, presenting with hypertension, tachycardia, and hyperthermia. The client is combative and paranoid. The client’s bowel sounds are diminished and the urine output is lower than normal. These are the characteristic symptoms of:
  1. Alcohol intoxication
  2. Heroine toxicity
  3. Cocaine toxicity
  4. Marijuana use
59. A nurse finds a client lying unconscious on the floor. An empty bottle of tricyclic antidepressant pills is found near the client. The immediate nursing action is to:
  1. Determine the number of pills taken
  2. Induce vomiting
  3. Alert the medical resuscitation team
  4. Determine the last dose of TCA taken
60. A nurse is assigned to a 25-year-old woman scheduled for therapeutic termination of pregnancy due to a recently discovered heart condition of the mother. The nurse refuses to care for this client because of a conflict in religious beliefs. How should the charge nurse handle this situation?
  1. Insist that the nurse accept the delegated task.
  2. Ask the nurse to set aside her beliefs for the sake of nursing care.
  3. Assign the nurse to another client.
  4. Ask the nurse to document her refusal in the client’s chart.

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