Clinical Nurse Specialist CNS Adult Practice Test - Question List

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41. Mrs. Oates is scheduled for a bowel diversion surgery next week. She is diagnosed with bowel obstruction due to malignancy of the rectum. The physician informed her that they will create a permanent descending colostomy. When the nurse starts preparing the client for tests prior to the procedure, she asks the client if she has any questions about the procedure. Which of the following statements indicates a good understanding of the procedure?
  1. “I can pick the location of the stoma.”
  2. “I can still eat all the foods I want, just like before.”
  3. “After my surgery, I will be expecting watery stool without odor.”
  4. “The colostomy will be closed when my cancer disappears.”
42. A woman prescribed digoxin is complaining of weakness, nausea, and anorexia. A serum potassium test revealed a level of 3.2 mEq/L. The physician orders a digoxin level for to rule out digoxin toxicity. The nurse checking the results knows that the therapeutic levels for digoxin range from:
  1. 3.5 to 5.0 ng/mL
  2. 0.5 to 2.0 ng/mL
  3. 2.0 to 3.5 ng/mL
  4. 0.3 to 1.2 ng/mL
43. A client with hypertension is prescribed furosemide (Lasix). When the client asks why this medication is given for hypertension, the nurse tells the client that furosemide:
  1. Dilates the blood vessels
  2. Inhibits sodium and water reabsorption in the Loop of Henle
  3. Inhibits sodium and water reabsorption in the proximal tubule
  4. Inhibits the angiotensin-converting enzyme
44. A nurse prepares to administer potassium chloride to a client with hypokalemia. Which of the following actions is included in the nurse’s plan of care?
  1. Potassium chloride is given in bolus
  2. Potassium chloride is diluted in dextrose solution
  3. Monitor for signs of phlebitis
  4. Monitor for urinary retention
45. A physician orders 1000 ml of normal saline solution to be infused over 12 hours. The drop factor is 15 drops per 1 ml. A nurse sets the flow rate at how many drops per minute?
  1. 21 drops
  2. 24 drops
  3. 30 drops
  4. 31 drops

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