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Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

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Nina the New Nurse loves her job! She is working on the medical/surgical. unit, and has received reports on the clients she will care for from the off-going shift. She is prioritizing her first rounds of the day. Which of the following clients should Nina the New Nurse see first?
  1. 55-year-old female, right mastectomy two days ago; Jackson-Pratt draining serosanguineous fluid, 23cc for last shift.
  2. 25-year-old male, gunshot wound to left thigh; 2.5cm area of dark drainage observed on dressing.
  3. 58-year-old male, abdominal-perineal resection 4 days ago; complaining of chills.
  4. 30-year-old female, hysterectomy 3 days ago; complaining of pain.
Explanation
Answer: C - Client C is the least stable client; he is complaining of chills, a possible symptom of infection. His procedure puts him at risk for peritonitis, and further assessment is required. The least stable client is priority.
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