CNS QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS |ALREADY
GRADED A+
A 52-year-old patient reports stiffness and painful swelling of the proximal and distal interphalangeal
joints. The expected pathologic findings in this patient include: - ANS -bacteria in the synovial fluid.
crystals in the synovial fluid.
***erosion of the articular cartilage.***
fatty degeneration of skeletal muscle tissue.
2. The adult-gerontology clinical nurse specialist screens patients for intimate partner violence when the
clinical nurse specialist observes a patient who: - ANS -asks appropriate questions during a visit.
***exhibits unusual behavior during a visit.***
has laboratory values indicating an electrolyte imbalance.
reliably attends planned appointments.
3. What clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome? - ANS -
***Cerebrospinal fluid analysis.***
Computed tomography angiography.
Magnetic resonance angiography.
Magnetic resonance imaging.
4. Several days after gastrointestinal surgery, a patient begins total parenteral nutrition. In addition to
the blood glucose, which laboratory values are most important for the adult-gerontology clinical nurse
specialist to monitor? - ANS -Creatinine clearance and magnesium.
Potassium and hemoglobin.
***Serum electrolytes and blood urea nitrogen. ***
Total protein level and serum calcium.
, 5. A diagnostic tool for determining whether a patient's pulmonary edema is cardiac or pulmonary in
origin is: - ANS -***a brain natriuretic peptide test. ***
a cardiac marker panel.
an arterial blood gas test.
an electrolyte panel.
A 92-year-old patient with advanced dementia has had three episodes of aspiration pneumonia in five
months. The patient has no written advance directives. A speech therapist recommends feeding tube
placement. One of the patient's adult children would like a feeding tube placed, the other adult child is
unsure, and the patient's spouse states that the patient would never want a feeding tube. The adult-
gerontology clinical nurse specialist's next action is to: - ANS -bring the case to the attention of the
ethics committee.
emphasize to the family that a feeding tube will decrease recurrent pneumonia.
obtain a surgical consultation to schedule a feeding tube placement.
***organize a family and staff meeting to discuss the risks and benefits and consider the patient's
wishes.***
A staff nurse admits a patient, who has overdosed on cocaine, to a busy medical unit. The nurse asks the
adult-gerontology clinical nurse specialist, "Why are we bothering with this patient? They will only wind
up being readmitted." The clinical nurse specialist's response is,: - ANS -***"As nurses, we are
responsible for learning to recognize our own feelings when caring for patients whose diagnoses we may
find difficult to accept."****
"As nurses, we need to put the patient first. Our feelings are not supposed to be considered when we
care for challenging patients."
"I hear what you are saying, but nurses cannot be judgmental of their patients."
"I'm going to refer you to the employee health nurse so you can receive some help for your burnout."
COMPLETE SOLUTIONS |ALREADY
GRADED A+
A 52-year-old patient reports stiffness and painful swelling of the proximal and distal interphalangeal
joints. The expected pathologic findings in this patient include: - ANS -bacteria in the synovial fluid.
crystals in the synovial fluid.
***erosion of the articular cartilage.***
fatty degeneration of skeletal muscle tissue.
2. The adult-gerontology clinical nurse specialist screens patients for intimate partner violence when the
clinical nurse specialist observes a patient who: - ANS -asks appropriate questions during a visit.
***exhibits unusual behavior during a visit.***
has laboratory values indicating an electrolyte imbalance.
reliably attends planned appointments.
3. What clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome? - ANS -
***Cerebrospinal fluid analysis.***
Computed tomography angiography.
Magnetic resonance angiography.
Magnetic resonance imaging.
4. Several days after gastrointestinal surgery, a patient begins total parenteral nutrition. In addition to
the blood glucose, which laboratory values are most important for the adult-gerontology clinical nurse
specialist to monitor? - ANS -Creatinine clearance and magnesium.
Potassium and hemoglobin.
***Serum electrolytes and blood urea nitrogen. ***
Total protein level and serum calcium.
, 5. A diagnostic tool for determining whether a patient's pulmonary edema is cardiac or pulmonary in
origin is: - ANS -***a brain natriuretic peptide test. ***
a cardiac marker panel.
an arterial blood gas test.
an electrolyte panel.
A 92-year-old patient with advanced dementia has had three episodes of aspiration pneumonia in five
months. The patient has no written advance directives. A speech therapist recommends feeding tube
placement. One of the patient's adult children would like a feeding tube placed, the other adult child is
unsure, and the patient's spouse states that the patient would never want a feeding tube. The adult-
gerontology clinical nurse specialist's next action is to: - ANS -bring the case to the attention of the
ethics committee.
emphasize to the family that a feeding tube will decrease recurrent pneumonia.
obtain a surgical consultation to schedule a feeding tube placement.
***organize a family and staff meeting to discuss the risks and benefits and consider the patient's
wishes.***
A staff nurse admits a patient, who has overdosed on cocaine, to a busy medical unit. The nurse asks the
adult-gerontology clinical nurse specialist, "Why are we bothering with this patient? They will only wind
up being readmitted." The clinical nurse specialist's response is,: - ANS -***"As nurses, we are
responsible for learning to recognize our own feelings when caring for patients whose diagnoses we may
find difficult to accept."****
"As nurses, we need to put the patient first. Our feelings are not supposed to be considered when we
care for challenging patients."
"I hear what you are saying, but nurses cannot be judgmental of their patients."
"I'm going to refer you to the employee health nurse so you can receive some help for your burnout."
