CNS QUESTIONS WITH COMPLETE
SOLUTIONS
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.***
SOLUTIONS
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.***
