CRIS TEST II 2026 CONTRACTUAL RISK AND
LIABILITY WORKBOOK SOLVED QUESTIONS
COMPILATION
◉ The nurse prepares to administer the initial dose of oral enalapril
(Vasotec) 20 mg in the morning. Which medication should the nurse
question giving to the client?
1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.
4. 10 mg zolpidem (Ambien) at bedtime.
Answer: 1) Implementation: outcome not a problem; no interaction
with ACE inhibitors; is an SSRI antidepressant
2) CORRECT - Implementation: outcome potential problem; may
promote significant diuresis; first dose of ACE inhibitors increases
risk of "first dose" phenomenon due to vasodilation; combination of
vasodilation and diuresis increases risk of orthostatic hypotension
3) Implementation: outcome not a problem; no interaction;
gabapentin classified as antiseizure medication; off-label use for
neuropathic pain
,4) Implementation: outcome not a problem; is a hypnotic; no
interaction with ACE inhibitors
◉ The home care nurse visits a client with a halo fixator traction
device. Which client statement MOST concerns the nurse?
1. "My wife looks at the pin sites every day."
2. "I like to bathe in the tub."
3. "I drove to the library yesterday."
4. "I drink with a straw."
Answer: 1) Assessment: outcome desired; risk of infection at pin
sites; client should be taught signs of inflammation and infection
2) Implementation: outcome desired; showers increase risk of
infection at pin sites
3) CORRECT - Implementation: outcome not desired and may be a
problem; client is not able to turn with halo device; increases the
risk of injury to self and others
,4) Implementation: outcome desired; difficulty manipulating cup or
glass due to immobilized neck
◉ The nurse cares for a client diagnosed with depression. Which
statement by the client indicates improvement?
1. "I have been sleeping 6 hours at night."
2. "I have lost 2 lbs in the past week."
3. "Lately, I have trouble watching television."
4. "I have much less muscle tension now."
Answer: 1) CORRECT - Assessment: outcome desired; clients with
depression may have increased or decreased sleep time
2) Assessment: outcome not desired; lack of appetite is a frequent
sign of depression
3) Assessment: outcome not desired; lack of concentration is sign of
depression
4) Assessment: outcome not desired; is a sign of anxiety
◉ The nurse on the maternity unit must accept a transfer client from
a medical/surgical unit. The nurse considers which transfer client
appropriate?
, 1. A 38-year-old client with a diagnosis of systemic lupus
erythematosus.
2. A 45-year-old client receiving daily external radiation therapy
treatments for breast cancer.
3. A 58-year-old client receiving antibiotic treatment for cellulitis of
the left leg.
4. A 74-year-old client who has received intravenous antibiotics for
7 days.
Answer: 1) CORRECT - Implementation: outcome desired;
autoimmune disease; not infectious
2) Implementation: outcome not desired; possible skin damage and
suppression of bone marrow with decreased white-blood-cell levels;
increased risk for infection
3) Implementation: outcome not desired; generalized skin infection
of deeper connective tissue; usually caused by Streptococcus or
Staphylococcus; increased risk for infection
4) Implementation: outcome not desired; elderly clients receiving
long-term antibiotic therapy are at risk for Clostridium difficile
infection; highly contagious; increased risk for infection
LIABILITY WORKBOOK SOLVED QUESTIONS
COMPILATION
◉ The nurse prepares to administer the initial dose of oral enalapril
(Vasotec) 20 mg in the morning. Which medication should the nurse
question giving to the client?
1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.
4. 10 mg zolpidem (Ambien) at bedtime.
Answer: 1) Implementation: outcome not a problem; no interaction
with ACE inhibitors; is an SSRI antidepressant
2) CORRECT - Implementation: outcome potential problem; may
promote significant diuresis; first dose of ACE inhibitors increases
risk of "first dose" phenomenon due to vasodilation; combination of
vasodilation and diuresis increases risk of orthostatic hypotension
3) Implementation: outcome not a problem; no interaction;
gabapentin classified as antiseizure medication; off-label use for
neuropathic pain
,4) Implementation: outcome not a problem; is a hypnotic; no
interaction with ACE inhibitors
◉ The home care nurse visits a client with a halo fixator traction
device. Which client statement MOST concerns the nurse?
1. "My wife looks at the pin sites every day."
2. "I like to bathe in the tub."
3. "I drove to the library yesterday."
4. "I drink with a straw."
Answer: 1) Assessment: outcome desired; risk of infection at pin
sites; client should be taught signs of inflammation and infection
2) Implementation: outcome desired; showers increase risk of
infection at pin sites
3) CORRECT - Implementation: outcome not desired and may be a
problem; client is not able to turn with halo device; increases the
risk of injury to self and others
,4) Implementation: outcome desired; difficulty manipulating cup or
glass due to immobilized neck
◉ The nurse cares for a client diagnosed with depression. Which
statement by the client indicates improvement?
1. "I have been sleeping 6 hours at night."
2. "I have lost 2 lbs in the past week."
3. "Lately, I have trouble watching television."
4. "I have much less muscle tension now."
Answer: 1) CORRECT - Assessment: outcome desired; clients with
depression may have increased or decreased sleep time
2) Assessment: outcome not desired; lack of appetite is a frequent
sign of depression
3) Assessment: outcome not desired; lack of concentration is sign of
depression
4) Assessment: outcome not desired; is a sign of anxiety
◉ The nurse on the maternity unit must accept a transfer client from
a medical/surgical unit. The nurse considers which transfer client
appropriate?
, 1. A 38-year-old client with a diagnosis of systemic lupus
erythematosus.
2. A 45-year-old client receiving daily external radiation therapy
treatments for breast cancer.
3. A 58-year-old client receiving antibiotic treatment for cellulitis of
the left leg.
4. A 74-year-old client who has received intravenous antibiotics for
7 days.
Answer: 1) CORRECT - Implementation: outcome desired;
autoimmune disease; not infectious
2) Implementation: outcome not desired; possible skin damage and
suppression of bone marrow with decreased white-blood-cell levels;
increased risk for infection
3) Implementation: outcome not desired; generalized skin infection
of deeper connective tissue; usually caused by Streptococcus or
Staphylococcus; increased risk for infection
4) Implementation: outcome not desired; elderly clients receiving
long-term antibiotic therapy are at risk for Clostridium difficile
infection; highly contagious; increased risk for infection
