Clinical Nurse Specialist Risk Assessment & Management 2

Question 1

A CNS is reviewing a patient's medication reconciliation list on admission. Which action best reduces polypharmacy-related risk in elderly patients?

Accepted Answer

Use the Beers Criteria to identify potentially inappropriate medications

Answer

The Beers Criteria provides an evidence-based list of medications that are potentially inappropriate for older adults and guides risk reduction in polypharmacy.

Question 2

Which validated tool is most appropriate for a CNS to use when assessing a hospitalized patient's risk for venous thromboembolism (VTE)?

Accepted Answer

Caprini Score

Answer

The Caprini Score is a validated risk assessment model widely used to stratify VTE risk in hospitalized patients and guide prophylaxis decisions.

Question 3

A CNS notices that post-operative infection rates on a surgical unit have increased over three months. What is the FIRST priority in addressing this patient safety risk?

Accepted Answer

Conduct a root cause analysis to identify contributing factors

Answer

A root cause analysis is the first step to systematically identify the underlying causes of an adverse trend before implementing solutions.

Question 4

When using failure mode and effects analysis (FMEA) in risk management, the CNS is primarily focused on:

Accepted Answer

Prospectively identifying potential failure points before harm occurs

Answer

FMEA is a proactive risk management technique that identifies potential failure modes and their effects before an adverse event occurs.

Question 5

A patient with a history of substance use disorder is prescribed opioids for post-operative pain. Which risk assessment tool should the CNS use to evaluate opioid misuse risk?

Accepted Answer

Opioid Risk Tool (ORT)

Answer

The Opioid Risk Tool (ORT) is validated for predicting aberrant drug-related behaviors in patients prescribed opioids for chronic pain.

Clinical Nurse Specialist Practice Test

Clinical Nurse Specialist Practice Test

Clinical Nurse Specialist Risk Assessment & Management 2