Clinical Nurse Specialist Risk Assessment & Management 3

Question 1

A CNS is assessing a newly admitted patient for suicide risk. Which element is the strongest predictor of future suicide attempt according to evidence?

Accepted Answer

A previous suicide attempt

Answer

A prior suicide attempt is the single strongest predictor of future suicidal behavior and must be weighted heavily in any risk assessment.

Question 2

When managing a patient with sepsis, the CNS identifies early-stage organ dysfunction. Which parameter from the Sequential Organ Failure Assessment (SOFA) score reflects renal function?

Accepted Answer

Serum creatinine or urine output

Answer

The SOFA score evaluates renal function using serum creatinine levels and urine output over a 24-hour period.

Question 3

A CNS is leading a team caring for a patient with a latex allergy scheduled for surgery. Which risk management action is MOST critical preoperatively?

Accepted Answer

Ensuring a latex-free environment and alerting all team members

Answer

Creating a latex-free environment and communicating the allergy to every team member is the primary prevention strategy to avoid anaphylaxis.

Question 4

A CNS observes that a nurse did not perform hand hygiene before patient contact. The BEST initial response is to:

Accepted Answer

Immediately correct the behavior using a brief, respectful real-time reminder

Answer

Real-time, respectful correction is the most effective strategy to prevent patient harm from an ongoing infection control lapse.

Question 5

Which classification system does a CNS use to stage a pressure injury when the wound base is completely covered by slough or eschar?

Accepted Answer

Unstageable

Answer

A pressure injury is classified as unstageable when slough or eschar obscures the wound base, preventing accurate depth determination.

Clinical Nurse Specialist Practice Test

Clinical Nurse Specialist Practice Test

Clinical Nurse Specialist Risk Assessment & Management 3