FREE Adult Health Clinical Nurse Specialist MCQ Questions and Answers
A nurse is evaluating a recently admitted client. According to the assessment, the client exhibits muscle stiffness, weakness, and an unstable stride. Which of the following nursing diagnoses is most appropriate in light of the findings?
Explanation:
According to the evaluation results, the client's movement is impaired; hence, the nursing diagnosis of "impaired physical mobility" is the most suitable. Clients with a limited range of motion independently are given this diagnosis.
Nina, the New Nurse, loves her job! She is working on the medical/surgical. Unit, and has received reports on the clients she will care for from the off-going shift. She is prioritizing her first rounds of the day. Which of the following clients should Nina, the New Nurse see first?
Explanation:
The patient is complaining of chills, which could be an infection symptom. He has to be evaluated further because of the danger of peritonitis posed by his operation. Priority is given to the least reliable client.
A new patient admitted for a rapid change in the degree of awareness has been evaluated by Carla, the new nurse (ALOC). Additionally, she went over the most recent lab findings, which are as follows:
Na+ 156
CL- 100
K+ 4.0
HCO 21
BUN 86
Bild. Glucose 100
Based on the data she has acquired, Nina, the new nurse, is entering a nursing diagnosis on the care plan. Which nursing diagnosis fits the situation best?
Explanation:
The test findings show increased Na+ and BUN as well as decreased HCO. When a customer is dehydrated, Na+ and BUN rise. Before considering what your results would reveal and how they might affect the nursing diagnosis formulation, you must decide if the data are normal or abnormal.
Which of the diets mentioned above is advised for an AIDS client?
Explanation:
The customer with AIDS is advised to follow a high-calorie, high-protein diet.
Mr. Clive, a 56-year-old patient admitted due to esophageal cancer, is being cared for by a nurse. Six weeks ago, a gastrostomy tube (PEG) was placed. The nurse observes a reddish color and edema near the insertion site while assessing. The nurse's best course of action is to:
Explanation:
The nurse should notify the doctor immediately because these findings could indicate irritation or inflammation at the insertion site. The PEG insertion site may become infected due to poor PEG care, exposure to feeding formula, or frequent contact with leaking stomach acid. The nurse should always provide proper PEG care to avoid this. The nurse should only address this situation partially; options C and D are wrong.
After a complete bowel rest, a client has been prescribed a clear liquid diet. The nurse making the dietary plan for the client keeps in mind that a clear liquid diet consists of the following:
Explanation:
A clear liquid diet excludes milk and dairy products. The items on a clear liquid diet are transparent to light. Water, bouillon, fizzy drinks, gelatin, popsicles, coffee, and tea are all components of a clear liquid diet.
It is believed that a high-fiber diet lowers the risk of colon cancer because of it:
Explanation:
Because fiber encourages bile excretion and hastens intestinal transit time, it is advised to consume high-fiber diets to lower the risk of colon cancer. There is conflicting evidence regarding whether a high-fiber diet reduces the risk of colon cancer.