FREE Adult Health Clinical Nurse Specialist MCQ Questions and Answers

Question 1

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?

Accepted Answer

Fluid volume deficit

Answer

Self-care deficit: feeding

Answer

Trick question! There isn’t enough information provided in the above scenario to determine a nursing diagnosis!

Answer

Alteration in urinary elimination

Question 2

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:

Accepted Answer

Milk

Answer

Coffee

Answer

Gelatin

Answer

Bouillon

Question 3

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?

Accepted Answer

Impaired physical mobility

Answer

Activity intolerance

Answer

Self-care deficit

Answer

Risk for impaired skin integrity

Question 4

It is believed that a high-fiber diet lowers the risk of colon cancer because of it:

Accepted Answer

Promotes the excretion of bile

Answer

Absorbs water from the intestinal wall

Answer

It is low in kilocalories

Answer

Stops diarrhea

Question 5

Which of the diets mentioned above is advised for an AIDS client?

Accepted Answer

High-calorie, high protein

Answer

High-calorie, high carbohydrate

Answer

High-calorie, high fat

Answer

Low-calorie, low protein

Question 6

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?

Accepted Answer

58-year-old male, abdominal-perineal resection four days ago; complaining of chills

Answer

55-year-old female, right mastectomy two days ago; Jackson-Pratt draining serosanguineous fluid, 23cc for last shift

Answer

25-year-old male, gunshot wound to left thigh; 2.5cm area of dark drainage observed on dressing

Answer

A 30-year-old female, a hysterectomy three days ago; complaining of pain

Question 7

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:

Accepted Answer

Notify the physician immediately.

Answer

Clean the insertion site with normal saline solution and cover it with sterile gauze

Answer

Flush the PEG with cold water to soothe the irritated insertion site

Answer

This is expected during the first few weeks after the creation of PEG, and she can continue feeding