FREE Adult Health Clinical Nurse Specialist Questions and Answers

Question 1

The proximal and distal interphalangeal joints of the 52-year-old patient are stiff and painfully swollen, and the condition worsens during the day.
The following pathologic findings are anticipated in this patient:

Accepted Answer

Erosion of the articular cartilage

Answer

Crystals in the synovial fluid

Answer

Bacteria in the synovial fluid

Answer

Fatty degeneration of skeletal muscle tissue

Question 2

A 68-year-old patient is seen with a history of palpitations, weakness, paroxysmal nocturnal dyspnea, and dyspnea upon exertion. Atrial fibrillation, right ventricular hypertrophy, and right axis deviation can all be seen on the patient's electrocardiogram. The clinical nurse specialist in adult health is looking for a differential diagnosis of:

Accepted Answer

Mitral stenosis

Answer

Aortic stenosis

Answer

Mitral regurgitation

Answer

Aortic insufficiency

Question 3

A 39-year-old married woman with cervical cancer had a complete hysterectomy and salpingo-oophorectomy. Surgery to induce menopause causes little discomfort for the patient. The clinical nurse specialist for adult health will talk about:

Accepted Answer

Using a lubricant during intercourse, if necessary

Answer

Prescribing an anxiolytic

Answer

Avoiding sexual intercourse for three months

Answer

Prescribing medroxyprogesterone acetate (Depo-Provera)

Question 4

A preliminary investigation is made into the emotional reactions of the relatives of patients in the intensive care unit. Of the 52 participants, 44.2% had completed high school, and 40.4% had finished college. 94.2% of the subjects were white, and 86.5% were married. The participants kept daily diaries of their emotions and practical actions. The study's authors concluded that the participants went through a wide spectrum of intense feelings while hospitalized. The following is a significant study limitation:

Accepted Answer

The subjects do not represent a diverse population sample.

Answer

Families are not capable of properly identifying the supportive behavior of others.

Answer

Exploratory studies have demonstrated an effective research approach.

Answer

The documented feelings are too subjective to be valid for the study

Question 5

A patient population with a variety of ethnic backgrounds can benefit from learning by:

Accepted Answer

Allow a patient's culture to become a part of the educational process.

Answer

Discuss the misconceptions about a patient's culture.

Answer

Print educational materials in at least two languages.

Answer

Encourage the assimilation of the dominant culture's values.

Question 6

A healthcare facility chooses to work with an outside consultant to assist with reorganization because they can:

Accepted Answer

Operate independently from the power structure

Answer

Analyze the organization and its norms

Answer

Spend more time on the project

Answer

Reduce expenses for the organization

Question 7

A clinical nurse specialist at a university health center cares for a student with a chronic illness. During the semester break, the student travels back to their home state. Because of their rapport, the student emails the clinical nurse specialist with a question while on vacation. The clinical nurse specialist's main concerns while dealing with this patient are:

Accepted Answer

The legality of providing health advice across state lines

Answer

Providing advice without direct patient assessment

Answer

Withholding the e-mail as part of the patient's medical record

Answer

The security of using e-mail for health care information

The proximal and distal interphalangeal joints of the 52-year-old patient are stiff and painfully swollen, and the condition worsens during the day.The following pathologic findings are anticipated in this patient:

The proximal and distal interphalangeal joints of the 52-year-old patient are stiff and painfully swollen, and the condition worsens during the day.
The following pathologic findings are anticipated in this patient: