Clinical Nurse Specialist

FREE Adult Health Clinical Nurse Specialist Trivia Questions and Answers

During a code, the nurse is acting in the capacity of a medicine nurse. Which should the nurse use when giving amiodarone to someone with ventricular tachycardia?

Push the amiodarone directly into the nearest IV port and raise the arm.

Mix the medication in 100 mL of fluid and administer rapidly.

Administer via an IV pump based on mg/kg/min.

Question the physician’s order because it is not ACLS recommended.

Correct! Wrong!

For a patient with congestive heart failure, the nurse explains the idea of perfusion. Which assessment results lend credence to this idea?

The client has paroxysmal nocturnal dyspnea.

The client has a large abdomen and a positive tympanic wave.

The client has a comorbid condition of myocardial infarction.

The client has 2+ glucose in the urine.

Correct! Wrong!

Explanation:
The presence of paroxysmal nocturnal dyspnea (PND) supports the concept of perfusion in a client diagnosed with congestive heart failure (CHF). PND is a condition where the client experiences shortness of breath and coughing spells during sleep, usually several hours after lying down. This is due to the accumulation of fluid in the lungs, which is a common complication of CHF. PND occurs as a result of inadequate perfusion, which is the delivery of blood to the tissues and organs of the body.

The patient who was given an ST elevation myocardial infarction (STEMI) has acquired bilateral 2+ lower extremity edema, and all lung fields have crackles. Which one should the nurse start with?

Request a STAT 12 lead electrocardiogram

Notify the health care provider (HCP)

Administer furosemide IVP

Assess what the client ate at the last mealExplanation:
The nurse should notify the health care provider (HCP) first because the client's symptoms indicate fluid overload, which may require immediate medical intervention.

Correct! Wrong!

Explanation:
The nurse should notify the health care provider (HCP) first because the client's symptoms indicate fluid overload, which may require immediate medical intervention.

The patient identified as having a myocardial infarction (MI) is being let go. Which instructions for discharge should the nurse give the patient?

Discuss when the client can resume sexual activity

Call the health care provider (HCP) if any chest pain happens

Encourage the client to sleep with the head of the bed elevated

Explain the pharmacology of nitroglycerin tablets

Correct! Wrong!

Explanation:
The nurse should teach the client to discuss with the healthcare provider when it is safe to resume sexual activity after a myocardial infarction (MI). This is an important aspect of discharge teaching because the sexual activity may increase the workload on the heart and cause further complications if resumed too soon. The nurse should also instruct the client on the importance of adhering to prescribed medications, follow-up appointments, and lifestyle modifications such as a heart-healthy diet and regular exercise. The client should be advised to report any new or worsening symptoms immediately to the healthcare provider.

The nurse is watching the client's laboratory results. Which laboratory test result can be used to diagnose a UTI?

Urine Culture

Hemogram

Metanephrines

Urinalysis

Correct! Wrong!

Explanation:
The laboratory report that is diagnostic for a urinary tract infection (UTI) is a urine culture. A urine culture is a laboratory test that is used to identify the presence of bacteria in the urine. It is the most definitive diagnostic test for a UTI.

The essential hypertension patient, a 45-year-old man, has chosen not to take his medicine. The client's BP reading of 178/94 suggests a perfusion problem. Which query ought the nurse to put to the patient first?

“Does the medication give unwanted side effects?”

“Do you have the money to buy your medication?”

“Can you tell me why you stopped taking the medication?”

“Did you quit taking the medications because you don’t feel bad?”

Correct! Wrong!

Explanation:
Asking the client about the potential side effects of the medication is important, but it may not be the first question to ask. In this scenario, the client's blood pressure is significantly elevated, indicating a perfusion issue that requires prompt attention.

The nurse explains how a client admitted with atrial fibrillation relates to altered tissue perfusion. What treatments should the nurse carry out? Please check all that apply.

Please select 4 correct answers

Place the client on intake and output every shift

Monitor the client’s blood pressure and apical rate every four (4) hours

Teach the patient to perform Buerger Allen exercises daily

Require the client to sleep with the head of the bed elevated

Assess the client’s neurological status every shift and prn

Determine if the client is on an antiplatelet or anticoagulant medication

Correct! Wrong!

FREE Adult Health Clinical Nurse Specialist Trivia Questions and Answers

During a code, the nurse is acting in the capacity of a medicine nurse. Which should the nurse use when giving amiodarone to someone with ventricular tachycardia?

For a patient with congestive heart failure, the nurse explains the idea of perfusion. Which assessment results lend credence to this idea?

The patient who was given an ST elevation myocardial infarction (STEMI) has acquired bilateral 2+ lower extremity edema, and all lung fields have crackles. Which one should the nurse start with?

The patient identified as having a myocardial infarction (MI) is being let go. Which instructions for discharge should the nurse give the patient?

The nurse is watching the client's laboratory results. Which laboratory test result can be used to diagnose a UTI?

The essential hypertension patient, a 45-year-old man, has chosen not to take his medicine. The client's BP reading of 178/94 suggests a perfusion problem. Which query ought the nurse to put to the patient first?

The nurse explains how a client admitted with atrial fibrillation relates to altered tissue perfusion. What treatments should the nurse carry out? Please check all that apply.

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