CNS Gerontology quiz 25 Qs Latest
2022
1. The initial, psychosocial assessment of a patient with metastatic cancer, refractory
to treatment, includes:
a discussion of hospice care.
a review of critical life incidents.
the family's readiness to learn about the dying process.
the patient's preference for quality versus quantity of life. - Answer- the patient's
preference for quality versus quantity of life.
2. An adult-gerontology clinical nurse specialist evaluates a patient who has chronic
obstructive pulmonary disease and is on home oxygen therapy. The efficacy of the
oxygen therapy is demonstrated by the patient's:
awareness of the disease complications.
energy conservation strategies.
improved gas exchange.
knowledge of the hazards of smoking. - Answer- improved gas exchange.
3. What clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome?
Cerebrospinal fluid analysis
Computed tomography angiography
Magnetic resonance angiography
Magnetic resonance imaging - Answer- Cerebrospinal fluid analysis
4. Several days after gastrointestinal surgery, a patient begins to receive total,
parenteral hyperalimentation. In addition to the blood glucose, which laboratory
values are most important for the adult-gerontology clinical nurse specialist to
monitor?
Creatinine clearance and magnesium
Potassium and hemoglobin
Serum electrolytes and blood urea nitrogen
Total protein level and serum calcium - Answer- Serum electrolytes and blood urea
nitrogen
5. A staff nurse admits a patient, who has overdosed on cocaine, to a busy medical
unit. The nurse asks the adult-gerontology clinical nurse specialist, "Why are we
bothering with this patient? He will only wind up being readmitted." The clinical nurse
specialist's response is:
"As nurses, we are responsible for learning to recognize our own feelings when
caring for patients whose diagnoses we may find difficult to accept."
"As nurses, we need to put the patient first. Our feelings are not supposed to be
considered when we care for challenging patients."
, "I hear what you are saying, but nurses cannot be judgmental of their patients."
"I'm going to refer you to the employee health nurse, so that you can receive some
help for your burnout." - Answer- "As nurses, we are responsible for learning to
recognize our own feelings when caring for patients whose diagnoses we may find
difficult to accept."
6.The colleague of a researcher requests the mailing list of subjects who have
participated in a researcher's study. The researcher tells the colleague that:
a formal, written request will be needed before any information may be released.
authorization from all study investigators will be needed before sharing the
information.
the information may not be shared without institutional review board approval.
the information will be shared, provided the colleague uses it only as approved by
the researcher. - Answer- the information may not be shared without institutional
review board approval.
7. A 68-year-old patient has a history of dyspnea on exertion, paroxysmal nocturnal
dyspnea, weakness, and palpitations. The patient's electrocardiogram reveals atrial
fibrillation, right ventricular hypertrophy, and right axis deviation. The adult-
gerontology clinical nurse specialist anticipates a differential diagnosis of:
aortic insufficiency.
aortic stenosis.
mitral regurgitation.
mitral stenosis. - Answer- mitral stenosis.
8. An exploratory study is conducted to examine the emotional responses of family
members of patients in the intensive care unit. Of the 52 subjects, 94.2% were white,
86.5% were married, 44.2% had completed high school, and 40.4% had finished
college. The subjects kept daily logs of their feelings and supportive behaviors. The
researchers concluded that the subjects experienced a broad range of powerful
emotions throughout the patients' stay. A major limitation of the study is that:
exploratory studies have demonstrated an effective research approach.
families are not capable of properly identifying the supportive behavior of others.
the documented feelings are too subjective to be valid for study.
the subjects do not represent a diverse population sample. - Answer- the subjects
do not represent a diverse population sample.
9. An adult-gerontology clinical nurse specialist examines a patient who is on
medication for chronic low back pain, hypercholesterolemia, hypertension, and
hypothyroidism. Which medication, when used over a long period of time, may
contribute to a diagnosis of osteoporosis?
Antihypertensive medication
Cholesterol lowering medication
Nonsteroidal antiinflammatory medication
Thyroid replacement medication - Answer- Thyroid replacement medication
2022
1. The initial, psychosocial assessment of a patient with metastatic cancer, refractory
to treatment, includes:
a discussion of hospice care.
a review of critical life incidents.
the family's readiness to learn about the dying process.
the patient's preference for quality versus quantity of life. - Answer- the patient's
preference for quality versus quantity of life.
2. An adult-gerontology clinical nurse specialist evaluates a patient who has chronic
obstructive pulmonary disease and is on home oxygen therapy. The efficacy of the
oxygen therapy is demonstrated by the patient's:
awareness of the disease complications.
energy conservation strategies.
improved gas exchange.
knowledge of the hazards of smoking. - Answer- improved gas exchange.
3. What clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome?
Cerebrospinal fluid analysis
Computed tomography angiography
Magnetic resonance angiography
Magnetic resonance imaging - Answer- Cerebrospinal fluid analysis
4. Several days after gastrointestinal surgery, a patient begins to receive total,
parenteral hyperalimentation. In addition to the blood glucose, which laboratory
values are most important for the adult-gerontology clinical nurse specialist to
monitor?
Creatinine clearance and magnesium
Potassium and hemoglobin
Serum electrolytes and blood urea nitrogen
Total protein level and serum calcium - Answer- Serum electrolytes and blood urea
nitrogen
5. A staff nurse admits a patient, who has overdosed on cocaine, to a busy medical
unit. The nurse asks the adult-gerontology clinical nurse specialist, "Why are we
bothering with this patient? He will only wind up being readmitted." The clinical nurse
specialist's response is:
"As nurses, we are responsible for learning to recognize our own feelings when
caring for patients whose diagnoses we may find difficult to accept."
"As nurses, we need to put the patient first. Our feelings are not supposed to be
considered when we care for challenging patients."
, "I hear what you are saying, but nurses cannot be judgmental of their patients."
"I'm going to refer you to the employee health nurse, so that you can receive some
help for your burnout." - Answer- "As nurses, we are responsible for learning to
recognize our own feelings when caring for patients whose diagnoses we may find
difficult to accept."
6.The colleague of a researcher requests the mailing list of subjects who have
participated in a researcher's study. The researcher tells the colleague that:
a formal, written request will be needed before any information may be released.
authorization from all study investigators will be needed before sharing the
information.
the information may not be shared without institutional review board approval.
the information will be shared, provided the colleague uses it only as approved by
the researcher. - Answer- the information may not be shared without institutional
review board approval.
7. A 68-year-old patient has a history of dyspnea on exertion, paroxysmal nocturnal
dyspnea, weakness, and palpitations. The patient's electrocardiogram reveals atrial
fibrillation, right ventricular hypertrophy, and right axis deviation. The adult-
gerontology clinical nurse specialist anticipates a differential diagnosis of:
aortic insufficiency.
aortic stenosis.
mitral regurgitation.
mitral stenosis. - Answer- mitral stenosis.
8. An exploratory study is conducted to examine the emotional responses of family
members of patients in the intensive care unit. Of the 52 subjects, 94.2% were white,
86.5% were married, 44.2% had completed high school, and 40.4% had finished
college. The subjects kept daily logs of their feelings and supportive behaviors. The
researchers concluded that the subjects experienced a broad range of powerful
emotions throughout the patients' stay. A major limitation of the study is that:
exploratory studies have demonstrated an effective research approach.
families are not capable of properly identifying the supportive behavior of others.
the documented feelings are too subjective to be valid for study.
the subjects do not represent a diverse population sample. - Answer- the subjects
do not represent a diverse population sample.
9. An adult-gerontology clinical nurse specialist examines a patient who is on
medication for chronic low back pain, hypercholesterolemia, hypertension, and
hypothyroidism. Which medication, when used over a long period of time, may
contribute to a diagnosis of osteoporosis?
Antihypertensive medication
Cholesterol lowering medication
Nonsteroidal antiinflammatory medication
Thyroid replacement medication - Answer- Thyroid replacement medication
