CNS Gerontology quiz 25 Qs | CNS Gerontology Quiz Exam Questions &
Answers|2024-2025
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. - (answers)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. - (answers)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 - (answers)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 - (answers)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." - (answers)"As nurses, we are responsible for learning to recognize our own feelings
when caring for patients whose diagnoses we may find difficult to accept."
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. - (answers)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.
Answers|2024-2025
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. - (answers)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. - (answers)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 - (answers)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 - (answers)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." - (answers)"As nurses, we are responsible for learning to recognize our own feelings
when caring for patients whose diagnoses we may find difficult to accept."
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. - (answers)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.
