CNS Gerontology Simplifield Test
Questions and Answers 2025/2026
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. - Correct 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. - Correct 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 - Correct 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 - Correct 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." - Correct 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 th at:
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. - Correct 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.
aortic stenosis.
mitral regurgitation.
mitral stenosis. - Correct Answers-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 experie nced
Questions and Answers 2025/2026
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. - Correct 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. - Correct 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 - Correct 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 - Correct 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." - Correct 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 th at:
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. - Correct 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.
aortic stenosis.
mitral regurgitation.
mitral stenosis. - Correct Answers-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 experie nced
