CCNS 試験問題を無料オンラインアクセス

When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be
compromised:

• A.GI function
• B.Sucking ability
• C.Respiratory status
• D.Locomotion

A clinical nurse specialist is caring for a two-year-old child who is diagnosed with intussusception at the
ileocecal valve. The nurse did an assessment and noted all of the following except:

• A.Distended abdomen
• B.Sausage-shaped stool
• C.Weakness and lethargy
• D.Sudden acute episodes of severe abdominal pain

The nurse is taking care of a patient who is has been admitted with a diagnosis of "brain dead post
traumatic injury." The nurse would expect all of the following clinical manifestations except:

• A.Fixed eyes during the doll's eyes test.
• B.Absent papillary responses
• C.No corneal reflex present.
• D.Slight eye movement during the caloric test.

A ten-month-old infant was admitted to the pediatric unit for an emergency major surgical procedure. The
seventeen-year-old mother and the grandfather are present at the bedside when the nurse is about to
obtain the consent for the operation. Legally, consent for the infant's medical care:

• A.Should be obtained from the grandfather, as he is over eighteen years of age
• B.Is not needed since it is an emergency situation
• C.Is the responsibility of the mother and she should be the one to sign the consent
• D.Should be decided by the family court since the parent is a minor

While orienting a newly hired nurse to the unit, the charge nurse stresses the importance of accurate
documentation. The primary reason for a nurse to document care accurately is to:

• A.Demonstrate responsibility and accountability
• B.Prevent any legal action against the healthcare facility and its staff
• C.Facilitate insurance reimbursement
• D.Be in compliance with individual and regulatory agencies