CCNS 試験問題を無料オンラインアクセス

A clinical nurse specialist is caring for a pediatric patient who is diagnosed with diabetic ketoacidosis. The
nurse expects that this patient will experience Kussmaul respiration and there will be a high level of
ketones in the blood as a result of incomplete oxidation of:

• A.Proteins
• B.Carbohydrates
• C.Fats
• D.Glucose

A nurse manager teaches a group of newly hired pediatric unit staff members. She said that from a
nurse's knowledge of preschoolers, a nurse can predict that a four-year-old child's reaction to illness and
hospitalization may be characterized by:

• A.Anger, frustration, and resentment over depersonalization and loss of peer support
• B.Feeling lonely, bored, and depressed over separation from parents and fearing death
• C.Intense panic, loss of security over separation from parents, and having a low frustration tolerance.
• D.Being out of control, regressing to over dependency, and fearing bodily mutilation

A 30-year-old patient refuses to adhere to the twice-a-day ordered sessions in physical therapy. The
nurse might approach this problem by:

• A.Planning a conference with the patient, the physical therapist, and the nurse present to discuss the
  patient's feelings
• B.Being the patient's advocate and asking the physician whether therapy can be decreased to once daily
• C.Having the patient observe the progress of a more cooperative patient with the same problem
• D.Assuring the patient that pain medication will be administered before the scheduled physical therapy

A nurse is caring for a patient with chronic renal failure. She asks the nurse why she can't use
salt-substitutes in her diet. The nurse responds correctly if she said "Because...

• A....limiting salt substitutes in the diet prevents a buildup of waste products in the blood."
• B....salt substitutes contain potassium, which must be limited to prevent abnormal heartbeats."
• C....a person's body tends to retain fluid when a salt substitute is included in the diet."
• D....a substance in the salt substitute interferes with the transfer of fluid across capillary membranes,
  resulting in anasarca."

Under the Good Samaritan Act, a nurse may be held liable for a patient abandonment at the scene of an
emergency in which of the following cases?

• A.The nurse does not perform under the direct order of a physician
• B.The nurse does not initiate care
• C.The nurse begins assistance and then abruptly stops
• D.The nurse does not stop to provide assistance