Online Access Free CCNS Exam Questions

Mariane recently had an abdomino-perineal resection and colostomy. She accuses the nurse of being
negligent during the change of dressing because she says the surgical wound looks terrible. The nurse
recognizes that Mariane is using which defense mechanism?

• A.Sublimation
• B.Intellectualization
• C.Reaction formation
• D.Projection

A preterm neonate, born at thirty-one weeks gestation, is receiving an intravenous electrolyte solution at a
rate of 20-22 mL/hr via an umbilical arterial line. At the hourly intake measurement, the nurse determines
that 45 mL have infused in the past hour. The most appropriate initial nursing action is to:

• A.Take the vital signs
• B.Set the infusion rate to 10-11 mL/hr on the next two hours
• C.Check the physician's order
• D.Compare the intake with the output

While in the hospital, a male baby patient suddenly has a nosebleed that spreads blood on the play table.
The nurse's initial action in this situation would be:

• A.Notify the supervisor so that those in the area can be tested for HIV
• B.Provide nursing care to stop his nosebleed
• C.Take the patient back to his room for care
• D.Call housekeeping to clean the area

Which of the following is true about plasma?

• A.It comprises tissue macrophages derived from monocytes
• B.It may contain 10% or less of waste products
• C.It makes up nearly 22% of the blood
• D.It functions to transport hormones, ions, and nutrients throughout the body

A nurse, while doing an assessment, shines a light into a patient's left eye and notes a papillary
constriction in the right eye. The nurse should properly document this response as:

• A.Pupillary convergence
• B.Accommodation
• C.A direct reaction
• D.A consensual reaction