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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A twenty-year-old patient who is at thirty-eight weeks gestation is being prepared for an emergency
cesarean birth due to an abruption placenta and severe fetal compromise. The patient received
nalbuphine 10 mg IV thirty minutes ago. Because the patient is too sedated to sign the consent form, the
nurse would:

A) Proceed with the preparation and forgo written consent
B) Have the attending physician and the surgeon sign the consent form
C) Sign the consent form and have the nurse manager countersign the form
D) Call the patient's parents or husband and request a verbal consent

2. A nurse teaches a patient with exopthalmos how to reduce discomfort and prevent corneal ulceration. The
nurse recognizes that the teaching is understood when the patient says "I should..."

A) ...elevate the head of my bed at night."
B) ...eliminate excessive blinking."
C) ...not move my extraocular muscles."
D) ...avoid using a sleeping mask at night."

3. After a pyloromyotomy, the mother is asked to offer her baby daughter her first feeding. She sucks on it
eagerly and vomits immediately. The nurse should explain to the mother that:

A) She is ridding herself of postoperative mucus
B) Feedings will have to be stopped until peristalsis improves
C) Her feeding technique may need to be modified
D) This often occurs after the first feeding

4. An adult patient who was diagnosed with chronic obstructive pulmonary disease (COPD) has an acute
COPD exacerbation episode. He experiences dyspnea and is anxious. In order to decrease the dyspnea,
the nurse's initial action is to:

A) Set the oxygen at 6L/min
B) Encourage the patient to breathe using a paper bag
C) Teach and encourage the patient to do rhythmic breathing
D) Assess the vital signs especially the blood pressure

5. Poisoning among toddlers is common because of the ingestion of different things like medicines that
looks like candies. What would be the priority plan of care for a toddler who has ingested aspirin:

A) monitor body temperature
B) monitor cardiac rate
C) monitor blood pressure
D) monitor serum glucose level.

Solutions: