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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A staff nurse on the neonatal intensive care unit tells the nurse in charge that he does not want to care for
dying patients. The nurse in charge initially should:

A) Ask the nurse to discuss the reason for his statement
B) Tell the staff nurse that he should request a transfer to another unit
C) Not assign the staff nurse to care for dying patients
D) Send the staff nurse to meet the spiritual advisor of the institution

2. 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) Assess the vital signs especially the blood pressure
C) Teach and encourage the patient to do rhythmic breathing
D) Encourage the patient to breathe using a paper bag

3. 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) Glucose
B) Fats
C) Carbohydrates
D) Proteins

4. After baby John's mom leaves you find a rattle in his isolette. What course of action should nurse Ellen
take?

A) Put it in his hand and let him play with it.
B) Shake it near his head hard and sing a lullabye.
C) Leave it in the isolette.
D) Remove the rattle and give it to his mom when she returns.

5. The doctor has just placed an endotracheal tube in a patient and the nurse is preparing to secure the tube.
The nurse should do all of the following except:

A) Assess for bilateral breath sounds.
B) Check the reference mark on the tube to ensure correct placement.
C) When securing the ties at the end of the tape, make a knot behind the patient's neck.
D) Suction the mouth and dry the tube before taping.

Solutions: