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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. An adult patient was admitted with a definitive diagnosis of portal hypertension and ascites. The physician
ordered 2 "units" of salt-poor albumin intravenously. The nurse educates the patient and his immediate
relatives that the purpose of salt-poor albumin is to:

A) Elevate the circulating blood volume
B) Provide parenteral nutrients
C) Temporarily divert the blood flow away from the liver
D) Increase storage of protein

2. A nine-year-old child is being discharged after recovery from a sickle cell vaso-occlusive episode. The
nurse teaches the parents the "do's and don'ts" concerning the child's care. The nurse is satisfied that the
parents understand the principles of care when they state that they are:

A) Not allowing the child to play with more than one peer at a time
B) Not permitting the child to engage in strenuous activities
C) Hiring a private tutor to help with schoolwork
D) Keeping the child's fluid intake restricted during the night

3. An adolescent patient who sustained an inhalation injury arrives in the emergency department. On
assessment of the patient, the nurse notes that the patient is very confused and combative. The nurse
determines that the patient is experiencing:

A) Anxiety
B) Pain
C) Hypoxia
D) Fear

4. 3 9 week pregnant mother is on the labour and delivery ward and is asking the nurse on duty to explain
some things about fetal circulation. She specifically asks that if there is not any function in the fetus's
lungs while in the womb where does the majority of the blood go? What should the nurse on duty
respond?

A) It goes from the right atrium then to the left atrium
B) It shunt directly from the right to the left atrium through the foramen ovale
C) It goes to the left ventricle back to the right atrium
D) It goes to the right ventricle then to the left ventricle

5. An infant is admitted to the unit with a diagnosis of suspected meningococcal meningitis. One of the newly
hired staff nurses ask you which of the following nursing measures should she do first. You should
suggest:

A) Assess vital signs
B) Assess neurologic status
C) Place in respiratory isolation
D) Institute seizure precautions

Solutions: