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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

Question #1
A clinical nurse specialist is caring for a child who is diagnosed with bacterial meningitis. During the
assessment, the child extends her leg and the hamstring muscle goes into spasm. The nurse documented
that the child exhibited a positive:

A. Chvostek's sign
B. Babinksi reflex
C. Kernig's sign
D. Cremasteric reflex

Question #2
A morbidly obese adult patient who smokes 2 packs of cigarettes daily was admitted for a major
abdominal surgery. Postoperatively, the most appropriate laboratory value that a clinical nurse specialist
should monitor that would reflect the patient's respiratory status is the:

A. PCO2
B. O2 saturation
C. PO2
D. Hemoglobin

Question #3
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. Assuring the patient that pain medication will be administered before the scheduled physical therapy
B. Planning a conference with the patient, the physical therapist, and the nurse present to discuss the
patient's feelings
C. Being the patient's advocate and asking the physician whether therapy can be decreased to once daily
D. Having the patient observe the progress of a more cooperative patient with the same problem

Question #4
A nurse is aware that parents who are Jehovah's Witnesses may allow their child to undergo blood
transfusion of blood products, but a thorough explanation may be required. Which of the following is
considered unacceptable to them?

A. Fraction from red cells
B. Fraction from platelets
C. Fraction from white cells
D. Whole blood: plasma

Question #5
A nurse is working with a neonatal patient who originated from a culture that uses the services of a special
healer. The grandparents requested this service when the baby was admitted in the NICU. What nursing
intervention is congruent with culturally sensitive nursing care?

A. Refer the grandparents to the physician
B. Reflect that this means an unhealthy reliance on magical healing
C. Explain that it is inappropriate in a hospital setting
D. Facilitate the request

Solutions: