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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

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

2. An adult patient was admitted to the emergency department after sustaining a spinal cord injury above the
T6 level. Which adaptation is important for a clinical nurse specialist to monitor when concerned about
spinal shock?

A) Distended bladder
B) High blood pressure
C) Hypoventilation
D) Tachycardia

3. The nurse is preparing the patient to be transferred to a medical unit before discharge. She has begun
discharge teaching regarding at home monitoring for the diagnosis of acute tubular necrosis. What
statements by the patient indicate understanding of at home care?

A) "I need to check my weight daily."
B) "I will take ibuprofen for pain control."
C) "I will try to take my medications if I remember."
D) "I can continue with activity as I normally would."

4. A parent makes all of the following statements about her fourteen-month-old sons behavior. Which of the
following behavior should a nurse discourage?

A) "My son gets up on his knees and rocks himself to sleep."
B) "My son takes his favorite blanket with him whenever he leaves the house."
C) "My son loves to feed himself slices of peeled apple."
D) "My son takes a bottle of juice to bed with him and sucks on it if he wakes during the night."

5. A newly licensed cardiologist requested a clinical nurse specialist to assist in doing a right heart
catheterization on a cyanotic patient. The cardiologist asks the nurse what should be used to inflate the
balloon. The nurse should respond:

A) 50%-50%, saline and contrast
B) Air
C) CO2
D) Sterile normal saline

Solutions: