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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is caring for a pregnant patient and is assessing the fetal heart rate. The nurse notes that the fetal
heart rate is abnormal for the third time; this is made known to the physician to order a fetal scalp pH
sample. The nurse is aware that the fetus may be compromised if the fetal pH is:

A) 7.30
B) 7.17
C) 7.34
D) 7.22

2. An adult patient was admitted at the hospital due to a severe respiratory problem. His current respiratory
status requires endotracheal intubation and positive pressure ventilation. The best immediate nursing
intervention at this point is to:

A) Assess the patient's response to mechanical ventilation
B) Facilitate the patient's verbal communication
C) Maintain the sterility of the ventilation system
D) Have the parents sign the consent for an immediate surgery

3. What is the most appropriate description of a depressed skull fracture?

A) Venous bleed under the dura mater
B) This injury may cause a contusion to the brain tissue. It may or may not be associated with a perforated
scalp.
C) Deep tissue injury in the brain that disrupts neural paths and involves white matter
D) Localized lesion on the brain; usually limited to the area of impact on the skull

4. An ER nurse seeks the help of her friend who is a NICU nurse in prioritizing patients as she just started
her job yesterday. While on the phone, she stated that in the past ten minutes, the following patients have
arrived. Which should she attend to first?

A) A teenager who got singed eyebrows while camping
B) An elderly patient with chief complaints of frequent liquid brown colored stools
C) A middle aged patient with intermittent pain behind the right scapula
D) A two-month-old infant with a history of rolling off the bed who has bulging fontanels

5. A clinical nurse specialist is caring for a nine-year-old patient with meningitis. What transmission-based
precautions must be implemented for this patient?

A) Personal respiratory protection device
B) Private room with negative pressure
C) Mask worn by hospital staff when patient leaves the room
D) Private room or cohort patient

Solutions: