Medical Tests Medical Examination CCNS

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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with
tracheoesophageal fistula is suspected. The nurse expects to note which likely sign of this condition
documented in the record?

A) Severe projectile vomiting
B) Choking with feedings
C) Coughing at nighttime
D) Increased crying

2. A nurse can best handle the answering of personal questions asked by the parents of an infant patient
during the nurse-patient and family relationship by:

A) Offering an honest, brief expression of personal views on the subject
B) Reminding the parents gently that the nurse's feeling are not the parents' concern
C) Providing brief, truthful answers and redirecting the focus of conversation
D) Reviewing the positive and negative aspect of the subject

3. A neonate born at thirty-four weeks' gestation and weighing 6 pounds, 8 ounces, was admitted to the
nursery. The vital signs are heart rate of 130; respirations of 56; blood pressure of 60/20; temperature of
9 8oF; APAGAR scores of 4 and 8. The nurse should designate the highest priority health outcome to be:

A) Body temperature will remain stable
B) Cardiac rate will recover to an acceptable range
C) Oxygenation will remain adequate
D) Weight will increase by 30 grams per day

4. A nine-year-old child was admitted to the hospital with a tentative diagnosis of leukemia. In order to
confirm the diagnosis, a bone marrow aspiration is scheduled. Aside from giving an age-appropriate
explanation of the procedure, the nurse should:

A) Position the child in semi-fowler's position, supported by pillows
B) Tell the child that there will be no pain, only pressure will be felt
C) Administer the prescribed sedative before the procedure
D) Let the child hold some equipment that is not sterile

5. A twenty-year-old patient with a terminal illness is rapidly deteriorating, but remains alert, oriented, and
verbally responsive. She states, "I am tired of being ill. I wish this could end now." The nurse should
properly document this information using which of the following statements?

A) Patient seems worried about something and states she wants to end it all
B) Patient states "I am tired of being ill. I wish this could end now."
C) Patient seems depressed about her illness
D) Patient reports being sick all the time and wishes to die

Solutions: