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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

Question 1

In a critical situation, a physician orders the nurse to administer a dose of a drug that the nurse knows
would constitute an overdose for the patient. Which statement by the nurse is most appropriate?

A. "This is an overdose. I'm not comfortable administering it."
B. "Please show me how you computed the dosage. I think it is incorrect."
C. "You're probably thinking of another patient and drug. This is way beyond the therapeutic dose."
D. "The dose is more than I can legally give. However, if the dose is medically indicated,please administer
it yourself."

Question 2

A medical-surgical nurse is to work in a pediatric unit for eight hours. Which of these patients should be
assigned to her?

A. A two-month-old infant with cleft palate and a two-year-old with inguinal hernia
B. A thee-year-old male with nephrotic syndrome and a week-old infant who just had a pylorotomy
C. A nine-year-old with Down's syndrome admitted for pneumonia and a two-year-old with Tetralogy of
Fallot who is scheduled for surgery the next day
D. A ten-year-old child with bronchial asthma and teenager who had an appendectomy four hours ago

Question 3

A nurse accompanies a physician to the patient's room. Upon assessment, the patient has an extremely
painful, reddened, and enlarged abscess on the right elbow. The physician proceeds to incise the
abscess area without anesthetic and the patient cries out loudly in pain. The most appropriate immediate
nursing action is to:

A. Request that the physician halt the procedure until an anesthetic can be administered
B. Attempt to distract the patient during the procedure
C. Assist in restraining the patient during the procedure
D. Provide pain medication after the procedure

Question 4

When teaching a caregiver in the home about flushing a child's central venous catheter, the nurse should
instruct the caregiver to:

A. Have all siblings out of the room during the procedure
B. Use good hand-washing techniques before and after the procedure
C. Keep the telephone nearby to call the physician if problems occur
D. Make certain that the patient has eaten before the procedure

Question 5

Signs of cold stress that the nurse must be alert when caring for a newborn is:

A. Decreased activity level
B. Increased rate of respiration
C. Hypothermia
D. Shaking

Solutions: