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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A 25-year-old mother with a 6-month-old baby asks the nurse if her son should receive the Hepatitis A
vaccine. What is the best response of the nurse?

A) "No. The Hepatitis A vaccine is given to those who are sexually active."
B) "No. The Hepatitis A vaccine is recommended at ages 12 months or 24 months."
C) "No. Hepatitis A is given to those who work with contaminated blood specimens."
D) "Yes. Children who are 6 months of age must receive the vaccine."

2. Tamica, a 55-year-old chain smoker, was admitted with a diagnosis of ruled out chronic obstructive
pulmonary disease and cor pulmonale. During the first day of hospitalization, she asked the nurse about
her nutrition. The nurse should encourage the patient to:

A) Lie down after each meal to conserve energy
B) Eat small meals six times per day to limit oxygen demand
C) Drink large amounts of fluid to liquefy secretions
D) Increase protein in the diet to decrease intravascular hydrostatic pressure

3. A preterm neonate, born at thirty-one weeks gestation, is receiving an intravenous electrolyte solution at a
rate of 20-22 mL/hr via an umbilical arterial line. At the hourly intake measurement, the nurse determines
that 45 mL have infused in the past hour. The most appropriate initial nursing action is to:

A) Check the physician's order
B) Take the vital signs
C) Set the infusion rate to 10-11 mL/hr on the next two hours
D) Compare the intake with the output

4. A clinical nurse specialist is assigned to the following patients. Which one should the nurse see first after
a shift report?

A) A patient who is postoperative abdominal hysterectomy whose incision dressing is saturated with
serosanguinous fluid
B) A patient who is five hours postoperative appendectomy and is complaining of pain
C) A patient who has myocardial infarction and is complaining of nausea
D) A patient admitted for dehydration whose IV has infiltrated

5. Which of the following interventions would be included in the plan of care for a child with juvenile
rheumatoid arthritis to reduce joint pain in the morning just after arising?

A) Awakening the child once nightly to exercise the joints
B) Increasing pain medication at bedtime
C) Having the child sleep in a sleeping bag
D) Having the child sleep with the joints flexed

Solutions: