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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse specialist delegates a ten-year-old patient to the nursing assistant. The nursing assistant is
administering an enema to the patient. The nurse specialist should intervene if the nursing assistant:

A) Hangs the enema bag twelve - eighteen inches above the anus
B) Positions the patient on the right side with head slightly elevated
C) Advances the catheter four inches into the anal canal
D) Lubricates four - five inches of the catheter tip

2. Which of the following strategies would a nurse manager include in a plan to assist an impaired
colleague?

A) Appoint a team to confront the colleague
B) Provide covert support of the substance abusing behavior
C) Initiate termination of the colleague
D) Promote professional isolation

3. A 55-year-old patient states "I have been experiencing complications of diabetes." The nurse directs the
patient to provide more information. What is the most appropriate comment or question at this time?

A) "Do you take two injections of insulin to decrease the complications?"
B) "Most physicians recommend diet and exercise to regulate blood sugar."
C) "What specific complications have you experienced?"
D) "Most complications of diabetes are related to neuropathy."

4. A baby is just born at term to a G1P1 mother with an uneventful spontaneous vaginal delivery. Which of
the following findings are expected when the neonatal nurse performs her newborn assessment?

A) Tonic neck reflex
B) Epstein pearls
C) Caput succedenum
D) Both A and B

5. A six-year-old child was admitted to the hospital with a tentative diagnosis of lead poisoning. To help in
confirming the diagnosis of plumbism, the nurse should observe for:

A) Excessive salivation
B) Clumsiness
C) Epistaxis
D) Decreased apical pulse

Solutions: