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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse assesses the communication patterns of a five-month-old infant. The nurse determines that the
infant is demonstrating the highest level of developmental achievement expected if the infant:

A) Links syllables together
B) Uses monosyllabic babbling
C) Uses simple words, such as "mama"
D) Coos when comforted

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 ten-year-old child with bronchial asthma and teenager who had an appendectomy four hours ago
B) 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
C) A thee-year-old male with nephrotic syndrome and a week-old infant who just had a pylorotomy
D) A two-month-old infant with cleft palate and a two-year-old with inguinal hernia

3. The nurse plans to teach a patient who has been receiving hemodialysis for a couple of months to be alert
for signs and symptoms of gastrointestinal bleeding. Bleeding into the gastrointestinal tract is of particular
significance to a patient with chronic renal failure because:

A) Hypovolemia can compromise renal function
B) A patient with renal failure will not manifest usual signs of blood loss
C) Clotting problems make diagnosis of the bleeding site difficult
D) Blood is digested, thus increasing the kidney's protein load

4. A nurse has observed that a co-worker came to work drunk at least four times in the past month. Which of
the following would the nurse do to ensure patient safety and obtain necessary assistance for the
co-worker?

A) Report the co-worker's behavior to the appropriate supervisor
B) Make general statements in the next staff meeting about safety issues
C) Warn the co-worker that this practice is unsafe
D) Ignore the co-worker's behavior and frequently assess the patient's assigned to the co-worker

5. A ten-month-old infant was admitted to the pediatric unit for an emergency major surgical procedure. The
seventeen-year-old mother and the grandfather are present at the bedside when the nurse is about to
obtain the consent for the operation. Legally, consent for the infant's medical care:

A) Is not needed since it is an emergency situation
B) Should be obtained from the grandfather, as he is over eighteen years of age
C) Is the responsibility of the mother and she should be the one to sign the consent
D) Should be decided by the family court since the parent is a minor

Solutions: