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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Hypoinsulinism is a long term complication of pancreatoduodenectomy. An adult patient is already aware
of it since the physician discussed it with him during the doctor's morning rounds. To validate the
understanding of the teaching, the nurse asks the patient when to seek medical supervision and treatment.
The patient must state that he should call if he experiences:

A) Abnormal increase in thirst
B) Increase in weight
C) Oliguria
D) Anorexia

2. A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida
(myelomeningocele). A priority nursing assessment for this newborn is:

A) Specific gravity of the urine
B) Pulse rate
C) Head circumference measurement
D) Palpation of the abdomen

3. To which of the following nursing diagnoses would a nurse manager give priority when an impaired nurse
returns to work?

A) Situational low self-esteem
B) Ineffective individual coping
C) Growth and development, altered
D) Ineffective family coping; compromised

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. A ten-year-old patient is admitted with a diagnosis of diabetic ketoacidosis. He is receiving intravenous
fluids and insulin. The patient has complaints of tingling and numbness of the fingers and toes and
shortness of breath. The nurse looks at the cardiac monitor and notes a U wave. The clinical nurse
specialist should recognize that these indicate:

A) Hypercalcemia
B) Hypernatremia
C) Hypokalemia
D) Hypoglycemia

Solutions: