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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A 40-year-old patient sustained full-thickness burns to both upper extremities from scalding water. A
sheet graft was surgically applied to the wounds. The husband asks the nurse about the primary purpose
of the graft. The nurse responds correctly by stating that it's primarily because of:

A) Better adherence to the wound bed
B) Better donor site availability
C) Easier to care for initially
D) Better cosmetic result

2. The nurse at the unit is assessing a patient. She alerted the attending physician that the patient is in
cardiogenic shock. Which of the following is an indication that a patient suffers from this condition?

A) Increased blood pressure
B) Decreased heart rate
C) Increased body temperature
D) Decreased urine output

3. A clinical nurse specialist is caring for a pediatric patient who is diagnosed with diabetic ketoacidosis. The
nurse expects that this patient will experience Kussmaul respiration and there will be a high level of
ketones in the blood as a result of incomplete oxidation of:

A) Proteins
B) Fats
C) Glucose
D) Carbohydrates

4. The physician ordered an analgesic per orem every four hours PRN for breakthrough pain for a
seventeen-year-old patient who is receiving an epidural narcotic. The nurse should be aware that the best
time to administer the analgesic is:

A) When the patient has increased tolerance to the epidural
B) When the patient's mother states that the patient is in pain
C) When the patient states that he is experiencing a sudden increase in pain
D) Every four hours around the clock

5. A four-year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the
hallway. The nurse should initially:

A) Administer the ordered Valium
B) Put a padded tongue depressor in the child's mouth
C) Remove the child's toys from the immediate area
D) Place the child in the bed

Solutions: