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Medical Tests CCNS Exam Syllabus Topics:

SectionWeightObjectives
Professional Caring & Ethical Practice31%- Collaboration & Systems Leadership
- Education & Research
- Ethics & Regulatory Compliance
- Caring Practices & Advocacy
Clinical Judgment69%- Endocrine System
- Neurological System
- Cardiovascular System
- Gastrointestinal & Metabolic System
- Multisystem & Trauma
- Renal & Genitourinary System
- Pulmonary System
- Hematology, Immunology & Oncology

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse finds her patient crying because the physician has stated that the patient cannot return home
alone and she does not have family nearby. After discussing the patient's concerns, the nurse should
contact which of the following:

A) Hospital chaplain
B) Hospital controller
C) Social worker
D) Case manager


2. A nurse is calling the doctor to obtain an order for medication to help maintain the tissue perfusion for a
patient with acute respiratory distress syndrome who is continuing to be Hypotensive. Which medication
would she anticipate being ordered?

A) Nitroglycerin
B) Dopamine
C) Sodium nitroprusside
D) Phenylephrine


3. Parents of a child who has sickle-cell anemia want to know why their child did not have the first episode
until he was approximately one year old. The best reply for the nurse to make is:

A) "Are you sure your child has sickle-cell anemia and not sickle-cell trait?"
B) "Your child probably had a crisis and you did not realize it."
C) Affected children can be asymptomatic in infancy because of high levels of fetal hemoglobin that inhibit
sickling."
D) "Have you asked your doctor about this?"


4. A nurse stops at the scene of an accident and finds a fourteen-year-old male who has a deep laceration
on his hand, a fractured arm and leg, and abdominal pain. The nurse wraps the boy's hand in soiled linen
and drives him to the nearest hospital. The nurse is:

A) Treating a health problem that can be addressed by a physician
B) Practicing under guidelines of the Nurse Practice Act
C) Protected for these actions, in most places, by the Good Samaritan Law
D) Negligent and can be sued for malpractice


5. A 5-week-old infant tightly grasps a little toy placed in his hands. The mother was impressed with this
ability. The nurse on duty should explain that this is:

A) a pincer grasp reflex which will disappear in about 3-4 months of life.
B) an unusual behavior that needs further evaluation.
C) a palmar grasp reflex that is expected at this age group.
D) a behavior that is usually observed in an older infant.


Solutions:

Question # 1
Answer: D
Question # 2
Answer: B
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: C

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