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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is assigned in caring for newborn patients admitted at the neonatal intensive care unit. The nurse
should immediately refer a patient who has:

A) Respiratory rate of 25 beats per minute with sternal retractions
B) Immature kidneys with evidence of rust-colored stain in the diaper
C) Cardiac rate that drops to 110 beats per minute
D) Body temperature of 97.8oF

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

3. A newly hired charge nurse assesses the staff nurses as competent individually, but ineffective and
nonproductive as a team. In addressing her concern, the charge nurse should understand that the usual
reason for such a situation is:

A) Unexpected feeling and emotions among the staff
B) Failure to incorporate staff in decision making
C) Unhappiness about the change in leadership
D) Fatigue from overwork and understaffing

4. The nurse has finished teaching the patient regarding managing their diabetes at home. Documentation
that would protect the nurse against liability would include all of the following except:

A) No documentation of written material given
B) Documentation of the patient's response
C) Documentation of what was not taught
D) Documentation of the patient's understanding

5. An adult patient who was diagnosed with chronic obstructive pulmonary disease (COPD) has an acute
COPD exacerbation episode. He experiences dyspnea and is anxious. In order to decrease the dyspnea,
the nurse's initial action is to:

A) Encourage the patient to breathe using a paper bag
B) Teach and encourage the patient to do rhythmic breathing
C) Set the oxygen at 6L/min
D) Assess the vital signs especially the blood pressure

Solutions: