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Medical Tests CCNS Practice Q&A's

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Medical Tests CCNS Exam Syllabus Topics:

SectionWeightObjectives
Planning and Implementation43%- Leadership and Education
  • 1. Evidence-based practice
  • 2. Quality improvement initiatives
  • 3. Interdisciplinary collaboration
  • 4. Patient and family education
- Patient Care Management
  • 1. Non-pharmacologic interventions
  • 2. Health promotion and disease prevention
  • 3. Care coordination
  • 4. Pharmacologic interventions
Evaluation30%- Systems and Professional Practice
  • 1. Regulatory compliance
  • 2. Organizational performance improvement
  • 3. Professional standards
  • 4. Healthcare leadership
- Outcome Evaluation
  • 1. Research and data analysis
  • 2. Quality and process improvement
  • 3. Patient response evaluation
  • 4. Care plan modification
Assessment and Diagnosis27%- Diagnosis
  • 1. Risk factor identification
  • 2. Differential diagnosis
  • 3. Clinical decision making
  • 4. Pathophysiology across the lifespan
- Clinical Assessment
  • 1. Health history collection
  • 2. Focused assessment techniques
  • 3. Comprehensive patient assessment
  • 4. Diagnostic testing interpretation

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

Question 1

Staff nurses learn that a seventeen-year-old male patient they have been caring for during the last few
days has just been diagnosed with tuberculosis. When the nurses express concern about contracting the
disease themselves, the nurse supervisor's response should be based on which statements?

A. Tuberculosis is not highly infectious when standard precautions are followed
B. The mantoux test is used to confirm the diagnosis of the disease
C. Tuberculosis is easily treated with short course antibiotics
D. Vaccination of BCG will be used to immunize the nurses against infection


Question 2

Which of the following behaviors by a three-year-old patient supports a nursing diagnosis of delayed
growth and development?

A. Walks holding onto furniture
B. Can push and pull toys
C. Sits down from a standing position
D. Throws a ball overhead


Question 3

A nurse accompanies a physician to the patient's room. Upon assessment, the patient has an extremely
painful, reddened, and enlarged abscess on the right elbow. The physician proceeds to incise the
abscess area without anesthetic and the patient cries out loudly in pain. The most appropriate immediate
nursing action is to:

A. Request that the physician halt the procedure until an anesthetic can be administered
B. Attempt to distract the patient during the procedure
C. Provide pain medication after the procedure
D. Assist in restraining the patient during the procedure


Question 4

A nurse specialist delegates a ten-year-old patient to the nursing assistant. The nursing assistant is
administering an enema to the patient. The nurse specialist should intervene if the nursing assistant:

A. Hangs the enema bag twelve - eighteen inches above the anus
B. Advances the catheter four inches into the anal canal
C. Positions the patient on the right side with head slightly elevated
D. Lubricates four - five inches of the catheter tip


Question 5

A mother of a ten-month-old infant asks the nurse why her baby is not receiving an anticoagulant drug
considering that her baby has an intracranial bleeding. The nurse explains that in her infant's situation,
anticoagulant:

A. Is necessary to prevent pulmonary thrombosis
B. Is contraindicated because bleeding would be increased
C. Is not advisable because it can hide signs and symptoms
D. Will be started soon to enhance circulation


Solutions:

Question 1
Answer: A
Question 2
Answer: A
Question 3
Answer: B
Question 4
Answer: C
Question 5
Answer: B

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