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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Mr. Davids is admitted to the hospital with a diagnosis of left-sided congestive heart failure. During an
assessment, the nurse should expect to find:

A) Dyspnea on exertion
B) Neck vein distention
C) Peripheral edema
D) Crushing chest pain

2. Nurse Gwen is caring for a patient who had an infratentorial craniotomy. The patient is already at the
intensive care unit after a discharge from the post-anesthesia care unit. After careful periodic
assessments, Gwen noticed that the patient has an increasing intracranial pressure. Nurse Gwen should
initially:

A) Elevate the head of the bed
B) Notify the physician regarding the finding
C) Start an osmotic diuretic
D) Set the intravenous fluid rate at KVO

3. A nurse is assessing fluid balance in a fourteen-year-old patient after a craniotomy. The nurse should
assess for which of the following as a sign of dehydration, which could aggravate cerebral edema?

A) Serum osmolality of 305 mOsm/kg H2O
B) BUN of 10 mg/dL
C) Shift intake of 800 mL and output of 750 mL
D) Unchanged weight

4. An adult patient was admitted at the hospital due to a severe respiratory problem. His current respiratory
status requires endotracheal intubation and positive pressure ventilation. The best immediate nursing
intervention at this point is to:

A) Assess the patient's response to mechanical ventilation
B) Maintain the sterility of the ventilation system
C) Facilitate the patient's verbal communication
D) Have the parents sign the consent for an immediate surgery

5. A patient is receiving Total Parenteral Nutrition secondary to acute pancreatitis. The nurse is about to
administer insulin when the patient states, "Why am I getting insulin? I'm not diabetic." To facilitate
learning and understanding, the nurse should respond correctly by stating:

A) "The TPN solution contains a high amount of glucose."
B) "The infection in your pancreas is causing too much insulin to be produced."
C) "This type of infection stops the production of insulin."
D) "The TPN solution interferes with the production of insulin."

Solutions: