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  • Total Questions: 620
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  • Total Questions: 620
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Medical Tests CCNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Clinical Judgment69%- Neurological System
- Pulmonary System
- Endocrine System
- Cardiovascular System
- Renal & Genitourinary System
- Gastrointestinal & Metabolic System
- Hematology, Immunology & Oncology
- Multisystem & Trauma
Topic 2: Professional Caring & Ethical Practice31%- Ethics & Regulatory Compliance
- Caring Practices & Advocacy
- Collaboration & Systems Leadership
- Education & Research

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

A clinical nurse specialist is caring for a four-year-old child after a surgery for correction of tetralogy of
fallot. The mother runs to the nurse's station and reports that the child started to seize. The nurse
recognizes that the problem is due to:

  • A. Meningitis
  • B. Unexpected reaction to medications
  • C. Cerebral vascular accident
  • D. Metabolic alkalosis
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

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. Unchanged weight
  • B. Shift intake of 800 mL and output of 750 mL
  • C. Serum osmolality of 305 mOsm/kg H2O
  • D. BUN of 10 mg/dL
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

The hospital administrator alarmed the entire hospital institution for a disaster drill during the night shift.
Which of the following patients would a nurse put first on the list to be discharged in order to make a room
available for an admission?

  • A. A middle aged patient with a history of being ventilator dependent for the past five years and was
    admitted with bacterial pneumonia four days ago
  • B. An adult patient with a history of SLE and was admitted with Stevens-Johnson syndrome several hours
    ago
  • C. A young adult with diabetes mellitus type 2 for over five years and admitted with antibiotic induced
    diarrhea twelve hours ago
  • D. An adolescent with positive HIV test and admitted for acute cellulites on the left lower leg twenty-four
    hours ago
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

A nurse is caring for an adult patient who she thinks is at high risk for developing a pressure ulcer. As a
clinical nurse specialist, one of her responsibilities is to implement clinical changes and research-based
practices developed by others. Which of the following steps should the clinical nurse specialist avoid?

  • A. Look for a systematic research review about the issue. Limit the keywords to be able to come up to
    information about pressure ulcer prevention and management
  • B. Look first for evidence-based clinical practice guidelines produced by respected organizations
  • C. Identify populations that are developing pressure ulcers in her setting
  • D. Work with administrative and medical leadership; determine which practices to incorporate into site
    policy and procedure for pressure ulcer prevention and care
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

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. Every four hours around the clock
  • B. When the patient states that he is experiencing a sudden increase in pain
  • C. When the patient has increased tolerance to the epidural
  • D. When the patient's mother states that the patient is in pain
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

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