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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is caring for a pediatric patient who had a basilar skull fracture. The nurse assessed that there is
a clear fluid leaking from the ears of the child. The nurse concludes that it is cerebrospinal fluid if the fluid:

A) Is clear and tests negative for glucose
B) Is grossly bloody in appearance and has a pH level of 6.1
C) Separates into concentric rings and tests positive for glucose
D) Clumps together on the dressing and has a pH level of 7

2. A ten-year-old patient who has been diagnosed with scoliosis is to be treated with a Milwaukee brace. To
which of the following nursing diagnoses would a nurse give priority?

A) Sleep pattern disturbance
B) Skin integrity
C) Impaired gas exchange
D) Self-care deficit

3. Many nurses find it difficult in to get accurate information when making their assessment using the
stethoscope and it can near impossible with a crying or irritable baby. What can the nurse do in order to
make her job a little easier?

A) Just do the best she can and get whatever she can from her examination
B) Give the baby a pacifier or bottle as a temporary aid to stop the crying
C) Wait to the nursery becomes quiet and the baby stops crying
D) Rock the baby to sleep before attempting the assessment.

4. Betty, a clinical nurse specialist, is caring for a neonate who is admitted for seventy-two -hours after a
traumatic delivery. The father, who is a citizen of Laos, says "yes" whenever Betty explains the nursing
care plan to him. As a culturally sensitive nurse, Betty should:

A) Consult another staff nurse and request to evaluate the effectiveness of explanation
B) Validate an understanding of communication
C) Continue in explaining and performing procedures
D) Try to talk to the patient's mother to hear a different response

5. A sixteen-year-old patient who speaks a little English has emergency gallbladder surgery. During
discharge preparation, which nursing action would best help this patient understand wound care
instruction?

A) Writing out the instructions and having a family member read them to the patient
B) Asking frequently if the patient understands the instruction
C) Asking an interpreter to relay the instructions to the patient
D) Demonstrating the procedure and having the patient return the demonstration

Solutions: