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Medical Tests CCNS Exam Syllabus Topics:

SectionObjectives
Professional Caring and Ethical Practice- Patient advocacy and cultural competence
- Ethical decision making in advanced practice nursing
Management of Critically Ill or High-Acuity Patients- Acute and critical care interventions
- Pathophysiology across body systems
- Monitoring and complication prevention
Clinical Judgment and Decision Making- Advanced assessment and diagnostic reasoning
- Evidence-based clinical decision making
Systems-Based Practice and Collaboration- Healthcare systems management
- Interprofessional collaboration
- Quality improvement and patient safety

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse, while doing an assessment, shines a light into a patient's left eye and notes a papillary
constriction in the right eye. The nurse should properly document this response as:

A) Accommodation
B) Pupillary convergence
C) A consensual reaction
D) A direct reaction


2. A 25 year old diabetic mother gives birth to a 9.5 lb. infant who after 3 hours of birth begins to exhibit
symptoms of hypoglycemia and a blood glucose level is drawn that is 6.5 mg/dL. Which of the following is
this infant at risk of developing?

A) Pneumonia
B) Cognitive development
C) Cardiovascular anomalies
D) Arthritis


3. A nurse learns from research and case studies that pain in orthopaedic cases may not be mainly due to
the surgery. There might be other factors, such as cultural or psychological, that influence pain. A nurse
can alter these factors by:

A) Promoting sense of control and participation in control through listening to concerns
B) Establishing trusting relationships by giving medication on time
C) Staying with the patient during pain episodes
D) Explaining all the possible interventions that may cause worry


4. Prior to administering a gastrostomy tube feeding to an infant, the nurse should:

A) Place in a semi-Fowler's position
B) Slowly instill 5 ml of water
C) Provide the baby with a pacifier
D) Aspirate the tube


5. Which of the following strategies would a nurse manager include in a plan to assist an impaired
colleague?

A) Promote professional isolation
B) Appoint a team to confront the colleague
C) Provide covert support of the substance abusing behavior
D) Initiate termination of the colleague


Solutions:

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

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