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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is assessing a 6-month-old infant during a routine well-baby check up. Observing which of the
following symptoms should alert the nurse to refer the child for further evaluation?

A) Infant rolls from front to back and back to front
B) Absent tonic neck reflex
C) Infant speaks single consonants
D) Present Moro's embrace reflex

2. A school-aged patient with asthma is scheduled to return to school. Which question by the nurse
assesses the patient's self-care knowledge?

A) "Do you have stairs to climb at school?"
B) "Do you drink eight glasses of fluid a day?"
C) "Do you participate in gym class?"
D) "Do you use peak expiratory flow meter daily?"

3. After a thoracic surgery, a male adult patient was transported to the unit. He has a chest tube connected
to a water-seal drainage attached to suction. The nurse noticed that there is excessive bubbling in the
water-seal chamber. The nurse should:

A) Strip the chest tube catheter
B) Assess the bottle system for air leaks
C) Decrease the amount of suction pressure
D) Do nothing because it is expected

4. A nurse who usually works in the NICU is floated to the emergency department. Which of these patients
should the charge nurse assign to this nurse?

A) A pediatric patient who has been on pain medication for terminal cancer with an initial assessment
finding of pinpoint pupils and a relaxed respiratory rate of 10
B) An adolescent patient who stated that she took many diet pills and her heart feels like it is racing out of
her chest
C) An adolescent patient who reports having taken a large crack hit ten minutes prior to walking into the
emergency room
D) A young adult who stated that he hears songs from heaven, his arms are jerking, and he needs money

5. Benita is a 45-year-old patient who was admitted with a diagnosis of chronic obstructive pulmonary
disease. One afternoon, she experienced difficulty of breathing and the nurse intervened by teaching her
the proper breathing technique. To gauge the effectiveness of the teaching, the nurse should see the
patient:

A) Increasing her respirations
B) Inhale through the mouth
C) Progressively increase the length of the inspiratory phase
D) Hold each breath for a second at the end of inspiration

Solutions: