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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A pediatric patient has been admitted to the hospital with multiple injuries including a fractured left
humerus, left femur, and ribs. Because of the patient's fractured ribs, the nurse should assess for signs of:

A) Pneumonitis
B) Respiratory acidosis
C) Pulmonary edema
D) Hematemesis

2. You were floated as a triage nurse at the emergency department. Four infant patients arrive at the same
time. Which patient would you evaluate first?

A) A patient with temperature of 102oF and is involved in active play
B) A patient who has had watery stools for the last twelve hours prior to consult
C) A patient with drooling, difficulty breathing, and difficulty swallowing
D) A patient with temperature of 99oF, but evidently not lethargic

3. A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents,
the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:

A) Moderate to severe retardation, congenital nature, and linkage to an extra chromosome 21, group G
B) Subaverage intellectual functioning with the absence of deficits in adaptive behavior
C) Above average intellectual functioning with deficits in adaptive behavior
D) Average intellectual functioning and the absence of deficits in adaptive behavior

4. A ten-year-old patient with a history of seizure disorder was admitted to the pediatric unit due to frequent
seizure activity. The mother said that the child has been compliant with the medication (Phenytoin)
therapy. Subsequently, a sample for the serum phenytoin level is drawn. The nurse determines that the
medication has been most effective if the value is:

A) 22 mcg/mL
B) 12 mcg/mL
C) 5 mcg/mL
D) 30 mcg/mL

5. Included in the plan of care of a 7 year old client with diabetes is glucose monitoring. As a nurse, we must
be aware that the most accurate way to evaluate the effectiveness of client and insulin therapy over time
is the test that measures:

A) Serum protein levels
B) Urine ketones
C) Glycosylated Hemoglobin
D) Serum glucose level

Solutions: