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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. An electrician was brought to the Emergency room by his coworkers and was admitted with a possible
myocardial infarction. The patient is experiencing severe chest pain. He is diaphoretic and his pulse is
1 15 beats per minute. The nurse should immediately:

A) Administer oxygen at 4-6 L/min
B) Obtain blood pressure and get the electrocardiogram
C) Notify the doctor and administer morphine as ordered
D) Give the ordered nitroglycerine until pain subsides

2. After 3 months of self-management for symptoms of gastritis is unsuccessful, a patient goes to the
physician and an extensive carcinoma of the stomach is diagnosed. The patient asks the nurse how the
disease got so advanced. The nurse's explanation should be based on the knowledge that carcinoma of
the stomach is:

A) Painful in early stages and often misdiagnosed as myocardial infarction
B) Usually diagnosed following the discovery of enlarged lymph nodes in the epigastric area
C) Rarely diagnosed early because the symptoms are usually nonspecific until late in the disease
D) Difficult to accurately diagnose until late in the disease process

3. Andrea, a clinical nurse specialist, is caring for a patient who sustained serious facial and neck burns. To
which nursing diagnosis would Andrea give first priority in caring for this patient?

A) Ineffective thermoregulation
B) Fluid volume deficit
C) Body image disturbance
D) Ineffective airway clearance

4. A nurse confers with the nutritionist about the diet of a child with decreased mobility due to a fracture. In
addition to being non-constipating, the diet should be:

A) High in calories and in phosphorus
B) Adequate in calories and calcium
C) Low in calories and high in protein
D) Moderate in calories and high in protein

5. Which type of seizure is characterized by brief, involuntary muscle movements and typically occurs early
in the morning?

A) Jacksonian
B) Myoclonic
C) Akinetic
D) Generalized tonic-clonic

Solutions: