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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. When a mother of a pediatric patient who is admitted to the intensive care unit with multiple injuries sees
her child for the first time, she cries out that she didn't mean to hurt her baby. The nurse should:

A) Advise the relative to visit and comfort the mother
B) Offer support by saying "this must be difficult for you"
C) Respond by saying "you must feel guilty after you hurt your baby"
D) Call the child abuse hotline and report a possible case of abuse


2. While in the hospital, a male baby patient suddenly has a nosebleed that spreads blood on the play table.
The nurse's initial action in this situation would be:

A) Call housekeeping to clean the area
B) Provide nursing care to stop his nosebleed
C) Take the patient back to his room for care
D) Notify the supervisor so that those in the area can be tested for HIV


3. A one-month-old patient presents with nasal flaring, intercostal and substernal retractions, and a
respiratory rate of 50. What is the most appropriate nursing diagnosis?

A) Knowledge deficit
B) Ineffective individual coping
C) High risk for altered body temperature; hyperthermia
D) Ineffective breathing pattern


4. The physician ordered an analgesic per orem every four hours PRN for breakthrough pain for a
seventeen-year-old patient who is receiving an epidural narcotic. The nurse should be aware that the best
time to administer the analgesic is:

A) Every four hours around the clock
B) When the patient states that he is experiencing a sudden increase in pain
C) When the patient has increased tolerance to the epidural
D) When the patient's mother states that the patient is in pain


5. On initial morning rounds, the neonatal nurse discovers baby Sean has blood glucose of 35 mg/dl. What
immediate course of action should be taken?

A) All of the above
B) Give him insulin
C) Give him water
D) Feed him immediately


Solutions:

Question # 1
Answer: B
Question # 2
Answer: B
Question # 3
Answer: D
Question # 4
Answer: B
Question # 5
Answer: D

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