Medical Tests Certified Clinical Nurse Specialist : CCNS

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

2. Roger, a seven-year-old child, was admitted to the hospital with a diagnosis of intervertebral disc
herniation at the level of L5-S1. A nurse who is assigned to Roger should include which of the following
nursing interventions?

A) Prepare the patient for lumbar puncture
B) Position the patient with knees slightly flexed, with the head of the bed elevated
C) Assess the skeletal traction insertion site for redness and swelling
D) Encourage the patient to ambulate freely

3. Four patients who got injured in an automobile accident enter the emergency department at the same
time and are immediately seen by a triage nurse. Which one would you prioritize first?

A) A patient with lumbar spinal cord injury and lower extremity paralysis
B) A patient with gurgling respirations with severe maxillofacial injury
C) A patient with dislocated leg
D) A patient in a deep coma with no response to pain and dilated pupils

4. Naomi, a 40-year-old cook, returns to the recovery unit after a cholecystectomy. During the assessment,
the nurse notices that Naomi's blood pressure is gradually dropping and her apical pulse is increasing.
What will be the initial nursing action at this time?

A) Position the patient in Sim's position
B) Immediately notify the physician and report the vital signs obtained
C) Prepare and transfuse a unit of fresh whole blood
D) Fast drip 200 cc of present IV fluid and position the patient in Trendelenburg position

5. The nurse has finished teaching the patient regarding managing their diabetes at home. Documentation
that would protect the nurse against liability would include all of the following except:

A) Documentation of the patient's understanding
B) No documentation of written material given
C) Documentation of the patient's response
D) Documentation of what was not taught

Solutions: