Medical Tests Medical Examination CCNS

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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Tamica, a 55-year-old chain smoker, was admitted with a diagnosis of ruled out chronic obstructive
pulmonary disease and cor pulmonale. During the first day of hospitalization, she asked the nurse about
her nutrition. The nurse should encourage the patient to:

A) Drink large amounts of fluid to liquefy secretions
B) Increase protein in the diet to decrease intravascular hydrostatic pressure
C) Lie down after each meal to conserve energy
D) Eat small meals six times per day to limit oxygen demand

2. The nurse is taking care of a Hispanic patient who has a large family. She pulls in extra chairs and lets the
patient know what times where multiple family members would be allowed. She gets the patient water
without ice. The nurse is showing what professional caring quality?

A) Response to diversity
B) Systems thinking
C) Caring practice
D) Clinical inquiry

3. A 60-year-old woman who has had a number of strokes refuses further life-sustaining intervention,
including artificial nutrition and hydration. She is competent, understands the consequences of her
actions, is not depressed, and persists in refusing treatment. Her doctor is adamant that she cannot be
allowed to proceed this way and her daughter agrees. An ethics consult has been placed. Who is the
appropriate decision maker?

A) Ethics
B) Daughter
C) Doctor
D) Patient

4. A clinical nurse specialist is interacting with a patient from a different cultural background. Which of the
following nursing implementations would a nurse use to provide sensitive care?

A) Use of therapeutic silence
B) Confronting issues of noncompliance
C) Use of therapeutic touch
D) Validation of communication

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

Solutions: