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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. The following infant patients were endorsed to you. Your colleague said that one of these patients needs
to be attended immediately. You determined that your colleague is referring to:

A) A patient with asthma, with audible wheezing that is heard without stethoscope
B) A patient who is two hours post repair of diaphragmatic hernia with breath sounds heard bilaterally
C) A patient admitted for two days due to burns with edema distal to the burns and increasing activity level
D) A patient who became cyanotic during the previous shift, but currently no signs of distress

2. An adult patient was admitted with a definitive diagnosis of portal hypertension and ascites. The physician
ordered 2 "units" of salt-poor albumin intravenously. The nurse educates the patient and his immediate
relatives that the purpose of salt-poor albumin is to:

A) Provide parenteral nutrients
B) Elevate the circulating blood volume
C) Increase storage of protein
D) Temporarily divert the blood flow away from the liver

3. When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be
compromised:

A) Respiratory status
B) GI function
C) Sucking ability
D) Locomotion

4. When preparing to remove an endotracheal tube, the nurse should NOT do which of the following:

A) Deflate the cuff before moving the endotracheal tube.
B) Get the help of another nurse to hold the tube while you untape the tube.
C) Extubate the endotracheal tube if no air leak is detected around the deflated cuff.
D) Suction during extubation of the endotracheal tube to remove secretions retained at the end of the
tube.

5. A 60-year-old patient with a right lung cancer undergoes a lobectomy. After the surgery, the patient was
transported to the unit with a chest tube attached to suction. What observation would prompt a nurse to
notify the physician?

A) Diminished bubbling in the water-seal chamber after 72 hours
B) Subcutaneous emphysema during his second day
C) Bloody fluid in the drainage collection chamber in the first 24-hours
D) Blood clots along the tubing during the first 24-hours

Solutions: