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Last Updated: Sep 06, 2026
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Medical Tests CCNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Management of Critically Ill or High-Acuity Patients | - Pathophysiology across body systems - Monitoring and complication prevention - Acute and critical care interventions |
| Professional Caring and Ethical Practice | - Ethical decision making in advanced practice nursing - Patient advocacy and cultural competence |
| Clinical Judgment and Decision Making | - Evidence-based clinical decision making - Advanced assessment and diagnostic reasoning |
| Systems-Based Practice and Collaboration | - Healthcare systems management - Interprofessional collaboration - Quality improvement and patient safety |
Medical Tests Certified Clinical Nurse Specialist Sample Questions:
A nurse receives a telephone call from the admitting office and is told that a child with rheumatic fever will
be arriving in the nursing unit for admission. On admission, the nurse prepares to ask the mother which
question to elicit assessment information specific to the development of rheumatic fever?
- A. Has the child complained of back pain?
- B. Has the child complained of a headache?
- C. Did the child have a sore throat or fever within the last two months?
- D. Has the child had any nausea or vomiting?
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Channing, a 34-year-old farmer who experiences severe chest pain, is brought to the emergency room.
When assessing the ECG tracing, the nurse concludes that Channing is experiencing premature
ventricular contractions. Which of the following abnormalities would support this conclusion?
- A. Regular rhythm; abnormally shaped P wave; normal QRS complex
- B. Regular rhythm; >100 beats per minute; normal P wave; normal QRS complex
- C. Regular rhythm; 100-250 beats per minute; absent P wave; wide and distorted QRS complex
- D. Irregular rhythm; absent P wave; wide and distorted QRS complex
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The nurse is checking for cervical dilation of a patient who is in labor, when the nurse observes that the
umbilical cord has prolapsed. The nurse's initial action would be to:
- A. Cover the cord with sterile saline soaks
- B. Obtain the fetal heart rate
- C. Position the patient on her side
- D. Place the patient in Trendelenburg's position
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A thirty-week gestation infant who had apnea of prematurity is ready for discharge and will be going home
on apnea monitoring. What should the nurse teach the parents for proper use of the monitor?
- A. The alarms on the monitor should be turned off when an attendant is with the infant
- B. It is best for the parents to have twenty-four hour home health supervision to watch the infant while
monitoring is required - C. The monitor should be kept on at all times except when the infant is being bathed. Careful attention to
skin integrity and hygiene is important - D. The monitor is only used when the child is awake. It is not indicated at night or during naps
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A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome.
Which assessment signs, if noted in the newborn infant, would alert the nurse to notify the physician to the
possibility of this syndrome?
- A. Hypotension and bradycardia
- B. Tachypnea and retractions
- C. Presence of a barrel chest with acrocyanosis
- D. Acrocyanosis and grunting
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