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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A 55-year-old patient states "I have been experiencing complications of diabetes." The nurse directs the
patient to provide more information. What is the most appropriate comment or question at this time?

A) "Do you take two injections of insulin to decrease the complications?"
B) "Most complications of diabetes are related to neuropathy."
C) "Most physicians recommend diet and exercise to regulate blood sugar."
D) "What specific complications have you experienced?"


2. A nurse calls the physician about an order of a medication that has a high recommended dosage. The
nurse wasn't able to locate the physician and the medication is already due to be administered. The nurse
should:

A) Administer the recommended dose
B) Administer the prescribed dose
C) Hold the medication until the physician can be contacted
D) Contact the nursing supervisor


3. A child with asthma is being discharged from the hospital on inhaled corticosteroids. The nurse
recognizes that the parents understand the discharge teaching when they tell the nurse that they will
monitor the child for the side effect of:

A) Frequent urination
B) Candidiasis in the mouth
C) Increased blood glucose levels
D) Apneic episodes


4. A nurse is caring for a pediatric patient who had a basilar skull fracture. The nurse assessed that there is
a clear fluid leaking from the ears of the child. The nurse concludes that it is cerebrospinal fluid if the fluid:

A) Is grossly bloody in appearance and has a pH level of 6.1
B) Separates into concentric rings and tests positive for glucose
C) Is clear and tests negative for glucose
D) Clumps together on the dressing and has a pH level of 7


5. A nurse learns from research and case studies that pain in orthopaedic cases may not be mainly due to
the surgery. There might be other factors, such as cultural or psychological, that influence pain. A nurse
can alter these factors by:

A) Promoting sense of control and participation in control through listening to concerns
B) Establishing trusting relationships by giving medication on time
C) Explaining all the possible interventions that may cause worry
D) Staying with the patient during pain episodes


Solutions:

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

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