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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. You were floated as a triage nurse at the emergency department. Four infant patients arrive at the same
time. Which patient would you evaluate first?

A) A patient with drooling, difficulty breathing, and difficulty swallowing
B) A patient with temperature of 99oF, but evidently not lethargic
C) A patient who has had watery stools for the last twelve hours prior to consult
D) A patient with temperature of 102oF and is involved in active play

2. A nurse is caring for an infant after corrective surgery for Tetralogy of Fallot. The mother reports that the
child has suddenly begun seizing. The nurse recognizes this problem is probably due to:

A) Medication reaction
B) A cerebral vascular accident
C) Metabolic alkalosis
D) Postoperative meningitis

3. A morbidly obese adult patient who smokes 2 packs of cigarettes daily was admitted for a major
abdominal surgery. Postoperatively, the most appropriate laboratory value that a clinical nurse specialist
should monitor that would reflect the patient's respiratory status is the:

A) PCO2
B) O2 saturation
C) Hemoglobin
D) PO2

4. Cristy is a 22-year-old patient who is admitted at the hospital. She is in hypovolemic shock and has a
hematocrit level of 22%. The nurse alerted the physician and anticipates an order of which the following?

A) High molecular dextran
B) Serum albumin
C) Blood replacement
D) Lactated Ringer's solution

5. An adult male patient who is receiving peritoneal dialysis asks the nurse why a solution is being warmed
to body temperature before it is instilled in peritoneal cavity. The nurse should state that it is to:

A) Force Potassium back into the cells, thereby decreasing serum levels
B) Help prevent cardiac dysryhthmias by speeding up removal of excess potassium
C) Encourage removal of serum urea by preventing constriction of peritoneal blood vessels
D) Add extra warmth to the body because metabolic processes are disturbed

Solutions: