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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. 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) Place the patient in Trendelenburg's position
C) Position the patient on her side
D) Obtain the fetal heart rate

2. A preterm neonate, born at thirty-one weeks gestation, is receiving an intravenous electrolyte solution at a
rate of 20-22 mL/hr via an umbilical arterial line. At the hourly intake measurement, the nurse determines
that 45 mL have infused in the past hour. The most appropriate initial nursing action is to:

A) Compare the intake with the output
B) Check the physician's order
C) Take the vital signs
D) Set the infusion rate to 10-11 mL/hr on the next two hours

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

4. A nurse is coming back from the break and enters the elevator. Looking down, he sees that there is a
patient history and physical on the elevator floor. The most appropriate action would be to:

A) Remove all identifiable patient information and throw it away in a shredder container.
B) Pick it up and shred it immediately when he returns to the unit.
C) Leave it on the floor, the person looking for it will retrace their steps and be very anxious if they cannot
find it.
D) Call the manager of the medical records department and report what he has found.

5. A twenty-year-old patient who is at thirty-eight weeks gestation is being prepared for an emergency
cesarean birth due to an abruption placenta and severe fetal compromise. The patient received
nalbuphine 10 mg IV thirty minutes ago. Because the patient is too sedated to sign the consent form, the
nurse would:

A) Call the patient's parents or husband and request a verbal consent
B) Have the attending physician and the surgeon sign the consent form
C) Sign the consent form and have the nurse manager countersign the form
D) Proceed with the preparation and forgo written consent

Solutions: