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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse manager teaches a group of newly hired pediatric unit staff members. She said that from a
nurse's knowledge of preschoolers, a nurse can predict that a four-year-old child's reaction to illness and
hospitalization may be characterized by:

A) Being out of control, regressing to over dependency, and fearing bodily mutilation
B) Intense panic, loss of security over separation from parents, and having a low frustration tolerance.
C) Feeling lonely, bored, and depressed over separation from parents and fearing death
D) Anger, frustration, and resentment over depersonalization and loss of peer support

2. During the assessment, the nurse noticed that one of the admitted neonates, who is
small-for-gestational-age, is jittery, has a high-pitched cry, and has irregular respirations. The nurse must
be aware that these signs could be an indication of:

A) Hypercalcemia
B) Hypothyroidism
C) Hypovolemia
D) Hypoglycemia

3. A visitor from a room parallel to a pediatric patient asks the nurse what illness the patient has. The nurse
answered based on the nurse's knowledge that to discuss a patient's case with someone not directly
involved with that patient is an example of:

A) Negligence
B) Defamation of character
C) Libel
D) Breach of confidentiality

4. Nurse Jennifer is caring for an adult patient in the intensive care unit who needs arterial line monitoring.
Suddenly, the patient develops sepsis and tenderness at the insertion site. Aside from antibiotics
administration, Nurse Jennifer should:

A) Exchange the arterial line and catheter with the seldinger technique
B) Replace the continuous flush, transducer, and pressure tubing
C) Remove the catheter and replace it with a new one, utilizing a different site
D) Apply Povidone iodine at the puncture site

5. A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red
with a small amount of bloody drainage. Which of the following nursing actions would be most
appropriate?

A) Reinforce the dressing
B) Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
C) Contact the physician
D) Document findings

Solutions: