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Medical Tests CCNS Exam Syllabus Topics:

SectionObjectives
Management of Critically Ill or High-Acuity Patients- Pathophysiology across body systems
- Acute and critical care interventions
- Monitoring and complication prevention
Systems-Based Practice and Collaboration- Quality improvement and patient safety
- Healthcare systems management
- Interprofessional collaboration
Professional Caring and Ethical Practice- Patient advocacy and cultural competence
- Ethical decision making in advanced practice nursing
Clinical Judgment and Decision Making- Advanced assessment and diagnostic reasoning
- Evidence-based clinical decision making

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

Question 1

A pediatric patient was hospitalized under an involuntary procedure. The patient's father wants to call his
lawyer about matters involving a lawsuit. Which of the following nursing actions is most appropriate?

A. Tell the father that the lawsuit would be best settled after discharge from the hospital
B. Allow the phone call without seeking any further information
C. Ask the father questions about the pending lawsuit
D. Call the lawyer and explain that the son is in the hospital


Question 2

Which of the following is true about plasma?

A. It makes up nearly 22% of the blood
B. It may contain 10% or less of waste products
C. It functions to transport hormones, ions, and nutrients throughout the body
D. It comprises tissue macrophages derived from monocytes


Question 3

A 77 year old male patient is admitted with confusion, a blood glucose level of 1150 mg/dL, confusion,
blood pressure of 88/45, heart rate of 120 and serum sodium of 148 and no urine output for the last 12
hours. What order would the nurse anticipate?

A. Replenish electrolytes based on the levels of the lab draw.
B. A bolus of 10 units of regular insulin, followed by a continuous infusion of 0.1 unit/kg/hour.
C. Begin a continuous infusion of regular insulin 0.1 unit/kg/hour.
D. A bolus of Dextrose 5%, Normal Saline 9% over one hour.


Question 4

A state's Nurse Practice Act does not allow a registered nurse to suture wounds. The physician offers to
teach the RN how to suture and tells the RN that minor wounds may be sutured without supervision. The
nurse should:

A. Refuse to suture wounds
B. Report the situation to the State Board of Nursing
C. Agree to suture wounds in the physician's presence
D. Follow the physician's instructions


Question 5

Which of the following strategies would a nurse manager include in a plan to assist an impaired
colleague?

A. Initiate termination of the colleague
B. Provide covert support of the substance abusing behavior
C. Promote professional isolation
D. Appoint a team to confront the colleague


Solutions:

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

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