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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is discussing the ordered dietary restrictions with a Chinese patient. During the teaching session,
the patient continuously turns away from the nurse. Which would be the most appropriate nursing action?

A) Walk around the patient to constantly face the patient
B) Continue with the instructions, verifying the patient understanding
C) Tell the patient about the importance of the teaching to maintain health care
D) Provide a dietary booklet and come back later to continue discussing

2. A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome.
Which assessment signs, if noted in the newborn infant, would alert the nurse to notify the physician to the
possibility of this syndrome?

A) Tachypnea and retractions
B) Hypotension and bradycardia
C) Presence of a barrel chest with acrocyanosis
D) Acrocyanosis and grunting

3. A lumbar puncture is performed on an infant suspected of having bacterial meningitis and cerebrospinal
fluid (CSF) is obtained for analysis. A nurse reviews the results of the CSF analysis and determines that
which of the following results would verify the diagnosis?

A) Clear CSF, decreased pressure, and elevated protein level
B) Cloudy CSF, decreased protein, and decreased glucose level
C) Cloudy CSF, elevated protein, and decrease glucose level
D) Clear CSF, elevated protein, and deceased glucose level

4. 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) Hypovolemia
B) Hypoglycemia
C) Hypothyroidism
D) Hypercalcemia

5. A fourteen-year-old patient who survived a motor vehicle accident is in critical condition. At one point, the
patient opens his eyes and smiles. The mother runs to the nurse and exclaims, "Look, it indicates that my
son will get better soon." The best response by the nurse is:

A) "Try to get your son to hold your hands."
B) "God must have been watching over your son."
C) "Yes, you're right; this is a very good indicator."
D) "We are doing everything we can to help your son."

Solutions: