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Medical Tests CCNS Exam Syllabus Topics:

SectionWeightObjectives
Clinical Judgment69%- Renal & Genitourinary System
- Neurological System
- Endocrine System
- Gastrointestinal & Metabolic System
- Cardiovascular System
- Multisystem & Trauma
- Hematology, Immunology & Oncology
- Pulmonary System
Professional Caring & Ethical Practice31%- Education & Research
- Ethics & Regulatory Compliance
- Collaboration & Systems Leadership
- Caring Practices & Advocacy

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

Question 1

A nine-year-old child was admitted with a diagnosis of acute glomerulonephritis. She has moderate
edema and mild hypertension. Which of the following nursing actions would be most appropriate at this
time?

A. Obtain body weight QID
B. Observe seizure precautions
C. Encourage physical activity to eliminate boredom
D. Maintain a high protein diet


Question 2

Which nursing diagnosis would a nurse use to best address a suicidal patient's feelings of despair?

A. Anxiety
B. Ineffective coping
C. Dysfunctional grieving
D. Spiritual distress


Question 3

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. Call the manager of the medical records department and report what he has found.
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. Remove all identifiable patient information and throw it away in a shredder container.


Question 4

A nurse is caring for a child who has terminal cancer. The nurse is aware that the parents are in desperate
need of support from the medical staff. The nurse should not include which care plan before the death of a
child?

A. Show caring by touching the child and encourage parents to do it as well
B. Avoid judgmental reactions to what family members say or do
C. Provide referrals to support groups if available
D. Assist them to make final arrangement like contacting a funeral home


Question 5

Which of the following findings, if identified in a patient who is being treated for hypovolemic shock, should
indicate to the nurse that the treatment is having the desired effect?

A. Urine output of 30 mL/hr
B. Pulse oximeter reading of 99%
C. Temperature of 98.4oF
D. CVP of 40 mmHg


Solutions:

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

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