Medical Tests CCNS

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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. The nurse is caring for several infants who are forty-eight hours old. Among the following infants, which
should be given highest priority by the nurse?

A) A breastfed infant who lost 0.5 ounce of his weight
B) A bottle-fed infant who takes two to three ounces of milk every two to four hours
C) A breastfed infant who feeds every two to four hours
D) A bottle-fed infant who takes 1-ounce of milk every three to five hours

2. The mother of a newly diagnosed neonate with Type I diabetes mellitus asks the purpose of a test
measuring glycosylated hemoglobin. The nurse should explain that the purpose of this test is to
determine:

A) The presence of anemia often associated with diabetes
B) The average blood glucose for the past two to three months
C) The oxygen carrying capacity of the patient's red cells
D) The patient's risk for cardiac complications

3. A patient is receiving Total Parenteral Nutrition secondary to acute pancreatitis. The nurse is about to
administer insulin when the patient states, "Why am I getting insulin? I'm not diabetic." To facilitate
learning and understanding, the nurse should respond correctly by stating:

A) "The infection in your pancreas is causing too much insulin to be produced."
B) "The TPN solution interferes with the production of insulin."
C) "The TPN solution contains a high amount of glucose."
D) "This type of infection stops the production of insulin."

4. On the morning of Mr. Coleman's planned cholecystectomy, he awakens with a pain in his right scapular
area and thinks he slept in poor position. While doing the preoperative check list, the nurse notes that on
his routine hematology report, his WBC is 15,000. The nurse's responsibility at this point is to:

A) Record this finding in a prominent place on the preoperative checklist and in preoperative nurse's notes
B) Call the laboratory for a STAT repeat WBC
C) Nothing. This is not an unusual finding.
D) Notify the surgeon at once; this is an elevated WBC, indicating an inflammatory reaction

5. A nurse on the pediatric unit is caring for four patients and is preparing to do rounds. Which patient should
the nurse see first?

A) A patient scheduled for an upper GI series
B) A patient who has returned from the recovery room and is restless
C) A patient with ear tubes that came out spontaneously
D) A patient being discharged who needs to receive an immunization

Solutions: