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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is caring for a three-year-old patient with a diagnosis of congestive heart failure. The nurse notes
that the apical pulse is 118 beats per minute and is about to administer Lanoxin. Based on this finding, the
nurse should:

A) Administer the medication as ordered
B) Notify the physician
C) Hold the medication
D) Recheck the apical pulse after twenty-thirty minutes

2. Michelle is a 27-year-old model who has just undergone a subtotal gastrectomy. Immediately after the
procedure, she was brought to the post-anesthesia care unit. A clinical specialist nurse who is assigned to
Michelle noticed that there are small blood clots in the gastric drainage. What would be the nurse's initial
action?

A) Instill the tube utilizing a normal saline
B) Nothing. This is just a normal event.
C) Alert the physician about the finding
D) Immediately clamp the tube

3. The nurse is caring for a neonate patient with PKU admitted to the NICU. The nurse should document the
patient's urine smells:

A) Fishy
B) Aromatic
C) Musty
D) Fruity

4. Which of the following statements by the family of a child with asthma indicates a need for additional
teaching:

A) "We'll make sure he avoids exercise to prevent asthma attacks"
B) "he should increase his fluid intake regularly to thin secretions"
C) "He is to use bronchodilator inhaler before steroid inhaler"
D) "We need to identify what things triggers his attacks"

5. A patient is scheduled for surgery. The physician discusses the case with the nurse and advices that
legally, a patient may not sign the operative consent. The nurse agreed with the physician's statement if
the case is that:

A) A discussion of alternatives with two physicians has not occurred
B) Ambivalent feelings are present and acknowledged
C) A complete history and physical has not been performed and recorded
D) Any sedative type of medication has recently been given

Solutions: