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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A child with glomerulonephritis has a urinary output that decreases to 100 mL in 24 hours. The patient's
creatinine clearance is 60 mL per minute and there is an irregular apical pulse. What would be the most
significant laboratory finding after a diagnosis of acute renal failure is made?

A) Serum bilirubin of 0.5 mg/dL
B) Serum sodium of 128 mEq/L
C) Serum potassium of 6.3 mEq/L
D) Serum creatinine of 1.3 mg/dL

2. A clinical nurse specialist is planning a nursing care for a pregnant patient who is admitted with a
diagnosis of abruption placenta. The nurse should include a careful observation for signs and symptoms
of:

A) Hypovolemic shock
B) Jaundice
C) Hypertension
D) Seizure

3. An eighteen-year-old patient is scheduled for a thyroidectomy. She is concerned that the surgery will
interfere with her ability to become pregnant. The nurse bases the response on the knowledge that:

A) As long as medication is taken as ordered, ovulation will occur
B) Pregnancy affects metabolism and will require the thyroid hormone
C) Hyperthyroidism can cause abortions and fetal anomalies
D) Pregnancy is not advisable for a patient with a thyroidectomy

4. David's mom demonstrates understanding of his proper care of bathing when she states which of the
following as taught by nurse Ellen prior to her discharging them?

A) Give him a sponge bath until the umbilical cord falls off
B) Both A and C
C) Give him a tub bath
D) Use mild baby soap except on face

5. Mr. Collins is placed on digitalis on discharge from the hospital. The nurse planning with him for his
discharge should educate him as to the purpose and actions of his new medication. What should the
nurse teach the patient to do at home to monitor his reaction to this medication?

A) Take his radial pulse for one full minute
B) Weigh himself daily
C) Check his serum potassium (K) level
D) Obtain his blood pressure

Solutions: