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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Hypoinsulinism is a long term complication of pancreatoduodenectomy. An adult patient is already aware
of it since the physician discussed it with him during the doctor's morning rounds. To validate the
understanding of the teaching, the nurse asks the patient when to seek medical supervision and treatment.
The patient must state that he should call if he experiences:

A) Abnormal increase in thirst
B) Anorexia
C) Increase in weight
D) Oliguria

2. A nine-year-old child was admitted to the hospital with a tentative diagnosis of leukemia. In order to
confirm the diagnosis, a bone marrow aspiration is scheduled. Aside from giving an age-appropriate
explanation of the procedure, the nurse should:

A) Administer the prescribed sedative before the procedure
B) Let the child hold some equipment that is not sterile
C) Position the child in semi-fowler's position, supported by pillows
D) Tell the child that there will be no pain, only pressure will be felt

3. A student nurse is caring for a child diagnosed with croup and the nurse asks the student about the
clinical manifestations associated with the illness. Which statement by the student indicates a need for
further assessment?

A) The cough is harsh and brassy
B) Inspiratory stridor and a low-grade fever may be present
C) Symptoms usually worsen at night and are better during the day
D) Symptoms usually worsen during the day and are relieved during sleep

4. Linda, a home care nurse, calls you, as she has four phone calls to answer. She asks you which patient's
phone call she should respond to first. You would suggest:

A) A patient who was discharged two days ago with a urinary catheter after a transurethral prostactemomy
and is reporting pink-tinged urine
B) The wife of a patient with chronic heart disease who reports her husband is coughing frothy, white
secretions and became confused during the night
C) A patient with schizophrenia who says that the police have surrounded the house
D) A patient who received chemotherapy yesterday and is reporting nausea and vomiting

5. When a patient who is receiving methotrexate for acute lymphocytic leukemia (ALL) develops a
temperature of 101.1oF, the physician is notified. Aspirin every four hours PRN is ordered. The nurse
should:

A) Administer the ordered medication
B) Question the type of antipyretic ordered
C) Ask the physician for an antacid order
D) Withhold the aspirin until the temperature reaches 102oF

Solutions:

Question # 1 Answer: A

Question # 2 Answer: A

Question # 3 Answer: D

Question # 4 Answer: B

Question # 5 Answer: B