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Medical Tests CCNS Exam Syllabus Topics:

Section

Weight

Objectives

Topic 1: Assessment and Diagnosis

27%

- Clinical Assessment

1. Diagnostic testing interpretation
2. Health history collection
3. Comprehensive patient assessment
4. Focused assessment techniques

- Diagnosis

1. Pathophysiology across the lifespan
2. Differential diagnosis
3. Risk factor identification
4. Clinical decision making

Topic 2: Planning and Implementation

43%

- Leadership and Education

1. Patient and family education
2. Quality improvement initiatives
3. Evidence-based practice
4. Interdisciplinary collaboration

- Patient Care Management

1. Non-pharmacologic interventions
2. Care coordination
3. Pharmacologic interventions
4. Health promotion and disease prevention

Topic 3: Evaluation

30%

- Systems and Professional Practice

1. Organizational performance improvement
2. Healthcare leadership
3. Professional standards
4. Regulatory compliance

- Outcome Evaluation

1. Quality and process improvement
2. Research and data analysis
3. Patient response evaluation
4. Care plan modification

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. An adult male patient who is receiving peritoneal dialysis asks the nurse why a solution is being warmed
to body temperature before it is instilled in peritoneal cavity. The nurse should state that it is to:

A) Add extra warmth to the body because metabolic processes are disturbed
B) Encourage removal of serum urea by preventing constriction of peritoneal blood vessels
C) Help prevent cardiac dysryhthmias by speeding up removal of excess potassium
D) Force Potassium back into the cells, thereby decreasing serum levels

2. Mr. M is two days post operation of a total right hip replacement surgery. He has been out of bed once
since surgery. He suddenly becomes short of breath and states that he has mild chest pressure that gets
worse as he tries to take deeper breaths. His respiratory rate is 30/ minute and his heart rate is 122. What
is the most likely reason for his symptoms?

A) Pulmonary embolism
B) Exacerbation of asthma
C) Cerebrovascular accident
D) Myocardial infarction

3. The clinical nurse specialist is caring for a preterm infant in the NICU. When assessing the patient, it is
most important for the nurse to know the infant's gestational age and how it compares with the birth
weight because:

A) The patient will lose 12% of weight during the next few hours of life
B) This information must be documented on the admission record.
C) The health insurance companies require evaluation and classification records
D) This data will help to identify potential problems

4. A nurse is preparing a nursing care plan for a six-year-old patient who is in the acute phase of sickle cell
vaso-occlusive crisis. Which of the following interventions should be included in the plan?

A) Encourage patient to increase caloric intake
B) Fluid restriction of 1L per day
C) Administration of analgesia as prescribed
D) Ambulation for at least six hours a day

5. Benita, a 65-year-old banker, was admitted to the unit due to pyrosis, dyspepsia, and difficulty swallowing.
Based on the symptoms presented, the clinical nurse specialist might suspect:

A) Gastric Ulcer
B) Hiatal hernia
C) GERD
D) Esophagitis

Solutions:

Question # 1
Answer: B

Question # 2
Answer: A

Question # 3
Answer: D

Question # 4
Answer: C

Question # 5
Answer: C

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