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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A fifteen-month-old toddler has had large frothy foul-smelling stools since the introduction of table food in
the diet and has become irritable and apathetic. The child is diagnosed with celiac disease and is placed
on a gluten-free diet. When evaluating the child's response to the diet after two days, the nurse
anticipates the change will be:

A) A return of appetite
B) An improved personality
C) A cessation of diarrhea
D) An increase in weight

2. A patient with an aldosterone-secreting adenoma is scheduled for surgery to remove the tumor. The
patient wonders what will happen if the surgery is canceled. The newly hired nurse doesn't know how to
answer the patient, which made her consult her immediate supervisor. When the nurse comes back to the
patient, she correctly responds:

A) Radiation therapy or surgery can be just as effective if the tumor is small
B) The tumor must be removed to prevent heart and kidney damage
C) Surgery will prevent the tumor from metastazing to other organs
D) Chemotherapy is as reliable as surgery to treat adenomas of this type

3. A nurse is taking care of a patient with a gastrointestinal bleed who is receiving intravenous fluids, packed
red blood cell transfusion and proton pump inhibitor medication. The nurse would assess for all the
following complications of a gastrointestinal bleed except for:

A) Myocardial infarction
B) Hemorrhagic shock
C) Perforation
D) Small bowel obstruction

4. A nurse, while doing an assessment, shines a light into a patient's left eye and notes a papillary
constriction in the right eye. The nurse should properly document this response as:

A) Accommodation
B) Pupillary convergence
C) A direct reaction
D) A consensual reaction

5. The neonatal nurse is called to baby Jack's incubator by his mother because baby Jack is acting 'funny'.
The neonatal nurse finds baby Jack to be jittery and having a high pitched cry. What is the most crucial
immediate action the neonatal nurse needs to take?

A) Give him a pacifier to suck on.
B) Cuddle and soothe him.
C) Check blood glucose.
D) Change his diaper.

Solutions: