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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. After 3 months of self-management for symptoms of gastritis is unsuccessful, a patient goes to the
physician and an extensive carcinoma of the stomach is diagnosed. The patient asks the nurse how the
disease got so advanced. The nurse's explanation should be based on the knowledge that carcinoma of
the stomach is:

A) Usually diagnosed following the discovery of enlarged lymph nodes in the epigastric area
B) Rarely diagnosed early because the symptoms are usually nonspecific until late in the disease
C) Difficult to accurately diagnose until late in the disease process
D) Painful in early stages and often misdiagnosed as myocardial infarction

2. Four patients who got injured in an automobile accident enter the emergency department at the same
time and are immediately seen by a triage nurse. Which one would you prioritize first?

A) A patient with dislocated leg
B) A patient with lumbar spinal cord injury and lower extremity paralysis
C) A patient in a deep coma with no response to pain and dilated pupils
D) A patient with gurgling respirations with severe maxillofacial injury

3. A patient with pulmonary edema is receiving mechanical ventilation with positive end-expiratory pressure
(PEEP). The patient's relative asks the nurse about the rationale for using a PEEP. The nurse should
indicate that the major purpose is that it:

A) Increase the patient's carbon dioxide
B) Permits the patient to obtain rest
C) Improves areas available for gas exchange
D) Increases pulmonary capillary pressure

4. A thirty-week gestation infant who had apnea of prematurity is ready for discharge and will be going home
on apnea monitoring. What should the nurse teach the parents for proper use of the monitor?

A) The monitor should be kept on at all times except when the infant is being bathed. Careful attention to
skin integrity and hygiene is important
B) It is best for the parents to have twenty-four hour home health supervision to watch the infant while
monitoring is required
C) The monitor is only used when the child is awake. It is not indicated at night or during naps
D) The alarms on the monitor should be turned off when an attendant is with the infant

5. A nurse is caring for a child who has terminal cancer. The nurse is aware that the parents are in desperate
need of support from the medical staff. The nurse should not include which care plan before the death of a
child?

A) Show caring by touching the child and encourage parents to do it as well
B) Provide referrals to support groups if available
C) Assist them to make final arrangement like contacting a funeral home
D) Avoid judgmental reactions to what family members say or do

Solutions: