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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A pregnant patient diagnosed with HIV-associated pneumocystis jiroveci pneumoniais is to receive
pentamidine isethionate IV once daily. To ensure patient safety, the nurse should:

A) Administer the drug over a period of twenty to thirty minutes
B) Monitor the blood pressure for hypertension during and after therapy
C) Assess blood glucose levels daily during therapy and several times after therapy
D) Mix the drug with sterile saline without a preservative

2. Nurse Angela is assigned to the following patients. Which patient should Angela attend to first?

A) A patient who used crutches five minutes ago with pulse rate of 102 bpm and deep respirations
B) A patient with full leg cast who used crutches with blood pressure of 150/95 mmHg and shallow
respirations
C) A patient who has had an above-the-knee amputation with darkened skin areas surrounding the end of
the residual limb
D) A patient with distal femoral shaft fracture with petechiae on his chest and anterior axillary folds

3. A nurse is calling the doctor to obtain an order for medication to help maintain the tissue perfusion for a
patient with acute respiratory distress syndrome who is continuing to be Hypotensive. Which medication
would she anticipate being ordered?

A) Sodium nitroprusside
B) Nitroglycerin
C) Dopamine
D) Phenylephrine

4. A nurse is preparing to care for a dying pediatric patient and several immediate family members are at the
bedside. The nurse should not use which of the following techniques when communicating with the
family?

A) Being honest and truthful and letting the patient and family know that you will not abandon them
B) Explaining everything that is happening to all family members
C) Extending touch and holding the patient's or family member's hand if necessary
D) Encouraging expression of feelings, concerns, and fears

5. The nurse manager notes that the unit atmosphere has become negative and some of the nurses are not
accepting staff. It would be best for the nurse manager to:

A) Select the most prominent offender for private discussion
B) Request the staff nurses to be more open and accepting
C) Ignore the observation until the rest of the team decide to change
D) Share the observation with the entire team

Solutions: