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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. After caring for a severely ill patient for several weeks, the nurse becomes increasingly aware of a need to
get away from this assignment. The nurse's best primary action is to:

A) Stay with the patient while trying to work through feelings
B) Withdraw emotional involvement with the patient
C) Request a vacation leave for a few days
D) Seek support from colleagues on the unit

2. The nurse provides discharge instructions to a client with a graft site on the right leg. Which statement, if
made by the client, would indicate the need for further instruction?

A) "Fabric softeners and harsh detergents should be avoided."
B) "Weight bearing is allowed to reduce edema and maintain the leg's strength."
C) "I should avoid wearing shorts when going outside during the day."
D) "I will elevate and immobilize the graft site."

3. When a mother of a pediatric patient who is admitted to the intensive care unit with multiple injuries sees
her child for the first time, she cries out that she didn't mean to hurt her baby. The nurse should:

A) Offer support by saying "this must be difficult for you"
B) Advise the relative to visit and comfort the mother
C) Respond by saying "you must feel guilty after you hurt your baby"
D) Call the child abuse hotline and report a possible case of abuse

4. An 18-year-old client is 10 weeks pregnant and comes to the prenatal clinic for a check-up. The client has
a history of anorexia. Because of her age and condition, the client is at nutritional risk. Which of the
following questions asked by the nurse is most appropriate to assess the client's nutritional status?

A) "Tell me more about your plans for your baby."
B) "Do you have someone in your home to cook for you?"
C) "Are there some recent changes in your eating patterns?"
D) "How do you feel about this pregnancy?"

5. An order on a 3 kilogram critically ill neonate's chart reads as follows: give digoxin (Lanoxin) 0.50 mg NG
daily. Which of the following nursing actions is appropriate in relation to the prescribed order?

A) Give the drug after checking the apical pulse and potassium level
B) Carry out the order as written
C) Question the physician about the order
D) Hold the drug until a serum digoxin level is obtained

Solutions: