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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. The clinical nurse specialist is caring for a ten-day-old preterm infant at the NICU. During the assessment,
the nurse determines that the patient is experiencing hypothermia. The nurse would:

A) Rapidly warm the patient during the next hour until the temperature is stabilized
B) Assess the patient for signs and symptoms of hyperglycemia and begin temperature stabilization
C) Gradually warm the patient during the next several hours and monitor frequently
D) Record the infant's skin temperature every hour until the temperature is stable

2. Which nursing diagnosis would a nurse use to best address a suicidal patient's feelings of despair?

A) Ineffective coping
B) Dysfunctional grieving
C) Spiritual distress
D) Anxiety

3. A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red
with a small amount of bloody drainage. Which of the following nursing actions would be most
appropriate?

A) Reinforce the dressing
B) Document findings
C) Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
D) Contact the physician

4. A nurse who usually works in the NICU is floated to the emergency department. Which of these patients
should the charge nurse assign to this nurse?

A) A pediatric patient who has been on pain medication for terminal cancer with an initial assessment
finding of pinpoint pupils and a relaxed respiratory rate of 10
B) An adolescent patient who reports having taken a large crack hit ten minutes prior to walking into the
emergency room
C) An adolescent patient who stated that she took many diet pills and her heart feels like it is racing out of
her chest
D) A young adult who stated that he hears songs from heaven, his arms are jerking, and he needs money

5. Which of the following would a nurse include in the discharge teaching plan for an adult patient diagnosed
with pneumonia?

A) Demonstration of postural drainage techniques
B) Demonstration of pursed lip breathing
C) Instructions about increasing fluid intake
D) Discussion of proper oxygen therapy

Solutions: