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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is coming back from the break and enters the elevator. Looking down, he sees that there is a
patient history and physical on the elevator floor. The most appropriate action would be to:

A) Pick it up and shred it immediately when he returns to the unit.
B) Leave it on the floor, the person looking for it will retrace their steps and be very anxious if they cannot
find it.
C) Remove all identifiable patient information and throw it away in a shredder container.
D) Call the manager of the medical records department and report what he has found.

2. A mother arrives in an emergency room with her infant and the mother states that the child fell off a bunk
bed. A head injury is suspected and a nurse is assessing the child continuously for signs of increased
intracranial pressure (ICP). Which of the following is a late sign of increased ICP in this child?

A) Bradycardia
B) Bulging fontanel
C) Dilated scalp veins
D) Nausea

3. A nurse performs cardiopulmonary resuscitation on an 11-month-old boy. When performing chest
compressions, the nurse knows that the correct hand placement is located over the:

A) Upper half of the baby's sternum
B) Lower half of the baby's sternum
C) Lower third of the baby's sternum
D) One fingerbreadth below the horizontal line drawn between the baby's nipples

4. A clinical nurse specialist is caring for a patient admitted to the hospital due to a heart problem. The
physician ordered atropine sulfate. Which of the following is true about this drug?

A) Should not be given via endotracheal tube
B) Should be given trough slow IV push
C) Maximum total dosage is 0.03-0.04 mg/kg IV in the setting of cardiac arrest
D) It is always given for a heart rate less than 60 bpm

5. A 30-year-old woman has known for the past 3 years that she has multiple sclerosis. She has an active
3 -year-old child. The patient is currently in remission. At present time, it would be most important for a
nurse to educate the patient to:

A) Provide support to other people with same disorder
B) Have an appointment with a psychotherapy group for people with multiple sclerosis
C) Develop a flexible schedule for completion of routine daily activities
D) Schedule periodic quality time with her child

Solutions: