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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A 30-year-old patient refuses to adhere to the twice-a-day ordered sessions in physical therapy. The
nurse might approach this problem by:

A) Having the patient observe the progress of a more cooperative patient with the same problem
B) Planning a conference with the patient, the physical therapist, and the nurse present to discuss the
patient's feelings
C) Assuring the patient that pain medication will be administered before the scheduled physical therapy
D) Being the patient's advocate and asking the physician whether therapy can be decreased to once daily

2. A 55-year-old patient states "I have been experiencing complications of diabetes." The nurse directs the
patient to provide more information. What is the most appropriate comment or question at this time?

A) "What specific complications have you experienced?"
B) "Most complications of diabetes are related to neuropathy."
C) "Most physicians recommend diet and exercise to regulate blood sugar."
D) "Do you take two injections of insulin to decrease the complications?"

3. Christine, a six-year-old patient, had a supratentorial craniotomy for removal of a large left tumor. After the
surgery, the nurse should place the patient:

A) With the neck flexed
B) On the left side
C) With the head in a midline position
D) Supine on the left side

4. A clinical nurse specialist provides a lecture to a group of nursing students about central venous
catheterization and pressure. After the lecture, the entire group learned that central venous pressure can
directly assess which of the following:

A) Right ventricle and fluid volume status
B) Right ventricle only
C) Left ventricle only
D) Left ventricle and myocardial contractility

5. A nine-year-old boy has been transferred back to the unit after cardiac surgery. The doctor advised the
nurse to monitor his hydration status. Which of the following would a nurse need to include in the plan of
care to evaluate that the fluid needs are being met?

A) Insert a foley catheter
B) Notify the physician if the cardiac rate is >60 bpm
C) Prepare to assist with an arterial line to monitor BP
D) Calculate the daily maintenance fluid replacement and ensure proper delivery

Solutions: