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Medical Tests CCNS Exam Syllabus Topics:

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Sixteen hours after birth, the nurse noticed that the neonate is jittery, hyperactive, sneezes frequently,
produces a high-pitched cry, and is having difficulty sucking. Evaluation reveals that the neonate has
increased deep tendon reflexes and a decreased Moro reflex. The nurse should suspect a case of:

A) Syphilis in the neonate
B) Cerebral palsy
C) Opiod withdrawal
D) Fetal alcohol syndrome

2. Tamica, a 55-year-old chain smoker, was admitted with a diagnosis of ruled out chronic obstructive
pulmonary disease and cor pulmonale. During the first day of hospitalization, she asked the nurse about
her nutrition. The nurse should encourage the patient to:

A) Eat small meals six times per day to limit oxygen demand
B) Drink large amounts of fluid to liquefy secretions
C) Lie down after each meal to conserve energy
D) Increase protein in the diet to decrease intravascular hydrostatic pressure

3. A fifteen-year-old patient refuses to proceed to a twice-a-day sessions for a physical therapy. The nurse
might best approach this situation by:

A) Assuring the patient that analgesic will be given before the therapy
B) Have the patient observe the progress of a more cooperative patient with the same case
C) Planning a conference with the therapist to discuss the patient's feelings
D) Request from the physician whether the therapy can be decreased to once daily

4. A ten-year-old patient is diagnosed with gastroesophageal reflux disease (GERD). The nurse's instruction
to the patient regarding diet should be to:

A) Decrease intake of fatty foods
B) Avoid all raw fruits and vegetables
C) Focus on 3 average size meals a day
D) Increase intake of milk products

5. Nicole has just given birth to baby Alex and you are the neonatal nurse teaching proper breast feeding
technique. Which positions should Nicole NOT use to breast feed baby Alex?

A) Front-lying
B) Cradle
C) Football
D) Side-lying

Solutions: