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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse is caring for an infant after corrective surgery for Tetralogy of Fallot. The mother reports that the
child has suddenly begun seizing. The nurse recognizes this problem is probably due to:

A) Metabolic alkalosis
B) Postoperative meningitis
C) Medication reaction
D) A cerebral vascular accident

2. A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome.
Which assessment signs, if noted in the newborn infant, would alert the nurse to the possibility of this
syndrome?

A) Acrocyanosis and grunting
B) Tachypnea and retractions
C) Presence of a barrel chest with acrocyanosis
D) Hypotension and bradycardia

3. A nurse is aware that a child with AIDS is more prone to infection than an adult with AIDS because:

A) child with AIDS is exposed to more pathogen than an adult with AIDS.
B) the immune system of a child is incapable of producing antibodies.
C) the AIDS virus attacks child's immune systems through a different mechanisms
D) a child has fewer circulating antibodies resulting from a lack of previous exposure to pathogens.

4. A patient developed a rubella infection during the fifth month of pregnancy. At the time of the infant's birth,
the nurse would place the newborn in the isolation nursery and observe:

A) Body fluid precautions
B) Enteric precautions
C) Droplet precautions
D) Standard precautions

5. A nurse is caring for an adult patient who she thinks is at high risk for developing a pressure ulcer. As a
clinical nurse specialist, one of her responsibilities is to implement clinical changes and research-based
practices developed by others. Which of the following steps should the clinical nurse specialist avoid?

A) Identify populations that are developing pressure ulcers in her setting
B) Work with administrative and medical leadership; determine which practices to incorporate into site
policy and procedure for pressure ulcer prevention and care
C) Look for a systematic research review about the issue. Limit the keywords to be able to come up to
information about pressure ulcer prevention and management
D) Look first for evidence-based clinical practice guidelines produced by respected organizations

Solutions: