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Medical Tests CCNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Professional Caring and Ethical Practice | - Ethical decision making in advanced practice nursing - Patient advocacy and cultural competence |
| Clinical Judgment and Decision Making | - Advanced assessment and diagnostic reasoning - Evidence-based clinical decision making |
| Management of Critically Ill or High-Acuity Patients | - Acute and critical care interventions - Monitoring and complication prevention - Pathophysiology across body systems |
| Systems-Based Practice and Collaboration | - Quality improvement and patient safety - Healthcare systems management - Interprofessional collaboration |
Medical Tests Certified Clinical Nurse Specialist Sample Questions:
A pregnant patient diagnosed with HIV-associated pneumocystis jiroveci pneumoniais is to receive
pentamidine isethionate IV once daily. To ensure patient safety, the nurse should:
- A. Mix the drug with sterile saline without a preservative
- B. Assess blood glucose levels daily during therapy and several times after therapy
- C. Monitor the blood pressure for hypertension during and after therapy
- D. Administer the drug over a period of twenty to thirty minutes
Correct Answer: B 🗳️
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A physician ordered a corticosteroid inhaler four puffs twice a day for a patient with asthma. Which of the
following actions by the patient would indicate to the nurse that the patient needs further teaching?
- A. Rinsing her mouth with water after inhaling
- B. Pausing for one to two minutes between puffs
- C. Inhaling the medication slowly
- D. Taking four puffs in rapid succession
Correct Answer: D 🗳️
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While orienting a newly hired nurse to the unit, the charge nurse stresses the importance of accurate
documentation. The primary reason for a nurse to document care accurately is to:
- A. Prevent any legal action against the healthcare facility and its staff
- B. Facilitate insurance reimbursement
- C. Be in compliance with individual and regulatory agencies
- D. Demonstrate responsibility and accountability
Correct Answer: D 🗳️
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A patient with an aldosterone-secreting adenoma is scheduled for surgery to remove the tumor. The
patient wonders what will happen if the surgery is canceled. The newly hired nurse doesn't know how to
answer the patient, which made her consult her immediate supervisor. When the nurse comes back to the
patient, she correctly responds:
- A. Surgery will prevent the tumor from metastazing to other organs
- B. Radiation therapy or surgery can be just as effective if the tumor is small
- C. Chemotherapy is as reliable as surgery to treat adenomas of this type
- D. The tumor must be removed to prevent heart and kidney damage
Correct Answer: D 🗳️
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A clinical nurse specialist is caring for a hypertensive adult male patient who is admitted at the hospital.
The physician ordered verapamil to decrease blood pressure. After several days of taking the medications,
it is noted that the patient is experiencing toxicity. What medication should a nurse expect as an antidote?
- A. Calcium
- B. Warfarin
- C. Atropine
- D. Acetaminophen
Correct Answer: A 🗳️
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