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Medical Tests Certified Clinical Nurse Specialist Sample Questions:
1. A nurse is observed as routinely responding to patients in an autocratic, controlling manner and with little
consideration for their dignity and rights. After attempts to directly acknowledge the situation with the
nurse in question, the nurse's colleagues plan to meet with the supervisor to express their concern about
this unprofessional conduct. The plan to go to the nurse supervisor is:
A) Appropriate, because the nurse is probably looking for limits to be set on this conduct
B) Appropriate, because peer review is a professional activity needed to maintain quality care
C) Inappropriate, because each nurse is responsible only for his or her own practice
D) Inappropriate, because it is up to the supervisor to evaluate the nurse
2. A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida
(myelomeningocele). A priority nursing assessment for this newborn is:
A) Palpation of the abdomen
B) Pulse rate
C) Specific gravity of the urine
D) Head circumference measurement
3. A nurse is part of a multi-disciplinary team discussing a newborn patient's plan of care. The nurse
recognizes that her role on the team is to:
A) Serve as the group facilitator
B) Assure that her recommendations are adopted in the plan of care
C) Identify team members who don't understand the nursing role
D) Work with other team members to achieve a mutually agreed upon outcome
4. A nurse is assigned in caring for newborn patients admitted at the neonatal intensive care unit. The nurse
should immediately refer a patient who has:
A) Body temperature of 97.8oF
B) Cardiac rate that drops to 110 beats per minute
C) Immature kidneys with evidence of rust-colored stain in the diaper
D) Respiratory rate of 25 beats per minute with sternal retractions
5. 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) Cerebral palsy
B) Syphilis in the neonate
C) Fetal alcohol syndrome
D) Opiod withdrawal
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: D |
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