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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Rudy is a 55-year-old patient who was diagnosed with Hepatitis A.
After three weeks, the patient developed hepatic cirrhosis and ascites with an elevated serum ammonia level. What would be the
priority nursing intervention, considering that the patient has high ammonia levels?

A) Obtaining a daily weight
B) Measurement of urine specific gravity
C) Observe for signs of increasing confusion
D) Oral fluid intake restrictions

2. Naomi, a 40-year-old cook, returns to the recovery unit after a cholecystectomy. During the assessment,
the nurse notices that Naomi's blood pressure is gradually dropping and her apical pulse is increasing.
What will be the initial nursing action at this time?

A) Prepare and transfuse a unit of fresh whole blood
B) Fast drip 200 cc of present IV fluid and position the patient in Trendelenburg position
C) Position the patient in Sim's position
D) Immediately notify the physician and report the vital signs obtained

3. Julia, a 27-year-old patient, is admitted to the unit following a pneumonectomy. The nurse's primary
concern for this patient is to maintain:

A) Supplemental oxygenation
B) An intact chest tube drainage
C) Blood replacement
D) Ventilatory exchange

4. A student nurse asks a nurse about conditions that are caused by heat loss. The nurse answers correctly
by saying all of the following except:

A) Increased intracranial pressure
B) Metabolic acidosis
C) Cerebral palsy
D) Hypoglycemia

5. The most accurate method of documenting the physical growth of a three-year-old patient is:

A) Plot the patient on the Denver II Developmental Screening Test
B) Record the birth weight and current weight
C) Use growth charts over time
D) Calculate the body surface area on a nomogram

Solutions: