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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse has provided discharge instructions to the parents of an infant who has had a ventriculoperitoneal
shunt procedure performed for the treatment of hydrocephalus. Which statement, if made by the parents,
indicates an accurate understanding of the presence of a shunt complication?

A) If my infant has a high-pitched cry, I should call the physician
B) My infant will pass urine more often now that the shunt is in place
C) I should position my infant on the side with the shunt when sleeping
D) I should call my physician if my infant refuses baby food

2. A ten-year old patient with a leg length discrepancy is being discharged with an Ilizarov external fixator
(IEF). Which of the following instructions should the nurse include in the discharge teaching?

A) Methods to manage bed rest at home until the IEF is removed
B) The necessity of returning to the physician for all distractions to be done
C) Daily observations of the color and movement in both lower extremities
D) The importance of not touching the pins and keeping the pins free of any moisture

3. A clinical nurse specialist is caring for a nine-year-old patient with meningitis. What transmission-based
precautions must be implemented for this patient?

A) Private room or cohort patient
B) Mask worn by hospital staff when patient leaves the room
C) Personal respiratory protection device
D) Private room with negative pressure

4. The nurse is planning to give a 3 year-old child oral antibiotics. Which of the following is the best approach
by the nurse?

A) "This will make you feel better once you take it."
B) "Do you want to take this pretty medicine?"
C) "Would you like to take your medicine from a spoon or a cup?"
D) "This is your medicine, and you must take it all now."

5. After 3 months of self-management for symptoms of gastritis is unsuccessful, a patient goes to the
physician and an extensive carcinoma of the stomach is diagnosed. The patient asks the nurse how the
disease got so advanced. The nurse's explanation should be based on the knowledge that carcinoma of
the stomach is:

A) Rarely diagnosed early because the symptoms are usually nonspecific until late in the disease
B) Painful in early stages and often misdiagnosed as myocardial infarction
C) Usually diagnosed following the discovery of enlarged lymph nodes in the epigastric area
D) Difficult to accurately diagnose until late in the disease process

Solutions: