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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A sixteen-year-old patient with ascending paralysis was intubated and is receiving mechanical ventilation.
The nurse should include what plan of care to help the patient cope with his illness?

A) Provide intravenous sedatives and reduce distractions
B) Provide information, encourage relaxation, and give positive feedback
C) Provide positive feedback and encourage active range-of-motion
D) Give full control to the patient over care decisions

2. Measles vaccine should be given among infant between:

A) 6 and 9 months
B) 12 and 15 months
C) 9 and 11 months
D) 1 and 3 months

3. A nurse is caring for a seventeen-year-old patient who had a subtotal thyroidectomy. When discussing
drug therapy, the nurse should tell the patient and the parents:

A) That PTU may be ordered to stimulate the secretion of the TSH
B) To take the iodine daily to increase the formation of the thyroid hormone
C) To report palpitations, tremors, or loss of weight, which may indicate overdosage
D) That the need for medication will be temporary until the body adjusts to post surgical activities

4. After speaking with the parents of a child dying from acute lymphocytic leukemia, the physician gives a
verbal order of DNR, but refuses to put it in writing. The nurse should:

A) Refuse to follow the order unless the nurse manager approves it
B) Ask the physician to put it in writing using a pencil before leaving
C) Follow the instructions as given by the physician
D) Determine whether the family is in accord with the physician while following hospital policy

5. A patient with pulmonary edema is receiving mechanical ventilation with positive end-expiratory pressure
(PEEP). The patient's relative asks the nurse about the rationale for using a PEEP. The nurse should
indicate that the major purpose is that it:

A) Permits the patient to obtain rest
B) Improves areas available for gas exchange
C) Increase the patient's carbon dioxide
D) Increases pulmonary capillary pressure

Solutions: