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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A college professor was diagnosed with hepatitis A.
She expresses concern over the change in her skin
color that is associated with her disease. The nurse informed the patient that change in her skin color is
associated with:

A) Destruction of RBC's during the acute phase of the disease
B) Inability of the liver to excrete normal amounts of bilirubin from the blood stream
C) Stimulation of the liver to produce excessive amounts of bile pigment
D) Low prothrombin levels that leads to intradermal bleeding

2. An ER nurse seeks the help of her friend who is a NICU nurse in prioritizing patients as she just started
her job yesterday. While on the phone, she stated that in the past ten minutes, the following patients have
arrived. Which should she attend to first?

A) A two-month-old infant with a history of rolling off the bed who has bulging fontanels
B) An elderly patient with chief complaints of frequent liquid brown colored stools
C) A middle aged patient with intermittent pain behind the right scapula
D) A teenager who got singed eyebrows while camping

3. When is a child in Erik Erikson's trust versus mistrust stage?

A) Birth to 1 year
B) 3 to 4 years
C) 2 to 3 years
D) 1 to 2 years

4. Mr. M is two days post operation of a total right hip replacement surgery. He has been out of bed once
since surgery. He suddenly becomes short of breath and states that he has mild chest pressure that gets
worse as he tries to take deeper breaths. His respiratory rate is 30/ minute and his heart rate is 122. What
is the most likely reason for his symptoms?

A) Myocardial infarction
B) Cerebrovascular accident
C) Exacerbation of asthma
D) Pulmonary embolism

5. A one-month-old patient presents with nasal flaring, intercostal and substernal retractions, and a
respiratory rate of 50. What is the most appropriate nursing diagnosis?

A) High risk for altered body temperature; hyperthermia
B) Knowledge deficit
C) Ineffective individual coping
D) Ineffective breathing pattern

Solutions: