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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Mr. David, a patient with CHF, has been receiving a cardiac glycoside, a diuretic, and a vasodilator drug.
His apical pulse rate is 45 bpm and he is on bed rest. The clinical nurse specialist concludes that his pulse
rate is most likely the result of which of the following:

A) Cardiac glycoside
B) Diuretic
C) Vasodilator
D) Bed-rest

2. A nurse provides discharge instructions to a fourteen-year-old patient with hepatitis B.
Which of the following statements, if made by the patient, would indicate the need for further teaching?

A) "I can never donate blood."
B) "I should avoid drugs and alcohol."
C) "I can't share needles."
D) "I can never have unprotected sex."

3. A nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On admission assessment,
which data would the nurse expect to obtain when asking the mother about the child's symptoms?

A) Vomiting large amounts of bile
B) Increased urine output
C) Projectile vomiting
D) Diarrhea

4. A patient is admitted for resection of abdominal aortic aneurysm. While waiting for the surgery, the patient
suddenly develops symptoms of shock. The nurse should:

A) Administer the prescribed sedative
B) Give the patient nothing by mouth
C) Prepare for blood transfusion
D) Notify the physician

5. A nurse was instructed to measure and document the amount of drainage from a patient's chest tube. The
nurse should:

A) Connect a new closed chest drainage system, measure the fluid in the drainage collection chamber of
the old system, and discard the old system
B) Mark the time and fluid level on the outside of the drainage collection chamber of the closed chest
drainage system
C) Aspirate fluid from the drainage collection chamber of the closed chest drainage system with a needle
and syringe and measure the drainage
D) Clamp the tube, empty the fluid from the drainage collection chamber of the closed chest drainage
system into a measuring cup, and reconnect the system

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