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

2. A newborn Baby Alex is 1 week old and his mother brings him to the emergency room because she says
he is not sleeping enough. How many hours of sleep per day does he need to sleep?

A) 18
B) 12
C) 14
D) 16

3. A nurse is caring for a patient who has an amputation of a limb. The patient begins to experience extreme
discomfort in the area where the limb once was. He is near crying and diaphoretic. The nurse wants to
properly document the situation, but is not sure of what nursing diagnosis to use. She seeks help from her
unit manager and was able to come up with the most appropriate nursing diagnosis, which is:

A) Disturbed sensory perception related to bed rest
B) Chronic pain related to phantom limb phenomenon
C) Hopelessness related to altered lifestyle
D) Ineffective coping related to surgery

4. Cristy is a 22-year-old patient who is admitted at the hospital. She is in hypovolemic shock and has a
hematocrit level of 22%. The nurse alerted the physician and anticipates an order of which the following?

A) Lactated Ringer's solution
B) Serum albumin
C) Blood replacement
D) High molecular dextran

5. A nurse, while doing an assessment, shines a light into a patient's left eye and notes a papillary
constriction in the right eye. The nurse should properly document this response as:

A) Accommodation
B) A consensual reaction
C) Pupillary convergence
D) A direct reaction

Solutions: