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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Before discharge, the nurse plans to teach a patient diagnosed with Duchenne's muscular dystrophy. The
discharge teaching should include:

A) Observing a high-calorie diet
B) Avoid using larger muscles
C) Range-of-motion exercises
D) Instituting seizure precautions

2. Julie, a clinical nurse specialist, observes that her co-worker has behavior that suggests chemical
impairment. Julie should first:

A) Ignore the behavior
B) Refer the co-worker to an alcoholics' assistance group
C) Discuss the nurse's behavior with her co-workers
D) Report the observed behavior to the unit manager

3. A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents,
the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:

A) Subaverage intellectual functioning with the absence of deficits in adaptive behavior
B) Average intellectual functioning and the absence of deficits in adaptive behavior
C) Above average intellectual functioning with deficits in adaptive behavior
D) Moderate to severe retardation, congenital nature, and linkage to an extra chromosome 21, group G

4. 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) Increases pulmonary capillary pressure
C) Increase the patient's carbon dioxide
D) Improves areas available for gas exchange

5. A twenty-year-old patient who is at thirty-eight weeks gestation is being prepared for an emergency
cesarean birth due to an abruption placenta and severe fetal compromise. The patient received
nalbuphine 10 mg IV thirty minutes ago. Because the patient is too sedated to sign the consent form, the
nurse would:

A) Have the attending physician and the surgeon sign the consent form
B) Sign the consent form and have the nurse manager countersign the form
C) Call the patient's parents or husband and request a verbal consent
D) Proceed with the preparation and forgo written consent

Solutions: