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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Tamica is a female adult patient who is admitted due to esophageal varices, with chief complaint of
hematemesis. The physician ordered 3 "u" of blood to be transfused after proper typing and
crossmatching. The nurse administers the first unit of blood and after 30 minutes, the patient complains of
severe flank pain. What would be the initial nursing action?

A) Obtain vital signs
B) Monitor hourly urinary output
C) Stop the transfusion
D) Assess the pain further

2. When planning discharge teaching for an adolescent patient who had an ileostomy, the nurse should
place primary emphasis on:

A) Encouraging the patient to return to school or work as soon as possible
B) Teaching the patient the importance of irrigations to regulate bowel movements
C) Informing the patient about the ileostomy association
D) Telling the patient whom to contact if assistance is needed

3. Antonio is a patient who is on his first day following a right pneumonectomy. After the morning rounds, he
suddenly sits straight up in bed. He has labored breathing; he is making a crowing sound; and his skin is
pale, moist, and cool to touch. The nurse should immediately:

A) Call the physician
B) Assess the operative site for bleeding
C) Check the patency of the chest tube
D) Auscultate the left lung

4. Which cranial nerve is tested to assess the gag reflex?

A) Trochlear nerve
B) Trigeminal Nerve
C) Vagus Nerve
D) Glossopharyngeal Nerve

5. A patient is admitted to the NICU due to a recurrent medical problem. During admission, the nurse
identifies expected outcomes. The nurse understands that expected outcomes are:

A) Long-term objectives
B) Clinical pathways
C) Variance of care
D) Measurable realistic goals

Solutions: