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Medical Tests CCNS Exam Syllabus Topics:

SectionObjectives
Systems-Based Practice and Collaboration- Interprofessional collaboration
- Healthcare systems management
- Quality improvement and patient safety
Professional Caring and Ethical Practice- Ethical decision making in advanced practice nursing
- Patient advocacy and cultural competence
Management of Critically Ill or High-Acuity Patients- Pathophysiology across body systems
- Monitoring and complication prevention
- Acute and critical care interventions
Clinical Judgment and Decision Making- Advanced assessment and diagnostic reasoning
- Evidence-based clinical decision making

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Which nursing diagnosis would a nurse use to best address a suicidal patient's feelings of despair?

A) Anxiety
B) Spiritual distress
C) Ineffective coping
D) Dysfunctional grieving


2. Which of the following reasons, given by a mother who permits her baby girl to sleep in the same bed as
the parents, requires further investigation by the nurse?

A) "I am too tired to get up at night to check on the baby in the other room."
B) I can be certain that my husband is not being inappropriate."
C) "I slept with my parents when I was a child."
D) "This promotes bonding between us and our child."


3. A nurse is aware that the physiologic compensatory mechanism that is activated to counteract the effects
of acid-base imbalance in a child with severe dehydration is:

A) Profuse diaphoresis
B) Renal retention of hydrogen ions
C) Increased respirations
D) Extremely high body temperature


4. A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome.
Which assessment signs, if noted in the newborn infant, would alert the nurse to notify the physician to the
possibility of this syndrome?

A) Acrocyanosis and grunting
B) Presence of a barrel chest with acrocyanosis
C) Hypotension and bradycardia
D) Tachypnea and retractions


5. A five-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The patient is fearful of
hospitalization. The nurse's most appropriate action to alleviate the patient's fears is to:

A) Place the patient in a private room and allow him to bring his favorite toys
B) Encourage the parents to stay with the child
C) Advise the parents to visit only during the scheduled time
D) Encourage play with other children of the same age


Solutions:

Question # 1
Answer: A
Question # 2
Answer: B
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: B

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