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Medical Tests CCNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Systems-Based Practice and Collaboration | - Healthcare systems management - Interprofessional collaboration - Quality improvement and patient safety |
| Management of Critically Ill or High-Acuity Patients | - Acute and critical care interventions - Pathophysiology across body systems - Monitoring and complication prevention |
| Professional Caring and Ethical Practice | - Ethical decision making in advanced practice nursing - Patient advocacy and cultural competence |
| Clinical Judgment and Decision Making | - Advanced assessment and diagnostic reasoning - Evidence-based clinical decision making |
Medical Tests Certified Clinical Nurse Specialist Sample Questions:
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 the possibility of this
syndrome?
- A. Presence of a barrel chest with acrocyanosis
- B. Acrocyanosis and grunting
- C. Tachypnea and retractions
- D. Hypotension and bradycardia
Correct Answer: C 🗳️
Explanation: Only visible for Lead2PassExam members. You can sign-up / login (it's free).
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. Aspirate fluid from the drainage collection chamber of the closed chest drainage system with a needle
and syringe and measure the drainage - C. Mark the time and fluid level on the outside of the drainage collection chamber of the closed chest
drainage system - 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
Correct Answer: C 🗳️
Explanation: Only visible for Lead2PassExam members. You can sign-up / login (it's free).
A nine-year-old boy has been transferred back to the unit after cardiac surgery. The doctor advised the
nurse to monitor his hydration status. Which of the following would a nurse need to include in the plan of
care to evaluate that the fluid needs are being met?
- A. Notify the physician if the cardiac rate is >60 bpm
- B. Prepare to assist with an arterial line to monitor BP
- C. Insert a foley catheter
- D. Calculate the daily maintenance fluid replacement and ensure proper delivery
Correct Answer: D 🗳️
Explanation: Only visible for Lead2PassExam members. You can sign-up / login (it's free).
An infant is admitted to the unit with a diagnosis of suspected meningococcal meningitis. One of the newly
hired staff nurses ask you which of the following nursing measures should she do first. You should
suggest:
- A. Place in respiratory isolation
- B. Assess vital signs
- C. Assess neurologic status
- D. Institute seizure precautions
Correct Answer: A 🗳️
Explanation: Only visible for Lead2PassExam members. You can sign-up / login (it's free).
A nurse teaches a student nurse about caring for a newborn who is given oxygen via a hood. The student
nurse asks the nurse about the plan of care for the patient. Considering that the patient is receiving
oxygen therapy, the nurse should respond that the plan of care should include:
- A. Informing the parents that oxygen levels will be kept low and therefore, blindness is not a risk
- B. Assessing that the patient's skin remains bright pink
- C. Ensuring that the oxygen is continuously warmed and humidified
- D. Monitoring oxygen levels in the hood every four hours
Correct Answer: C 🗳️
Explanation: Only visible for Lead2PassExam members. You can sign-up / login (it's free).
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