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Medical Tests CCNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Clinical Judgment and Decision Making | - Evidence-based clinical decision making - Advanced assessment and diagnostic reasoning |
| Topic 2: Professional Caring and Ethical Practice | - Ethical decision making in advanced practice nursing - Patient advocacy and cultural competence |
| Topic 3: Systems-Based Practice and Collaboration | - Interprofessional collaboration - Healthcare systems management - Quality improvement and patient safety |
| Topic 4: Management of Critically Ill or High-Acuity Patients | - Monitoring and complication prevention - Acute and critical care interventions - Pathophysiology across body systems |
Medical Tests Certified Clinical Nurse Specialist Sample Questions:
1. A nurse has observed that a co-worker came to work drunk at least four times in the past month. Which of
the following would the nurse do to ensure patient safety and obtain necessary assistance for the
co-worker?
A) Warn the co-worker that this practice is unsafe
B) Ignore the co-worker's behavior and frequently assess the patient's assigned to the co-worker
C) Make general statements in the next staff meeting about safety issues
D) Report the co-worker's behavior to the appropriate supervisor
2. Nurse Angela is assigned to the following patients. Which patient should Angela attend to first?
A) A patient who has had an above-the-knee amputation with darkened skin areas surrounding the end of
the residual limb
B) A patient with distal femoral shaft fracture with petechiae on his chest and anterior axillary folds
C) A patient who used crutches five minutes ago with pulse rate of 102 bpm and deep respirations
D) A patient with full leg cast who used crutches with blood pressure of 150/95 mmHg and shallow
respirations
3. A clinical nurse specialist coaches a group of student nurses on a twenty-year-old patient who is about to
receive three doses of potassium chloride 8 mEq in 100cc normal saline to infuse over thirty minutes each.
She stresses that one of the following assessments should be given priority before administering the
medication:
A) Bowel sounds
B) Oral fluid intake
C) Urine output
D) Grip strength
4. Mr. M is two days post operation of a total right hip replacement surgery. He has been out of bed once
since surgery. He suddenly becomes short of breath and states that he has mild chest pressure that gets
worse as he tries to take deeper breaths. His respiratory rate is 30/ minute and his heart rate is 122. What
is the most likely reason for his symptoms?
A) Myocardial infarction
B) Cerebrovascular accident
C) Exacerbation of asthma
D) Pulmonary embolism
5. A nurse attends a 4 hour seminar as part of her continuing professional education. One of the topics
includes low-risk therapies that can be useful to selected patients during confinement or discharge. She
notes that low risk therapies include:
A) Herbs, touch, and acupuncture
B) Massage, touch, and prayer
C) Prayer, touch, and herbs
D) Acupuncture, relaxation, and massage
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: B |



