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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. When working the family of the patient in critical care, a nurse should use this kind of Therapeutic
Communication:

A) Enforce visiting hours to maintain a routine of care for the patient.
B) Advise the family to remain quiet while visiting and avoid stimulating the patient.
C) Refer them to the primary care doctor for all of their questions.
D) Consider the family a part of the team and listen to their input.

2. After 3 months of self-management for symptoms of gastritis is unsuccessful, a patient goes to the
physician and an extensive carcinoma of the stomach is diagnosed. The patient asks the nurse how the
disease got so advanced. The nurse's explanation should be based on the knowledge that carcinoma of
the stomach is:

A) Rarely diagnosed early because the symptoms are usually nonspecific until late in the disease
B) Usually diagnosed following the discovery of enlarged lymph nodes in the epigastric area
C) Difficult to accurately diagnose until late in the disease process
D) Painful in early stages and often misdiagnosed as myocardial infarction

3. The nurse on the pediatric unit does not administer sufficient, ordered, opiod medication to relieve the
intractable pain of a patient because the nurse fears the patient will become addicted. In this scenario, the
nurse is adhering to the ethical principle of:

A) Autonomy
B) Veracity
C) Beneficence
D) Paternalism

4. The nurse is assessing the newly placed chest tube in a patient and notices the constant bubbling in the
water seal chamber. An appropriate action to take would be:

A) Assess the chest drainage unit and tubing for an air leak.
B) Do nothing and continue with the assessment; this is a normal finding.
C) Place the patient in a semi Fowler's position.
D) Clamp the chest tube and call the doctor immediately.

5. A nurse confers with the nutritionist about the diet of a child with decreased mobility due to a fracture. In
addition to being non-constipating, the diet should be:

A) Moderate in calories and high in protein
B) High in calories and in phosphorus
C) Low in calories and high in protein
D) Adequate in calories and calcium

Solutions: