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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse teaches a patient with type 2 diabetes how to provide self-care to prevent infections of the feet.
The nurse recognizes that the teaching was effective when the patient says that he should:

A) Apply heat intermittently at his feet and legs
B) Eat meals high in protein and carbohydrate kilocalories
C) Massage his feet and legs with lotion
D) Control his blood glucose level through diet, medication, and exercise

2. A sixteen-year-old patient who speaks a little English has emergency gallbladder surgery. During
discharge preparation, which nursing action would best help this patient understand wound care
instruction?

A) Asking an interpreter to relay the instructions to the patient
B) Writing out the instructions and having a family member read them to the patient
C) Asking frequently if the patient understands the instruction
D) Demonstrating the procedure and having the patient return the demonstration

3. The mother of a newborn infant calls a clinic and reports to a nurse that when cleansing the umbilical cord,
the mother noticed that the cord was moist and that discharge was present. The most appropriate nursing
instruction to the mother is which of the following?

A) That this is normal occurrence
B) To bring the infant to the clinic
C) To monitor the cord for another 24 to 48 hours and to call the clinic if the discharge continues
D) To increase the number of times that the cord is cleansed per day

4. A ten-year-old patient with a history of seizure disorder was admitted to the pediatric unit due to frequent
seizure activity. The mother said that the child has been compliant with the medication (Phenytoin)
therapy. Subsequently, a sample for the serum phenytoin level is drawn. The nurse determines that the
medication has been most effective if the value is:

A) 30 mcg/mL
B) 5 mcg/mL
C) 12 mcg/mL
D) 22 mcg/mL

5. A nurse is planning care for a newborn of a diabetic mother. A priority nursing diagnosis for this infant
would be:

A) Risk for injury related to low blood glucose levels
B) Risk for delayed development related to excessive size
C) Risk for aspiration related to impaired suck and swallow
D) Hyperthermia related to excess fat and glycogen

Solutions: