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Medical Tests CCNS Practice Q&A's

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Medical Tests CCNS Exam Syllabus Topics:

SectionWeightObjectives
Planning and Implementation43%- Leadership and Education
  • 1. Quality improvement initiatives
  • 2. Interdisciplinary collaboration
  • 3. Evidence-based practice
  • 4. Patient and family education
- Patient Care Management
  • 1. Care coordination
  • 2. Health promotion and disease prevention
  • 3. Non-pharmacologic interventions
  • 4. Pharmacologic interventions
Evaluation30%- Outcome Evaluation
  • 1. Patient response evaluation
  • 2. Care plan modification
  • 3. Research and data analysis
  • 4. Quality and process improvement
- Systems and Professional Practice
  • 1. Professional standards
  • 2. Organizational performance improvement
  • 3. Healthcare leadership
  • 4. Regulatory compliance
Assessment and Diagnosis27%- Diagnosis
  • 1. Pathophysiology across the lifespan
  • 2. Differential diagnosis
  • 3. Risk factor identification
  • 4. Clinical decision making
- Clinical Assessment
  • 1. Comprehensive patient assessment
  • 2. Focused assessment techniques
  • 3. Diagnostic testing interpretation
  • 4. Health history collection

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. The mother of a newly diagnosed neonate with Type I diabetes mellitus asks the purpose of a test
measuring glycosylated hemoglobin. The nurse should explain that the purpose of this test is to
determine:

A) The oxygen carrying capacity of the patient's red cells
B) The average blood glucose for the past two to three months
C) The presence of anemia often associated with diabetes
D) The patient's risk for cardiac complications


2. A nurse is caring for a seventeen-year-old patient who had a subtotal thyroidectomy. When discussing
drug therapy, the nurse should tell the patient and the parents:

A) To report palpitations, tremors, or loss of weight, which may indicate overdosage
B) That the need for medication will be temporary until the body adjusts to post surgical activities
C) To take the iodine daily to increase the formation of the thyroid hormone
D) That PTU may be ordered to stimulate the secretion of the TSH


3. Which of the following interventions would be included in the plan of care for a child with juvenile
rheumatoid arthritis to reduce joint pain in the morning just after arising?

A) Increasing pain medication at bedtime
B) Having the child sleep in a sleeping bag
C) Awakening the child once nightly to exercise the joints
D) Having the child sleep with the joints flexed


4. When managing an abused child, the nurse should be aware that this child is most likely to do which of
the following:

A) Seek assistance from teachers.
B) Develop overly strong peer attachments.
C) Develop aggressive behavior toward other children.
D) Compensate by doing well in school.


5. A nurse is teaching a prenatal class about infant safety. After the class, several of the students are heard
discussing what they learned. The nurse knows that the teaching has been effective when one of the
future parents states:

A) "My cousin has already made the cutest pillowcases for the baby's pillows."
B) "I was given a baby tub at my shower that has a special safety strap that lets me leave the baby alone
in it."
C) "I have just bought a new baby seat that can be strapped into the front seat of the car."
D) "My mother can't believe that babies are supposed to sleep on their backs, not their stomachs."


Solutions:

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

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