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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A fifteen-year-old patient refuses to proceed to a twice-a-day sessions for a physical therapy. The nurse
might best approach this situation by:

A) Planning a conference with the therapist to discuss the patient's feelings
B) Have the patient observe the progress of a more cooperative patient with the same case
C) Assuring the patient that analgesic will be given before the therapy
D) Request from the physician whether the therapy can be decreased to once daily

2. Which purpose best describes managed care as a framework for healthcare?

A) Designed to control the cost of care while maintaining the quality of care
B) Coordinates care to maximize positive outcomes and contain costs
C) Based on a philosophy of ensuring death in comfort and dignity
D) The delivery of services from initial contact through ongoing care

3. A 60-year-old woman who has had a number of strokes refuses further life-sustaining intervention,
including artificial nutrition and hydration. She is competent, understands the consequences of her
actions, is not depressed, and persists in refusing treatment. Her doctor is adamant that she cannot be
allowed to proceed this way and her daughter agrees. An ethics consult has been placed. Who is the
appropriate decision maker?

A) Doctor
B) Ethics
C) Daughter
D) Patient

4. A nurse gives an inaccurate dose of vancomycin to a pediatric patient. Following a thorough assessment
of the patient, the nurse completes an incident report. The nurse also notified her supervisor and called
the physician to report the occurrence. As a result of medication error, the nurse understands that:

A) The incident will be documented in the personnel file
B) The medication error will result in suspension
C) The incident will be reported to the board of nursing
D) Incident report needs to be completed and is a method of promoting quality care and risk management

5. One of the qualities of an expert nurse is her ability to collaborate with the interdisciplinary team as well as
patients and their families. All of the following are qualities of an "expert" in collaboration except for:

A) Facilitates team meetings
B) Involved in patient outcomes
C) Is open to assistance
D) Serves as a role model and teacher

Solutions: