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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. Cara, a clinical nurse specialist, is assigned to a one-year-old patient who is admitted to the unit. The
child is receiving gastric feedings and Cara suspects that the patient might have a necrotizing
enterocolitis. Which of the following would support this conclusion?

A) Circumoral pallor develops during the feeding process
B) A noticeable increase in bowel movement was noted
C) Several severe bouts of projectile vomiting were noted
D) A large amount of residual formula withdrawn before lavage

2. A nurse is caring for a male adult patient who is dying and jokes about the situation even though he is
becoming weaker and sicker. The nurse's most appropriate statement should be:

A) "Does it help to joke about your situation?"
B) "She who laughs on the outside cries on the inside."
C) "Your laughter is a cover for your fears."
D) "Why are you always laughing?"

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. A physician collaborated with the nurse to provide palliative care to a thirteen-year-old patient. A palliative
approach would involve planning measures to:

A) Support the patient's significant others
B) Relieve the patient's discomfort
C) Promote the patient's recovery
D) Restore patient health

5. The mother of a newborn with extrophy of the bladder tells the nurse that the doctor said her baby may
develop an unusual gait when learning to walk. The nurse explains that these children may develop a
waddling gait because of:

A) Separation of the pubic bones
B) Subluxation of femur
C) Genu varum
D) Tibial torsion

Solutions: