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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A four-year-old patient who has celiac disease is being assessed in the pediatric unit. Which of the
following nursing diagnosis would a nurse give priority in the patient's long-term care plan?

A) risk for ineffective family coping
B) Impaired skin integrity
C) Activity intolerance
D) Self-concept disturbance

2. An adult patient was admitted at the hospital due to a severe respiratory problem. His current respiratory
status requires endotracheal intubation and positive pressure ventilation. The best immediate nursing
intervention at this point is to:

A) Have the parents sign the consent for an immediate surgery
B) Assess the patient's response to mechanical ventilation
C) Facilitate the patient's verbal communication
D) Maintain the sterility of the ventilation system

3. A pregnant patient diagnosed with HIV-associated pneumocystis jiroveci pneumoniais is to receive
pentamidine isethionate IV once daily. To ensure patient safety, the nurse should:

A) Monitor the blood pressure for hypertension during and after therapy
B) Mix the drug with sterile saline without a preservative
C) Administer the drug over a period of twenty to thirty minutes
D) Assess blood glucose levels daily during therapy and several times after therapy

4. A nurse provides discharge instructions to a fourteen-year-old patient with hepatitis B.
Which of the following statements, if made by the patient, would indicate the need for further teaching?

A) "I can't share needles."
B) "I can never donate blood."
C) "I should avoid drugs and alcohol."
D) "I can never have unprotected sex."

5. A patient was prescribed with a 2-gram sodium diet. One morning she complains about the bland food
and refuses to eat breakfast. The nurse should initially:

A) Explain to the patient that the diet will eventually have to be accepted
B) Provide the patient with several packets of lemon juice and a packet of salt
C) Ask the patient what foods are usually consumed at home
D) Urge the patient to eat to become accustomed to the diet that must be eaten at home

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