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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A 5-week-old infant tightly grasps a little toy placed in his hands. The mother was impressed with this
ability. The nurse on duty should explain that this is:

A) a behavior that is usually observed in an older infant.
B) a palmar grasp reflex that is expected at this age group.
C) a pincer grasp reflex which will disappear in about 3-4 months of life.
D) an unusual behavior that needs further evaluation.

2. A nurse has provided discharge instructions to the parents of an infant who has had a ventriculoperitoneal
shunt procedure performed for the treatment of hydrocephalus. Which statement, if made by the parents,
indicates an accurate understanding of the presence of a shunt complication?

A) My infant will pass urine more often now that the shunt is in place
B) I should position my infant on the side with the shunt when sleeping
C) If my infant has a high-pitched cry, I should call the physician
D) I should call my physician if my infant refuses baby food

3. A 16-year-old female patient is admitted following a burn injury. She sustained deep-partial thickness
burns on her neck, anterior chest, and entire right arm. When assessing for heat inhalation, the nurse
should first observe for:

A) Nasal discharge containing carbon particles
B) Abnormalities in chest X-rays
C) Sputum tinged with blood
D) Abnormalities in ABG level that are consistent with acidosis

4. Which of the following findings, if identified in a patient who is being treated for hypovolemic shock, should
indicate to the nurse that the treatment is having the desired effect?

A) Urine output of 30 mL/hr
B) Temperature of 98.4oF
C) CVP of 40 mmHg
D) Pulse oximeter reading of 99%

5. A fifteen-year-old patient is scheduled for a skin biopsy. She is concerned and asks the nurse how painful
the procedure is. The nurse's most appropriate action is to explain that there will be:

A) Some pain, but the physician will prescribe an opiod analgesic following the procedure
B) A preoperative medication that will cause the patient to sleep and not feel any pain
C) A local anesthetic and may cause a burning or stinging sensation
D) No pain associated with the procedure

Solutions: