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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. For a patient with a massive stroke, when is the best time to begin exercises and physical therapy?

A) As soon as possible.
B) After the patient is able to tolerate a mechanical soft diet.
C) When the systolic blood pressure falls below 200.
D) Three to four days after the stroke.

2. A sixteen-year-old patient who speaks a little English has emergency gallbladder surgery. During
discharge preparation, which nursing action would best help this patient understand wound care
instruction?

A) Asking frequently if the patient understands the instruction
B) Demonstrating the procedure and having the patient return the demonstration
C) Writing out the instructions and having a family member read them to the patient
D) Asking an interpreter to relay the instructions to the patient

3. A pediatric patient has been admitted to the hospital with multiple injuries including a fractured left
humerus, left femur, and ribs. Because of the patient's fractured ribs, the nurse should assess for signs of:

A) Hematemesis
B) Pneumonitis
C) Respiratory acidosis
D) Pulmonary edema

4. A newly hired nurse asks her nurse supervisor what to do when an apnea monitor sounds an alarm ten
seconds after cessation of respirations. The nurse supervisor should respond that she should first:

A) Resuscitate with face mask and Ambu bag
B) Assess skin color and respirations
C) Check the device for signs of malfunction
D) Use tactile stimuli on chest or extremities

5. Antonio is a patient who is on his first day following a right pneumonectomy. After the morning rounds, he
suddenly sits straight up in bed. He has labored breathing; he is making a crowing sound; and his skin is
pale, moist, and cool to touch. The nurse should immediately:

A) Auscultate the left lung
B) Assess the operative site for bleeding
C) Check the patency of the chest tube
D) Call the physician

Solutions: