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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse specialist delegates a ten-year-old patient to the nursing assistant. The nursing assistant is
administering an enema to the patient. The nurse specialist should intervene if the nursing assistant:

A) Positions the patient on the right side with head slightly elevated
B) Advances the catheter four inches into the anal canal
C) Hangs the enema bag twelve - eighteen inches above the anus
D) Lubricates four - five inches of the catheter tip

2. A ten-year-old patient with a history of seizure disorder was admitted to the pediatric unit due to frequent
seizure activity. The mother said that the child has been compliant with the medication (Phenytoin)
therapy. Subsequently, a sample for the serum phenytoin level is drawn. The nurse determines that the
medication has been most effective if the value is:

A) 12 mcg/mL
B) 22 mcg/mL
C) 30 mcg/mL
D) 5 mcg/mL

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. Benita, a 65-year-old banker, was admitted in the unit due to Gastro Esophageal Reflux Disease (GERD).
The clinical nurse specialist should educate the patient to avoid which type of diet to avoid acid reflux?

A) High fat, carbonated and caffeinated beverages
B) Soda, coffee, and tea
C) Red meat
D) Beer and green tea

5. When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be
compromised:

A) Respiratory status
B) Sucking ability
C) GI function
D) Locomotion

Solutions: