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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A ten-year-old patient is admitted with a diagnosis of diabetic ketoacidosis. He is receiving intravenous
fluids and insulin. The patient has complaints of tingling and numbness of the fingers and toes and
shortness of breath. The nurse looks at the cardiac monitor and notes a U wave. The clinical nurse
specialist should recognize that these indicate:

A) Hypernatremia
B) Hypercalcemia
C) Hypokalemia
D) Hypoglycemia

2. A clinical nurse specialist is monitoring the blood glucose level of a neonate who was born to a diabetic mother.
The nurse determined that the blood glucose level is 50 mg/dL. What would be the action of the nurse?

A) Assess the cord serum glucose level
B) Monitor the neonate continuously for the next twenty-four hours
C) Alert the physician and request an order of glucose 50%
D) Feed the baby orally with 10% dextrose in water

3. A ten-year old patient with a leg length discrepancy is being discharged with an Ilizarov external fixator
(IEF). Which of the following instructions should the nurse include in the discharge teaching?

A) The importance of not touching the pins and keeping the pins free of any moisture
B) The necessity of returning to the physician for all distractions to be done
C) Daily observations of the color and movement in both lower extremities
D) Methods to manage bed rest at home until the IEF is removed

4. The nurse discusses nutrition with a pregnant woman who is iron deficient and follows a vegetarian diet.
The selection of which foods indicates that the woman has learned sources of iron?

A) Cereal and dried fruits
B) Leafy green vegetables and oranges
C) Whole grains and yellow vegetables
D) Fish and dairy products

5. A nurse is caring for a newborn patient in the neonatal intensive care unit. She notified the physician
because she was able to assess a:

A) Breathing pattern that is diaphragmatic with sternal retractions
B) Cardiac rate that drops to 112 beats per minute
C) Body temperature of 97.7oF
D) Pale pink, rust colored stain in the diaper

Solutions: