Medical Tests Certified Clinical Nurse Specialist - CCNS Exam Questions

QUESTION NO: 1
A five-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The patient is fearful of
hospitalization. The nurse's most appropriate action to alleviate the patient's fears is to:

QUESTION NO: 2
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?

QUESTION NO: 3
Robert, a 17-year-old father, consulted a nurse and said "I don't know if I'm using the condoms properly".
The nurse should respond correctly that condoms should be:

QUESTION NO: 4
A patient is receiving Total Parenteral Nutrition secondary to acute pancreatitis. The nurse is about to
administer insulin when the patient states, "Why am I getting insulin? I'm not diabetic." To facilitate
learning and understanding, the nurse should respond correctly by stating:

QUESTION NO: 5
When is a child in Erik Erikson's trust versus mistrust stage?

QUESTION NO: 6
A 2 year old boy was scheduled for an emergency surgery. It as noted that the mother is 16 year old and
the father is 17 year old. The child's father and paternal grandfather, who care for the baby, are at the
bedside. Informed consent should be signed by:

QUESTION NO: 7
Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the
nurse on duty in the nursery when will baby Richard's permanent eye color be established?

QUESTION NO: 8
During a nursing staff meeting, the nurses determine that they will make sure all vital signs are reported
and charted within 15 minutes following assessment. This is an example of:

QUESTION NO: 9
A newborn was admitted to the neonatal intensive care unit. His diagnosis is febrile seizures. In preparing
for his admission, which of the following is the most important nursing action?

QUESTION NO: 10
Which of the following would a nurse include in the discharge teaching plan for an adult patient diagnosed
with pneumonia?

QUESTION NO: 11
A 50-year-old deteriorating patient who suffered from third degree burns has a laboratory values of BUN
3 7 mg/dL; serum potassium of 6.3 mEq/L; pH of 7.1; PO2 of 90 mmHg; and hemoglobin of 7.4g/dL. This
finding is indicative of:

QUESTION NO: 12
The nurse is reviewing the discharge instructions for a patient who had a skin biopsy. Which statement by
the patient indicates a need for further instructions?

QUESTION NO: 13
A college professor was diagnosed with hepatitis A.
She expresses concern over the change in her skin
color that is associated with her disease. The nurse informed the patient that change in her skin color is
associated with:

QUESTION NO: 14
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: