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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse initiates preparation of a six-year-old boy for an infratentorial craniotomy. The nurse plans to:

A) Provide a thorough explanation of anatomy and the procedure to be performed
B) Schedule role playing with another patient having the same surgery
C) Encourage a dummy play with simulated surgical equipment
D) Have the patient draw his concept of a brain and briefly clarify any misconceptions

2. Christine, a six-year-old patient, had a supratentorial craniotomy for removal of a large left tumor. After the
surgery, the nurse should place the patient:

A) With the head in a midline position
B) Supine on the left side
C) On the left side
D) With the neck flexed

3. A nurse is caring for a pediatric patient who had a basilar skull fracture. The nurse assessed that there is
a clear fluid leaking from the ears of the child. The nurse concludes that it is cerebrospinal fluid if the fluid:

A) Clumps together on the dressing and has a pH level of 7
B) Separates into concentric rings and tests positive for glucose
C) Is grossly bloody in appearance and has a pH level of 6.1
D) Is clear and tests negative for glucose

4. A three-month-old infant was admitted to the pediatric unit for confirmation of the diagnosis of ventricular
septal defect. During the initial assessment, the nurse would expect to find:

A) A murmur at the left sternal border
B) Bounding peripheral pulse
C) An activity related to cyanosis
D) Bradycardia at rest

5. A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents,
the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:

A) Subaverage intellectual functioning with the absence of deficits in adaptive behavior
B) Average intellectual functioning and the absence of deficits in adaptive behavior
C) Moderate to severe retardation, congenital nature, and linkage to an extra chromosome 21, group G
D) Above average intellectual functioning with deficits in adaptive behavior

Solutions: