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Medical Tests CCNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Planning and Implementation43%- Patient Care Management
  • 1. Health promotion and disease prevention
  • 2. Pharmacologic interventions
  • 3. Non-pharmacologic interventions
  • 4. Care coordination
- Leadership and Education
  • 1. Patient and family education
  • 2. Interdisciplinary collaboration
  • 3. Quality improvement initiatives
  • 4. Evidence-based practice
Topic 2: Evaluation30%- Outcome Evaluation
  • 1. Care plan modification
  • 2. Research and data analysis
  • 3. Quality and process improvement
  • 4. Patient response evaluation
- Systems and Professional Practice
  • 1. Healthcare leadership
  • 2. Organizational performance improvement
  • 3. Professional standards
  • 4. Regulatory compliance
Topic 3: Assessment and Diagnosis27%- Diagnosis
  • 1. Differential diagnosis
  • 2. Pathophysiology across the lifespan
  • 3. Risk factor identification
  • 4. Clinical decision making
- Clinical Assessment
  • 1. Diagnostic testing interpretation
  • 2. Comprehensive patient assessment
  • 3. Focused assessment techniques
  • 4. Health history collection

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

Question 1

The nurse has called the doctor about a patient suspected to be experiencing a hypertensive crisis. What
medications would the nurse anticipate the doctor ordering?

A. Intravenous Furosemide
B. Intravenous Metroprolol
C. Intravenous Nitroprusside
D. Sublingual Nitroglycerin


Question 2

Andrea, a clinical nurse specialist, is caring for a patient who sustained serious facial and neck burns. To
which nursing diagnosis would Andrea give first priority in caring for this patient?

A. Fluid volume deficit
B. Ineffective thermoregulation
C. Body image disturbance
D. Ineffective airway clearance


Question 3

A 40-year-old patient sustained full-thickness burns to both upper extremities from scalding water. A
sheet graft was surgically applied to the wounds. The husband asks the nurse about the primary purpose
of the graft. The nurse responds correctly by stating that it's primarily because of:

A. Easier to care for initially
B. Better cosmetic result
C. Better donor site availability
D. Better adherence to the wound bed


Question 4

After receiving endorsement, which of the following patients should the nurse see first?

A. A seven-day-old infant who is crying, with anterior fontanel bulging
B. A one-day old infant, lying quietly, who is alert, with a heart rate of 135 bpm
C. A two-hour-old infant, whose temperature is 36.7 oC, with irregular abdominal breathing; respiratory
rate of 50 breaths pm
D. An eight-hour-old infant held by the mother, with respiration of 45 breaths pm


Question 5

A nurse teaches a patient with exopthalmos how to reduce discomfort and prevent corneal ulceration. The
nurse recognizes that the teaching is understood when the patient says "I should..."

A. ...not move my extraocular muscles."
B. ...avoid using a sleeping mask at night."
C. ...elevate the head of my bed at night."
D. ...eliminate excessive blinking."


Solutions:

Question 1
Answer: C
Question 2
Answer: D
Question 3
Answer: B
Question 4
Answer: A
Question 5
Answer: B

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