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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. During the assessment of a patient's heart sounds, the nurse hears a grating sound at the left of the
sternal border. It is slightly muffled sounding. What might be the cause of this abnormal heart sound?

A) Pericardial inflammation
B) Mitral valve abnormalities
C) Ventricular septal defect
D) Aortic stenosis

2. Becky, a patient who is hypertensive, has been noncompliant in taking her antihypertensive medications.
The nurse should explain that one relatively common complication of uncontrolled hypertension is:

A) Thrombophlebitis
B) Aortic herniation
C) Destruction of valves in the venous system
D) Hemorrhaging of blood vessels in the brain

3. A 15-year-old boy comes to a clinic with complaint of thick urethral discharge. For gonorrhea to be ruled
out the nurse should:

A) obtain urethral specimen
B) obtain blood sample for VDRL
C) collect urine sample
D) obtain sexual history

4. A parent makes all of the following statements about her fourteen-month-old sons behavior. Which of the
following behavior should a nurse discourage?

A) "My son takes a bottle of juice to bed with him and sucks on it if he wakes during the night."
B) "My son loves to feed himself slices of peeled apple."
C) "My son takes his favorite blanket with him whenever he leaves the house."
D) "My son gets up on his knees and rocks himself to sleep."

5. Jane, a clinical nurse specialist, just finished an eight hour shift from "X" medical center. On her way home,
she witnessed a child hit by a motorcycle while crossing a train railway. The child fell at the railway. Jane
rushed to the scene and she knew that the first thing that she should do is:

A) Stay with the child, encourage him to remain still, and immobilize the leg while waiting for the
ambulance
B) Leave the child for a few moments to call for help
C) Reduce the fracture manually
D) Move the child to a safer place

Solutions: