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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A patient with pulmonary edema is receiving mechanical ventilation with positive end-expiratory pressure
(PEEP). The patient's relative asks the nurse about the rationale for using a PEEP. The nurse should
indicate that the major purpose is that it:

A) Improves areas available for gas exchange
B) Increases pulmonary capillary pressure
C) Increase the patient's carbon dioxide
D) Permits the patient to obtain rest

2. What is the best prevention nurses working in the neonatal can use at the beginning of the shift?

A) Hand washing for 30 seconds.
B) Hand washing for 2 minutes.
C) Hand washing for 3 minutes.
D) Hand washing for 15 seconds.

3. Benita, a 65-year-old banker, was admitted in the unit due to Gastro Esophageal Reflux Disease (GERD).
The clinical nurse specialist should educate the patient to avoid which type of diet to avoid acid reflux?

A) Beer and green tea
B) Red meat
C) Soda, coffee, and tea
D) High fat, carbonated and caffeinated beverages

4. Mariane recently had an abdomino-perineal resection and colostomy. She accuses the nurse of being
negligent during the change of dressing because she says the surgical wound looks terrible. The nurse
recognizes that Mariane is using which defense mechanism?

A) Intellectualization
B) Projection
C) Reaction formation
D) Sublimation

5. A nurse accompanies a physician to the patient's room. Upon assessment, the patient has an extremely
painful, reddened, and enlarged abscess on the right elbow. The physician proceeds to incise the
abscess area without anesthetic and the patient cries out loudly in pain. The most appropriate immediate
nursing action is to:

A) Request that the physician halt the procedure until an anesthetic can be administered
B) Assist in restraining the patient during the procedure
C) Provide pain medication after the procedure
D) Attempt to distract the patient during the procedure

Solutions: