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Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. The physician writes "DNAR" on the chart of a four-year-old patient. The nurse should understand that
DNAR stands for:

A) Dopamine and Nitroglycerine recombination
B) Do not attempt resuscitation
C) Diagnostic neurological radiation
D) Dependent Nitrogen re-uptake

2. On the morning of Mr. Coleman's planned cholecystectomy, he awakens with a pain in his right scapular
area and thinks he slept in poor position. While doing the preoperative check list, the nurse notes that on
his routine hematology report, his WBC is 15,000. The nurse's responsibility at this point is to:

A) Call the laboratory for a STAT repeat WBC
B) Notify the surgeon at once; this is an elevated WBC, indicating an inflammatory reaction
C) Nothing. This is not an unusual finding.
D) Record this finding in a prominent place on the preoperative checklist and in preoperative nurse's notes

3. 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:

A) Advise the parents to visit only during the scheduled time
B) Encourage the parents to stay with the child
C) Encourage play with other children of the same age
D) Place the patient in a private room and allow him to bring his favorite toys

4. 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:

A) a behavior that is usually observed in an older infant.
B) a palmar grasp reflex that is expected at this age group.
C) a pincer grasp reflex which will disappear in about 3-4 months of life.
D) an unusual behavior that needs further evaluation.

5. An adult patient was admitted to the emergency department after sustaining a spinal cord injury above the
T6 level. Which adaptation is important for a clinical nurse specialist to monitor when concerned about
spinal shock?

A) High blood pressure
B) Tachycardia
C) Hypoventilation
D) Distended bladder

Solutions: