Medical Tests Certified Clinical Nurse Specialist 認定 CCNS 試験問題:

1. A person sustains burns of the arms from a barbecue accident in the park. A bystander emerges from the
crowd and suggests to a nurse who has come to the person's assistance that butter should be applied to
the burns. An appropriate response by the nurse would be "Thank you, but..."

A) ...I'll just use a tablecloth. It will act as a blanket."
B) ...it is better to use some first aid cream."
C) ...we'll just wait for the ambulance."
D) ...we should apply ice to the burns. Please get me some."

2. A 55-year-old patient states "I have been experiencing complications of diabetes." The nurse directs the
patient to provide more information. What is the most appropriate comment or question at this time?

A) "Most complications of diabetes are related to neuropathy."
B) "Most physicians recommend diet and exercise to regulate blood sugar."
C) "What specific complications have you experienced?"
D) "Do you take two injections of insulin to decrease the complications?"

3. Digoxin (lanoxin) is ordered for a patient with a diagnosis of heart failure. The nurse is doing a care plan
including observation of digoxin toxicity; therefore, the nurse should monitor the patient for:

A) Hypokalemia
B) Blurring of vision
C) Decreased urination
D) Constipation

4. A nurse is teaching a mother of a ventilator-dependent patient, who will be discharged in few days, about
preventing complications. Which of the following measures should be included in the plan?

A) Institute infection control methods
B) Place the patient in trendelenburg position during suctioning
C) Increase playful interactions with other children
D) Encourage increased cold fluids by mouth

5. A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome.
Which assessment signs, if noted in the newborn infant, would alert the nurse to the possibility of this
syndrome?

A) Hypotension and bradycardia
B) Tachypnea and retractions
C) Acrocyanosis and grunting
D) Presence of a barrel chest with acrocyanosis

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