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Medical Tests CCNS Exam Syllabus Topics:

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

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. You previously worked as a triage nurse at the emergency department and are currently working in the
neonatal intensive care unit. The staff nurse at the ER called you and requested to triage the following
patients. Which patient should be assessed last?

A) A teenager who got a singed beard while in a barbeque party
B) A patient with difficulty breathing and is drooling
C) An adolescent patient who has been on pain medication for terminal cancer with an initial assessment
finding of pinpoint pupils and a relaxed respiratory rate of 12
D) A patient who is complaining of chest pain and requesting for pain medication


2. A school age girl with rubella should be isolated from an unimmunized:

A) 4 year old child who lives next door.
B) 18 year old sister who has recently married.
C) 21 year old brother living at home.
D) 14 year old brother who had rubella as a child.


3. A nurse is reviewing with a nursing assistant the care assignment for a fourteen-year-old patient. Which of
the following statements, if made by the nurse, regarding care of a patient with crutches, is most
appropriate?

A) Make sure the patient does not bend the elbows when using the crutches
B) Ask the patient if she understands how to use a two-point gait; if not, please explain it to the patient
C) Ambulate the patient without bearing weight every four hours the length of the unit and back
D) The patient needs to ambulate with crutches and a two-point gait


4. A young patient who is a mother for the first time is very anxious about her new role as a parent. With the
nurse's encouragement, she has joined a new mother's support group at the local "X." This part of the
plan is an example of:

A) Tertiary prevention
B) Tertiary prevention
C) Secondary prevention
D) Primary prevention


5. The nurse provides home instructions to a postpartum client. Which of the following statements, if made
by the client, indicates that further teaching is necessary?

A) "A rise of body temperature up to 102o is normal."
B) "Breast tenderness and redness and easy fatigability should alert me to call my physician."
C) It is normal to have strong, menstrual-like cramps during the first few days to weeks when nursing my
baby."
D) "I will call my physician if my vaginal discharge becomes brownish to pink in color."


Solutions:

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

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