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

1. A nurse is caring for a pediatric patient who had a basilar skull fracture. The nurse assessed that there is
a clear fluid leaking from the ears of the child. The nurse concludes that it is cerebrospinal fluid if the fluid:

A) Is grossly bloody in appearance and has a pH level of 6.1
B) Separates into concentric rings and tests positive for glucose
C) Clumps together on the dressing and has a pH level of 7
D) Is clear and tests negative for glucose

2. A ten-year-old patient with a history of seizure disorder was admitted to the pediatric unit due to frequent
seizure activity. The mother said that the child has been compliant with the medication (Phenytoin)
therapy. Subsequently, a sample for the serum phenytoin level is drawn. The nurse determines that the
medication has been most effective if the value is:

A) 22 mcg/mL
B) 30 mcg/mL
C) 5 mcg/mL
D) 12 mcg/mL

3. When teaching a family to help an aphasic member regain as much speech function as possible, the
nurse should instruct them to:

A) Give positive reinforcement for correct communication
B) Speak louder than the usual during each visit
C) Encourage the patient to speak while being patient with each attempt
D) Tell the patient to use correct words when speaking

4. Carmela, a clinical nurse specialist, is a newly hired nurse at the pediatric intensive care unit. She is
aware that conflicts occur in any organization, including her new unit of assignment. She is also aware
that all of the following but one is true about conflict:

A) Can create leaders
B) Can lead to a poor performance
C) Can be destructive if the level is too high
D) Should be prevented at all times, as it is not beneficial

5. Nurse Janina observes a dazed and apparently confused co-worker taking two diazepam tablets by
mouth, as the co-worker is about to pour medications. What should Nurse Janina do?

A) Report the co-worker to hospital security because she may be addicted to drugs
B) Call the nurse supervisor immediately before the co-worker pours and administers the medications
C) Watch the co-worker closely and report the incident to the nurse supervisor at the end of the day
D) Pour the medications for the co-worker while she goes for a cup of coffee

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