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Medical Tests CCNS Exam Syllabus Topics:

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

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A clinical nurse specialist is caring for a neonate who develops hyperbilirubinemia. The physician ordered
phototherapy BID. During the therapy, the nurse should include which plan of care:

A) Keep the eye shield on continuously
B) Give fluids at least every two hours
C) Take the vital signs every hour
D) Cover the patient with a blanket made of light material


2. A four-year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the
hallway. The nurse should initially:

A) Remove the child's toys from the immediate area
B) Place the child in the bed
C) Administer the ordered Valium
D) Put a padded tongue depressor in the child's mouth


3. Antacids are a common medication used to neutralize stomach acid and decrease the effects of a
gastrointestinal bleed. When is the optimal time to administer antacids?

A) Any time throughout the day
B) 30 minutes before meals
C) After meals and before bedtime
D) Every 6 hours three times a day


4. An ER nurse seeks the help of her friend who is a NICU nurse in prioritizing patients as she just started
her job yesterday. While on the phone, she stated that in the past ten minutes, the following patients have
arrived. Which should she attend to first?

A) A middle aged patient with intermittent pain behind the right scapula
B) An elderly patient with chief complaints of frequent liquid brown colored stools
C) A two-month-old infant with a history of rolling off the bed who has bulging fontanels
D) A teenager who got singed eyebrows while camping


5. Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the
nurse on duty in the nursery when will baby Richard's permanent eye color be established?

A) 3 to 12 months
B) 36 to 48 months
C) 24 to 36 months
D) 12 to 24 months


Solutions:

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

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