CCNS Free PDF Demo

Test Information:

Total Questions 618

Test Number:  CCNS

Vendor Name: MEDICAL TESTS

Cert Name:  Medical Examination

Test Name: Certified Clinical Nurse Specialist

Official Site:http://www.examsboost.com

Question: 1

Nurse Jennifer is caring for an adult patient in the intensive care unit who needs arterial line monitoring. Suddenly, the patient develops sepsis and tenderness at the insertion site. Aside from antibiotics administration, Nurse Jennifer should:

A. Exchange the arterial line and catheter with the seldinger technique

 B. Remove the catheter and replace it with a new one, utilizing a different site

 C. Replace the continuous flush, transducer, and pressure tubing

 D. Apply Povidone iodine at the puncture site

Answer: B 

Explanation: Aside from antibiotics administration, the nurse should remove the catheter and replace it with a new one, utilizing a different site. Do not use guide wire assisted catheter exchange whenever catheter-related infection is documented. If catheter-related infection is suspected, but there is no evidence of local catheter-related infection, remove the existing catheter and insert a new catheter over a guide wire. Send the removed catheter for culture. Leave the newly inserted catheter in place if the catheter culture result is negative. If the catheter culture indicates colonization or infection, remove the newly inserted catheter and insert a new catheter at a different site.

Question: 2

An electrician was brought to the Emergency room by his coworkers and was admitted with a possible myocardial infarction. The patient is experiencing severe chest pain. He is diaphoretic and his pulse is 115 beats per minute. The nurse should immediately:

A. Notify the doctor and administer morphine as ordered

 B. Give the ordered nitroglycerine until pain subsides

 C. Obtain blood pressure and get the electrocardiogram

 D. Administer oxygen at 4-6 L/min

Answer: A 

Explanation: If a patient became diaphoretic and pulse is above normal range, then notify the doctor and

administer morphine as ordered because the myocardial infarct maybe extending; the patient’s symptoms require prompt medical intervention and pain relief. Other options can be done after except for the nitroglycerine, as it does not relieve pain in myocardial infarction.

Question: 3

The nurse at the unit is assessing a patient. She alerted the attending physician that the patient is in cardiogenic shock. Which of the following is an indication that a patient suffers from this condition?

A. Decreased urine output

B. Increased body temperature

 C. Decreased heart rate

 D. Increased blood pressure

Answer: A