Pass the actual test with the help of CCNS study guide
Updated: Jun 01, 2026
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1. After a pyloromyotomy, the mother is asked to offer her baby daughter her first feeding. She sucks on it
eagerly and vomits immediately. The nurse should explain to the mother that:
A) Her feeding technique may need to be modified
B) Feedings will have to be stopped until peristalsis improves
C) This often occurs after the first feeding
D) She is ridding herself of postoperative mucus
2. A preterm neonate, born at thirty-one weeks gestation, is receiving an intravenous electrolyte solution at a
rate of 20-22 mL/hr via an umbilical arterial line. At the hourly intake measurement, the nurse determines
that 45 mL have infused in the past hour. The most appropriate initial nursing action is to:
A) Check the physician's order
B) Set the infusion rate to 10-11 mL/hr on the next two hours
C) Take the vital signs
D) Compare the intake with the output
3. The new clinical nurse specialist is nervous and concerned about the work she is about to do at the
clinical facility. To alleviate anxiety and be successful in her provision of care it is important for her to:
A) Speak with her fellow colleagues about how they feel
B) Engage in self talk to plan her day and decrease her fear
C) Determine the established goals of the institution
D) Be sure her verbal and nonverbal communication is congruent
4. A clinical nurse specialist is caring for a four-year-old child after a surgery for correction of tetralogy of
fallot. The mother runs to the nurse's station and reports that the child started to seize. The nurse
recognizes that the problem is due to:
A) Cerebral vascular accident
B) Meningitis
C) Unexpected reaction to medications
D) Metabolic alkalosis
5. Susan is a 34-year-old female patient who had profuse vaginal bleeding. The physician ordered blood
transfusion of 2 "u" PRBC type "AB" with preblood transfusion of acetaminophen. Before administering
the blood, the priority nursing intervention would be:
A) Obtain a baseline vital signs
B) Determine proper typing and crossmatching of blood
C) Let the blood reach room temperature
D) Monitor hemoglobin and hematocrit level
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: B |
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