10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CTN-A exam has 100 questions and runs 2 hours.
These 10 free CTN-A questions are organized by exam domain, so you can see how each part of the Certified Transcultural Nursing - Advanced blueprint is tested. Reveal the answer and explanation under each question.
A home hospice patient asks to continue a longstanding bedside prayer practice. The nurse supports the ritual unchanged. Separately, the nurse negotiates a later time for the aide's routine visit to avoid interrupting the prayers. In Leininger's Culture Care theory, these two actions illustrate, respectively:
Correct answer: A - Preservation followed by accommodation.
During a preventive-care interview, a patient explains, "Illness comes when it is meant to come. Screening cannot alter what will happen to me." In the Giger-Davidhizar model, this explanation primarily concerns:
Correct answer: D - Environmental control.
An asymptomatic, nonpregnant adult with chronic hemolytic anemia has fasting plasma glucose results of 151 and 158 mg/dL on separate days, each after 10 hours without calories. HbA1c is 5.3%. A clinic note states that diabetes is excluded by the HbA1c result. Which correction is warranted?
Correct answer: D - The fasting results establish diabetes; shortened red-cell survival can lower HbA1c.
A kidney-transplant recipient brings St. John's wort capsules to a medication-reconciliation visit. The capsules were started recently for low mood, and the patient has continued cyclosporine as prescribed. The interaction of greatest concern with this combination is:
Correct answer: A - Reduced cyclosporine effect and loss of immunosuppressive protection.
Eleven days after giving birth, a patient telephones about a severe headache and flashing lights in her vision. She is observing a customary period of staying indoors and asks whether she can wait for tomorrow's home visit. Which triage plan is appropriate?
Correct answer: A - Arrange emergency assessment now and explain why waiting is unsafe.
At a hypertension follow-up, a patient accurately explains the prescribed daily dosing schedule but takes the medicine only on days with a headache. The nurse wants to explore the patient's understanding of the illness between symptomatic episodes. Which question most directly elicits that understanding?
Correct answer: B - When you feel well, what do you believe is happening to your blood pressure?
During a medication review, a patient gives a lengthy reply. The qualified interpreter says, "She is telling a family story; the answer is yes." The patient continues speaking and points to one of her medicines. How should the nurse handle this exchange?
Correct answer: B - Request complete interpretation, then explore the patient's account of using the medicine.
A man with acquired profound hearing loss is preparing for a multidisciplinary goals-of-care meeting. He speaks and reads English but does not use sign language; keeping up with several speakers is difficult. Reliable real-time captioning is available now, while an on-site sign-language interpreter is available tomorrow. Select the communication arrangement suited to his needs.
Correct answer: C - Use real-time captioning for direct, two-way discussion with the patient.
With qualified interpretation, a parent correctly states that her child's prescribed liquid antibiotic dose is 3 mL twice daily. When asked to demonstrate with the supplied oral syringe, she draws up 6 mL. The prescription and label agree. What would best resolve the difference between her explanation and her demonstration?
Correct answer: D - Reteach with the syringe, then watch her prepare the prescribed amount again.
An audit of overnight admissions identifies a 30-45-minute wait for supervisor authorization to request an interpreter. Once authorized, a qualified interpreter connects in under 3 minutes. Nurses demonstrate correct use of the service, and the hospital's contract covers overnight calls. The nursing director can most directly address the documented delay by:
Correct answer: C - Giving trained bedside staff direct access to the contracted interpreter service.
The CTN-A exam also covers these domains. Drill them in the full free practice test:
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