CMSRN FREE CMSRN Medical-Surgical Nursing General Questions and Answers 3

Question 1

A patient with chronic kidney disease has a glomerular filtration rate of 12 mL/min. Which clinical manifestation should the nurse anticipate?

Accepted Answer

Uremic frost and pruritus

Answer

Polyuria and polydipsia

Answer

Hypotension and tachycardia

Answer

Decreased serum creatinine

Question 2

A patient is admitted with acute pancreatitis. Which laboratory value is most consistent with this diagnosis?

Accepted Answer

Serum lipase elevated to 5 times the upper limit of normal

Answer

White blood cell count of 11,000/mcL

Answer

Hemoglobin A1C of 7.2%

Answer

Serum albumin of 3.2 g/dL

Question 3

Which nursing action is essential when caring for a patient with a chest tube connected to a water-seal drainage system?

Accepted Answer

Ensure tidaling is present in the water-seal chamber during inspiration

Answer

Clamp the chest tube during ambulation

Answer

Milk the tubing every 2 hours to prevent clots

Answer

Keep the drainage system above chest level

Question 4

A patient with myasthenia gravis develops sudden worsening of weakness and respiratory difficulty. Which assessment helps differentiate myasthenic crisis from cholinergic crisis?

Accepted Answer

Administration of edrophonium with monitoring for symptom improvement

Answer

Checking pupil size for bilateral dilation

Answer

Measuring peak expiratory flow rate

Answer

Assessing deep tendon reflexes

Question 5

A nurse is caring for a patient in septic shock. Which hemodynamic finding is characteristic of the early warm phase?

Accepted Answer

Decreased systemic vascular resistance with increased cardiac output

Answer

Increased systemic vascular resistance with decreased cardiac output

Answer

Normal blood pressure with decreased heart rate

Answer

Elevated central venous pressure with jugular vein distention

Question 6

A patient with a traumatic brain injury has an intracranial pressure of 28 mmHg. Which nursing intervention should be avoided?

Accepted Answer

Clustering nursing care activities together

Answer

Elevating the head of bed to 30 degrees

Answer

Maintaining the neck in a neutral position

Answer

Administering prescribed osmotic diuretics