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

A GFR of 12 mL/min indicates stage 5 CKD where uremic toxins accumulate, causing uremic frost, pruritus, and other systemic symptoms.

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

Serum lipase elevated to 5 times normal is highly specific for acute pancreatitis and remains elevated longer than amylase.

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

Tidaling in the water-seal chamber confirms the system is patent and properly functioning with normal pressure changes during breathing.

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

Edrophonium (Tensilon) temporarily improves symptoms in myasthenic crisis but worsens symptoms in cholinergic crisis, differentiating the two.

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

Early septic shock features vasodilation causing decreased SVR while the heart compensates with increased cardiac output, producing warm flushed skin.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

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