CMSRN FREE CMSRN Medical-Surgical Nursing Guide Questions and Answers 2

Question 1

A patient with chronic kidney disease has a potassium level of 6.2 mEq/L. Which intervention should the nurse prioritize?

Accepted Answer

Administer sodium polystyrene sulfonate as ordered

Answer

Encourage intake of potassium-rich foods

Answer

Increase IV normal saline rate

Answer

Apply a warming blanket

Question 2

Which assessment finding in a postoperative patient most strongly suggests the development of a pulmonary embolism?

Accepted Answer

Sudden onset of dyspnea with pleuritic chest pain

Answer

Bilateral lower extremity edema

Answer

Temperature of 100.2°F on postoperative day two

Answer

Productive cough with yellow sputum

Question 3

A nurse is caring for a patient receiving a blood transfusion who develops fever, flank pain, and dark urine. What is the priority nursing action?

Accepted Answer

Stop the transfusion immediately

Answer

Slow the infusion rate

Answer

Administer diphenhydramine

Answer

Obtain a urine specimen first

Question 4

Which laboratory value should the nurse monitor most closely in a patient receiving heparin therapy?

Accepted Answer

Platelet count and aPTT

Answer

Activated partial thromboplastin time (aPTT)

Answer

Prothrombin time (PT)

Answer

Hemoglobin A1C

Question 5

A patient with heart failure is prescribed furosemide 40 mg IV. Which electrolyte imbalance should the nurse anticipate?

Accepted Answer

Hypokalemia

Answer

Hyperkalemia

Answer

Hypernatremia

Answer

Hypercalcemia

Question 6

A patient with type 2 diabetes presents with blood glucose of 680 mg/dL, serum osmolality of 340 mOsm/kg, and no ketonuria. Which condition does the nurse suspect?

Accepted Answer

Hyperosmolar hyperglycemic state

Answer

Diabetic ketoacidosis

Answer

Addisonian crisis

Answer

Syndrome of inappropriate ADH secretion