CMSRN FREE CMSRN Medical-Surgical Nursing MCQ 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 infusion rate

Answer

Apply a warm compress to the AV fistula

Question 2

A nurse is caring for a patient 12 hours after a total hip arthroplasty. Which assessment finding requires immediate intervention?

Accepted Answer

Inability to dorsiflex the affected foot

Answer

Serosanguineous drainage on the surgical dressing

Answer

Mild pain rated 3 out of 10 with movement

Answer

Temperature of 99.2°F (37.3°C)

Question 3

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

Accepted Answer

Serum creatinine and trough levels

Answer

Prothrombin time and INR

Answer

Hemoglobin A1C

Answer

Serum lipase

Question 4

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

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hypercalcemia

Question 5

A patient with type 2 diabetes is admitted with a blood glucose of 680 mg/dL, serum osmolality of 340 mOsm/kg, and no ketones in the urine. Which condition does the nurse suspect?

Accepted Answer

Hyperosmolar hyperglycemic state

Answer

Diabetic ketoacidosis

Answer

Addisonian crisis

Answer

Myxedema coma

Question 6

A nurse is preparing to administer a blood transfusion. Which action is essential before starting the infusion?

Accepted Answer

Verify patient identity and blood product with two licensed nurses at the bedside

Answer

Administer prophylactic diphenhydramine to all patients

Answer

Warm the blood product in a microwave for 30 seconds

Answer

Run the blood through IV tubing with dextrose solution