CMSRN FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers 2 — Questions and Answers
Question 1: A patient with chronic kidney disease has a potassium level of 6.2 mEq/L. Which ECG change should the nurse anticipate?
- Peaked T waves (Correct answer)
- Prolonged QT interval
- ST segment depression
- U waves
Correct answer: Peaked T waves
Hyperkalemia causes tall, peaked T waves due to altered cardiac cell repolarization.
Question 2: Which assessment finding in a patient with a new hip replacement requires immediate nursing intervention?
- Internal rotation of the affected leg (Correct answer)
- Mild incisional pain rated 3/10
- Slight swelling around the surgical site
- Ability to dorsiflex the affected foot
Correct answer: Internal rotation of the affected leg
Internal rotation indicates possible hip dislocation, which is a surgical emergency requiring immediate intervention.
Question 3: A nurse is caring for a patient receiving a blood transfusion who develops fever, chills, and flank pain. What type of reaction is most likely occurring?
- Acute hemolytic transfusion reaction (Correct answer)
- Febrile non-hemolytic reaction
- Allergic transfusion reaction
- Transfusion-related acute lung injury
Correct answer: Acute hemolytic transfusion reaction
Fever, chills, and flank pain are classic signs of an acute hemolytic transfusion reaction caused by ABO incompatibility.
Question 4: Which lab value should a nurse monitor most closely in a patient receiving IV vancomycin?
- Serum trough level (Correct answer)
- Serum peak level
- Urine specific gravity
- Erythrocyte sedimentation rate
Correct answer: Serum trough level
Vancomycin trough levels are monitored to ensure therapeutic dosing and prevent nephrotoxicity and ototoxicity.
Question 5: A patient with cirrhosis develops asterixis. Which metabolic abnormality does this finding suggest?
- Elevated ammonia levels (Correct answer)
- Hypocalcemia
- Hyponatremia
- Metabolic acidosis
Correct answer: Elevated ammonia levels
Asterixis, or liver flap, is a hallmark sign of hepatic encephalopathy caused by the liver's inability to clear ammonia.
Question 6: During the immediate postoperative period, a patient who underwent thyroidectomy reports tingling around the mouth and fingertips. What should the nurse assess for first?
- Chvostek sign (Correct answer)
- Trousseau sign
- Neck hematoma
- Laryngeal nerve damage
Correct answer: Chvostek sign
Perioral and fingertip tingling after thyroidectomy suggests hypocalcemia from parathyroid damage, and Chvostek sign is the fastest bedside test.
CMSRN FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers 2
A patient with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which ECG change should the nurse anticipate?