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CMSRN Certified Medical-Surgical Registered Nurse VIP Practice Exam

CMSRN — The CMSRN (Certified Medical-Surgical Registered Nurse) is issued by the Medical-Surgical Nursing Certification Board (MSNCB); the real exam contains 150 questions (125 scored + 25 pretest) administered over 3 hours, with a passing scaled score of approximately 95/150, covering seven content domains: Cardiovascular/Hematologic/Peripheral Vascular, Respiratory, Neurological/Sensory, Musculoskeletal/Integumentary, Gastrointestinal/Nutritional, Endocrine/Immune/Reproductive/Genitourinary, and Multisystem.

48
Questions
90m
Time Limit
75.00%
To Pass
Question 1 of 48👑 VIP

A 68-year-old patient with chronic heart failure is admitted for worsening dyspnea and bilateral pitting edema to the knees. Current medications include furosemide 40 mg PO daily and lisinopril 10 mg PO daily. Morning labs return: sodium 131 mEq/L, potassium 3.1 mEq/L, creatinine 1.8 mg/dL. The provider orders IV furosemide 80 mg NOW. Which action should the nurse take FIRST?

Questions 2–48 and full explanations are VIP-exclusive.