CMSRN Trivia 3

Question 1

Which position is most appropriate for a patient immediately after a lumbar puncture?

Accepted Answer

Supine (flat)

Answer

Lying flat after a lumbar puncture helps prevent post-procedural headache by reducing CSF leakage through the puncture site.

Question 2

A nurse is caring for a patient with syndrome of inappropriate antidiuretic hormone (SIADH). Which finding does the nurse expect?

Accepted Answer

Hyponatremia and decreased urine output

Answer

SIADH causes excess ADH, leading to water retention, dilutional hyponatremia, and concentrated urine with decreased output.

Question 3

Which intervention is the nurse's highest priority when caring for a patient in sickle cell crisis?

Accepted Answer

Providing pain management

Answer

Pain management is the highest priority because vaso-occlusive crises cause severe, debilitating pain that requires immediate intervention.

Question 4

A patient with a new tracheostomy requires suctioning. What is the maximum recommended suction duration per pass?

Accepted Answer

10 seconds

Answer

Each suction pass should not exceed 10 seconds to prevent hypoxia, mucosal trauma, and vagal stimulation.

Question 5

Which assessment finding in a patient with a long-leg cast warrants immediate intervention?

Accepted Answer

Capillary refill of 3 seconds in the toes

Answer

Capillary refill greater than 2 seconds indicates compromised circulation and possible compartment syndrome requiring immediate action.

CMSRN - Medical-Surgical Nursing Practice Test