CMSRN Trivia 4

Question 1

A patient is receiving total parenteral nutrition (TPN). Which complication should the nurse monitor for most closely during the first hour of administration?

Accepted Answer

Hyperglycemia

Answer

Hyperglycemia is the most common metabolic complication of TPN and requires close blood glucose monitoring, especially during initiation.

Question 2

Which sign is a late indicator of increased intracranial pressure?

Accepted Answer

Cushing's triad (hypertension, bradycardia, irregular respirations)

Answer

Cushing's triad is an ominous late sign of severely elevated ICP indicating brainstem herniation is imminent.

Question 3

A nurse is caring for a patient post-thyroidectomy. Which assessment finding requires the most immediate intervention?

Accepted Answer

Positive Chvostek's sign

Answer

A positive Chvostek's sign (facial muscle twitching when tapping the facial nerve) indicates hypocalcemia from accidental parathyroid removal, risking tetany.

Question 4

Which type of isolation precaution is required for a patient with active pulmonary tuberculosis?

Accepted Answer

Airborne precautions

Answer

Tuberculosis is transmitted via airborne particles and requires a negative pressure room, N95 respirator, and airborne precautions.

Question 5

A patient with type 1 diabetes presents with Kussmaul respirations, fruity breath, and blood glucose of 480 mg/dL. Which condition does the nurse suspect?

Accepted Answer

Diabetic ketoacidosis

Answer

Kussmaul respirations and fruity breath are classic signs of DKA, caused by ketone accumulation in type 1 diabetes.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN Trivia 4