CMSRN Trivia 5

Question 1

Which intervention is the priority for a patient experiencing a myocardial infarction in the emergency department?

Accepted Answer

Administer aspirin 325 mg

Answer

Aspirin inhibits platelet aggregation and is the most time-critical intervention that reduces mortality in acute MI.

Question 2

A nurse is caring for a patient who had an abdominal hysterectomy 2 days ago. The patient reports a sudden onset of shortness of breath and pleuritic chest pain. The nurse's first action should be to:

Accepted Answer

Elevate the head of the bed and apply oxygen

Answer

Positioning upright and applying oxygen immediately addresses hypoxia while further evaluation is initiated for suspected pulmonary embolism.

Question 3

Which finding on a patient with a burn injury indicates adequate fluid resuscitation during the first 24 hours?

Accepted Answer

Urine output of 30-50 mL/hr

Answer

A urine output of 30-50 mL/hr in adults indicates adequate renal perfusion and effective fluid resuscitation in burn patients.

Question 4

A patient with peripheral arterial disease reports leg pain that occurs with walking and is relieved by rest. The nurse documents this as:

Accepted Answer

Intermittent claudication

Answer

Intermittent claudication is the classic symptom of PAD, characterized by reproducible muscle pain during exertion that resolves with rest.

Question 5

Which early sign of digoxin toxicity should the nurse assess for?

Accepted Answer

Visual disturbances including yellow-green halos

Answer

Visual disturbances, especially yellow-green halos around lights, are a classic early sign of digoxin toxicity.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN Trivia 5