Free CMSRN Medical-Surgical Nursing Guide Questions and Answers

Question 1

Stephen Douglas was involved in a car accident. The best IV treatment for a patient hypovolemic shock sufferer would be:

Accepted Answer

Isotonic

Answer

Colloids

Answer

Hypertonic

Answer

Hypotonic

Question 2

Stage II Hodgkins disease was identified in 18-year-old Ramona Gunther, who is getting ready to receive
She informs the nurse that she is afraid ""of having to get radiation"" from external radiation therapy.
treatments all over my body. What is the best course of action to do in response?

Accepted Answer

With Stage II, you'll only have radiation over half your body.

Answer

You know you don't have to worry about being radioactive.

Answer

The dose will be very low based on the disease staging.'

Answer

I know it's scary, but it will help to decrease the potential of fractures.

Question 3

In her health sciences class, 20-year-old Allison Lynn requests you to elaborate on the cause of Type I Diabetes's insulin shortage. You mention that this is the most widely accepted theory:

Accepted Answer

the body's immune system destroyed the cells that make insulin.

Answer

inflammation of the pancreas causes irregular release of insulin.

Answer

not enough insulin is made to manage the metabolic needs.

Answer

the insulin produced is not effective at the tissue level.

Question 4

The most widely recognized explanation for Type I diabetes's underlying cause is an autoimmune mechanism. Lack of insulin results from the body's production of an antibody that targets and kills beta cells.

Accepted Answer

perform a lower extremity neurovascular check.

Answer

elevate the extremity

Answer

assess vital signs.

Answer

remind the client of the PCA pump and re-instruct the client on its use.

Question 5

This morning, a 44-year-old male client underwent stomach surgery. A tiny quantity of red discharge was seen by the nurse on the patient's surgical dressing. This style of guttering is:

Accepted Answer

sanguineous

Answer

serosanguineous

Answer

purulent

Answer

catarrhal

Question 6

Two days ago, a hemicolectomy was performed on a customer. A tiny portion of the abdominal viscera was visible peeking through the wound when the nurse examined it today. This wound healing problem is referred to as:

Accepted Answer

evisceration

Answer

excoriation

Answer

dehiscence

Answer

decortication

Question 7

A client's surgical incision is noted by the nurse as having red, granulated tissue. This suggests that the injury is:

Accepted Answer

healing

Answer

infected

Answer

not healing

Answer

necrotic

Question 8

A man who underwent a six-hour left femoral popliteal bypass graft has returned to the Unit. Later, the client's foot appears chilly and dark, and the nurse should have seen that his dorsalis pedis pulse was absent.

Accepted Answer

immediately notify the physician

Answer

assure the client that his foot is fine

Answer

continue to monitor the foot.

Answer

notify the head nurse

Question 9

A patient returns after a coronary artery bypass graft to the Cardiovascular Intensive Care Unit." (CABG). The most crucial electrolyte to keep an eye on when organizing the client's care is:

Accepted Answer

potassium

Answer

chloride

Answer

bicarbonate

Answer

sodium

Question 10

It's a left pneumonectomy for a client. Nursing interventions for a postoperative left pneumonectomy that would be planned for this client would include:

Accepted Answer

monitoring the right lung for an increase in rales

Answer

positioning the client in the semi-Fowler's position with a pillow under the shoulder and back

Answer

monitoring the chest tubes

Answer

positioning the client on the right side