Free CMSRN Medical-Surgical Nursing MCQ Questions and Answers

Question 1

Treatment for acute glomerulonephritis primarily aims to:

Accepted Answer

Maintain fluid balance

Answer

Teach intermittent urinary catheterization

Answer

Encourage activity

Answer

Encourage high protein intake

Question 2

The main ways that nursing diagnoses differ from medical diagnoses are as follows:

Accepted Answer

Primarily concerned with human response, while medical diagnoses are primarily concerned with pathology

Answer

Primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with physiologic parameters

Answer

Dependent upon medical diagnoses for the direction of appropriate interventions

Answer

Primarily concerned with caring, while medical diagnoses are primarily concerned with curing

Question 3

After being moved to the surgical unit for one and a half hours, a patient who underwent spinal anesthesia four hours earlier during surgery now complains of excruciating incisional pain. The patient's temperature is 99°F (37.2°C), pulse is 108 beats per minute, blood pressure is 170/90 mm Hg, and respirations are 30 breaths per minute. The surgical dressing is dry and in tact, and the patient has pale skin. The best course of nursing action is to:

Accepted Answer

Medicate the patient for pain

Answer

Report the findings to the provider

Answer

Place the patient in a high Fowler position and administer oxygen

Answer

Place the patient in a reverse Trendelenburg position and open the IV line

Question 4

Patients using the medication are advised to: in order to prevent a typical side effect of prolonged usage of phenytoin sodium (Dilantin):

Accepted Answer

Practice good dental hygiene and report gum swelling or bleeding

Answer

Eat a potassium-rich, low sodium diet

Answer

Drink at least 2 L of fluids daily, including 8 to 10 glasses of water

Answer

Avoid crowds and obtain an annual influenza vaccination

Question 5

The most typical abdominal surgery problem that can be avoided is:

Accepted Answer

Atelectasis

Answer

Fluid and electrolyte imbalance

Answer

Thrombophlebitis

Answer

Urinary retention

Question 6

After receiving therapy for a heart illness, a 78-year-old patient is due to be discharged to their home. The patient will receive treatment at home from the patient's spouse, who has chronic obstructive pulmonary disease. The partner claims that their close adult children will lend a hand. Planning for discharge is best done by:

Accepted Answer

Discuss community resources with the spouse and offer to make referrals

Answer

Arrange nursing home placement for the couple

Answer

Consult the spouse's healthcare provider about the spouse's ability to care for the patient

Answer

Contact the children to ascertain their commitment to help

Question 7

The medical-surgical nurse evaluates a patient who suffered a head injury 24 hours earlier and observes the emergence of slurred speech and a loss of sense of time and location. The nurse's first move is to:

Accepted Answer

Inform the neurosurgeon of the patient's status

Answer

Prepare the patient for emergency surgery

Answer

Continue the hourly neurologic assessments

Answer

Recheck the patient's neurologic status in 15 minutes

Question 8

Which of the patient's statements accurately reflects their knowledge of herbal supplements?

Accepted Answer

"There is no standardization among the manufacturers of herbs in this country."

Answer

The Food and Drug Administration regulates herbs and allows advertising.

Answer

Herbs may interact with prescribed medications but not other herbs."

Answer

"Most herbs have been tested and found to be safe and therapeutic."

Question 9

The medical-surgical nurse believes that the following actions will be taken in the patient's immediate care after doing a comprehensive neurological and physical assessment on an admitted patient who is suspected of having had a stroke:

Accepted Answer

obtaining a computed tomography scan of the head without contrast.

Answer

preparing for carotid Doppler ultrasonography.

Answer

administering tissue plasminogen activator.

Answer

obtaining a neurosurgical consultation.

Question 10

In order for the process of evaluation and feedback to be successful, the management medical-surgical nurse must:

Accepted Answer

informs staff members regularly of how well they are performing their jobs.

Answer

provides goals for staff members to meet.

Answer

conducts weekly meetings with staff members.

Answer

considers staff members' interests and abilities when delegating tasks.