Free CMSRN Medical-Surgical Nursing Trivia Questions and Answers

Question 1

The central venous pressure (CVP) of a patient who has congestive heart failure and acute pulmonary edema is continuously monitored.
Which of the following describes a successful treatment plan for the client?

Accepted Answer

Central venous pressure decreases

Answer

Central venous pressure is not a useful indicator for this client

Answer

Central venous pressure increases

Answer

There is no change in the central venous pressure

Question 2

For the treatment of angina pectoris, a patient has been given a prescription for sublingual nitroglycerine. What action taken by the client demonstrates that he is aware of a crucial aspect of this medication?

Accepted Answer

“I have a small labeled case for a few nitroglycerine tablets that I carry with me when I go out.”

Answer

“I usually take three of my nitroglycerine tablets at the same time. I find that they work better that way.”

Answer

I will carry my nitroglycerine tablets in the inside pocket of my jacket so they are always close.”

Answer

“Will the physician give me a year’s supply of nitroglycerine tablets?”

Question 3

A veteran of the Gulf, Mr. Smith, 53, received a PTCA (percutaneous transluminal coronary angioplasty). When the nurse looked over his chart four hours after the surgery, she saw that neither his vital signs nor the catheter had changed since he had returned. A 12-lead ECG is obtained by the nurse, who observes that the client exhibits ST depression. Chest discomfort is denied by Mr. Smith. Which of the following should the nurse do as her next move?

Accepted Answer

Notify the physician

Answer

Apply pressure to the catheter site

Answer

Administer nitroglycerine

Answer

Continue to assess the client for chest pain

Question 4

The nurse is taking care of Mrs. Dela Rosa, a 47-year-old Filipina woman who underwent coronary artery bypass graft (CABG) surgery on the third postoperative day. What is the optimal nursing strategy given that an important nursing diagnosis for post-CABG clients is an inadequate breathing pattern?

Accepted Answer

Ensure that Mrs. Dela Rosa uses the incentive spirometer every hour

Answer

Auscultate lungs once a shift

Answer

Ensure that Mrs. Dela Rosa performs deep breathing and vigorous coughing every hour

Answer

Pre-medicate Mrs. Dela Rosa before ambulation

Question 5

Continuous ECG monitoring for a patient at a hospital reveals that the rhythm has altered to ventricular tachycardia. What should the nurse do first out of the options below?

Accepted Answer

Quickly assess the client’s level of consciousness, blood pressure, and pulse

Answer

Administer a precordial thump

Answer

Administer intravenous lidocaine according to emergency protocol

Answer

Obtain the defibrillator and defibrillate the client

Question 6

Based on ECG alterations, the doctor has determined that Mr. Stanford, a 67-year-old retired college professor who collapsed in his front yard and was taken to the emergency room, had a myocardial infarction. Mr. Stanford is being routinely evaluated by the nurse, who observes that he frequently forgets what the ECG and non-invasive blood pressure monitors are for. Which of the following best explains Mr. Stanford's response, according to the nurse?

Accepted Answer

Mr. Stanford is showing signs of fear and anxiety

Answer

Nurses in the Emergency Department are too busy to properly explain the purpose of the equipment

Answer

Mr. Stanford is showing signs of Alzheimer’s disease

Answer

Memory lapses are common with clients experiencing myocardial infarction

Question 7

Intern Jane, age 24, was identified as having mitral stenosis. The nurse may discover the following in addition to hearing a murmur during the physical examination:

Accepted Answer

Jugular vein distention

Answer

Angina

Answer

Dyspnea upon exertion

Answer

Syncope on exertion

Question 8

Which medication is contraindicated in a pregnant patient, as far as the perianesthesia nurse is aware?

Accepted Answer

Ketorolac

Answer

Ondansetron

Answer

Acetaminophern

Answer

Famotidine

Question 9

When preparing to discharge a patient who has undergone six units of subcutaneous recombinant human insulin (humulin), the perianesthesia nurse notes that the following will be the patient's peak action:

Accepted Answer

1-5 hours

Answer

10-20 minutes

Answer

30-45minutes

Answer

5-7 hours

Question 10

A twelve-year-old boy diagnosed with autism and sickle cell disease has had an inguinal hernia repaired. The anesthesia nurse is aware that this patient's primary surgical risk is:

Accepted Answer

Hypoxia from anesthesia

Answer

Toxicity from heavy metal

Answer

End-organ damange

Answer

Renal insufficiency