CMSRN FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers 2

Question 1

A patient with chronic kidney disease has a potassium level of 6.2 mEq/L. Which ECG change should the nurse anticipate?

Accepted Answer

Peaked T waves

Answer

Hyperkalemia causes tall, peaked T waves due to altered cardiac cell repolarization.

Question 2

Which assessment finding in a patient with a new hip replacement requires immediate nursing intervention?

Accepted Answer

Internal rotation of the affected leg

Answer

Internal rotation indicates possible hip dislocation, which is a surgical emergency requiring immediate intervention.

Question 3

A nurse is caring for a patient receiving a blood transfusion who develops fever, chills, and flank pain. What type of reaction is most likely occurring?

Accepted Answer

Acute hemolytic transfusion reaction

Answer

Fever, chills, and flank pain are classic signs of an acute hemolytic transfusion reaction caused by ABO incompatibility.

Question 4

Which lab value should a nurse monitor most closely in a patient receiving IV vancomycin?

Accepted Answer

Serum trough level

Answer

Vancomycin trough levels are monitored to ensure therapeutic dosing and prevent nephrotoxicity and ototoxicity.

Question 5

A patient with cirrhosis develops asterixis. Which metabolic abnormality does this finding suggest?

Accepted Answer

Elevated ammonia levels

Answer

Asterixis, or liver flap, is a hallmark sign of hepatic encephalopathy caused by the liver's inability to clear ammonia.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers 2