CMSRN FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers 3

Question 1

A patient with heart failure is prescribed spironolactone. Which dietary instruction is most important for the nurse to provide?

Accepted Answer

Avoid potassium-rich foods

Answer

Spironolactone is a potassium-sparing diuretic, so avoiding excess dietary potassium helps prevent life-threatening hyperkalemia.

Question 2

A nurse is assessing a patient with suspected pulmonary embolism. Which finding is most consistent with this diagnosis?

Accepted Answer

Sudden onset dyspnea with pleuritic chest pain

Answer

Sudden dyspnea with sharp, pleuritic chest pain is the hallmark presentation of pulmonary embolism.

Question 3

Which intervention has the highest priority for a patient in diabetic ketoacidosis?

Accepted Answer

Intravenous fluid resuscitation

Answer

IV fluid resuscitation is the first priority in DKA to address severe dehydration and restore perfusion before starting insulin.

Question 4

A patient with a chest tube has continuous bubbling in the water seal chamber. What does this indicate?

Accepted Answer

An air leak in the system

Answer

Continuous bubbling in the water seal chamber indicates an air leak either at the insertion site, tubing connections, or from the lung itself.

Question 5

Which position should the nurse place a patient in who is experiencing autonomic dysreflexia?

Accepted Answer

Sitting upright with legs dangling

Answer

Sitting the patient upright immediately helps lower the dangerously elevated blood pressure that occurs during autonomic dysreflexia.

CMSRN - Medical-Surgical Nursing Practice Test