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

For a patient experiencing hypovolemic shock, the primary goal of IV fluid resuscitation is to rapidly restore circulating blood volume. Isotonic solutions, such as normal saline (0.9% NaCl) or Lactated Ringer's, are the best choice because they expand the extracellular fluid volume without causing fluid shifts into or out of cells, effectively increasing intravascular volume.

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

Stage II Hodgkin's disease indicates that the cancer is localized to two or more lymph node regions on the same side of the diaphragm. Therefore, external radiation therapy for Stage II Hodgkin's is typically administered to specific, affected areas, not the entire body. This response helps alleviate the patient's fear by clarifying that the radiation will be targeted and not a full-body treatment.

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

Type 1 Diabetes Mellitus is an autoimmune disease where the body's immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. This destruction leads to an absolute deficiency of insulin, which is essential for glucose uptake by cells. This autoimmune destruction is the most widely accepted theory for the cause of insulin shortage in Type 1 Diabetes.

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

Severe pain in an extremity after surgery, especially a total knee replacement, could indicate a serious complication such as compartment syndrome, deep vein thrombosis, or neurovascular compromise. The nurse's first action should be to perform a comprehensive neurovascular check of the affected extremity to assess circulation, sensation, and movement. This assessment is crucial for identifying potential limb-threatening conditions that require immediate intervention.

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

Sanguineous drainage refers to fresh blood, which is typically bright red and thick in consistency. A small quantity of red discharge on a surgical dressing immediately post-op is characteristic of sanguineous drainage, indicating active bleeding from the wound. This type of drainage is expected in the immediate postoperative phase, though excessive amounts would be concerning.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

FREE CMSRN Medical-Surgical Nursing Guide Questions and Answers