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

Explanation:
One of the therapeutic aims for this client is to reduce fluid in the vascular space, which is shown by a decrease in central venous pressure. Greater central venous pressure denotes greater fluid in the vascular space, which is not the desired outcome.

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

Explanation:
When exposed to light and heat, nitroglycerine gradually loses its effectiveness, so I always have a tiny, labeled case with a few of the pills with me. The tablets need to be stored in a dark, dry, and cool environment. Tablets should be taken 5 minutes apart; taking more than one pill at a time might actually reduce the effectiveness of the medication and may even result in severe hypotension. Customers should purchase fresh bottles every 6 months, and they should store them in a cold environment.

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

Explanation:
ST depression should be reported to the doctor right away because they are a symptom of ischemia. The nurse should continue to check the client for chest pain after taking this first step, which is the best course of action.

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

Explanation:
For these individuals, incentive spirometry and deep breathing are the go-to lung expansion methods. It is not recommended for post-CABG patients to cough vigorously since it could increase intrathoracic pressure and lead to sternal instability. Premedication before walking will promote activity intolerance rather than an effective breathing pattern; auscultating the lungs will identify atypical lung sounds brought on by an ineffective breathing pattern but this is not a method to promote an effective breathing pattern.

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

Explanation:
Assessing the client's degree of consciousness and determining whether the ventricular tachycardia is perfusing the body are the best first steps. An ACLS-certified nurse administers urgent defibrillation for pulseless ventricular tachycardia. The nurse may deliver lidocaine as directed or, in some circumstances, give the client a precordial thump if they have good blood pressure and pulse, are awake, and are alert.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers