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

Question 1

A nurse is assessing a patient with cirrhosis who has developed asterixis. This finding is most indicative of which complication?

Accepted Answer

Hepatic encephalopathy

Answer

Portal hypertension

Answer

Esophageal varices

Answer

Hepatorenal syndrome

Question 2

Which nursing intervention is most appropriate for a patient experiencing autonomic dysreflexia?

Accepted Answer

Sit the patient upright and identify the triggering stimulus

Answer

Place the patient in a supine position

Answer

Administer a fluid bolus

Answer

Apply sequential compression devices

Question 3

A patient with acute pancreatitis has a nasogastric tube connected to low intermittent suction. Which acid-base imbalance is the nurse most likely to observe?

Accepted Answer

Metabolic alkalosis

Answer

Respiratory acidosis

Answer

Metabolic acidosis

Answer

Respiratory alkalosis

Question 4

Which assessment finding would the nurse expect in a patient with a tension pneumothorax?

Accepted Answer

Tracheal deviation away from the affected side with absent breath sounds

Answer

Tracheal deviation toward the affected side

Answer

Bilateral wheezing

Answer

Symmetrical chest expansion

Question 5

A patient is admitted with syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory finding does the nurse anticipate?

Accepted Answer

Serum sodium of 118 mEq/L

Answer

Serum sodium of 152 mEq/L

Answer

Urine specific gravity of 1.002

Answer

Serum osmolality of 310 mOsm/kg

Question 6

A nurse is caring for a patient with a chest tube. Which finding requires immediate intervention?

Accepted Answer

Continuous vigorous bubbling in the water seal chamber

Answer

Tidaling in the water seal chamber during inspiration

Answer

Drainage of 50 mL of serosanguineous fluid in one hour

Answer

Gentle bubbling in the suction control chamber