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

Question 1

A patient develops sudden onset chest pain, dyspnea, and a petechial rash on the upper body two days after a femur fracture repair. Which complication should the nurse suspect?

Accepted Answer

Fat embolism syndrome

Answer

Pulmonary embolism from deep vein thrombosis

Answer

Pneumothorax

Answer

Acute myocardial infarction

Question 2

A nurse is assessing a patient with suspected compartment syndrome of the lower leg. Which finding is the earliest indicator of this condition?

Accepted Answer

Pain disproportionate to the injury that worsens with passive stretching

Answer

Absent distal pulses

Answer

Visible pallor of the extremity

Answer

Complete paralysis of the foot

Question 3

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

Accepted Answer

Immediately sit the patient upright and identify the triggering stimulus

Answer

Place the patient in a supine position and elevate the legs

Answer

Administer a bolus of IV fluids

Answer

Apply sequential compression devices

Question 4

A patient with cirrhosis has an elevated ammonia level and is prescribed lactulose. Which outcome indicates the medication is effective?

Accepted Answer

The patient has two to three soft stools per day

Answer

The patient's urine output increases to 100 mL per hour

Answer

The patient reports decreased abdominal pain

Answer

The patient's bilirubin level normalizes

Question 5

A nurse is caring for a patient on a heparin drip whose aPTT result is 120 seconds (therapeutic range 60-80 seconds). What is the priority nursing action?

Accepted Answer

Stop the heparin infusion and notify the provider

Answer

Continue the infusion at the current rate

Answer

Administer protamine sulfate immediately

Answer

Increase IV fluids to dilute the heparin concentration

Question 6

A patient with a chest tube has continuous bubbling in the water seal chamber. Which action should the nurse take first?

Accepted Answer

Check all tubing connections for loose fittings or disconnections

Answer

Clamp the chest tube immediately at the insertion site

Answer

Prepare for immediate chest tube removal

Answer

Increase the suction pressure on the drainage system