CMSRN FREE CMSRN Medical-Surgical Nursing Questions and Answers 2

Question 1

A patient with chronic kidney disease has a potassium level of 6.2 mEq/L. Which ECG change should the nurse anticipate?

Accepted Answer

Peaked T waves

Answer

Prolonged QT interval

Answer

ST segment depression

Answer

U waves

Question 2

Which intervention is the priority for a patient experiencing autonomic dysreflexia?

Accepted Answer

Elevate the head of the bed to 90 degrees

Answer

Administer a PRN antihypertensive

Answer

Insert a urinary catheter

Answer

Remove constrictive clothing

Question 3

A nurse is caring for a patient 2 hours post-thyroidectomy. Which assessment finding requires immediate intervention?

Accepted Answer

Tingling and numbness around the mouth

Answer

Mild sore throat with hoarseness

Answer

Serosanguineous drainage on the dressing

Answer

Pain rated 4 out of 10

Question 4

A patient with cirrhosis develops hepatorenal syndrome. Which finding is most characteristic of this condition?

Accepted Answer

Oliguria with low urine sodium

Answer

Hematuria with proteinuria

Answer

Polyuria with high urine sodium

Answer

Anuria with flank pain

Question 5

Which assessment technique should the nurse use to evaluate for asterixis in a patient with hepatic encephalopathy?

Accepted Answer

Ask the patient to extend the arms with wrists dorsiflexed

Answer

Tap the facial nerve anterior to the ear

Answer

Inflate a blood pressure cuff above systolic pressure

Answer

Stroke the lateral aspect of the sole of the foot

Question 6

A patient with acute pancreatitis has a Ranson score of 6 on admission. What does this indicate to the nurse?

Accepted Answer

High mortality risk requiring ICU-level care

Answer

Mild disease manageable on a medical unit

Answer

Need for immediate surgical intervention

Answer

Readiness for oral diet advancement