CMSRN FREE Medical Surgical Nurse Questions and Answers 2

Question 1

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

Accepted Answer

Administer sodium polystyrene sulfonate

Answer

Encourage increased oral fluid intake

Answer

Apply a warm compress to the IV site

Answer

Administer a bolus of normal saline

Question 2

Which assessment finding in a patient 6 hours post-thyroidectomy requires immediate nursing intervention?

Accepted Answer

Tingling around the mouth and fingertips

Answer

Hoarseness when speaking

Answer

Mild incisional swelling

Answer

A sore throat with difficulty swallowing

Question 3

A nurse is caring for a patient receiving a blood transfusion who develops fever, chills, and flank pain 15 minutes into the infusion. What is the priority action?

Accepted Answer

Stop the transfusion immediately and keep the IV open with normal saline

Answer

Slow the transfusion rate and monitor vital signs

Answer

Administer diphenhydramine and continue the transfusion

Answer

Obtain a urine sample and continue the transfusion at a slower rate

Question 4

Which finding would the nurse expect in a patient with right-sided heart failure?

Accepted Answer

Jugular venous distention and peripheral edema

Answer

Crackles in bilateral lung fields

Answer

Frothy pink sputum

Answer

Orthopnea relieved by sitting upright

Question 5

A patient with a chest tube has continuous bubbling in the water seal chamber. What does this indicate?

Accepted Answer

There is an air leak in the system

Answer

The lung has fully re-expanded

Answer

The suction pressure is set correctly

Answer

The drainage system needs to be replaced

Question 6

A nurse is teaching a patient newly diagnosed with type 2 diabetes about sick-day management. Which statement by the patient indicates correct understanding?

Accepted Answer

I need to check my blood glucose more frequently when I am ill

Answer

I should stop taking my diabetes medication when I am sick

Answer

I should skip meals to keep my blood sugar from going too high

Answer

I only need to call my doctor if my temperature exceeds 103 degrees