FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers Flashcards
6 cards from real CMSRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 FREE CMSRN Medical-Surgical Nursing Trivia Questions and Answers flashcards as text
A patient with chronic kidney disease has a potassium level of 6.2 mEq/L. Which ECG change should the nurse anticipate?
Answer: Peaked T waves
Hyperkalemia causes tall, peaked T waves due to altered cardiac cell repolarization.
Which assessment finding in a patient with a new hip replacement requires immediate nursing intervention?
Answer: Internal rotation of the affected leg
Internal rotation indicates possible hip dislocation, which is a surgical emergency requiring immediate intervention.
A nurse is caring for a patient receiving a blood transfusion who develops fever, chills, and flank pain. What type of reaction is most likely occurring?
Answer: Acute hemolytic transfusion reaction
Fever, chills, and flank pain are classic signs of an acute hemolytic transfusion reaction caused by ABO incompatibility.
Which lab value should a nurse monitor most closely in a patient receiving IV vancomycin?
Answer: Serum trough level
Vancomycin trough levels are monitored to ensure therapeutic dosing and prevent nephrotoxicity and ototoxicity.
A patient with cirrhosis develops asterixis. Which metabolic abnormality does this finding suggest?
Answer: Elevated ammonia levels
Asterixis, or liver flap, is a hallmark sign of hepatic encephalopathy caused by the liver's inability to clear ammonia.
During the immediate postoperative period, a patient who underwent thyroidectomy reports tingling around the mouth and fingertips. What should the nurse assess for first?
Answer: Chvostek sign
Perioral and fingertip tingling after thyroidectomy suggests hypocalcemia from parathyroid damage, and Chvostek sign is the fastest bedside test.