FREE CMSRN Medical-Surgical Nursing General Questions and Answers

Question 1

On the day of operation, a patient with type 2 diabetes mellitus is admitted, and their glucose level is 610 mg/dl. The patient may be at risk for the following, according to the perianesthesia nurse:

Accepted Answer

Hyperkalemia

Answer

Diabetic Ketoacidosis

Answer

Hyperalcemia

Answer

Diabetic Inspidu

Question 2

Shana was diagnosed with gastroesophageal reflux disease following an EGD (GERD). Edna is taught by the nurse how to reduce symptoms. Which of the following Edna statements suggests that more instruction is required?

Accepted Answer

“I will be sure to drink tea instead of coffee.”

Answer

“I will try to eat smaller meals more frequently.”

Answer

“I will sleep with the head of the bed elevated about 12 inches.”

Answer

“I will take a walk after I eat.”

Question 3

Before being released, a patient with a fractured left leg must learn the three-point gait. Which directive ought the nurse to deliver to this patient?

Accepted Answer

“Using one movement, advance your left foot and both crutches and then bring right leg forward.”

Answer

“Move your right crutch and left foot forward together, and then swing the right foot and left crutch in one movement.”

Answer

“Advance your right crutch, swing the left foot forward, advance the left crutch, and then bring the right foot forward.”

Answer

“While partially bearing weight on your left leg, advance both crutches and then bring your right leg forward.”

Question 4

A customer who had suffered an amputation is being urged by the nurse to put on a prosthetic right away. The benefit of taking this quick action is

Accepted Answer

Ability to ambulate sooner

Answer

Better fit of the prosthesis

Answer

Less chance of phantom limb sensation

Answer

Dressing changes are not necessary

Question 5

Mr. Scott, a 55-year-old mechanic, was diagnosed with adult-onset diabetes. The nurse will know that Mr. Daniels understands the symptoms of a hyperglycemic reaction if he verbalized,

Accepted Answer

“I may feel flushed cheeks, will have acetone breath, and increased thirst.”

Answer

“I may feel nauseated, even vomiting, and some episodes of diarrhea.”

Answer

“I will experience weight gain, a normal breath, and constant thirst.”

Answer

“I will experience thirst, always going to the bathroom to pee, and will also have decreased appetite.”

Question 6

Millet, age 32, visited a day clinic to report a sudden weight gain. She also reported to the nurse on duty that her abdomen is now bigger than before and her face looks “swollen” and rounded. Which additional assessment finding would lead the nurse to suspect that Millet has Cushing’s syndrome rather than obesity?

Accepted Answer

Posterior neck fat pad and thin extremities

Answer

Large thighs and upper arms

Answer

Pendulous abdomen and large hips

Question 7

The nurse's most accurate explanation of a thyroid scan to a colleague is that it:

Accepted Answer

Demonstrates decreased uptake of radioactive iodine in areas of possible malignancy.

Answer

Measures the effect of TSH on thyroid function.

Answer

Demonstrates increased uptake of radioactive iodine in areas of possible malignancy.

Answer

Assists in differentiating between primary and secondary hypothyroidism.

Question 8

Twelve-year-old Shane loves skateboarding a lot. On her first attempt at learning the movements, she unintentionally fell. She was subsequently taken to the Emergency Department, where she was in excruciating pain. The left tibia's incomplete fracture was seen on the X-ray film. Her left leg was cast after the doctor prescribed a closed reduction. Which of the following is not the right way to help Shane?

Accepted Answer

Create a turning schedule for position changes every 3 hours.

Answer

Exercise her toe

Answer

Support Shane’s foot with the ankle in 90 degrees of flexion.

Answer

Elevate entire extremity higher than the client’s heart for the first 24 to 48 hours.

Question 9

An autoimmune condition known as Hashimoto's disease has been identified in Ms. JMM. Which of the following descriptions of the client's indications and symptoms most likely contributed to the diagnosis?

Accepted Answer

Decreased appetite, weight gain, constipation

Answer

Increased urination, weight gain, and purplish red striae

Answer

Increased appetite, weight loss, hyperdefecation

Answer

Increased urination, weight loss, increased thirst

Question 10

Mrs. Jones, a known diabetic, is being taught by the nurse how to use a glucometer to check her blood sugar. The nurse will be able to determine that Mrs. Jones is capable of doing her fingerstick blood collection when she:

Accepted Answer

uses the side of a fingertip as the puncture site.

Answer

avoids using the thumbs as puncture sites.

Answer

avoids using the fingers of her dominant hand as puncture sites.

Answer

uses the ball of a finger as the puncture site.