CMSRN EXAM BANK Latest Question and
Answer (2026/2027) | Detailed Rationales |
A+ Verified
• When changing Mrs. Warren's ileostomy bag, the nurse notices that the
peristomal skin is irritated.
Which of these actions by the nurse would be appropriate before reapplying the
appliance?
1) Wash the area with antiseptic soap and water.
2) Clean the site with Dakin's solution.
3) Use a solid skin barrier.
4) Obtain an order for a topical antibiotic. -✓✓ 3) Use a solid skin barrier.
Rationale: The drainage from the stoma can quickly irritate the surrounding
tissue. Therefore, a solid skin barrier, with a pectin base or karaya wafer that has
a measurable thickness and hydrocolloid adhesive properties, should be applied.
• Which of these comments, if made by Mrs. Warren before her surgery, would
indicate that she had concerns about her body image?
1) "I will have to stop my aerobics classes."
2) "I'm so afraid I may not survive the surgery."
3) "I need to go shopping for some loose, baggy clothes."
4) "I'm concerned that this may be only the first of many surgeries." -✓✓ 3) "I
need to go shopping for some loose, baggy clothes."
,Rationale:Body image refers to a person's perception of self and determines how
the person interacts with others. One does not need to purchase special clothing
after ileostomy surgery, although some minor adjustments may be needed for
comfort, e.g., stretch underwear or pantyhose for support.
• To medical surgical nursing 11th edition by ignatavicius workman Test Bank or
any other Test Banks email banks and other E
books -✓✓
• Lewis Palmer, 45 years old, has a history of multiple myocardial infarctions and
is a heavy smoker. He takes warfarin sodium (Coumadin) daily. Two weeks ago, he
had a right femoral-popliteal bypass, which became occluded 24 hours ago. He is
admitted following an angioplasty of the femoral-popliteal bypass graft. Mr.
Palmer is receiving continuous IV heparin.
Because Mr. Palmer is receiving heparin, it is essential for the nurse to
1) monitor his prothrombin time.
2) observe him for signs of pulmonary embolism.
3) limit his intake of foods high in vitamin K.
4) check the femoral puncture site at frequent intervals. -✓✓ 4) check the femoral
puncture site at frequent intervals.
Rationale: Since bleeding is a common side effect of heparin, it is vital to check
the operative site, the femoral puncture area, for signs of bleeding.
• Attempts to revascularize Mr. Palmer's leg are unsuccessful, and Mr. Palmer has
a below-knee amputation (BKA) of his right extremity and is returned to the
medical-surgical unit with an intravenous infusion in place. His orders include:
heparin drip, morphine sulfate 10 mg IV push q4h prn for pain, and ampicillin
sodium g 1 IV q6h.
,Twelve hours postoperatively, Mr. Palmer is found to be short of breath and
diaphoretic. He says, "My chest hurts." His pulse is 140/min, compared to a
baseline of 80/min. His blood pressure is105/60 mm Hg, compared to a baseline
of 138/70 mm Hg. His respirations are 32/min, compared to a baseline of 16/min.
His O2 saturation is 85%. The nurse immediately calls for help. Which of the
following questions is most important for the nurse to ask?
1) "Have you ever had this type of chest pain before?"
2) "How long have you had this pain?"
3) "What pain medication do you usually take?"
4) "What -✓✓ 1) "Have you ever had this type of chest pain before?"
Rationale: Because of the patient's symptoms and his history of myocardial
infarctions, the nurse should find out if the patient has had this time of pain
previously.
• Maggie Clark, a 42-year-old female, was admitted with newly diagnosed type 2
diabetes mellitus. Her blood glucose has been stabilized, and the nurse is
preparing her for discharge. Her discharge orders will include metformin
(Glucophage). Mrs. Clark is also being treated for hypertension.
Because Mrs. Clark is to take Glucophage on a regular basis it is important to
1) monitor her glomerular filtration rate.
2) check her serum amylase routinely.
3) obtain her red blood cell count periodically.
4) examine her urine for casts. -✓✓ 1) monitor her glomerular filtration rate.
Rationale: The estimated glomerular filtration rate (eGFR) is one way to measure
the adequacy of kidney function. Glucophage is excreted by the kidney and the
risk of lactic acidosis increases in patients with impaired kidney function. The drug
may be used if the eGFR is between 45 and 60 mL/min/1.73 m2, i.e., in mild
, chronic kidney disease. Glucophage is absolutely contraindicated if the eGFR is
below 30 mL/min/1.73 m2.
• Mrs. Clark is prescribed metoprolol tartrate (Lopressor) for hypertension. Which
symptom of hypoglycemia would be masked by Lopressor?
1) Diaphoresis.
2) Tingling.
3) Diplopia.
4) Tachycardia. -✓✓ 4) Tachycardia.
Rationale: A side effect of Lopressor, a beta blocker, is bradycardia. The
Lopressor-induced bradycardia can mask tachycardia, a symptom of
hypoglycemia.
• Charles Haverford is diagnosed with prostate cancer and is to have a radical
prostatectomy.
Mr. Haverford has been researching his diagnosis and now asks the nurse to
recommend a reliable web source for accurate prostate cancer information. The
nurse should identify which of these websites as most reliable?
1) www.wikipedia.org.
2) www.cancer.gov.
3) www.caringbridge.org.
4) www.google.com. -✓✓ 2) www.cancer.gov.
Answer (2026/2027) | Detailed Rationales |
A+ Verified
• When changing Mrs. Warren's ileostomy bag, the nurse notices that the
peristomal skin is irritated.
Which of these actions by the nurse would be appropriate before reapplying the
appliance?
1) Wash the area with antiseptic soap and water.
2) Clean the site with Dakin's solution.
3) Use a solid skin barrier.
4) Obtain an order for a topical antibiotic. -✓✓ 3) Use a solid skin barrier.
Rationale: The drainage from the stoma can quickly irritate the surrounding
tissue. Therefore, a solid skin barrier, with a pectin base or karaya wafer that has
a measurable thickness and hydrocolloid adhesive properties, should be applied.
• Which of these comments, if made by Mrs. Warren before her surgery, would
indicate that she had concerns about her body image?
1) "I will have to stop my aerobics classes."
2) "I'm so afraid I may not survive the surgery."
3) "I need to go shopping for some loose, baggy clothes."
4) "I'm concerned that this may be only the first of many surgeries." -✓✓ 3) "I
need to go shopping for some loose, baggy clothes."
,Rationale:Body image refers to a person's perception of self and determines how
the person interacts with others. One does not need to purchase special clothing
after ileostomy surgery, although some minor adjustments may be needed for
comfort, e.g., stretch underwear or pantyhose for support.
• To medical surgical nursing 11th edition by ignatavicius workman Test Bank or
any other Test Banks email banks and other E
books -✓✓
• Lewis Palmer, 45 years old, has a history of multiple myocardial infarctions and
is a heavy smoker. He takes warfarin sodium (Coumadin) daily. Two weeks ago, he
had a right femoral-popliteal bypass, which became occluded 24 hours ago. He is
admitted following an angioplasty of the femoral-popliteal bypass graft. Mr.
Palmer is receiving continuous IV heparin.
Because Mr. Palmer is receiving heparin, it is essential for the nurse to
1) monitor his prothrombin time.
2) observe him for signs of pulmonary embolism.
3) limit his intake of foods high in vitamin K.
4) check the femoral puncture site at frequent intervals. -✓✓ 4) check the femoral
puncture site at frequent intervals.
Rationale: Since bleeding is a common side effect of heparin, it is vital to check
the operative site, the femoral puncture area, for signs of bleeding.
• Attempts to revascularize Mr. Palmer's leg are unsuccessful, and Mr. Palmer has
a below-knee amputation (BKA) of his right extremity and is returned to the
medical-surgical unit with an intravenous infusion in place. His orders include:
heparin drip, morphine sulfate 10 mg IV push q4h prn for pain, and ampicillin
sodium g 1 IV q6h.
,Twelve hours postoperatively, Mr. Palmer is found to be short of breath and
diaphoretic. He says, "My chest hurts." His pulse is 140/min, compared to a
baseline of 80/min. His blood pressure is105/60 mm Hg, compared to a baseline
of 138/70 mm Hg. His respirations are 32/min, compared to a baseline of 16/min.
His O2 saturation is 85%. The nurse immediately calls for help. Which of the
following questions is most important for the nurse to ask?
1) "Have you ever had this type of chest pain before?"
2) "How long have you had this pain?"
3) "What pain medication do you usually take?"
4) "What -✓✓ 1) "Have you ever had this type of chest pain before?"
Rationale: Because of the patient's symptoms and his history of myocardial
infarctions, the nurse should find out if the patient has had this time of pain
previously.
• Maggie Clark, a 42-year-old female, was admitted with newly diagnosed type 2
diabetes mellitus. Her blood glucose has been stabilized, and the nurse is
preparing her for discharge. Her discharge orders will include metformin
(Glucophage). Mrs. Clark is also being treated for hypertension.
Because Mrs. Clark is to take Glucophage on a regular basis it is important to
1) monitor her glomerular filtration rate.
2) check her serum amylase routinely.
3) obtain her red blood cell count periodically.
4) examine her urine for casts. -✓✓ 1) monitor her glomerular filtration rate.
Rationale: The estimated glomerular filtration rate (eGFR) is one way to measure
the adequacy of kidney function. Glucophage is excreted by the kidney and the
risk of lactic acidosis increases in patients with impaired kidney function. The drug
may be used if the eGFR is between 45 and 60 mL/min/1.73 m2, i.e., in mild
, chronic kidney disease. Glucophage is absolutely contraindicated if the eGFR is
below 30 mL/min/1.73 m2.
• Mrs. Clark is prescribed metoprolol tartrate (Lopressor) for hypertension. Which
symptom of hypoglycemia would be masked by Lopressor?
1) Diaphoresis.
2) Tingling.
3) Diplopia.
4) Tachycardia. -✓✓ 4) Tachycardia.
Rationale: A side effect of Lopressor, a beta blocker, is bradycardia. The
Lopressor-induced bradycardia can mask tachycardia, a symptom of
hypoglycemia.
• Charles Haverford is diagnosed with prostate cancer and is to have a radical
prostatectomy.
Mr. Haverford has been researching his diagnosis and now asks the nurse to
recommend a reliable web source for accurate prostate cancer information. The
nurse should identify which of these websites as most reliable?
1) www.wikipedia.org.
2) www.cancer.gov.
3) www.caringbridge.org.
4) www.google.com. -✓✓ 2) www.cancer.gov.
