CERTIFIED MEDICAL SURGICAL REGISTERED
NURSE EXAM |ACTUAL QUESTIONS AND VERIFIED
ANSWERS |LATEST 2026/2027 UPDATE|GRADED
A+
Question 1
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."
ANSWER
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.
Question 2
Christine Warren, 45 years old, has a long history of ulcerative colitis, and non-surgical
treatment no longer relieved her symptoms. She underwent a total proctocolectomy and a
permanent ileostomy 12 hours ago.
The nurse should contact the physician immediately if Mrs. Warren has which of these
findings?
1
@THE STUDY VAULT
,1) The stoma appears pale and dry.
2) The stoma appears red and shiny.
3) There is 200 mL of dark green output from the stoma.
4) There is 50 mL of serosanguinous drainage from the stoma.
ANSWER
1) The stoma appears pale and dry.
Rationale: If there is an adequate blood supply to the stoma, the color is pink or red, and
the stoma is moist as a result of mucous production. A pale dry color suggests ischemia of
the stoma or bowel and must be reported immediately to the physician. With an
ileostomy initially after surgery, the output is a loose, dark green liquid that may contain
some blood. The ileostomy usually begins to drain within 24 of surgery at more than one
liter per day.
Question 3
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.
ANSWER
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.
2
@THE STUDY VAULT
,Question 4
The nurse receives all of the following stat orders for Mr. Palmer. Which one should the
nurse question?
1) Oxygen per nasal cannula at 4 L per minute.
2) Enoxaparin (Lovenox) 40 mg subcutaneously.
3) Troponin level.
4) Computed tomography (CT) angiogram.
ANSWER
Rationale: The nurse should questions the order for Lovenox because the patient is
receiving a heparin drip.
Question 5
To get TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and
Collaborative Care 11th Edition by Donna D. Ignatavicius, All chapters 1 - 74
email or copy these links to get the full test banks. Each link
has a different versions http://www.stuvia.com/doc/7290675
http://www.stuvia.com/doc/8342084
Question 6
http://www.stuvia.com/doc/9267657
Question 7
3
@THE STUDY VAULT
, http://www.stuvia.com/doc/7153071
http://www.stuvia.com/doc/7069048
ANSWER
http://www.stuvia.com/doc/7290675
Question 8
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.
ANSWER
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.
Question 9
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.
4
@THE STUDY VAULT
NURSE EXAM |ACTUAL QUESTIONS AND VERIFIED
ANSWERS |LATEST 2026/2027 UPDATE|GRADED
A+
Question 1
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."
ANSWER
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.
Question 2
Christine Warren, 45 years old, has a long history of ulcerative colitis, and non-surgical
treatment no longer relieved her symptoms. She underwent a total proctocolectomy and a
permanent ileostomy 12 hours ago.
The nurse should contact the physician immediately if Mrs. Warren has which of these
findings?
1
@THE STUDY VAULT
,1) The stoma appears pale and dry.
2) The stoma appears red and shiny.
3) There is 200 mL of dark green output from the stoma.
4) There is 50 mL of serosanguinous drainage from the stoma.
ANSWER
1) The stoma appears pale and dry.
Rationale: If there is an adequate blood supply to the stoma, the color is pink or red, and
the stoma is moist as a result of mucous production. A pale dry color suggests ischemia of
the stoma or bowel and must be reported immediately to the physician. With an
ileostomy initially after surgery, the output is a loose, dark green liquid that may contain
some blood. The ileostomy usually begins to drain within 24 of surgery at more than one
liter per day.
Question 3
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.
ANSWER
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.
2
@THE STUDY VAULT
,Question 4
The nurse receives all of the following stat orders for Mr. Palmer. Which one should the
nurse question?
1) Oxygen per nasal cannula at 4 L per minute.
2) Enoxaparin (Lovenox) 40 mg subcutaneously.
3) Troponin level.
4) Computed tomography (CT) angiogram.
ANSWER
Rationale: The nurse should questions the order for Lovenox because the patient is
receiving a heparin drip.
Question 5
To get TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and
Collaborative Care 11th Edition by Donna D. Ignatavicius, All chapters 1 - 74
email or copy these links to get the full test banks. Each link
has a different versions http://www.stuvia.com/doc/7290675
http://www.stuvia.com/doc/8342084
Question 6
http://www.stuvia.com/doc/9267657
Question 7
3
@THE STUDY VAULT
, http://www.stuvia.com/doc/7153071
http://www.stuvia.com/doc/7069048
ANSWER
http://www.stuvia.com/doc/7290675
Question 8
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.
ANSWER
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.
Question 9
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.
4
@THE STUDY VAULT
