CMSRN ACTUAL CERTIFICATION PAPER
2026 QUESTIONS WITH ANSWERS FULL
SOLUTION.
■ 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.
■ To medical surgical nursing 11th edition by ignatavicius workman Test
Bank or any other Test Banks email
banks and other E books. Answer-
,■ 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.
■ 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. Answer- 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. Answer- 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. Answer- 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?
2026 QUESTIONS WITH ANSWERS FULL
SOLUTION.
■ 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.
■ To medical surgical nursing 11th edition by ignatavicius workman Test
Bank or any other Test Banks email
banks and other E books. Answer-
,■ 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.
■ 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. Answer- 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. Answer- 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. Answer- 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?
