CMSRN COMPREHENSIVE EXAM TEST PAPER
WITH COMPLETE SOLUTIONS
◉ 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.
Answer: 2) www.cancer.gov.
Rationale: When a patient asks about researching information on
the internet, the patient should be instructed to look at reliable sites.
Sites that are most reliable are those sponsored by the government
(.gov).
◉ Mr. Haverford has the planned surgery and immediately
postoperatively he has a urinary catheter inserted. After the urinary
catheter is removed Mr. Haverford is urinating normally, however he
,is experiencing occasional incontinence with dribbling. Mr.
Haverford is to be discharged.
Mr. Haverford says to the nurse, "I'm so embarrassed. What will my
wife think about this dribbling?" In addition to acknowledging his
feelings, the nurse should encourage the patient to
1) limit oral intake of fluids before bedtime.
2) palpate his bladder to check for distention three times a day.
3) perform pelvic floor exercises several times daily.
4) avoid interrupting the urinary stream during voiding.
Answer: 3) perform pelvic floor exercises several times daily.
Rationale: It is not unusual for a patient who has had a
prostatectomy, to complain of not having complete bladder control
after catheter removal. To help the patient regain urinary control,
pelvic floor strengthening exercises are recommended.
◉ A patient's wife is visibly upset and says to the nurse, "I thought
my husband only broke his hip, but the doctor thinks he might have
had a stroke." Which of the following would be an appropriate
response by the nurse?
1) "It's really too early to be concerned about that. Let's wait until
the test results come back."
2) "If it is a stroke, your husband is in the right hospital for
treatment."
,3) "Yes, he does have symptoms of a stroke. That's what the tests
will help us find out."
4) "I'm going to get you some information to read about strokes and
their treatment."
Answer: 3) "Yes, he does have symptoms of a stroke. That's what the
tests will help us find out."
Rationale: Symptoms of stroke vary greatly and the initial diagnosis
is made after a non-contrast CT scan is done to determine if the
event was ischemic or hemorrhagic. Then, further tests are done to
confirm the diagnosis and decide on treatment.
◉ In the event of a fire in a hospital's dialysis unit, which of these
actions should the nurse take first?
1) Extinguish the fire if possible.
2) Activate the fire response system.
3) Confine the fire by closing all fire doors.
4) Remove patients or staff in danger.
Answer: 4) Remove patients or staff in danger.
Rationale: When a fire occurs in a patient area within the hospital,
the nurses' first actions are to protect patients and staff. This usually
involves removing the patients and staff from exposure to the fire.
, ◉ An 80-year-old male who has mild dementia is readmitted for the
third time with multiple pressure ulcers. During the nursing
assessment, multiple bruises are also observed on his body. He lives
with his son and daughter-in-law. The nurse suspects elder
abuse/neglect. Which of these actions should the nurse take?
1) Have a staff member present during family visits.
2) Report the findings.
3) Discuss the situation with the family.
4) Ask the patient who is providing his care.
Answer: 2) Report the findings.
Rationale: Most states require that health care workers report
suspected elder abuse to an official agency, such as Adult Protective
Services.
◉ A patient who has active pulmonary tuberculosis (TB) states, "I'm
not going to take these TB pills!" Which of these responses by the
nurse would be appropriate?
1) "You have a legal right to refuse to take this medication."
2) "You need to sign a Refusal of Treatment Form."
3) "You need to ask your doctor about the possibility of
discontinuing the medication."
WITH COMPLETE SOLUTIONS
◉ 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.
Answer: 2) www.cancer.gov.
Rationale: When a patient asks about researching information on
the internet, the patient should be instructed to look at reliable sites.
Sites that are most reliable are those sponsored by the government
(.gov).
◉ Mr. Haverford has the planned surgery and immediately
postoperatively he has a urinary catheter inserted. After the urinary
catheter is removed Mr. Haverford is urinating normally, however he
,is experiencing occasional incontinence with dribbling. Mr.
Haverford is to be discharged.
Mr. Haverford says to the nurse, "I'm so embarrassed. What will my
wife think about this dribbling?" In addition to acknowledging his
feelings, the nurse should encourage the patient to
1) limit oral intake of fluids before bedtime.
2) palpate his bladder to check for distention three times a day.
3) perform pelvic floor exercises several times daily.
4) avoid interrupting the urinary stream during voiding.
Answer: 3) perform pelvic floor exercises several times daily.
Rationale: It is not unusual for a patient who has had a
prostatectomy, to complain of not having complete bladder control
after catheter removal. To help the patient regain urinary control,
pelvic floor strengthening exercises are recommended.
◉ A patient's wife is visibly upset and says to the nurse, "I thought
my husband only broke his hip, but the doctor thinks he might have
had a stroke." Which of the following would be an appropriate
response by the nurse?
1) "It's really too early to be concerned about that. Let's wait until
the test results come back."
2) "If it is a stroke, your husband is in the right hospital for
treatment."
,3) "Yes, he does have symptoms of a stroke. That's what the tests
will help us find out."
4) "I'm going to get you some information to read about strokes and
their treatment."
Answer: 3) "Yes, he does have symptoms of a stroke. That's what the
tests will help us find out."
Rationale: Symptoms of stroke vary greatly and the initial diagnosis
is made after a non-contrast CT scan is done to determine if the
event was ischemic or hemorrhagic. Then, further tests are done to
confirm the diagnosis and decide on treatment.
◉ In the event of a fire in a hospital's dialysis unit, which of these
actions should the nurse take first?
1) Extinguish the fire if possible.
2) Activate the fire response system.
3) Confine the fire by closing all fire doors.
4) Remove patients or staff in danger.
Answer: 4) Remove patients or staff in danger.
Rationale: When a fire occurs in a patient area within the hospital,
the nurses' first actions are to protect patients and staff. This usually
involves removing the patients and staff from exposure to the fire.
, ◉ An 80-year-old male who has mild dementia is readmitted for the
third time with multiple pressure ulcers. During the nursing
assessment, multiple bruises are also observed on his body. He lives
with his son and daughter-in-law. The nurse suspects elder
abuse/neglect. Which of these actions should the nurse take?
1) Have a staff member present during family visits.
2) Report the findings.
3) Discuss the situation with the family.
4) Ask the patient who is providing his care.
Answer: 2) Report the findings.
Rationale: Most states require that health care workers report
suspected elder abuse to an official agency, such as Adult Protective
Services.
◉ A patient who has active pulmonary tuberculosis (TB) states, "I'm
not going to take these TB pills!" Which of these responses by the
nurse would be appropriate?
1) "You have a legal right to refuse to take this medication."
2) "You need to sign a Refusal of Treatment Form."
3) "You need to ask your doctor about the possibility of
discontinuing the medication."
