Certified Medical-Surgical Registered
Nurse 2025 Sample Questions And
Answers
The vnurse vreceives vall vof vthe vfollowing vstat vorders vfor vMr. vPalmer. vWhich vone vshould vthe vnurse
vquestion?
1) vOxygen vper vnasal vcannula vat v4 vL vper vminute.
2) vEnoxaparin v(Lovenox) v40 vmg vsubcutaneously.
3) vTroponin vlevel.
4) vComputed vtomography v(CT) vangiogram. v- vAnswer v- vRationale: vThe vnurse vshould vquestions vthe
vorder vfor v Lovenox vbecause vthe vpatient vis vreceiving va vheparin vdrip.
Christine vWarren, v45 vyears vold, vhas va vlong vhistory vof vulcerative vcolitis, vand vnon-surgical
vtreatment vno vlonger vrelieved vher vsymptoms. vShe vunderwent va vtotal vproctocolectomy vand va
vpermanent vileostomy v12 vhours vago.
The vnurse vshould vcontact vthe vphysician vimmediately vif vMrs. vWarren vhas vwhich vof vthese
vfindings?
1) vThe vstoma vappears vpale vand vdry.
2) vThe vstoma vappears vred vand vshiny.
3) vThere vis v200 vmL vof vdark vgreen voutput vfrom vthe vstoma.
4) vThere vis v50 vmL vof vserosanguinous vdrainage vfrom vthe vstoma. v- vAnswer v- v1) vThe vstoma
vappears vpale vand vdry.
Rationale: vIf vthere vis van vadequate vblood vsupply vto vthe vstoma, vthe vcolor vis vpink vor vred, vand vthe
vstoma vis vmoist vas va vresult vof vmucous vproduction. vA vpale vdry vcolor vsuggests vischemia vof vthe
vstoma vor vbowel vand vmust vbe vreported vimmediately vto vthe vphysician. vWith van vileostomy
vinitially vafter vsurgery, vthe voutput vis va vloose, vdark vgreen vliquid vthat vmay vcontain vsome vblood.
vThe vileostomy vusually vbegins vto vdrain vwithin v24 v of vsurgery vat vmore v than vone vliter vper vday.
,When vchanging vMrs. vWarren's vileostomy vbag, vthe vnurse vnotices vthat vthe vperistomal vskin vis
virritated. v
Which vof vthese vactions vby vthe vnurse vwould vbe vappropriate vbefore vreapplying vthe vappliance?
1) vWash vthe varea vwith vantiseptic vsoap vand vwater.
2) vClean vthe vsite vwith vDakin's vsolution.
3) vUse va vsolid vskin vbarrier.
4) vObtain van vorder vfor va vtopical vantibiotic. v- vAnswer v- v3) vUse va vsolid vskin vbarrier.
Rationale: vThe vdrainage vfrom vthe vstoma vcan vquickly virritate vthe vsurrounding vtissue. vTherefore, va
vsolid vskin vbarrier, vwith va vpectin vbase vor vkaraya vwafer vthat vhas va vmeasurable vthickness vand
vhydrocolloid vadhesive vproperties, vshould vbe vapplied.
Which vof vthese vcomments, vif vmade vby vMrs. vWarren vbefore vher vsurgery, vwould vindicate vthat
vshe vhad v concerns vabout vher vbody vimage?
1) v"I vwill vhave vto vstop vmy vaerobics vclasses."
2) v"I'm vso vafraid vI vmay vnot vsurvive vthe vsurgery."
3) v"I vneed vto vgo vshopping vfor vsome vloose, vbaggy vclothes."
4) v"I'm vconcerned vthat vthis vmay vbe vonly vthe vfirst vof vmany vsurgeries." v- vAnswer v- v3) v"I vneed vto
vgo vshopping vfor vsome vloose, vbaggy vclothes."
Rationale:Body vimage vrefers vto va vperson's vperception vof vself vand vdetermines vhow vthe vperson
vinteracts vwith vothers. vOne vdoes vnot vneed vto vpurchase vspecial vclothing vafter vileostomy vsurgery,
valthough vsome vminor vadjustments vmay vbe v needed vfor v comfort, ve.g., vstretch vunderwear vor
vpantyhose vfor vsupport.
To vmedical vsurgical vnursing v11th vedition vby vignatavicius vworkman vTest vBank vor vany vother vTest
vBanks vemail vbanks vand vother vE vbooks v- vAnswer v- v
Lewis vPalmer, v45 vyears vold, vhas va vhistory vof vmultiple vmyocardial vinfarctions vand vis va vheavy
vsmoker. vHe vtakes vwarfarin vsodium v(Coumadin) vdaily. vTwo vweeks vago, vhe vhad va vright vfemoral-
,popliteal vbypass, vwhich vbecame voccluded v24 vhours vago. vHe vis vadmitted vfollowing van vangioplasty
vof vthe vfemoral-popliteal vbypass vgraft. vMr. vPalmer vis vreceiving vcontinuous vIV v heparin.
Because vMr. vPalmer vis vreceiving vheparin, vit vis vessential vfor vthe vnurse vto
1) vmonitor vhis vprothrombin vtime.
2) vobserve vhim vfor vsigns vof vpulmonary vembolism.
3) vlimit vhis vintake vof vfoods vhigh vin vvitamin vK.
4) vcheck vthe vfemoral vpuncture vsite vat vfrequent vintervals. v- vAnswer v- v4) vcheck vthe vfemoral
vpuncture vsite vat vfrequent vintervals.
Rationale: vSince vbleeding vis va vcommon vside veffect vof vheparin, vit vis vvital vto vcheck vthe voperative
vsite, vthe vfemoral vpuncture varea, vfor vsigns vof vbleeding.
Attempts vto vrevascularize vMr. vPalmer's vleg vare vunsuccessful, vand vMr. vPalmer vhas va vbelow-knee
vamputation v(BKA) vof vhis vright vextremity vand vis vreturned vto vthe vmedical-surgical vunit vwith van
vintravenous vinfusion vin vplace. vHis vorders vinclude: v heparin vdrip, vmorphine vsulfate v10 vmg vIV vpush
vq4h vprn vfor v pain, vand vampicillin vsodium vg v1 vIV vq6h.
Twelve vhours vpostoperatively, vMr. vPalmer vis vfound vto vbe vshort vof vbreath vand vdiaphoretic. vHe
vsays, v"My v chest vhurts." vHis vpulse vis v140/min, vcompared vto va vbaseline vof v80/min. vHis vblood
vpressure vis105/60 vmm vHg, vcompared vto va vbaseline vof v138/70 vmm vHg. vHis vrespirations vare
v32/min, vcompared vto va vbaseline vof v16/min. vHis vO2 vsaturation vis v85%. vThe vnurse vimmediately
vcalls vfor vhelp. vWhich vof v the vfollowing vquestions vis vmost vimportant vfor vthe vnurse vto vask?
1) v"Have vyou vever vhad vthis vtype vof vchest vpain vbefore?"
2) v"How vlong vhave vyou vhad vthis vpain?"
3) v"What vpain vmedication vdo vyou vusually vtake?"
4) v"What v- vAnswer v- v1) v"Have vyou vever vhad vthis vtype vof vchest vpain vbefore?"
Rationale: vBecause vof vthe vpatient's vsymptoms vand vhis vhistory vof vmyocardial vinfarctions, vthe
vnurse vshould vfind vout vif v the vpatient vhas v had v this vtime vof vpain vpreviously.
Maggie vClark, va v42-year-old vfemale, vwas vadmitted vwith vnewly vdiagnosed vtype v2 vdiabetes
vmellitus. vHer vblood vglucose vhas vbeen vstabilized, vand vthe vnurse vis vpreparing vher vfor vdischarge.
vHer vdischarge vorders vwill vinclude vmetformin v(Glucophage). vMrs. vClark vis valso vbeing vtreated vfor
vhypertension.
Because vMrs. vClark vis vto vtake vGlucophage von va vregular vbasis vit vis vimportant vto
1) vmonitor vher vglomerular vfiltration vrate.
, 2) vcheck vher vserum vamylase vroutinely.
3) vobtain vher vred vblood vcell vcount vperiodically.
4) vexamine vher vurine vfor vcasts. v- vAnswer v- v1) vmonitor vher vglomerular vfiltration vrate.
Rationale: vThe vestimated vglomerular vfiltration vrate v(eGFR) vis vone vway vto vmeasure vthe vadequacy
vof vkidney vfunction. vGlucophage vis vexcreted vby v the vkidney vand vthe vrisk vof vlactic vacidosis
vincreases vin vpatients vwith vimpaired vkidney vfunction. vThe vdrug vmay vbe vused vif v the veGFR vis
vbetween v45 vand v60 vmL/min/1.73 vm2, vi.e., vin vmild vchronic vkidney vdisease. vGlucophage vis
vabsolutely vcontraindicated vif vthe veGFR vis vbelow v30 vmL/min/1.73 vm2.
Mrs. vClark vis vprescribed vmetoprolol vtartrate v(Lopressor) vfor vhypertension. vWhich vsymptom vof
vhypoglycemia vwould vbe vmasked vby vLopressor?
1) vDiaphoresis.
2) vTingling.
3) vDiplopia.
4) vTachycardia. v- vAnswer v- v4) vTachycardia.
Rationale: vA vside veffect vof vLopressor, va vbeta vblocker, vis vbradycardia. vThe vLopressor-induced
vbradycardia vcan vmask v tachycardia, va vsymptom vof v hypoglycemia.
Charles vHaverford vis vdiagnosed vwith vprostate vcancer vand vis vto vhave va vradical vprostatectomy.
Mr. vHaverford vhas vbeen vresearching vhis vdiagnosis vand vnow vasks vthe vnurse vto vrecommend va
vreliable vweb vsource vfor vaccurate vprostate v cancer vinformation. vThe vnurse vshould videntify vwhich
vof vthese vwebsites vas vmost vreliable?
1) vwww.wikipedia.org.
2) vwww.cancer.gov.
3) vwww.caringbridge.org.
4) vwww.google.com. v- vAnswer v- v2) vwww.cancer.gov.
Nurse 2025 Sample Questions And
Answers
The vnurse vreceives vall vof vthe vfollowing vstat vorders vfor vMr. vPalmer. vWhich vone vshould vthe vnurse
vquestion?
1) vOxygen vper vnasal vcannula vat v4 vL vper vminute.
2) vEnoxaparin v(Lovenox) v40 vmg vsubcutaneously.
3) vTroponin vlevel.
4) vComputed vtomography v(CT) vangiogram. v- vAnswer v- vRationale: vThe vnurse vshould vquestions vthe
vorder vfor v Lovenox vbecause vthe vpatient vis vreceiving va vheparin vdrip.
Christine vWarren, v45 vyears vold, vhas va vlong vhistory vof vulcerative vcolitis, vand vnon-surgical
vtreatment vno vlonger vrelieved vher vsymptoms. vShe vunderwent va vtotal vproctocolectomy vand va
vpermanent vileostomy v12 vhours vago.
The vnurse vshould vcontact vthe vphysician vimmediately vif vMrs. vWarren vhas vwhich vof vthese
vfindings?
1) vThe vstoma vappears vpale vand vdry.
2) vThe vstoma vappears vred vand vshiny.
3) vThere vis v200 vmL vof vdark vgreen voutput vfrom vthe vstoma.
4) vThere vis v50 vmL vof vserosanguinous vdrainage vfrom vthe vstoma. v- vAnswer v- v1) vThe vstoma
vappears vpale vand vdry.
Rationale: vIf vthere vis van vadequate vblood vsupply vto vthe vstoma, vthe vcolor vis vpink vor vred, vand vthe
vstoma vis vmoist vas va vresult vof vmucous vproduction. vA vpale vdry vcolor vsuggests vischemia vof vthe
vstoma vor vbowel vand vmust vbe vreported vimmediately vto vthe vphysician. vWith van vileostomy
vinitially vafter vsurgery, vthe voutput vis va vloose, vdark vgreen vliquid vthat vmay vcontain vsome vblood.
vThe vileostomy vusually vbegins vto vdrain vwithin v24 v of vsurgery vat vmore v than vone vliter vper vday.
,When vchanging vMrs. vWarren's vileostomy vbag, vthe vnurse vnotices vthat vthe vperistomal vskin vis
virritated. v
Which vof vthese vactions vby vthe vnurse vwould vbe vappropriate vbefore vreapplying vthe vappliance?
1) vWash vthe varea vwith vantiseptic vsoap vand vwater.
2) vClean vthe vsite vwith vDakin's vsolution.
3) vUse va vsolid vskin vbarrier.
4) vObtain van vorder vfor va vtopical vantibiotic. v- vAnswer v- v3) vUse va vsolid vskin vbarrier.
Rationale: vThe vdrainage vfrom vthe vstoma vcan vquickly virritate vthe vsurrounding vtissue. vTherefore, va
vsolid vskin vbarrier, vwith va vpectin vbase vor vkaraya vwafer vthat vhas va vmeasurable vthickness vand
vhydrocolloid vadhesive vproperties, vshould vbe vapplied.
Which vof vthese vcomments, vif vmade vby vMrs. vWarren vbefore vher vsurgery, vwould vindicate vthat
vshe vhad v concerns vabout vher vbody vimage?
1) v"I vwill vhave vto vstop vmy vaerobics vclasses."
2) v"I'm vso vafraid vI vmay vnot vsurvive vthe vsurgery."
3) v"I vneed vto vgo vshopping vfor vsome vloose, vbaggy vclothes."
4) v"I'm vconcerned vthat vthis vmay vbe vonly vthe vfirst vof vmany vsurgeries." v- vAnswer v- v3) v"I vneed vto
vgo vshopping vfor vsome vloose, vbaggy vclothes."
Rationale:Body vimage vrefers vto va vperson's vperception vof vself vand vdetermines vhow vthe vperson
vinteracts vwith vothers. vOne vdoes vnot vneed vto vpurchase vspecial vclothing vafter vileostomy vsurgery,
valthough vsome vminor vadjustments vmay vbe v needed vfor v comfort, ve.g., vstretch vunderwear vor
vpantyhose vfor vsupport.
To vmedical vsurgical vnursing v11th vedition vby vignatavicius vworkman vTest vBank vor vany vother vTest
vBanks vemail vbanks vand vother vE vbooks v- vAnswer v- v
Lewis vPalmer, v45 vyears vold, vhas va vhistory vof vmultiple vmyocardial vinfarctions vand vis va vheavy
vsmoker. vHe vtakes vwarfarin vsodium v(Coumadin) vdaily. vTwo vweeks vago, vhe vhad va vright vfemoral-
,popliteal vbypass, vwhich vbecame voccluded v24 vhours vago. vHe vis vadmitted vfollowing van vangioplasty
vof vthe vfemoral-popliteal vbypass vgraft. vMr. vPalmer vis vreceiving vcontinuous vIV v heparin.
Because vMr. vPalmer vis vreceiving vheparin, vit vis vessential vfor vthe vnurse vto
1) vmonitor vhis vprothrombin vtime.
2) vobserve vhim vfor vsigns vof vpulmonary vembolism.
3) vlimit vhis vintake vof vfoods vhigh vin vvitamin vK.
4) vcheck vthe vfemoral vpuncture vsite vat vfrequent vintervals. v- vAnswer v- v4) vcheck vthe vfemoral
vpuncture vsite vat vfrequent vintervals.
Rationale: vSince vbleeding vis va vcommon vside veffect vof vheparin, vit vis vvital vto vcheck vthe voperative
vsite, vthe vfemoral vpuncture varea, vfor vsigns vof vbleeding.
Attempts vto vrevascularize vMr. vPalmer's vleg vare vunsuccessful, vand vMr. vPalmer vhas va vbelow-knee
vamputation v(BKA) vof vhis vright vextremity vand vis vreturned vto vthe vmedical-surgical vunit vwith van
vintravenous vinfusion vin vplace. vHis vorders vinclude: v heparin vdrip, vmorphine vsulfate v10 vmg vIV vpush
vq4h vprn vfor v pain, vand vampicillin vsodium vg v1 vIV vq6h.
Twelve vhours vpostoperatively, vMr. vPalmer vis vfound vto vbe vshort vof vbreath vand vdiaphoretic. vHe
vsays, v"My v chest vhurts." vHis vpulse vis v140/min, vcompared vto va vbaseline vof v80/min. vHis vblood
vpressure vis105/60 vmm vHg, vcompared vto va vbaseline vof v138/70 vmm vHg. vHis vrespirations vare
v32/min, vcompared vto va vbaseline vof v16/min. vHis vO2 vsaturation vis v85%. vThe vnurse vimmediately
vcalls vfor vhelp. vWhich vof v the vfollowing vquestions vis vmost vimportant vfor vthe vnurse vto vask?
1) v"Have vyou vever vhad vthis vtype vof vchest vpain vbefore?"
2) v"How vlong vhave vyou vhad vthis vpain?"
3) v"What vpain vmedication vdo vyou vusually vtake?"
4) v"What v- vAnswer v- v1) v"Have vyou vever vhad vthis vtype vof vchest vpain vbefore?"
Rationale: vBecause vof vthe vpatient's vsymptoms vand vhis vhistory vof vmyocardial vinfarctions, vthe
vnurse vshould vfind vout vif v the vpatient vhas v had v this vtime vof vpain vpreviously.
Maggie vClark, va v42-year-old vfemale, vwas vadmitted vwith vnewly vdiagnosed vtype v2 vdiabetes
vmellitus. vHer vblood vglucose vhas vbeen vstabilized, vand vthe vnurse vis vpreparing vher vfor vdischarge.
vHer vdischarge vorders vwill vinclude vmetformin v(Glucophage). vMrs. vClark vis valso vbeing vtreated vfor
vhypertension.
Because vMrs. vClark vis vto vtake vGlucophage von va vregular vbasis vit vis vimportant vto
1) vmonitor vher vglomerular vfiltration vrate.
, 2) vcheck vher vserum vamylase vroutinely.
3) vobtain vher vred vblood vcell vcount vperiodically.
4) vexamine vher vurine vfor vcasts. v- vAnswer v- v1) vmonitor vher vglomerular vfiltration vrate.
Rationale: vThe vestimated vglomerular vfiltration vrate v(eGFR) vis vone vway vto vmeasure vthe vadequacy
vof vkidney vfunction. vGlucophage vis vexcreted vby v the vkidney vand vthe vrisk vof vlactic vacidosis
vincreases vin vpatients vwith vimpaired vkidney vfunction. vThe vdrug vmay vbe vused vif v the veGFR vis
vbetween v45 vand v60 vmL/min/1.73 vm2, vi.e., vin vmild vchronic vkidney vdisease. vGlucophage vis
vabsolutely vcontraindicated vif vthe veGFR vis vbelow v30 vmL/min/1.73 vm2.
Mrs. vClark vis vprescribed vmetoprolol vtartrate v(Lopressor) vfor vhypertension. vWhich vsymptom vof
vhypoglycemia vwould vbe vmasked vby vLopressor?
1) vDiaphoresis.
2) vTingling.
3) vDiplopia.
4) vTachycardia. v- vAnswer v- v4) vTachycardia.
Rationale: vA vside veffect vof vLopressor, va vbeta vblocker, vis vbradycardia. vThe vLopressor-induced
vbradycardia vcan vmask v tachycardia, va vsymptom vof v hypoglycemia.
Charles vHaverford vis vdiagnosed vwith vprostate vcancer vand vis vto vhave va vradical vprostatectomy.
Mr. vHaverford vhas vbeen vresearching vhis vdiagnosis vand vnow vasks vthe vnurse vto vrecommend va
vreliable vweb vsource vfor vaccurate vprostate v cancer vinformation. vThe vnurse vshould videntify vwhich
vof vthese vwebsites vas vmost vreliable?
1) vwww.wikipedia.org.
2) vwww.cancer.gov.
3) vwww.caringbridge.org.
4) vwww.google.com. v- vAnswer v- v2) vwww.cancer.gov.
