Certified Medical-Surgical Registered Nurse 2025
Sample Questions with Correct Answers
Save
Terms in this set (138)
The nurse receives all of Rationale: The nurse should questions the order for
the following stat orders Lovenox because the patient is receiving a heparin
for Mr. Palmer. Which one drip.
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.
,Christine Warren, 45 years 1) The stoma appears pale and dry.
old, has a long history of
ulcerative colitis, and non- Rationale: If there is an adequate blood supply to the
surgical treatment no stoma, the color is pink or red, and the stoma is moist
longer relieved her as a result of mucous production. A pale dry color
symptoms. She underwent suggests ischemia of the stoma or bowel and must be
a total proctocolectomy reported immediately to the physician. With an
and a permanent ileostomy initially after surgery, the output is a loose,
ileostomy 12 hours ago. dark green liquid that may contain some blood. The
The nurse should contact ileostomy usually begins to drain within 24 of surgery
the physician immediately at more than one liter per day.
if Mrs. Warren has which
of these findings?
1) The stoma appears
paleand 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.
,When changing Mrs. 3) Use a solid skin barrier.
Warren's ileostomy bag,
the nurse notices that the Rationale: The drainage from the stoma can quickly
peristomal skin is irritated. irritate the surrounding tissue. Therefore, a solid skin
barrier, with a pectin base or karaya wafer that has a
Which of these actions by measurable thickness and hydrocolloid adhesive
the nurse would be properties, should be applied.
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.
Which of these comments, 3) "I need to go shopping for some loose, baggy
if made by Mrs. Warren clothes."
before her surgery, would
indicate that she had Rationale:Body image refers to a person's perception
concerns about her body of self and determines how the person interacts with
image? others. One does not need to purchase special
clothing after ileostomy surgery, although some minor
1)"I will have to stop my adjustments may be needed for comfort, e.g., stretch
aerobics classes." underwear or pantyhose for support.
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."
, To medical surgical
nursing 11th edition by
ignatavicius workman Test
Bank or any other Test
Banks email
jamesdickson3161@gmail.c
omTest banks and other E
books
Lewis Palmer, 45 years 4) check the femoral puncture site at frequent
old, has a history of intervals.
multiple myocardial Rationale: Since bleeding is a common side effect of
infarctions and is a heavy heparin, it is vital to check the operative site, the
smoker. He takes warfarin femoral puncture area, for signs of bleeding.
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.
Sample Questions with Correct Answers
Save
Terms in this set (138)
The nurse receives all of Rationale: The nurse should questions the order for
the following stat orders Lovenox because the patient is receiving a heparin
for Mr. Palmer. Which one drip.
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.
,Christine Warren, 45 years 1) The stoma appears pale and dry.
old, has a long history of
ulcerative colitis, and non- Rationale: If there is an adequate blood supply to the
surgical treatment no stoma, the color is pink or red, and the stoma is moist
longer relieved her as a result of mucous production. A pale dry color
symptoms. She underwent suggests ischemia of the stoma or bowel and must be
a total proctocolectomy reported immediately to the physician. With an
and a permanent ileostomy initially after surgery, the output is a loose,
ileostomy 12 hours ago. dark green liquid that may contain some blood. The
The nurse should contact ileostomy usually begins to drain within 24 of surgery
the physician immediately at more than one liter per day.
if Mrs. Warren has which
of these findings?
1) The stoma appears
paleand 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.
,When changing Mrs. 3) Use a solid skin barrier.
Warren's ileostomy bag,
the nurse notices that the Rationale: The drainage from the stoma can quickly
peristomal skin is irritated. irritate the surrounding tissue. Therefore, a solid skin
barrier, with a pectin base or karaya wafer that has a
Which of these actions by measurable thickness and hydrocolloid adhesive
the nurse would be properties, should be applied.
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.
Which of these comments, 3) "I need to go shopping for some loose, baggy
if made by Mrs. Warren clothes."
before her surgery, would
indicate that she had Rationale:Body image refers to a person's perception
concerns about her body of self and determines how the person interacts with
image? others. One does not need to purchase special
clothing after ileostomy surgery, although some minor
1)"I will have to stop my adjustments may be needed for comfort, e.g., stretch
aerobics classes." underwear or pantyhose for support.
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."
, To medical surgical
nursing 11th edition by
ignatavicius workman Test
Bank or any other Test
Banks email
jamesdickson3161@gmail.c
omTest banks and other E
books
Lewis Palmer, 45 years 4) check the femoral puncture site at frequent
old, has a history of intervals.
multiple myocardial Rationale: Since bleeding is a common side effect of
infarctions and is a heavy heparin, it is vital to check the operative site, the
smoker. He takes warfarin femoral puncture area, for signs of bleeding.
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.
