Certified Medical-Surgical Registered |\ |\ |\
Nurse 2025 Sample Questions with |\ |\ |\ |\ |\
answers
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Rationale: The nurse should questions the
|\ |\ |\ |\ |\ |\ |\
order for Lovenox because the patient is receiving a
|\ |\ |\ |\ |\ |\ |\ |\ |\
heparin drip. |\
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 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. - CORRECT ANSWERS ✔✔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.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. |\ |\ |\
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." - CORRECT ANSWERS ✔✔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 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
http://www.stuvia.com/doc/9267657
http://www.stuvia.com/doc/7153071
http://www.stuvia.com/doc/7069048 - CORRECT |\ |\ |\
ANSWERS ✔✔http://www.stuvia.com/doc/7290675 |\
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. |\ |\
Nurse 2025 Sample Questions with |\ |\ |\ |\ |\
answers
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Rationale: The nurse should questions the
|\ |\ |\ |\ |\ |\ |\
order for Lovenox because the patient is receiving a
|\ |\ |\ |\ |\ |\ |\ |\ |\
heparin drip. |\
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 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. - CORRECT ANSWERS ✔✔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.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. |\ |\ |\
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." - CORRECT ANSWERS ✔✔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 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
http://www.stuvia.com/doc/9267657
http://www.stuvia.com/doc/7153071
http://www.stuvia.com/doc/7069048 - CORRECT |\ |\ |\
ANSWERS ✔✔http://www.stuvia.com/doc/7290675 |\
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. |\ |\
