CMSRN FINAL PAPER 2026
COMPREHENSIVE QUESTIONS AND
ACCURATE SOLUTIONS
◉ To prepare a patient on the unit for a bronchoscopic procedure, a
medical-surgical nurse administers the IV sedative. The medical-
surgical nurse then instructs the licensed practical nurse to:
1. Educate the patient about the pending procedure.
2. Give the patient small sips of water only.
3. Measure the patient's blood pressure and pulse readings.
4. Take the patient to the bathroom one more time.
Answer: 3. Measure the patient's blood pressure and pulse readings.
◉ Which physiological response is often associated with surgery-
related stress?
1. Bronchial constriction
2. Decreased cortisol levels
3. Peripheral vasodilation
4. Sodium and water retention
Answer: 4. Sodium and water retention
,◉ A patient's family does not know the patient's end-of-life care
preferences, but assumes that they know what is best for the patient
under the circumstances. This assumption reflects:
1. Justice.
2. Paternalism.
3. Pragmatism.
4. Veracity.
Answer: 2. Paternalism.
◉ Which statement by a patient with diabetes mellitus indicates an
understanding of the medication insulin glargine (Lantus)?
1. "Lantus causes weight loss."
2. "Lantus is used only at night."
3. "The duration of Lantus is six hours."
4. "There is no peak time for Lantus."
Answer: 4. "There is no peak time for Lantus."
◉ Which action occurs primarily during the evaluation phase of the
nursing process?
,1. Data collection
2. Decision-making and judgment
3. Priority-setting and expected outcomes
4. Reassessment and audit
Answer: 4. Reassessment and audit
◉ Which action best describes a sentinel event alert?
1. Documenting the breakdown in communication during a shift
report
2. Indicating that a community or institution is unsafe
3. Recording the harm done when a medication error occurs
4. Signaling the need for immediate investigation and response
Answer: 4. Signaling the need for immediate investigation and
response
◉ Which is primarily a developmental task of middle age?
1. Learning and acquiring new skills and information
2. Rediscovering or developing satisfaction in one's relationship with
a significant other
3. Relying strongly upon spiritual beliefs
, 4. Risk taking and its perceived consequences
Answer: 2. Rediscovering or developing satisfaction in one's
relationship with a significant other
◉ A medical-surgical nurse, who is caring for a patient with a new
diagnosis of cancer, observes the patient becoming angry with the
physicians and nursing staff. The best approach to diffuse the
emotionally charged discussion is to:
1. Allow the patient and family members time to be alone.
2. Arrange time for the patient to speak with another patient with
cancer.
3. Direct the discussion and validation of emotion, without false
reassurance.
4. Request a consultation from a social worker on the oncology unit.
Answer: 3. Direct the discussion and validation of emotion, without
false reassurance.
◉ It is hospital policy to assess and record a patient's pulse before
administering digoxin (Lanoxin). By auditing the nursing records to
determine the frequency of compliance with this policy, the quality
assessment and improvement committee is conducting:
1. A process analysis.
COMPREHENSIVE QUESTIONS AND
ACCURATE SOLUTIONS
◉ To prepare a patient on the unit for a bronchoscopic procedure, a
medical-surgical nurse administers the IV sedative. The medical-
surgical nurse then instructs the licensed practical nurse to:
1. Educate the patient about the pending procedure.
2. Give the patient small sips of water only.
3. Measure the patient's blood pressure and pulse readings.
4. Take the patient to the bathroom one more time.
Answer: 3. Measure the patient's blood pressure and pulse readings.
◉ Which physiological response is often associated with surgery-
related stress?
1. Bronchial constriction
2. Decreased cortisol levels
3. Peripheral vasodilation
4. Sodium and water retention
Answer: 4. Sodium and water retention
,◉ A patient's family does not know the patient's end-of-life care
preferences, but assumes that they know what is best for the patient
under the circumstances. This assumption reflects:
1. Justice.
2. Paternalism.
3. Pragmatism.
4. Veracity.
Answer: 2. Paternalism.
◉ Which statement by a patient with diabetes mellitus indicates an
understanding of the medication insulin glargine (Lantus)?
1. "Lantus causes weight loss."
2. "Lantus is used only at night."
3. "The duration of Lantus is six hours."
4. "There is no peak time for Lantus."
Answer: 4. "There is no peak time for Lantus."
◉ Which action occurs primarily during the evaluation phase of the
nursing process?
,1. Data collection
2. Decision-making and judgment
3. Priority-setting and expected outcomes
4. Reassessment and audit
Answer: 4. Reassessment and audit
◉ Which action best describes a sentinel event alert?
1. Documenting the breakdown in communication during a shift
report
2. Indicating that a community or institution is unsafe
3. Recording the harm done when a medication error occurs
4. Signaling the need for immediate investigation and response
Answer: 4. Signaling the need for immediate investigation and
response
◉ Which is primarily a developmental task of middle age?
1. Learning and acquiring new skills and information
2. Rediscovering or developing satisfaction in one's relationship with
a significant other
3. Relying strongly upon spiritual beliefs
, 4. Risk taking and its perceived consequences
Answer: 2. Rediscovering or developing satisfaction in one's
relationship with a significant other
◉ A medical-surgical nurse, who is caring for a patient with a new
diagnosis of cancer, observes the patient becoming angry with the
physicians and nursing staff. The best approach to diffuse the
emotionally charged discussion is to:
1. Allow the patient and family members time to be alone.
2. Arrange time for the patient to speak with another patient with
cancer.
3. Direct the discussion and validation of emotion, without false
reassurance.
4. Request a consultation from a social worker on the oncology unit.
Answer: 3. Direct the discussion and validation of emotion, without
false reassurance.
◉ It is hospital policy to assess and record a patient's pulse before
administering digoxin (Lanoxin). By auditing the nursing records to
determine the frequency of compliance with this policy, the quality
assessment and improvement committee is conducting:
1. A process analysis.
