Page |1
Certified Medical-Surgical Registered
Nurse 2025 Sample Questions Questions
and Correct Answers/ Latest Update /
Already Graded
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.
Ans: 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.
All rights reserved © 2025/ 2026 |
, Page |2
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.
Ans: 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 o f 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.
All rights reserved © 2025/ 2026 |
, Page |3
4) Obtain an order for a topical antibiotic.
Ans: 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."
Ans: 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.
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: 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
All rights reserved © 2025/ 2026 |
Certified Medical-Surgical Registered
Nurse 2025 Sample Questions Questions
and Correct Answers/ Latest Update /
Already Graded
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.
Ans: 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.
All rights reserved © 2025/ 2026 |
, Page |2
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.
Ans: 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 o f 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.
All rights reserved © 2025/ 2026 |
, Page |3
4) Obtain an order for a topical antibiotic.
Ans: 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."
Ans: 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.
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: 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
All rights reserved © 2025/ 2026 |
