CMSRN ALL EVALUATION TEST QUESTIONS AND
ANSWERS SET A+
✔✔Institute of Medicine (IOM) - ✔✔Non-governmental, independent, and nonprofit
organization that provides unbiased, expert advice to governmental and private
decision-makers, as well as the public.
✔✔Crisis Safety Plan - ✔✔What it is:
A plan of action designed to be implemented when a person feels or acts "in crisis"
whether that crisis be an exacerbation of a mental condition or an escalation of suicide
intent, substance abuse, or domestic violence.
Nursing Application:
Designing a plan should occur when no crisis is present, and patients/families can
participate. Safety plans that have clear steps to follow when a crisis feels impending.
The steps should include using patient's current non-harmful coping mechanisms in
order to improve self-efficacy. Steps may include 1) evaluating warning signs, 2) using
internal coping strategies, 3) using external coping strategies (people and places that
provide distraction), 4) calling people for help, 5) calling professionals/agencies for help,
and 6) creating a safe environment.
✔✔respite care - ✔✔planned short-term care, usually for the purpose of relieving a full-
time informal caregiver
✔✔Health indicators - ✔✔Physical activity
Overweight and obesity
Tobacco use
Substance abuse
Responsible sexual behavior
Mental health
Injury and violence
Environmental quality
Immunization
, Access to health care
✔✔Madeleine Leininger - ✔✔transcultural nursing
✔✔Types of shock - ✔✔Cardiogenic
Hypovolemic
Neurogenic
Anaphylactic
Septic
✔✔Stages of Shock - ✔✔Initial
Compensatory
Progressive
Irreversible
✔✔distributive shock - ✔✔Low BP includes Septic (severe infection), Neurogenic
(damage to the spinal cord), Anaphylactic (reaction to substance), Psychogenic
(feinting)
✔✔Signs of cardiogenic shock - ✔✔-elevated pulse rate
-rapid and shallow breathing
-naseau and vomiting
-decrease in temp
-Low bp is late finding that indicates decompensated shock
✔✔Treatment of cardiogenic shock - ✔✔Identify cause; pressors (e.g., dopamine).
✔✔signs of hypovolemic shock - ✔✔(most common type of shock) pallor, cool, moist
skin, rapid breathing, cyanosis of lips, gums and tongue, rapid, weak, thready pulse,
hypotension, concentrated urine
✔✔signs of distributive shock - ✔✔abdominal pain, n/v, feelings of impeding doom,
flushing, pruritus and urticaria, hoarseness, inspiratory stridor, wheezing.
✔✔hypertonic solution - ✔✔Solute concentration is greater than that inside the cell; cell
loses water.
1.D5NS
2. 3%NaCl
3. D10 in water.
treat severe hyponatremia, hypoglycemia
✔✔hypotonic solution - ✔✔Solute concentration is less than that inside the cell; cell
gains water
1. 0.45 NS
expands intracellular compartment. replace free water. replace sodium and chloride
ANSWERS SET A+
✔✔Institute of Medicine (IOM) - ✔✔Non-governmental, independent, and nonprofit
organization that provides unbiased, expert advice to governmental and private
decision-makers, as well as the public.
✔✔Crisis Safety Plan - ✔✔What it is:
A plan of action designed to be implemented when a person feels or acts "in crisis"
whether that crisis be an exacerbation of a mental condition or an escalation of suicide
intent, substance abuse, or domestic violence.
Nursing Application:
Designing a plan should occur when no crisis is present, and patients/families can
participate. Safety plans that have clear steps to follow when a crisis feels impending.
The steps should include using patient's current non-harmful coping mechanisms in
order to improve self-efficacy. Steps may include 1) evaluating warning signs, 2) using
internal coping strategies, 3) using external coping strategies (people and places that
provide distraction), 4) calling people for help, 5) calling professionals/agencies for help,
and 6) creating a safe environment.
✔✔respite care - ✔✔planned short-term care, usually for the purpose of relieving a full-
time informal caregiver
✔✔Health indicators - ✔✔Physical activity
Overweight and obesity
Tobacco use
Substance abuse
Responsible sexual behavior
Mental health
Injury and violence
Environmental quality
Immunization
, Access to health care
✔✔Madeleine Leininger - ✔✔transcultural nursing
✔✔Types of shock - ✔✔Cardiogenic
Hypovolemic
Neurogenic
Anaphylactic
Septic
✔✔Stages of Shock - ✔✔Initial
Compensatory
Progressive
Irreversible
✔✔distributive shock - ✔✔Low BP includes Septic (severe infection), Neurogenic
(damage to the spinal cord), Anaphylactic (reaction to substance), Psychogenic
(feinting)
✔✔Signs of cardiogenic shock - ✔✔-elevated pulse rate
-rapid and shallow breathing
-naseau and vomiting
-decrease in temp
-Low bp is late finding that indicates decompensated shock
✔✔Treatment of cardiogenic shock - ✔✔Identify cause; pressors (e.g., dopamine).
✔✔signs of hypovolemic shock - ✔✔(most common type of shock) pallor, cool, moist
skin, rapid breathing, cyanosis of lips, gums and tongue, rapid, weak, thready pulse,
hypotension, concentrated urine
✔✔signs of distributive shock - ✔✔abdominal pain, n/v, feelings of impeding doom,
flushing, pruritus and urticaria, hoarseness, inspiratory stridor, wheezing.
✔✔hypertonic solution - ✔✔Solute concentration is greater than that inside the cell; cell
loses water.
1.D5NS
2. 3%NaCl
3. D10 in water.
treat severe hyponatremia, hypoglycemia
✔✔hypotonic solution - ✔✔Solute concentration is less than that inside the cell; cell
gains water
1. 0.45 NS
expands intracellular compartment. replace free water. replace sodium and chloride
