CMSRN 1 QUESTIONS AND VERIFIED ANSWERS
You may observe a slight elevation in diastolic blood pressure early in shock due to:
A. Associated brain injury
B. Stroke volume is increased
C. Increased vascular tone
D. Left ventricular contraction has become more forceful - ANWER C. Increased
vascular tone
A 62-year-old male client who had rheumatic fever as a child is admitted to the
medical-surgical unit with the following manifestations:
Generalized: Dyspnea, chest pain, syncope Objective: Peripheral edema, neck vein
distension, weight gain, cyanosis, hepatomegaly, bounding pulses, cardiac arrhythmia
Which one of the following is most likely this patient's primary diagnosis?A. Abdominal
aortic aneurysm B. LHF C. Aortic valve stenosis D. Endocarditis ANSWER C. Aortic
valve stenosis
You are caring for a client who has been admitted to the hospital with an intestinal
obstruction. All of the following are appropriate nursing interventions for this client
except:
A. Closely monitor hemodynamics
B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy - ANSWER B.
Educate the patient on enteral nutrition
A patient is admitted to the hospital with acute abdominal pain, guarding, and rigidity.
Laboratory tests indicate an increase in serum amylase and leukocytosis. Cullen's sign
shows bruising around the umbilicus, indicating intra-abdominal bleeding. Patient is
showing some signs of respiratory distress. The patient has a history of alcohol abuse.
Which of the following diagnoses is the patient most likely to have?
, A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis - ANSWER D. Acute pancreatitis
Your male patient has chronic liver failure and poorly absorbed vitamin K. Which of the
following assessment findings suggest a vitamin K deficiency?
A. Testicular atrophy and gynecomastia
B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea - ANSWER C. Petechiae and ecchymoses
While performing an assessment on a patient with emphysema you note that your
patient has a barrel chest. The change in your patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli - ANSWER A. Hyperinflation of the lungs
Supination is a term that refers to:
A. Turning a part toward midline
B. Turning a part away from midline
C. Turning upward
D. Turning upward - ANSWER C. Turning upward
For a diagnosis of MI to be confirmed, the physician would order which laboratory tests?
A. Myoglobin, creatine kinase, and sedimentation rate
B. Creatine kinase, troponin, and sedimentation rate
You may observe a slight elevation in diastolic blood pressure early in shock due to:
A. Associated brain injury
B. Stroke volume is increased
C. Increased vascular tone
D. Left ventricular contraction has become more forceful - ANWER C. Increased
vascular tone
A 62-year-old male client who had rheumatic fever as a child is admitted to the
medical-surgical unit with the following manifestations:
Generalized: Dyspnea, chest pain, syncope Objective: Peripheral edema, neck vein
distension, weight gain, cyanosis, hepatomegaly, bounding pulses, cardiac arrhythmia
Which one of the following is most likely this patient's primary diagnosis?A. Abdominal
aortic aneurysm B. LHF C. Aortic valve stenosis D. Endocarditis ANSWER C. Aortic
valve stenosis
You are caring for a client who has been admitted to the hospital with an intestinal
obstruction. All of the following are appropriate nursing interventions for this client
except:
A. Closely monitor hemodynamics
B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy - ANSWER B.
Educate the patient on enteral nutrition
A patient is admitted to the hospital with acute abdominal pain, guarding, and rigidity.
Laboratory tests indicate an increase in serum amylase and leukocytosis. Cullen's sign
shows bruising around the umbilicus, indicating intra-abdominal bleeding. Patient is
showing some signs of respiratory distress. The patient has a history of alcohol abuse.
Which of the following diagnoses is the patient most likely to have?
, A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis - ANSWER D. Acute pancreatitis
Your male patient has chronic liver failure and poorly absorbed vitamin K. Which of the
following assessment findings suggest a vitamin K deficiency?
A. Testicular atrophy and gynecomastia
B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea - ANSWER C. Petechiae and ecchymoses
While performing an assessment on a patient with emphysema you note that your
patient has a barrel chest. The change in your patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli - ANSWER A. Hyperinflation of the lungs
Supination is a term that refers to:
A. Turning a part toward midline
B. Turning a part away from midline
C. Turning upward
D. Turning upward - ANSWER C. Turning upward
For a diagnosis of MI to be confirmed, the physician would order which laboratory tests?
A. Myoglobin, creatine kinase, and sedimentation rate
B. Creatine kinase, troponin, and sedimentation rate
