CMSRN EXAM YEAR 2024/2025 / ACCURATE CURRENTLY
TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND
DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT
VERIFIED FOR GURANTEED PASS/ LATEST UPDATE.
Hypercalcemia Causes - CORRECT ANSWER Cancer
Metastatic bone disease
hyperparathyroidism
Thiazide diuretics
Excessive vitamin D
Hypercalcemia Symptoms - CORRECT ANSWER Sedation
Lethargy
Hypoactive reflexes
Slurred speech
Impaired memory
Hypercalcemia Tx - CORRECT ANSWER Decrease intake
Fluids
Loop diuretics
Give phosphate
Hypocalcemia Causes - CORRECT ANSWER Decrease PO of Ca and Vitamin D
Increased Phosphate
Renal disease
Alcoholism
Pregnancy
,POST PARATHYROIDECTOMY
Hypocalcemia Symptoms - CORRECT ANSWER Tetany
Trousseaus- BP cuff
Chvostek's- facial nerve
"Pins and needles, lips burning, numbness"
Hypocalcemia Tx - CORRECT ANSWER Increase Ca and vitamin D intake
TUMS- phosphate binding antacid
IV Ca Gluconate
Phosphate - CORRECT ANSWER Bone/teeth strength
Metabolism of carbs, fats, proteins
Acid base balance
INVERSE W/ CA
Ex: hypophos looks like hypercal
Magnesium - CORRECT ANSWER metabolism of carbohydrates and proteins and fats
muscle contraction
If levels off- torsades
DO NOT GIVE TO PATIENTS WITH RENAL IMPAIRMENT
Isotonic Solutions - CORRECT ANSWER Volume expander- cell stays same size
NS, LR
Hypertonic Solutions - CORRECT ANSWER Cells Shrink- fluid leaves cell and goes to vascular
space
Correctional fluid
, D5LR D5NS
Traumas, surgeries
Never for dehydrated its
Hypotonic Solutions - CORRECT ANSWER Cell Swells
Dehydrated pts
1/2 NS or 1/4 NS
Gallbladder location - CORRECT ANSWER RUQ
Appendix location - CORRECT ANSWER RLQ
Stomach location - CORRECT ANSWER LUQ
Bowel pain location - CORRECT ANSWER LLQ
GERD Symptoms - CORRECT ANSWER Dyspepsia
Heartburn
Hoarse voice
GERD Dx - CORRECT ANSWER Barium swallow- teaching- chalky BM, Increase PO fluids
after
Endo
GERD tx - CORRECT ANSWER PPI
H2 blockers
Gastric Ulcer - CORRECT ANSWER Pain right after eating
High epigastric area
TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND
DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT
VERIFIED FOR GURANTEED PASS/ LATEST UPDATE.
Hypercalcemia Causes - CORRECT ANSWER Cancer
Metastatic bone disease
hyperparathyroidism
Thiazide diuretics
Excessive vitamin D
Hypercalcemia Symptoms - CORRECT ANSWER Sedation
Lethargy
Hypoactive reflexes
Slurred speech
Impaired memory
Hypercalcemia Tx - CORRECT ANSWER Decrease intake
Fluids
Loop diuretics
Give phosphate
Hypocalcemia Causes - CORRECT ANSWER Decrease PO of Ca and Vitamin D
Increased Phosphate
Renal disease
Alcoholism
Pregnancy
,POST PARATHYROIDECTOMY
Hypocalcemia Symptoms - CORRECT ANSWER Tetany
Trousseaus- BP cuff
Chvostek's- facial nerve
"Pins and needles, lips burning, numbness"
Hypocalcemia Tx - CORRECT ANSWER Increase Ca and vitamin D intake
TUMS- phosphate binding antacid
IV Ca Gluconate
Phosphate - CORRECT ANSWER Bone/teeth strength
Metabolism of carbs, fats, proteins
Acid base balance
INVERSE W/ CA
Ex: hypophos looks like hypercal
Magnesium - CORRECT ANSWER metabolism of carbohydrates and proteins and fats
muscle contraction
If levels off- torsades
DO NOT GIVE TO PATIENTS WITH RENAL IMPAIRMENT
Isotonic Solutions - CORRECT ANSWER Volume expander- cell stays same size
NS, LR
Hypertonic Solutions - CORRECT ANSWER Cells Shrink- fluid leaves cell and goes to vascular
space
Correctional fluid
, D5LR D5NS
Traumas, surgeries
Never for dehydrated its
Hypotonic Solutions - CORRECT ANSWER Cell Swells
Dehydrated pts
1/2 NS or 1/4 NS
Gallbladder location - CORRECT ANSWER RUQ
Appendix location - CORRECT ANSWER RLQ
Stomach location - CORRECT ANSWER LUQ
Bowel pain location - CORRECT ANSWER LLQ
GERD Symptoms - CORRECT ANSWER Dyspepsia
Heartburn
Hoarse voice
GERD Dx - CORRECT ANSWER Barium swallow- teaching- chalky BM, Increase PO fluids
after
Endo
GERD tx - CORRECT ANSWER PPI
H2 blockers
Gastric Ulcer - CORRECT ANSWER Pain right after eating
High epigastric area
