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CMSRN Med-Surg Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
Possible Causes of Appendicitis - Answer✔bowel CA, infection. barium ingestion, fecal mass
Notable Symptoms of appendicitis - Answer✔RLQ abd pain, fever, tachycardia, N/V, Rovsing
sign
Diagnostic tests for appendicitis - Answer✔elevated WBC's, abd U/S, CT scan
Nursing Dx for appendicitis - Answer✔acute pain, risk for infection
Nursing tx for appendicitis - Answer✔fowler's position, IV access, prep for sx, minimal pain
medication prior to sx to avoid masking changes in pain
Med/Surg tx for appendicitis - Answer✔IV fluids, abx, possible NG tube, antiemetics,
appendectomy
Watch for with Appendicitis - Answer✔sudden decrease in pain may indicate rupture; notify
MD immediately
Diet for appendicitis - Answer✔NPO
Contraindicated for appendicitis - Answer✔no heat applications over abdomen, no deep
palpation of RLQ
other Appendicitis - Answer✔Fatal if untreated; bowel perforation and sepsis can occur in less
than 36 hours
possible Causes of Cholecystitis - Answer✔gallstones, bacterial infection
Symptoms of Cholecystitis - Answer✔sharp RUQ abd pain; referred pain to R shoulder, N/v,
positive Murphy's Sign
Dx tests for cholecystitis - Answer✔abd U/s, serum alk phos, lactate, AST/SGOT and bilirubin
elevated
Nursing Dx for cholecystitis - Answer✔acute pain, risk for infection
Nursing Tx for cholecystitis - Answer✔routine, IV access if dehydrated or sx necessary
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Medical Tx for cholecystitis - Answer✔analgesics, abx, anticholinergics, lithotripsy, abd
laparotomy/laparoscopy
Watch for ____ with cholecystitis - Answer✔jaundice
Diet for cholecystitis - Answer✔low fat, NPO for sx
Contraindicated in cholecystitis - Answer✔high fat diet
Possible causes of liver cirrhosis - Answer✔alcohol, hepatitis, toxins, gallbladder dx,
hemochromatosis, right sided HF
Notable symptoms of liver cirrhosis - Answer✔enlarged liver, N/V, diarrhea or constipation,
flatulence, dull abd pain, weight loss
Diagnostic tests for liver cirrhosis - Answer✔liver biopsy, liver function studies
Nursing Dx for liver cirrhosis - Answer✔imbalanced nutrition: less than body requirements,
impaired liver function, Risk for impaired skin integrity
Nursing Tx for liver cirrhosis - Answer✔bed rest, skin care, deep breathing, monitor for bleeding
and personality changes
Medical Tx for liver cirrhosis - Answer✔potassium-sparing diuretic, antiemetic, paracentesis,
lactulose
Watch for _______, _____, in liver cirrhosis - Answer✔ascites, esophageal varices
Diets for liver cirrhosis - Answer✔high calorie, moderate protein, moderate fat, low sodium,
fluid restriction; restrict protein if encephalopathy present
Contraindicated in Liver cirrhosis - Answer✔NSAIDs, aspirin, spicy/irritating foods, alcohol
Facts about liver cirrhosis - Answer✔most common in men ages 40-60; 5 types ( micronodular,
macronodular, biliary, pigment, and cardiac)
Liver cirrhosis is most common in ___ ages __ to __ - Answer✔men, 40, 60
Types of liver cirrhosis - Answer✔micronodular, macronodular, biliary, pigment, cardiac
Possible Causes of Diverticulitis/osis - Answer✔low colonic motility, low fiber diet, defects in
colon wall
Notable Symptoms in Divertiulosis - Answer✔mild to none
Notable symptoms for diverticulitis - Answer✔fever, LLQ abd pain, N/V, ribbonlike stools
Dx tests for Diverticulitis/osis - Answer✔barium enema, colonoscopy
Nursing Dx for Diverticulitis/osis - Answer✔Risk for constipation, Dysfunctional GI motility
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Nursing Tx for Diverticulosis/itis - Answer✔educate about fiber, monitor for infection/bleeding
Medical Tx for diverticulitis/osis - Answer✔analgesics, abx, stool softeners, cathartics, colon
resection with temporary colonostomy
Watch for _____, _____, ____, and ____ in Diverticulosis/itis - Answer✔changes in stool,
abdominal rigidity, high fever/chills, hypotension
Diet for Diverticulosis/itis - Answer✔HIGH-FIBER AFTER pain lessens
Facts about Diverticulitis - Answer✔may be acute or chronic
Possible Causes of GERD/Reflux - Answer✔alcohol, smoking, hernia, obesity, pregnancy, NG
tube >4 days
Notable symptoms of GERD/Reflux - Answer✔burning epigastric pain, may radiate to chest and
arms
Diagnostic tests for GERD/Reflux - Answer✔esophagoscopy, barium swallow, upper GI series
Nursing Dx for GERD/Reflux - Answer✔Pain
Nursing Tx for GERD/Reflux - Answer✔upright positioning after meals, elevate HOB during
sleep, educate on weight loss, alcohol and smoking cessation
Medical Tx for GERD/Reflux - Answer✔antacids, H2 receptor agonists, proton pump inhibitors,
cholinergics
Watch for ____ in GERD/Reflux - Answer✔symptoms of esophagitis
Diet for GERD/Reflux - Answer✔small, frequent meals; avoid eating before bedtime; avoid
trigger foods
Contraindicated in GERD/Reflux - Answer✔alcohol, smoking
Possible Causes of PUD/Peptic Ulcers - Answer✔H. pylori infection, overuse of NSAIDs or
aspirin, chemo, stress
Possible Causes of GI Bleeds - Answer✔PUD, CA, ulcerative colitis, esophageal varices,
diverticulosis/itis
Notable symptoms of GI Bleeds - Answer✔bloody or coffee-ground vomitus, black, maroon, or
bloody stools
Diagnostic Tests for GI Bleeds - Answer✔colonoscopy, EGD
Nursing Dx for GI Bleeds - Answer✔Risk for bleeding, Acute pain
Nursing Tx for GI Bleeds - Answer✔two large bore IV access, frequent VS
3|Page
CMSRN Med-Surg Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
Possible Causes of Appendicitis - Answer✔bowel CA, infection. barium ingestion, fecal mass
Notable Symptoms of appendicitis - Answer✔RLQ abd pain, fever, tachycardia, N/V, Rovsing
sign
Diagnostic tests for appendicitis - Answer✔elevated WBC's, abd U/S, CT scan
Nursing Dx for appendicitis - Answer✔acute pain, risk for infection
Nursing tx for appendicitis - Answer✔fowler's position, IV access, prep for sx, minimal pain
medication prior to sx to avoid masking changes in pain
Med/Surg tx for appendicitis - Answer✔IV fluids, abx, possible NG tube, antiemetics,
appendectomy
Watch for with Appendicitis - Answer✔sudden decrease in pain may indicate rupture; notify
MD immediately
Diet for appendicitis - Answer✔NPO
Contraindicated for appendicitis - Answer✔no heat applications over abdomen, no deep
palpation of RLQ
other Appendicitis - Answer✔Fatal if untreated; bowel perforation and sepsis can occur in less
than 36 hours
possible Causes of Cholecystitis - Answer✔gallstones, bacterial infection
Symptoms of Cholecystitis - Answer✔sharp RUQ abd pain; referred pain to R shoulder, N/v,
positive Murphy's Sign
Dx tests for cholecystitis - Answer✔abd U/s, serum alk phos, lactate, AST/SGOT and bilirubin
elevated
Nursing Dx for cholecystitis - Answer✔acute pain, risk for infection
Nursing Tx for cholecystitis - Answer✔routine, IV access if dehydrated or sx necessary
1|Page
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Medical Tx for cholecystitis - Answer✔analgesics, abx, anticholinergics, lithotripsy, abd
laparotomy/laparoscopy
Watch for ____ with cholecystitis - Answer✔jaundice
Diet for cholecystitis - Answer✔low fat, NPO for sx
Contraindicated in cholecystitis - Answer✔high fat diet
Possible causes of liver cirrhosis - Answer✔alcohol, hepatitis, toxins, gallbladder dx,
hemochromatosis, right sided HF
Notable symptoms of liver cirrhosis - Answer✔enlarged liver, N/V, diarrhea or constipation,
flatulence, dull abd pain, weight loss
Diagnostic tests for liver cirrhosis - Answer✔liver biopsy, liver function studies
Nursing Dx for liver cirrhosis - Answer✔imbalanced nutrition: less than body requirements,
impaired liver function, Risk for impaired skin integrity
Nursing Tx for liver cirrhosis - Answer✔bed rest, skin care, deep breathing, monitor for bleeding
and personality changes
Medical Tx for liver cirrhosis - Answer✔potassium-sparing diuretic, antiemetic, paracentesis,
lactulose
Watch for _______, _____, in liver cirrhosis - Answer✔ascites, esophageal varices
Diets for liver cirrhosis - Answer✔high calorie, moderate protein, moderate fat, low sodium,
fluid restriction; restrict protein if encephalopathy present
Contraindicated in Liver cirrhosis - Answer✔NSAIDs, aspirin, spicy/irritating foods, alcohol
Facts about liver cirrhosis - Answer✔most common in men ages 40-60; 5 types ( micronodular,
macronodular, biliary, pigment, and cardiac)
Liver cirrhosis is most common in ___ ages __ to __ - Answer✔men, 40, 60
Types of liver cirrhosis - Answer✔micronodular, macronodular, biliary, pigment, cardiac
Possible Causes of Diverticulitis/osis - Answer✔low colonic motility, low fiber diet, defects in
colon wall
Notable Symptoms in Divertiulosis - Answer✔mild to none
Notable symptoms for diverticulitis - Answer✔fever, LLQ abd pain, N/V, ribbonlike stools
Dx tests for Diverticulitis/osis - Answer✔barium enema, colonoscopy
Nursing Dx for Diverticulitis/osis - Answer✔Risk for constipation, Dysfunctional GI motility
2|Page
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 8:22PM. A+
Nursing Tx for Diverticulosis/itis - Answer✔educate about fiber, monitor for infection/bleeding
Medical Tx for diverticulitis/osis - Answer✔analgesics, abx, stool softeners, cathartics, colon
resection with temporary colonostomy
Watch for _____, _____, ____, and ____ in Diverticulosis/itis - Answer✔changes in stool,
abdominal rigidity, high fever/chills, hypotension
Diet for Diverticulosis/itis - Answer✔HIGH-FIBER AFTER pain lessens
Facts about Diverticulitis - Answer✔may be acute or chronic
Possible Causes of GERD/Reflux - Answer✔alcohol, smoking, hernia, obesity, pregnancy, NG
tube >4 days
Notable symptoms of GERD/Reflux - Answer✔burning epigastric pain, may radiate to chest and
arms
Diagnostic tests for GERD/Reflux - Answer✔esophagoscopy, barium swallow, upper GI series
Nursing Dx for GERD/Reflux - Answer✔Pain
Nursing Tx for GERD/Reflux - Answer✔upright positioning after meals, elevate HOB during
sleep, educate on weight loss, alcohol and smoking cessation
Medical Tx for GERD/Reflux - Answer✔antacids, H2 receptor agonists, proton pump inhibitors,
cholinergics
Watch for ____ in GERD/Reflux - Answer✔symptoms of esophagitis
Diet for GERD/Reflux - Answer✔small, frequent meals; avoid eating before bedtime; avoid
trigger foods
Contraindicated in GERD/Reflux - Answer✔alcohol, smoking
Possible Causes of PUD/Peptic Ulcers - Answer✔H. pylori infection, overuse of NSAIDs or
aspirin, chemo, stress
Possible Causes of GI Bleeds - Answer✔PUD, CA, ulcerative colitis, esophageal varices,
diverticulosis/itis
Notable symptoms of GI Bleeds - Answer✔bloody or coffee-ground vomitus, black, maroon, or
bloody stools
Diagnostic Tests for GI Bleeds - Answer✔colonoscopy, EGD
Nursing Dx for GI Bleeds - Answer✔Risk for bleeding, Acute pain
Nursing Tx for GI Bleeds - Answer✔two large bore IV access, frequent VS
3|Page
