MED SURG CMS Exam Questions With
Complete Correct Answers 100% Solved
Correct A+ Pass
Sodium acts on the ________ system. - Answers -✔✔ Central nervous
Potassium acts on the __________ system. - Answers -✔✔ cardiac
Lab values: Potassium - Answers -✔✔ 3.5-5.0
Lab values: Sodium - Answers -✔✔ 135-145
Lab values: Calcium - Answers -✔✔ 9-10.5
Lab Values: Creatinine - Answers -✔✔ 0.6-1.2
Lab values: BUN - Answers -✔✔ 10-20
Lab values: Hemoglobin - Answers -✔✔ Male: 14-18 g/dL
Female: 12-16 g/dL
Lab values: Hematocrit - Answers -✔✔ Male: 40-54%
Female: 38-47%
Lab Values: WBC - Answers -✔✔ 5,000-10,000
Lab Values: RBC - Answers -✔✔ 150,000 - 450,000
Hypertonic solution - Answers -✔✔ Solute concentration is GREATER than that inside
the cell; cell loses water
Hypertonic solution use - Answers -✔✔ Fluid overload
hypertonic solution example? - Answers -✔✔ Dextrose 5% in 0.9 sodium chloride
D10W
isotonic solution - Answers -✔✔ Solute concentration is EQUAL to the solute
concentration inside a cell
Isotonic solution use - Answers -✔✔ Blood or fluid replacement
,Isotonic solution example? - Answers -✔✔ 0.9 sodium chloride
D5W
Ringers Lactate
hypotonic solution - Answers -✔✔ Solute concentration is LESS than that inside the cell;
cell GAINS water
Hypotonic solution use - Answers -✔✔ Dehydration
Hypotonic solution example? - Answers -✔✔ 0.45% sodium chloride
Normal UO for an adult? - Answers -✔✔ 30 mL/hr
ABGs: pH range - Answers -✔✔ 7.35 - 7.45
ABGs: CO2 range - Answers -✔✔ 45 - 35
ABGs: HCO3 range - Answers -✔✔ 22 - 26
ABGs: Compensation - Answers -✔✔ If 2 values are abnormal and the pH is normal =
fully comp
If all 3 values are abnormal = partial comp
Example of respiratory acidosis - Answers -✔✔ Hypoventilation
COPD
Airway obstruction
Example of respiratory alkalosis - Answers -✔✔ Hyperventilation
Example of metabolic acidosis - Answers -✔✔ Persistant diarrhea
DKA
Example of metabolic alkalosis - Answers -✔✔ Persistant vomiting
What is CPAP used for? - Answers -✔✔ Continuous positive airway pressure therapy
(CPAP). A CPAP machine increases air pressure in your throat so that your airway
doesn't collapse when you breathe in.
COPD symptoms - Answers -✔✔ Barrel chest
Tachypnea (AIR HUNGRY)
Clubbed toes/fingers
Muscle wasting/weight loss
Chronic bronchitis: monitoring - Answers -✔✔ Copious sputum
, Lung cancer: monitoring - Answers -✔✔ Hemoptysis
Weight loss
Tuberculosis: monitoring - Answers -✔✔ Night sweats, low grade fever
Bloody sputum
Anorexia
Malaise
Pneumothorax is when? - Answers -✔✔ air enters pleural cavity disrupting neg pressure
and collapses lung
What do you do if the chest tube gets disconnected? - Answers -✔✔ Place in sterile
water
What do you do if the chest tube gets pulled out of patient? - Answers -✔✔ Cover
incision with sterile dressing and cover 3 sides only
Bronchoscopy: pre op - Answers -✔✔ NPO 8 hrs before
Local analgesic throat spray
Pt positioned upright
Bronchoscopy: post op - Answers -✔✔ Assess gag reflex
Bleeding
Respiratory status
Thoracentesis: documentation - Answers -✔✔ Client response
Fluid color
Fluid amount
Fluid viscosity
NG tube uses - Answers -✔✔ Decompression
Nutrition
Specimen collection
How to verify NG placement - Answers -✔✔ X-ray initially
Aspirate gastric pH (1.5 - 4)
Assessing aspirated gastric content - Answers -✔✔ Broken down = good - refeed
Nasty/pus = bad - NOTIFY first, do not refeed
* Do not refeed aspirate if content exceeds 100 mL
Medication administration thru NG tube - Answers -✔✔ Crush med > Flush with 30mL >
Give med > Flush w 15 mL b/w each med > Flush w 30 mL last
Complete Correct Answers 100% Solved
Correct A+ Pass
Sodium acts on the ________ system. - Answers -✔✔ Central nervous
Potassium acts on the __________ system. - Answers -✔✔ cardiac
Lab values: Potassium - Answers -✔✔ 3.5-5.0
Lab values: Sodium - Answers -✔✔ 135-145
Lab values: Calcium - Answers -✔✔ 9-10.5
Lab Values: Creatinine - Answers -✔✔ 0.6-1.2
Lab values: BUN - Answers -✔✔ 10-20
Lab values: Hemoglobin - Answers -✔✔ Male: 14-18 g/dL
Female: 12-16 g/dL
Lab values: Hematocrit - Answers -✔✔ Male: 40-54%
Female: 38-47%
Lab Values: WBC - Answers -✔✔ 5,000-10,000
Lab Values: RBC - Answers -✔✔ 150,000 - 450,000
Hypertonic solution - Answers -✔✔ Solute concentration is GREATER than that inside
the cell; cell loses water
Hypertonic solution use - Answers -✔✔ Fluid overload
hypertonic solution example? - Answers -✔✔ Dextrose 5% in 0.9 sodium chloride
D10W
isotonic solution - Answers -✔✔ Solute concentration is EQUAL to the solute
concentration inside a cell
Isotonic solution use - Answers -✔✔ Blood or fluid replacement
,Isotonic solution example? - Answers -✔✔ 0.9 sodium chloride
D5W
Ringers Lactate
hypotonic solution - Answers -✔✔ Solute concentration is LESS than that inside the cell;
cell GAINS water
Hypotonic solution use - Answers -✔✔ Dehydration
Hypotonic solution example? - Answers -✔✔ 0.45% sodium chloride
Normal UO for an adult? - Answers -✔✔ 30 mL/hr
ABGs: pH range - Answers -✔✔ 7.35 - 7.45
ABGs: CO2 range - Answers -✔✔ 45 - 35
ABGs: HCO3 range - Answers -✔✔ 22 - 26
ABGs: Compensation - Answers -✔✔ If 2 values are abnormal and the pH is normal =
fully comp
If all 3 values are abnormal = partial comp
Example of respiratory acidosis - Answers -✔✔ Hypoventilation
COPD
Airway obstruction
Example of respiratory alkalosis - Answers -✔✔ Hyperventilation
Example of metabolic acidosis - Answers -✔✔ Persistant diarrhea
DKA
Example of metabolic alkalosis - Answers -✔✔ Persistant vomiting
What is CPAP used for? - Answers -✔✔ Continuous positive airway pressure therapy
(CPAP). A CPAP machine increases air pressure in your throat so that your airway
doesn't collapse when you breathe in.
COPD symptoms - Answers -✔✔ Barrel chest
Tachypnea (AIR HUNGRY)
Clubbed toes/fingers
Muscle wasting/weight loss
Chronic bronchitis: monitoring - Answers -✔✔ Copious sputum
, Lung cancer: monitoring - Answers -✔✔ Hemoptysis
Weight loss
Tuberculosis: monitoring - Answers -✔✔ Night sweats, low grade fever
Bloody sputum
Anorexia
Malaise
Pneumothorax is when? - Answers -✔✔ air enters pleural cavity disrupting neg pressure
and collapses lung
What do you do if the chest tube gets disconnected? - Answers -✔✔ Place in sterile
water
What do you do if the chest tube gets pulled out of patient? - Answers -✔✔ Cover
incision with sterile dressing and cover 3 sides only
Bronchoscopy: pre op - Answers -✔✔ NPO 8 hrs before
Local analgesic throat spray
Pt positioned upright
Bronchoscopy: post op - Answers -✔✔ Assess gag reflex
Bleeding
Respiratory status
Thoracentesis: documentation - Answers -✔✔ Client response
Fluid color
Fluid amount
Fluid viscosity
NG tube uses - Answers -✔✔ Decompression
Nutrition
Specimen collection
How to verify NG placement - Answers -✔✔ X-ray initially
Aspirate gastric pH (1.5 - 4)
Assessing aspirated gastric content - Answers -✔✔ Broken down = good - refeed
Nasty/pus = bad - NOTIFY first, do not refeed
* Do not refeed aspirate if content exceeds 100 mL
Medication administration thru NG tube - Answers -✔✔ Crush med > Flush with 30mL >
Give med > Flush w 15 mL b/w each med > Flush w 30 mL last
