Certified Medical-Surgical Registered Nurse
Sample Questions WITH ACCURATE VERIFIED
ANSWERS (ACCURATE SOLUTIONS) A+
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,6/4/25, 12:36 PM Certified Medical-Surgical Registered Nurse Sample Questions WITH ACCURATE VERIFIED ANSWERS (ACCURATE SOLU…
Christine Warren, 45 1) The stoma appears pale and dry.
years old, has a long
history of ulcerative Rationale: If there is an adequate blood supply to
colitis, and non-surgical the stoma, the color is pink or red, and the stoma is
treatment no longer moist as a result of mucous production. A pale dry
relieved her symptoms. color suggests ischemia of the stoma or bowel and
She underwent a total must be reported immediately to the physician. With
proctocolectomy and a an ileostomy initially after surgery, the output is a
permanent ileostomy 12 loose, dark green liquid that may contain some
hours ago. blood. The ileostomy usually begins to drain within
The nurse should contact 24 of surgery at more than one liter per day.
the physician immediately
if Mrs. Warren has which
of these findings?
1) The stoma appears
pale and dry.
2) The stoma appears red
and shiny.
3) There is 200 mL of dark
green output from the
stoma.
4) There is 50 mL of
serosanguinous drainage
from the stoma.
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,6/4/25, 12:36 PM Certified Medical-Surgical Registered Nurse Sample Questions WITH ACCURATE VERIFIED ANSWERS (ACCURATE SOLU…
When changing Mrs. 3) Use a solid skin barrier.
Warren's ileostomy bag,
the nurse notices that the Rationale: The drainage from the stoma can quickly
peristomal skin is irritate the surrounding tissue. Therefore, a solid skin
irritated. barrier, with a pectin base or karaya wafer that has a
measurable thickness and hydrocolloid adhesive
Which of these actions by properties, should be applied.
the nurse would be
appropriate before
reapplying the
appliance?
1) Wash the area with
antiseptic soap and
water.
2) Clean the site with
Dakin's solution.
3) Use a solid skin barrier.
4) Obtain an order for a
topical antibiotic.
Which of these 3) "I need to go shopping for some loose, baggy
comments, if made by clothes."
Mrs. Warren before her
surgery, would indicate Rationale:Body image refers to a person's
that she had concerns perception of self and determines how the person
about her body image? interacts with others. One does not need to
purchase special clothing after ileostomy surgery,
1) "I will have to stop my although some minor adjustments may be needed
aerobics classes." for comfort, e.g., stretch underwear or pantyhose
2) "I'm so afraid I may not for support.
survive the surgery."
3) "I need to go shopping
for some loose, baggy
clothes."
4) "I'm concerned that
this may be only the first
of many surgeries."
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, 6/4/25, 12:36 PM Certified Medical-Surgical Registered Nurse Sample Questions WITH ACCURATE VERIFIED ANSWERS (ACCURATE SOLU…
Lewis Palmer, 45 years 4) check the femoral puncture site at frequent
old, has a history of intervals.
multiple myocardial Rationale: Since bleeding is a common side effect of
infarctions and is a heavy heparin, it is vital to check the operative site, the
smoker. He takes warfarin femoral puncture area, for signs of bleeding.
sodium (Coumadin) daily.
Two weeks ago, he had a
right femoral-popliteal
bypass, which became
occluded 24 hours ago.
He is admitted following
an angioplasty of the
femoral-popliteal bypass
graft. Mr. Palmer is
receiving continuous IV
heparin.
Because Mr. Palmer is
receiving heparin, it is
essential for the nurse to
1) monitor his
prothrombin time.
2) observe him for signs
of pulmonary embolism.
3) limit his intake of foods
high in vitamin K.
4) check the femoral
puncture site at frequent
intervals.
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