1|Page
(CMSRN) CERTIFIED MEDICAL-SURGICAL REGISTERED
NURSE EXAM 2025 TEST BANK| 2 LATEST VERSIONS
(VERSION A & B) WITH 400 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| CMSRN EXAM PREP|| BRAND NEW!!
CMSRN EXAM VERSION A.
In Erikson's psychosocial model of development, which stage is typical
of those entering young adulthood?
A.Identify vs role confusion
B.Initiative vs guilt
C.Ego integrity vs despair
D.Intimacy vs isolation - Correct Answer - D. Erickson's psychosocial
development model focuses on conflicts at each stage of the lifespan and
the virtue that results from finding balance in the conflict. The first 5
stages refer to infancy and childhood and the last 3 stages to adulthood:
A 30-year old patient has been diagnosed with advanced ovarian cancer.
The patient says, "This is all my fault." Which of Kubler-Ross's five
stages of grief is the patient probably experiencing?
A.Denial
B.Anger
C.Depression
D.Acceptance - Correct Answer - B. The patient is experiencing the
stage of anger. People grieve individually and may not go through all
pg. 1
,2|Page
stages, but most go through at least 2 stages. Kubler-Ross's 5 stages of
grief include:
A 68-year old man with mild COPD refuses to exercise because he tires
easily. He spends most of every day sitting in a chair watching
television. What is the most appropriate nursing diagnosis?
A.Ineffective health maintenance
B.Impaired physical mobility
C.Risk for disuse syndrome
D.Activity intolerance - Correct Answer - C. The most appropriate
nursing diagnosis for a person who is able to exercise but remains
sedentary is risk of disuse syndrome because the patient is putting
himself at risk for the development of circulatory impairment and
muscle atrophy. Failure to exercise may also exacerbate his condition.
While his health maintenance may be ineffective, it is directly due to of
his lack of activity. He does not have impaired physical mobility or
activity intolerance that precludes exercise.
Measuring the effectiveness of an intervention rather than the monetary
savings is:
A.A cost-benefit analysis.
B.An efficacy study.
C.A product evaluation.
D.A cost-effective analysis. - Correct Answer - D. A cost-effective
analysis measures the effectiveness of an intervention rather than the
monetary savings. For example, annually 2 million nosocomial
infections result in 90,000 deaths and an estimated $6.7 billion in
pg. 2
,3|Page
additional health costs. From that perspective, decreasing infections
should reduce costs, but there are human savings in suffering as well,
and it can be difficult to place a dollar value on that. If each infection
adds about 12 days to hospitalization, then a reduction of 5 infections (5
X 12 = 60) would result in a cost-effective savings of 60 fewer patient
infection days.
Which interaction style describes a nurse who cannot clearly separate
her own emotional responses from the patient's needs and wants?
A. Holistic
B. Defensive
C. Sympathetic
D. Silence - Correct Answer - C. Sympathetic
A sympathetic interaction style occurs when the nurse can't clearly
separate her own emotional responses from the patient's needs and
wants.
A patient with an arterial ulcer over the left lateral malleolus complains
of pain at the ulcer site. The nurse caring for this patient understands that
the pain is caused most commonly by which of the following?
A. Infection
B. Exudate
C. Ischemia
D. Edema - Correct Answer - C. Ischemia
Severe pain at an arterial ulcer site typically results from ischemia
caused by reduced arterial blood flow.
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A patient, age 54, is admitted with a diagnosis of venous ulceration
unresponsive to treatment. Which of the following is the nurse most
likely to find during an assessment of a patient with venous ulceration?
A. Gangrene
B. Heavy exudate
C. Deep wound bed
D. Pale wound bed - Correct Answer - B. Heavy exudate
Moderate to heavy exudate is one characteristic of a venous ulcer. Other
characteristics include irregular wound margins, superficial wound bed,
and ruddy, granular tissue.
In the stages of death and dying as defined by Elisabeth Kübler-Ross,
loss, grief, and intense sadness are symptoms of:
A. depression.
B. denial.
C. anger.
D. acceptance. - Correct Answer - A. depression.
Loss, grief, and intense sadness indicate depression. Denial (Option B) is
indicated by the refusal to admit the truth or reality. Anger (Option C) is
manifested by rage and resentment. Acceptance (Option D) is evidenced
by a gradual, peaceful withdrawal from life.
In the levels of basic human needs as defined by Abraham Maslow,
which of the following levels is most basic?
A. Physiologic
B. Safety and security
pg. 4
(CMSRN) CERTIFIED MEDICAL-SURGICAL REGISTERED
NURSE EXAM 2025 TEST BANK| 2 LATEST VERSIONS
(VERSION A & B) WITH 400 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| CMSRN EXAM PREP|| BRAND NEW!!
CMSRN EXAM VERSION A.
In Erikson's psychosocial model of development, which stage is typical
of those entering young adulthood?
A.Identify vs role confusion
B.Initiative vs guilt
C.Ego integrity vs despair
D.Intimacy vs isolation - Correct Answer - D. Erickson's psychosocial
development model focuses on conflicts at each stage of the lifespan and
the virtue that results from finding balance in the conflict. The first 5
stages refer to infancy and childhood and the last 3 stages to adulthood:
A 30-year old patient has been diagnosed with advanced ovarian cancer.
The patient says, "This is all my fault." Which of Kubler-Ross's five
stages of grief is the patient probably experiencing?
A.Denial
B.Anger
C.Depression
D.Acceptance - Correct Answer - B. The patient is experiencing the
stage of anger. People grieve individually and may not go through all
pg. 1
,2|Page
stages, but most go through at least 2 stages. Kubler-Ross's 5 stages of
grief include:
A 68-year old man with mild COPD refuses to exercise because he tires
easily. He spends most of every day sitting in a chair watching
television. What is the most appropriate nursing diagnosis?
A.Ineffective health maintenance
B.Impaired physical mobility
C.Risk for disuse syndrome
D.Activity intolerance - Correct Answer - C. The most appropriate
nursing diagnosis for a person who is able to exercise but remains
sedentary is risk of disuse syndrome because the patient is putting
himself at risk for the development of circulatory impairment and
muscle atrophy. Failure to exercise may also exacerbate his condition.
While his health maintenance may be ineffective, it is directly due to of
his lack of activity. He does not have impaired physical mobility or
activity intolerance that precludes exercise.
Measuring the effectiveness of an intervention rather than the monetary
savings is:
A.A cost-benefit analysis.
B.An efficacy study.
C.A product evaluation.
D.A cost-effective analysis. - Correct Answer - D. A cost-effective
analysis measures the effectiveness of an intervention rather than the
monetary savings. For example, annually 2 million nosocomial
infections result in 90,000 deaths and an estimated $6.7 billion in
pg. 2
,3|Page
additional health costs. From that perspective, decreasing infections
should reduce costs, but there are human savings in suffering as well,
and it can be difficult to place a dollar value on that. If each infection
adds about 12 days to hospitalization, then a reduction of 5 infections (5
X 12 = 60) would result in a cost-effective savings of 60 fewer patient
infection days.
Which interaction style describes a nurse who cannot clearly separate
her own emotional responses from the patient's needs and wants?
A. Holistic
B. Defensive
C. Sympathetic
D. Silence - Correct Answer - C. Sympathetic
A sympathetic interaction style occurs when the nurse can't clearly
separate her own emotional responses from the patient's needs and
wants.
A patient with an arterial ulcer over the left lateral malleolus complains
of pain at the ulcer site. The nurse caring for this patient understands that
the pain is caused most commonly by which of the following?
A. Infection
B. Exudate
C. Ischemia
D. Edema - Correct Answer - C. Ischemia
Severe pain at an arterial ulcer site typically results from ischemia
caused by reduced arterial blood flow.
pg. 3
, 4|Page
A patient, age 54, is admitted with a diagnosis of venous ulceration
unresponsive to treatment. Which of the following is the nurse most
likely to find during an assessment of a patient with venous ulceration?
A. Gangrene
B. Heavy exudate
C. Deep wound bed
D. Pale wound bed - Correct Answer - B. Heavy exudate
Moderate to heavy exudate is one characteristic of a venous ulcer. Other
characteristics include irregular wound margins, superficial wound bed,
and ruddy, granular tissue.
In the stages of death and dying as defined by Elisabeth Kübler-Ross,
loss, grief, and intense sadness are symptoms of:
A. depression.
B. denial.
C. anger.
D. acceptance. - Correct Answer - A. depression.
Loss, grief, and intense sadness indicate depression. Denial (Option B) is
indicated by the refusal to admit the truth or reality. Anger (Option C) is
manifested by rage and resentment. Acceptance (Option D) is evidenced
by a gradual, peaceful withdrawal from life.
In the levels of basic human needs as defined by Abraham Maslow,
which of the following levels is most basic?
A. Physiologic
B. Safety and security
pg. 4
