CMSRN EXAM / CERTIFIED MEDICAL – SURGICAL REGISTERED NURSE
(CMSRN) ACTUAL EXAM 2026/2027 COMPLETE ACCURATE EXAM AND A NEW
UPDATED STUDY GUIDE APPROVED QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS)
|GUARANTEED PASS A+
A patient who has active pulmonary tuberculosis (TB) states, "I'm not going to take
these TB pills!" Which of these responses by the nurse would be appropriate?
1) "You have a legal right to refuse to take this medication."
2) "You need to sign a Refusal of Treatment Form."
3) "You need to ask your doctor about the possibility of discontinuing the
medication."
4) "You should know that the health department can require you to take the
medication."
Answer- 4) "You should know that the health department can require you to take
the medication."
Rationale: Tuberculosis (TB) is a public health problem that requires reporting of
the disease to the health department. It is essential that the patient understand the
need to take prescribed TB medications as directed. Patients who are unwilling or
unable to adhere to treatment may be required to do so by law or may be
quarantined or isolated until noninfectious. State governments have legal
responsibility for TB control activities, including treatment protocols for no
adherent patients. Health care workers should be familiar with the law in their
particular states for these procedures.
When a patient is having a chest tube removed, which of these instructions would
be appropriate?
1) "Take short quick breaths with your mouth open."
,2) "Take a deep breath and hold it."
3) "Breathe only through your mouth."
4) "Breathe as you normally do."
Answer- 2) "Take a deep breath and hold it."
Rationale: Taking a deep breath and holding it (or performing the Valsalva
maneuver) will prevent air from being pulled back into the pleural space as the
tube is removed.
Using the average cost of a problem and the cost of intervention to demonstrate
savings is:
A. A cost-benefit analysis
B. An efficacy study
C. A product evaluation
D. A cost-effective analysis
A. A cost-benefit analysis uses average cost of a problem (such as wound
infections) and the average cost of intervention to demonstrate savings. For
example, if a surgical unit averaged 10 surgical site infections annually at an
additional average cost of $27,000 each, the total annual cost would be $270,000.
If the total cost for interventions, (new staff person, benefits, education, and
software) totals $92,000, and the goal is to reduce infections by 50% (0.5 X
$270,000 for a total projected savings of $135,000), cost benefit is demonstrated
by subtracting the proposed savings from the intervention costs ($135,000 -
$92,000) for a savings of $43,000 annually.
,In Erikson's psychosocial model of development, which stage is typical of those
entering young adulthood?
A. Identify vs role confusion
Initiative vs guilt
Cleo integrity vs despair
Intimacy vs isolation
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:
Intimacy vs isolation (Young adulthood): Love/intimacy or lack of close
relationships.
Generativity vs stagnation (Middle age): Caring and achievements or stagnation.
Ego integrity vs despair (Older adulthood): Acceptance and wisdom or failure to
accept changes of aging/despair.
A 30-year old patient has been diagnosed with advanced ovarian cancer. The
patient says, "This is all my fault." Which of Keebler-Ross's five stages of grief is
the patient probably experiencing?
A. Denial
Banger
Depression
Acceptance
, Answer-B. The patient is experiencing the stage of anger. People grieve
individually and may not go through all stages, but most go through at least 2
stages. Keebler-Ross's 5 stages of grief include:
Denial: Refusal to believe, confused, stunned, detached.
Anger: Directed inward (self-blame) or outward.
Bargaining: If - then thinking. ("If I go to church, then I will heal.")
Depression: Sad, withdrawn.
Acceptance: Resolution.
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
Impaired physical mobility
Crick for disuse syndrome
Activity intolerance
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.
(CMSRN) ACTUAL EXAM 2026/2027 COMPLETE ACCURATE EXAM AND A NEW
UPDATED STUDY GUIDE APPROVED QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS)
|GUARANTEED PASS A+
A patient who has active pulmonary tuberculosis (TB) states, "I'm not going to take
these TB pills!" Which of these responses by the nurse would be appropriate?
1) "You have a legal right to refuse to take this medication."
2) "You need to sign a Refusal of Treatment Form."
3) "You need to ask your doctor about the possibility of discontinuing the
medication."
4) "You should know that the health department can require you to take the
medication."
Answer- 4) "You should know that the health department can require you to take
the medication."
Rationale: Tuberculosis (TB) is a public health problem that requires reporting of
the disease to the health department. It is essential that the patient understand the
need to take prescribed TB medications as directed. Patients who are unwilling or
unable to adhere to treatment may be required to do so by law or may be
quarantined or isolated until noninfectious. State governments have legal
responsibility for TB control activities, including treatment protocols for no
adherent patients. Health care workers should be familiar with the law in their
particular states for these procedures.
When a patient is having a chest tube removed, which of these instructions would
be appropriate?
1) "Take short quick breaths with your mouth open."
,2) "Take a deep breath and hold it."
3) "Breathe only through your mouth."
4) "Breathe as you normally do."
Answer- 2) "Take a deep breath and hold it."
Rationale: Taking a deep breath and holding it (or performing the Valsalva
maneuver) will prevent air from being pulled back into the pleural space as the
tube is removed.
Using the average cost of a problem and the cost of intervention to demonstrate
savings is:
A. A cost-benefit analysis
B. An efficacy study
C. A product evaluation
D. A cost-effective analysis
A. A cost-benefit analysis uses average cost of a problem (such as wound
infections) and the average cost of intervention to demonstrate savings. For
example, if a surgical unit averaged 10 surgical site infections annually at an
additional average cost of $27,000 each, the total annual cost would be $270,000.
If the total cost for interventions, (new staff person, benefits, education, and
software) totals $92,000, and the goal is to reduce infections by 50% (0.5 X
$270,000 for a total projected savings of $135,000), cost benefit is demonstrated
by subtracting the proposed savings from the intervention costs ($135,000 -
$92,000) for a savings of $43,000 annually.
,In Erikson's psychosocial model of development, which stage is typical of those
entering young adulthood?
A. Identify vs role confusion
Initiative vs guilt
Cleo integrity vs despair
Intimacy vs isolation
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:
Intimacy vs isolation (Young adulthood): Love/intimacy or lack of close
relationships.
Generativity vs stagnation (Middle age): Caring and achievements or stagnation.
Ego integrity vs despair (Older adulthood): Acceptance and wisdom or failure to
accept changes of aging/despair.
A 30-year old patient has been diagnosed with advanced ovarian cancer. The
patient says, "This is all my fault." Which of Keebler-Ross's five stages of grief is
the patient probably experiencing?
A. Denial
Banger
Depression
Acceptance
, Answer-B. The patient is experiencing the stage of anger. People grieve
individually and may not go through all stages, but most go through at least 2
stages. Keebler-Ross's 5 stages of grief include:
Denial: Refusal to believe, confused, stunned, detached.
Anger: Directed inward (self-blame) or outward.
Bargaining: If - then thinking. ("If I go to church, then I will heal.")
Depression: Sad, withdrawn.
Acceptance: Resolution.
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
Impaired physical mobility
Crick for disuse syndrome
Activity intolerance
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.
