CMSRN Practice Questions with Answers

You obtain all of these assessment data about your client with continuous bladder irrigation (CBI) after a transurethral resection of the prostate (TURP). Which information indicates the most immediate need for nursing interventions? A. The client states he feels a continuous urge to void. B. The catheter drainage is light pink with occasional clots. C. The catheter is pulled semi-taut and taped to the client's thigh. D. The client complains of painful bladder spasms ️️ D. The client complains of painful bladder spasms Slow down the rate, resume rate as soon as bladder spasms subside Which data would indicate that discharge teaching has been effective for the client who is post operative transurethral resection of the prostate (TURP)? A. "I will call the surgeon if I experience any difficulty urinating." B. "I will take my Proscar daily, the same as before my surgery." C. "I will continue restricting my oral fluid restrictions." D. "I will need to take my pain medication routinely even if I do not hurt." ️️ A. "I will call the surgeon if I experience any difficulty urinating." What is the American Cancer Society's recommendation for the early detection of cancer of the prostate? A. A yearly PSA level and DRE beginning at age 50 B. A biannual rectal examination beginning at age 40 C. A semi-annual alkaline phosphatase level beginning at 45 D. A yearly urinalysis to determine the presence of prostatic fluid ️️ A. A yearly PSA level and DRE beginning at age 50 DRE= Digital Rectal Examination The nurse is speaking to a group of women about early detection of breast cancer. The average age of the group is 47. Following the American Cancer Society guidelines, the nurse should recommend that the women: A. Perform breast self examination (BSE) annually B. Have a mammogram annually C. Have a hormone receptor assay annually D. Have a healthcare provider conduct a clinical examination every 2 years ️️ B. Have a mammogram annually You observe a student nurse accomplishing all of these activities while caring for a client who has an intracavity radioactive implant in place to treat cervical cancer. Which action requires that you intervene immediately? A. The student stands next to the client for 5 minutes while assisting with her bath. B. The student asks the client how she feels about losing her child-bearing ability. C. The student assists the client to the bedside commode for a bowel movement. D. The student offers to get the client whatever she would like to eat or drink. ️️ C. The student assists the client to the bedside commode for a bowel movement. No bm for 3 days if not radioactive material will come out Which patient has the highest risk of ovarian cancer? A. A 30 year-old woman taking an oral contraceptive B. A 45 year-old woman who has never been pregnant C. A 40 year-old woman with children D. A 36 year-old woman who had her first child at age 22 ️️ B. A 45 year-old woman who has never been pregnant The 24 year-old female client presents to the clinic with lower abdominal pain on the left side that she rates a "9" on a 1-10 scale. Which diagnostic procedure should the nurse prepare the client for? A .A computed tomography scan B. A lumbar puncture C. An appendectomy D. A pelvic sonogram ️️ D. A pelvic sonogram A patient is admitted to the hospital with shaking chills and fever. His red blood cell count is abnormally low, causing the doctor to suspect aplastic anemia. The patient is at greater risk for infection with aplastic anemia because: A. A large amount of immature red blood cells (RBCs) are produced. B. Granulocyte production is depressed. C. An excessive number of thrombocytes are present. D. Vitamin B12 isn't being absorbed by the stomach. ️️ B. Granulocyte production is depressed. Aplastic anemia results when the bone marrow produces insufficient quantities of RBCs, white blood cells, and platelets. Granulocytes, a type of white blood cell, are needed to fight infection. (A) The quantity of blood cells is affected, but not the quality; immature RBCs aren't produced. (C) Thrombocyte production affects blood clotting, and vitamin B12 deficiency leads to pernicious anemia. Which of the following drugs that a patient has taken may be responsible for causing aplastic anemia? A. Ibuprofen (Motrin) B. Sulfamethoxazole-trimethoprim (Bactrim) C. Levothyroxine (Synthroid) D. Heparin (Liquaeim) ️️ B. Sulfamethoxazole-trimethoprim (Bactrim) Sulfa drugs such as sulfamethoxazole-trimethoprim are occasionally linked to aplastic anemia. (A, C, D) Ibuprofen, levothyroxine, and heparin don't cause aplastic anemia. When assessing a patient with anemia from blood loss, the nurse would expect to find which of the following symptoms? A. Sudden onset of symptoms, hypotension and tachycardia B. Exertional dyspnea, poor nutrition and hypotension C. Sudden onset of symptoms, glossitis and tachycardia D. Fatigue, neuropathy and tachycardia ️️ A. Sudden onset of symptoms, hypotension and tachycardia Acute blood loss occurs suddenly. Hypotension and tachycardia are compensatory mechanisms in response to rapid loss of blood volume. (B) Although anemia may produce exertional dyspnea and hypotension, answer B is incorrect because poor nutrition is neither a symptom nor a cause of anemia due to blood loss. (C, D) are incorrect because anemia due to acute blood loss neither produces glossitis nor neuropathy.