CMSRN Exam 1 Questions and Answers
(Rated 100% Correct)
You may see a slight increase in diastolic blood pressure early in shock because:
A. Concurrent brain injury is present
B. Stroke volume has increased
C. There is an increase in vascular tone
D. Left ventricular contractions have strengthened - ANSWER-C. There is an increase
in vascular tone
A 62-year-old male patient with a remote history of rheumatic fever is admitted to the
medical-surgical unit with the following symptoms:
Subjective: Shortness of breath, chest pain, syncope
Objective: Peripheral edema, neck vein distension, weight gain, cyanosis,
hepatomegaly, bounding pulses, cardiac arrhythmia
Which of the following is most likely this patient's primary diagnosis?
A. Abdominal aortic aneurysm
B. Left heart failure
C. Aortic valve stenosis
D. Endocarditis - ANSWER-C. Aortic valve stenosis
You are caring for a patient who has been admitted to the hospital with an intestinal
obstruction. All of the following are appropriate nursing interventions for this patient
except:
A. Monitor hemodynamics closely
B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy - ANSWER-B.
Educate the patient on enteral nutrition
A patient is admitted to the hospital with severe pain, guarding, and rigidity of the
abdomen. Labs indicate increased levels of amylase and leukocytosis. Cullen's sign is
positive (bruising around the umbilicus, indicative of intra-abdominal bleeding) and the
patient is showing some signs of respiratory distress. The patient has a history of
alcohol abuse. Which of the following conditions is most likely to be diagnosed?
A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis - ANSWER-D. Acute pancreatitis
Your male patient, who has a diagnosis of chronic liver failure, has deficient vitamin K
absorption. Which assessment findings indicate vitamin K deficiency?
A. Testicular atrophy and gynecomastia
, B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea - ANSWER-C. Petechiae and ecchymoses
When performing an assessment on a patient with emphysema, you find that your
patient has a barrel chest. The alteration in the patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli - ANSWER-A. Hyperinflation of the lungs
Supination is defined as:
A. Turning a part toward midline
B. Turning a part away from midline
C. Turning upward
D. Turning downward - ANSWER-C. Turning upward
To confirm a diagnosis of myocardial infarction (MI), the nurse would expect the
physician to order which laboratory tests?
A. Myoglobin, creatine kinase, and sedimentation rate
B. Creatine kinase, troponin, and sedimentation rate
C. Troponin, aPTT, and myoglobin
D. Troponin, myoglobin, and creatine kinase - ANSWER-D. Troponin, myoglobin, and
creatine kinase
The structure that contains the vas deferens and all arteries, veins, and lymph vessels
that supply the testes is the:
A. Epididymis
B. Prostate gland
C. Seminal vesicle
D. Spermatic cord - ANSWER-D. Spermatic cord
Which of the following is an example of an ACE inhibitor?
A. Amlodipine (Norvasc)
B. Metoprolol (Lopressor)
C. Amiodarone (Cordarone)
D. Captopril (Capoten) - ANSWER-D. Captopril (Capoten)
Regulatory centers in the brain respond to stimulation from sensory receptors. All of the
following statements related to sensory receptors are true except:
A. Chemoreceptors respond to changes in pH, PaO2, and PaCO2
B. Stretch receptors prevent excessive distension of the lung
C. When PCO2 increases, a patient is triggered to breathe more rapidly
D. As pH rises, a patient is triggered to breathe more rapidly - ANSWER-D. As pH rises,
a patient is triggered to breathe more
(Rated 100% Correct)
You may see a slight increase in diastolic blood pressure early in shock because:
A. Concurrent brain injury is present
B. Stroke volume has increased
C. There is an increase in vascular tone
D. Left ventricular contractions have strengthened - ANSWER-C. There is an increase
in vascular tone
A 62-year-old male patient with a remote history of rheumatic fever is admitted to the
medical-surgical unit with the following symptoms:
Subjective: Shortness of breath, chest pain, syncope
Objective: Peripheral edema, neck vein distension, weight gain, cyanosis,
hepatomegaly, bounding pulses, cardiac arrhythmia
Which of the following is most likely this patient's primary diagnosis?
A. Abdominal aortic aneurysm
B. Left heart failure
C. Aortic valve stenosis
D. Endocarditis - ANSWER-C. Aortic valve stenosis
You are caring for a patient who has been admitted to the hospital with an intestinal
obstruction. All of the following are appropriate nursing interventions for this patient
except:
A. Monitor hemodynamics closely
B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy - ANSWER-B.
Educate the patient on enteral nutrition
A patient is admitted to the hospital with severe pain, guarding, and rigidity of the
abdomen. Labs indicate increased levels of amylase and leukocytosis. Cullen's sign is
positive (bruising around the umbilicus, indicative of intra-abdominal bleeding) and the
patient is showing some signs of respiratory distress. The patient has a history of
alcohol abuse. Which of the following conditions is most likely to be diagnosed?
A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis - ANSWER-D. Acute pancreatitis
Your male patient, who has a diagnosis of chronic liver failure, has deficient vitamin K
absorption. Which assessment findings indicate vitamin K deficiency?
A. Testicular atrophy and gynecomastia
, B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea - ANSWER-C. Petechiae and ecchymoses
When performing an assessment on a patient with emphysema, you find that your
patient has a barrel chest. The alteration in the patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli - ANSWER-A. Hyperinflation of the lungs
Supination is defined as:
A. Turning a part toward midline
B. Turning a part away from midline
C. Turning upward
D. Turning downward - ANSWER-C. Turning upward
To confirm a diagnosis of myocardial infarction (MI), the nurse would expect the
physician to order which laboratory tests?
A. Myoglobin, creatine kinase, and sedimentation rate
B. Creatine kinase, troponin, and sedimentation rate
C. Troponin, aPTT, and myoglobin
D. Troponin, myoglobin, and creatine kinase - ANSWER-D. Troponin, myoglobin, and
creatine kinase
The structure that contains the vas deferens and all arteries, veins, and lymph vessels
that supply the testes is the:
A. Epididymis
B. Prostate gland
C. Seminal vesicle
D. Spermatic cord - ANSWER-D. Spermatic cord
Which of the following is an example of an ACE inhibitor?
A. Amlodipine (Norvasc)
B. Metoprolol (Lopressor)
C. Amiodarone (Cordarone)
D. Captopril (Capoten) - ANSWER-D. Captopril (Capoten)
Regulatory centers in the brain respond to stimulation from sensory receptors. All of the
following statements related to sensory receptors are true except:
A. Chemoreceptors respond to changes in pH, PaO2, and PaCO2
B. Stretch receptors prevent excessive distension of the lung
C. When PCO2 increases, a patient is triggered to breathe more rapidly
D. As pH rises, a patient is triggered to breathe more rapidly - ANSWER-D. As pH rises,
a patient is triggered to breathe more
