Certified Medical-Surgical Registered Nurse
Sample Questions 2024/2025
Practice questions for this set
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Terms in this set (138)
Rationale:
Rationale:
,A 30-year old patient has B. The patient is experiencing the stage of anger.
been diagnosed with People grieve individually and may not go through all
advanced ovarian cancer. stages, but most go through at least 2 stages. Kubler-
The patient says, "This is all Ross's 5 stages of grief include:
my fault." Which of Kubler-
Ross's five stages of grief Denial: Refusal to believe, confused, stunned,
is the patient probably detached.
experiencing? Anger: Directed inward (self-blame) or outward.
Bargaining: If - then thinking. ("If I go to church, then I
A.Denial will heal.")
B.Anger Depression: Sad, withdrawn.
C.Depression Acceptance: Resolution.
D.Acceptance
A 50-year-old male with a C. ask if he would like her to sit with him while he
diagnosis of leukemia is collects his thoughts.
responding poorly to
treatment. He is tearful Rationale: The patient needs to feel that people are
and trying concerned with his situation. Option A
to express his feelings, but is incorrect because leaving the patient doesn't show
he is having diffi culty. The acceptance of his feelings. Option B is incorrect
nurse should fi rst: because offering to call pastoral care may be helpful
A. tell him that she will for some patients but should be done after the nurse
leave for now but she will has spent time with the patient. Option D is incorrect
be back. because telling the patient that she understands how
B. offer to call pastoral he's feeling is inappropriate because it doesn't help
care. him express his feelings.
C. ask if he would like her
to sit with him while he
collects his thoughts.
D. tell him that she can
understand how he is
feeling.
,A 55-year-old black male C. Recommend he have his blood pressure rechecked
is found to have a blood within 2 weeks.
pressure of 150/90 mm Hg
during a work site health Rationale: A BP of 150/90 mm Hg should be
screening. What should rechecked within 2 weeks according to
the nurse do? current recommendations. If confirmed, assessment
A. Consider this to be a and treatment should be initiated by the practitioner.
normal finding for his age Option A is incorrect because although hypertension
and race. is more prevalent among blacks, a BP of 150/90 mm
B. Recommend he have Hg isn't considered normal. Option B is incorrect
his blood pressure because a person with a BP
rechecked in 1 year. of 150/90 mm Hg shouldn't wait as long as 1 year to
C. Recommend he have have it rechecked.
his blood pressure Option D is incorrect because he doesn't need to be
rechecked within 2 weeks. treated on an emergency basis, but he should have
D. Recommend he go to his BP monitored.
the emergency
department for further
evaluation.
A 60-year-old male C. MRI
patient is suspected of
having coronary artery Rationale: MRI is a noninvasive procedure that aids in
disease. Which the diagnosis and detection of thoracic
noninvasive diagnostic aortic aneurysm and evaluation of coronary artery
method would the nurse disease, pericardial disease, and cardiac masses.
expect to be ordered to Cardiac biopsy (Option A), cardiac catheterization
evaluate cardiac changes? (Option B), and pericardiocentesis (Option D) are
A. Cardiac biopsy invasive
B. Cardiac catheterization techniques used to evaluate cardiac changes.
C. MRI
D. Pericardiocentesis
, A 66-year-old patient has D. Emphysema
marked dyspnea at rest, is
thin, and uses accessory Rationale: These are classic signs and symptoms of a
muscles to breathe. He is patient with emphysema. Patients with ARDS (Option
tachypneic, with a A) are acutely short of breath and require emergency
prolonged expiratory care; those with asthma (option B) are also acutely
phase. He has no cough. short of breath during an attack and appear very
He leans forward with his frightened. Patients with chronic obstructive
arms braced on his bronchitis (Option C) appear bloated and cyanotic
knees to support his chest
and shoulders for
breathing. This patient has
signs and symptoms of
which respiratory
disorder?
A. ARDS
B. Asthma
C. Chronic obstructive
bronchitis
D. Emphysema
A 68-year old man with C. The most appropriate nursing diagnosis for a
mild COPD refuses to person who is able to exercise but remains sedentary
exercise because he tires is risk of disuse syndrome because the patient is
easily. He spends most of putting himself at risk for the development of
every day sitting in a chair circulatory impairment and muscle atrophy. Failure to
watching television. What exercise may also exacerbate his condition. While his
is the most appropriate health maintenance may be ineffective, it is directly
nursing diagnosis? due to of his lack of activity. He does not have
impaired physical mobility or activity intolerance that
A.Ineffective health precludes exercise.
maintenance
B.Impaired physical
mobility
C.Risk for disuse syndrome
D.Activity intolerance
Sample Questions 2024/2025
Practice questions for this set
Learn
Studied 7 terms
Nice work, you're crushing it
Continue studying in Learn
Terms in this set (138)
Rationale:
Rationale:
,A 30-year old patient has B. The patient is experiencing the stage of anger.
been diagnosed with People grieve individually and may not go through all
advanced ovarian cancer. stages, but most go through at least 2 stages. Kubler-
The patient says, "This is all Ross's 5 stages of grief include:
my fault." Which of Kubler-
Ross's five stages of grief Denial: Refusal to believe, confused, stunned,
is the patient probably detached.
experiencing? Anger: Directed inward (self-blame) or outward.
Bargaining: If - then thinking. ("If I go to church, then I
A.Denial will heal.")
B.Anger Depression: Sad, withdrawn.
C.Depression Acceptance: Resolution.
D.Acceptance
A 50-year-old male with a C. ask if he would like her to sit with him while he
diagnosis of leukemia is collects his thoughts.
responding poorly to
treatment. He is tearful Rationale: The patient needs to feel that people are
and trying concerned with his situation. Option A
to express his feelings, but is incorrect because leaving the patient doesn't show
he is having diffi culty. The acceptance of his feelings. Option B is incorrect
nurse should fi rst: because offering to call pastoral care may be helpful
A. tell him that she will for some patients but should be done after the nurse
leave for now but she will has spent time with the patient. Option D is incorrect
be back. because telling the patient that she understands how
B. offer to call pastoral he's feeling is inappropriate because it doesn't help
care. him express his feelings.
C. ask if he would like her
to sit with him while he
collects his thoughts.
D. tell him that she can
understand how he is
feeling.
,A 55-year-old black male C. Recommend he have his blood pressure rechecked
is found to have a blood within 2 weeks.
pressure of 150/90 mm Hg
during a work site health Rationale: A BP of 150/90 mm Hg should be
screening. What should rechecked within 2 weeks according to
the nurse do? current recommendations. If confirmed, assessment
A. Consider this to be a and treatment should be initiated by the practitioner.
normal finding for his age Option A is incorrect because although hypertension
and race. is more prevalent among blacks, a BP of 150/90 mm
B. Recommend he have Hg isn't considered normal. Option B is incorrect
his blood pressure because a person with a BP
rechecked in 1 year. of 150/90 mm Hg shouldn't wait as long as 1 year to
C. Recommend he have have it rechecked.
his blood pressure Option D is incorrect because he doesn't need to be
rechecked within 2 weeks. treated on an emergency basis, but he should have
D. Recommend he go to his BP monitored.
the emergency
department for further
evaluation.
A 60-year-old male C. MRI
patient is suspected of
having coronary artery Rationale: MRI is a noninvasive procedure that aids in
disease. Which the diagnosis and detection of thoracic
noninvasive diagnostic aortic aneurysm and evaluation of coronary artery
method would the nurse disease, pericardial disease, and cardiac masses.
expect to be ordered to Cardiac biopsy (Option A), cardiac catheterization
evaluate cardiac changes? (Option B), and pericardiocentesis (Option D) are
A. Cardiac biopsy invasive
B. Cardiac catheterization techniques used to evaluate cardiac changes.
C. MRI
D. Pericardiocentesis
, A 66-year-old patient has D. Emphysema
marked dyspnea at rest, is
thin, and uses accessory Rationale: These are classic signs and symptoms of a
muscles to breathe. He is patient with emphysema. Patients with ARDS (Option
tachypneic, with a A) are acutely short of breath and require emergency
prolonged expiratory care; those with asthma (option B) are also acutely
phase. He has no cough. short of breath during an attack and appear very
He leans forward with his frightened. Patients with chronic obstructive
arms braced on his bronchitis (Option C) appear bloated and cyanotic
knees to support his chest
and shoulders for
breathing. This patient has
signs and symptoms of
which respiratory
disorder?
A. ARDS
B. Asthma
C. Chronic obstructive
bronchitis
D. Emphysema
A 68-year old man with C. The most appropriate nursing diagnosis for a
mild COPD refuses to person who is able to exercise but remains sedentary
exercise because he tires is risk of disuse syndrome because the patient is
easily. He spends most of putting himself at risk for the development of
every day sitting in a chair circulatory impairment and muscle atrophy. Failure to
watching television. What exercise may also exacerbate his condition. While his
is the most appropriate health maintenance may be ineffective, it is directly
nursing diagnosis? due to of his lack of activity. He does not have
impaired physical mobility or activity intolerance that
A.Ineffective health precludes exercise.
maintenance
B.Impaired physical
mobility
C.Risk for disuse syndrome
D.Activity intolerance
