CMSRN Practice Exam; Questions 1 with Complete
Solutions
How many practice hours must you have before you apply for certification through either
ANCC or AMSN?
a. 500 hours
b. 1,000 hours
c. 2,000 hours
d. 3,000 hours Correct-c. 2,000 hours
All of the following are components of the Planning, Implementation and Outcomes domain
of the nursing practice according to the ANCC except:
a. nursing care planning
b. therapeutic communication
c. patient safety measures
d. patient teaching Correct-b. therapeutic communication
Which nursing theorist describes the following five levels of nursing experience: novice,
advanced beginner, competent, proficient and expert?
, CMSRN Practice Exam; Questions 1 with Complete
Solutions
a. Patricia Benner
b. Kurt Lewin
c. Madeleine Leininger
d. Dorothea Orem Correct-a. Patricia Benner
Benner described five levels of nursing experience and developed exemplars and paradigm
cases to illustrate each level. Lewin described the "Change Management Model" of
unfreezing, changing and freezing. Leininger's theory is also called transcultural nursing. This
theory attempts to provide culturally congruent nursing care through "cognitively based
assistive, supportive, facilitative or enabling acts or decisions that are mostly tailor-made to
fit with individual, group's or institution's cultural values, beliefs and lifeways."
Which of the following findings is a characteristic of a patient with unstable angina?
a. "My chest pain goes away when I rest."
, CMSRN Practice Exam; Questions 1 with Complete
Solutions
b. "I sometimes experience chest pain at rest." c. "Nitroglycerin always relieves my chest
pain." d. "The chest pain only occurs when I walk too fast." Correct-b. "I sometimes
experience chest pain at rest."
Which ECG finding would indicate the most unstable condition?
a. inverted T wave
b. ST-segment depression
c. ST-segment elevation
d. Q wave Correct-c. ST-segment elevation
Which of the following would be a symptom of worsening heart failure (HF)?
a. dyspnea and crackles on auscultation
b. clear lung sounds and 1+ edema of the legs
c. resolution of chest pain
d. a brain natriuretic peptide (BNP) of 80 Correct-a. dyspnea and crackles on auscultation
, CMSRN Practice Exam; Questions 1 with Complete
Solutions
You are caring for a patient with newly diagnosed systolic heart failure (HF). He states that he
has a slight limitation in physical activity. He says that he is comfortable when he is resting,
but he becomes short of breath and fatigued with ordinary physical activity. Based on the
New York Heart Association (NYHA) Functional Classification, which stage of HF is he in?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV Correct-b. Stage II
The nurse is providing education to a patient about modifiable risk factors for hypertension.
Which of the following is a modifiable risk factor?
a. age
b. ethnicity
c. genetics
d. obesity Correct-d. obesity
Solutions
How many practice hours must you have before you apply for certification through either
ANCC or AMSN?
a. 500 hours
b. 1,000 hours
c. 2,000 hours
d. 3,000 hours Correct-c. 2,000 hours
All of the following are components of the Planning, Implementation and Outcomes domain
of the nursing practice according to the ANCC except:
a. nursing care planning
b. therapeutic communication
c. patient safety measures
d. patient teaching Correct-b. therapeutic communication
Which nursing theorist describes the following five levels of nursing experience: novice,
advanced beginner, competent, proficient and expert?
, CMSRN Practice Exam; Questions 1 with Complete
Solutions
a. Patricia Benner
b. Kurt Lewin
c. Madeleine Leininger
d. Dorothea Orem Correct-a. Patricia Benner
Benner described five levels of nursing experience and developed exemplars and paradigm
cases to illustrate each level. Lewin described the "Change Management Model" of
unfreezing, changing and freezing. Leininger's theory is also called transcultural nursing. This
theory attempts to provide culturally congruent nursing care through "cognitively based
assistive, supportive, facilitative or enabling acts or decisions that are mostly tailor-made to
fit with individual, group's or institution's cultural values, beliefs and lifeways."
Which of the following findings is a characteristic of a patient with unstable angina?
a. "My chest pain goes away when I rest."
, CMSRN Practice Exam; Questions 1 with Complete
Solutions
b. "I sometimes experience chest pain at rest." c. "Nitroglycerin always relieves my chest
pain." d. "The chest pain only occurs when I walk too fast." Correct-b. "I sometimes
experience chest pain at rest."
Which ECG finding would indicate the most unstable condition?
a. inverted T wave
b. ST-segment depression
c. ST-segment elevation
d. Q wave Correct-c. ST-segment elevation
Which of the following would be a symptom of worsening heart failure (HF)?
a. dyspnea and crackles on auscultation
b. clear lung sounds and 1+ edema of the legs
c. resolution of chest pain
d. a brain natriuretic peptide (BNP) of 80 Correct-a. dyspnea and crackles on auscultation
, CMSRN Practice Exam; Questions 1 with Complete
Solutions
You are caring for a patient with newly diagnosed systolic heart failure (HF). He states that he
has a slight limitation in physical activity. He says that he is comfortable when he is resting,
but he becomes short of breath and fatigued with ordinary physical activity. Based on the
New York Heart Association (NYHA) Functional Classification, which stage of HF is he in?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV Correct-b. Stage II
The nurse is providing education to a patient about modifiable risk factors for hypertension.
Which of the following is a modifiable risk factor?
a. age
b. ethnicity
c. genetics
d. obesity Correct-d. obesity
