Page 1 of 28
CMSRN EXAM NEWEST 2025 PACKAGE DEAL|
DIFFERENT VERSIONS WITH COMPLETE 850 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| CERTIFIED
MEDICAL-SURGICAL REGISTERED NURSE EXAM PREP
2025 (MOST RECENT!!)
Examples of third spacing .....ANSWER.....Ascites, edema, burn
Dilutional Hyponatremia .....ANSWER.....Excessive fluid intake
Edema, confusion, weight gain
Treatment: decrease fluid intake
"swells, rings tight"
True Hyponatremia .....ANSWER.....Loss of fluid and Na
Weight loss, DRY, hypotensive, tachy, DEHYDRATED
Tx: replace both sodium and water
,Page 2 of 28
Hypernatremia Causes .....ANSWER.....Fevern unresponsive to
traditional interventions, Na IV fluids, DI, tube feeds
Hypernatremia Symptoms .....ANSWER.....DRY, thirst, tachy,
oliguria(compensating)
Hypernatremia treatment .....ANSWER.....Decrease Na and
replace fluids
Cl .....ANSWER.....Acts like Na
Buffer to maintain pH
Hyperkalemia Causes .....ANSWER.....Cell wall destruction
Increased intake
K sparing diuretics
Renal failure
Acidosis
Hyperkalemia symptoms .....ANSWER.....Irritable muscles
, Page 3 of 28
Dysrhythmias
Hyperactive bowels/bladder- diarrhea, frequency, urgency
Hyperkalemia tx .....ANSWER.....Limit intake
Kayexalate
Ca gluconate
IV glucose
Dialysis
Hypokalemia Causes .....ANSWER.....Vomiting
Diarrhea
NG suction
Decreased PO
Burns
K wasting diuretics
CMSRN EXAM NEWEST 2025 PACKAGE DEAL|
DIFFERENT VERSIONS WITH COMPLETE 850 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| CERTIFIED
MEDICAL-SURGICAL REGISTERED NURSE EXAM PREP
2025 (MOST RECENT!!)
Examples of third spacing .....ANSWER.....Ascites, edema, burn
Dilutional Hyponatremia .....ANSWER.....Excessive fluid intake
Edema, confusion, weight gain
Treatment: decrease fluid intake
"swells, rings tight"
True Hyponatremia .....ANSWER.....Loss of fluid and Na
Weight loss, DRY, hypotensive, tachy, DEHYDRATED
Tx: replace both sodium and water
,Page 2 of 28
Hypernatremia Causes .....ANSWER.....Fevern unresponsive to
traditional interventions, Na IV fluids, DI, tube feeds
Hypernatremia Symptoms .....ANSWER.....DRY, thirst, tachy,
oliguria(compensating)
Hypernatremia treatment .....ANSWER.....Decrease Na and
replace fluids
Cl .....ANSWER.....Acts like Na
Buffer to maintain pH
Hyperkalemia Causes .....ANSWER.....Cell wall destruction
Increased intake
K sparing diuretics
Renal failure
Acidosis
Hyperkalemia symptoms .....ANSWER.....Irritable muscles
, Page 3 of 28
Dysrhythmias
Hyperactive bowels/bladder- diarrhea, frequency, urgency
Hyperkalemia tx .....ANSWER.....Limit intake
Kayexalate
Ca gluconate
IV glucose
Dialysis
Hypokalemia Causes .....ANSWER.....Vomiting
Diarrhea
NG suction
Decreased PO
Burns
K wasting diuretics
