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CMSRN Practice Questions with Answers

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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. T...

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  • August 23, 2024
  • 84
  • 2024/2025
  • Exam (elaborations)
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  • CMSRN
  • CMSRN
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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.

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