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Certified Medical-Surgical Registered Nurse Sample Questions and Answers

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Certified Medical-Surgical Registered Nurse Sample Questions and Answers -v CORRECTv ANSWER- v-v CORRECTv ANSWER-Rationale: v-v CORRECTv ANSWER-Rationale: Av 30 yearv oldv patientv hasv beenv diagnosedv withv advancedv ovarianv cancer.v ...

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  • October 14, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • certified medical surgical registered nurse sampl
  • av 30 yearv oldv patientv hasv beenv diagnos

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Certified Medical-Surgical Registered
Nurse Sample Questions and Answers

-vCORRECTvANSWER-

- CORRECTvANSWER-Rationale:
v v




- CORRECTvANSWER-Rationale:
v v




Av30-
yearvoldvpatientvhasvbeenvdiagnosedvwithvadvancedvovarianvcancer.vThevpatientvsays,v"Thi
svisvallvmyvfault."vWhichvofvKubler-
Ross'svfivevstagesvofvgriefvisvthevpatientvprobablyvexperiencing?

A.Denial
B.Anger
C.Depression
D.Acceptancev-vCORRECTvANSWER-
B.vThevpatientvisvexperiencingvthevstagevofvanger.vPeoplevgrievevindividuallyvandvmayvnotvg
ovthroughvallvstages,vbutvmostvgovthroughvatvleastv2vstages.vKubler-
Ross'sv5vstagesvofvgriefvinclude:

Denial:vRefusalvtovbelieve,vconfused,vstunned,vdetached.
Anger:vDirectedvinwardv(self-blame)vorvoutward.
Bargaining:vIfv-vthenvthinking.v("IfvIvgovtovchurch,vthenvIvwillvheal.")
Depression:vSad,vwithdrawn.
Acceptance:vResolution.

Av50-year-
oldvmalevwithvavdiagnosisvofvleukemiavisvrespondingvpoorlyvtovtreatment.vHevisvtearfulvandvt
rying
tovexpressvhisvfeelings,vbutvhevisvhavingvdiffivculty.vThevnursevshouldvfivrst:
A.vtellvhimvthatvshevwillvleavevforvnowvbutvshevwillvbevback.
B.voffervtovcallvpastoralvcare.
C.vaskvifvhevwouldvlikevhervtovsitvwithvhimvwhilevhevcollectsvhisvthoughts.
D.vtellvhimvthatvshevcanvunderstandvhowvhevisvfeeling.v-vCORRECTvANSWER-
C.vaskvifvhevwouldvlikevhervtovsitvwithvhimvwhilevhevcollectsvhisvthoughts.

Rationale:vThevpatientvneedsvtovfeelvthatvpeoplevarevconcernedvwithvhisvsituation.vOptionvA

,isvincorrectvbecausevleavingvthevpatientvdoesn'tvshowvacceptancevofvhisvfeelings.vOptionvBv
isvincorrectvbecausevofferingvtovcallvpastoralvcarevmayvbevhelpfulvforvsomevpatientsvbutvsho
uldvbevdonevaftervthevnursevhasvspentvtimevwithvthevpatient.vOptionvDvisvincorrectvbecausevt
ellingvthevpatientvthatvshevunderstandsvhowvhe'svfeelingvisvinappropriatevbecausevitvdoesn't
vhelpvhimvexpressvhisvfeelings.




Av55-year-
oldvblackvmalevisvfoundvtovhavevavbloodvpressurevofv150/90vmmvHgvduringvavworkvsitevhealt
h
screening.vWhatvshouldvthevnursevdo?
A.vConsidervthisvtovbevavnormalvfindingvforvhisvagevandvrace.
B.vRecommendvhevhavevhisvbloodvpressurevrecheckedvinv1vyear.
C.vRecommendvhevhavevhisvbloodvpressurevrecheckedvwithinv2vweeks.
D.vRecommendvhevgovtovthevemergencyvdepartmentvforvfurthervevaluation.v-
vCORRECTvANSWER-

C.vRecommendvhevhavevhisvbloodvpressurevrecheckedvwithinv2vweeks.

Rationale:vAvBPvofv150/90vmmvHgvshouldvbevrecheckedvwithinv2vweeksvaccordingvto
currentvrecommendations.vIfvconfirmed,vassessmentvandvtreatmentvshouldvbevinitiatedvbyvt
hevpractitioner.
OptionvAvisvincorrectvbecausevalthoughvhypertensionvisvmorevprevalentvamongvblacks,vavB
Pvofv150/90vmmvHgvisn'tvconsideredvnormal.vOptionvBvisvincorrectvbecausevavpersonvwithvav
BP
ofv150/90vmmvHgvshouldn'tvwaitvasvlongvasv1vyearvtovhavevitvrechecked.v
OptionvDvisvincorrectvbecausevhevdoesn'tvneedvtovbevtreatedvonvanvemergencyvbasis,vbutvh
evshouldvhavevhisvBPvmonitored.

Av60-year-
oldvmalevpatientvisvsuspectedvofvhavingvcoronaryvarteryvdisease.vWhichvnoninvasivevdiagn
ostic
methodvwouldvthevnursevexpectvtovbevorderedvtovevaluatevcardiacvchanges?
A.vCardiacvbiopsy
B.vCardiacvcatheterization
C.vMRI
D.vPericardiocentesisv-vCORRECTvANSWER-C.vMRI

Rationale:vMRIvisvavnoninvasivevprocedurevthatvaidsvinvthevdiagnosisvandvdetectionvofvthor
acic
aorticvaneurysmvandvevaluationvofvcoronaryvarteryvdisease,vpericardialvdisease,vandvcardi
acvmasses.v
Cardiacvbiopsyv(OptionvA),vcardiacvcatheterizationv(OptionvB),vandvpericardiocentesisv(Opt
ionvD)varevinvasive
techniquesvusedvtovevaluatevcardiacvchanges.

,Av66-year-
oldvpatientvhasvmarkedvdyspneavatvrest,visvthin,vandvusesvaccessoryvmusclesvtovbreathe.vH
evis
tachypneic,vwithvavprolongedvexpiratoryvphase.vHevhasvnovcough.vHevleansvforwardvwithvhi
svarmsvbracedvonvhis
kneesvtovsupportvhisvchestvandvshouldersvforvbreathing.vThisvpatientvhasvsignsvandvsympto
msvofvwhichvrespiratory
disorder?
A.vARDS
B.vAsthma
C.vChronicvobstructivevbronchitis
D.vEmphysemav-vCORRECTvANSWER-D.vEmphysema

Rationale:vThesevarevclassicvsignsvandvsymptomsvofvavpatientvwithvemphysema.vPatientsv
withvARDSv(OptionvA)varevacutelyvshortvofvbreathvandvrequirevemergencyvcare;vthosevwithv
asthmav(optionvB)varevalsovacutelyvshortvofvbreathvduringvanvattackvandvappearvveryvfrighte
ned.vPatientsvwithvchronicvobstructivevbronchitisv(OptionvC)vappearvbloatedvandvcyanotic

Av68-
yearvoldvmanvwithvmildvCOPDvrefusesvtovexercisevbecausevhevtiresveasily.vHevspendsvmost
vofveveryvdayvsittingvinvavchairvwatchingvtelevision.vWhatvisvthevmostvappropriatevnursingvdi

agnosis?

A.Ineffectivevhealthvmaintenance
B.Impairedvphysicalvmobility
C.Riskvforvdisusevsyndrome
D.Activityvintolerancev-vCORRECTvANSWER-
C.vThevmostvappropriatevnursingvdiagnosisvforvavpersonvwhovisvablevtovexercisevbutvremain
svsedentaryvisvriskvofvdisusevsyndromevbecausevthevpatientvisvputtingvhimselfvatvriskvforvthev
developmentvofvcirculatoryvimpairmentvandvmusclevatrophy.vFailurevtovexercisevmayvalsove
xacerbatevhisvcondition.vWhilevhisvhealthvmaintenancevmayvbevineffective,vitvisvdirectlyvduev
tovofvhisvlackvofvactivity.vHevdoesvnotvhavevimpairedvphysicalvmobilityvorvactivityvintolerancev
thatvprecludesvexercise.

Av78-year-
oldvpatientvisvscheduledvforvtransitionvtovhomevaftervtreatmentvforvheartvdisease.vThevpatien
t'svspouse,vwhovhasvchronicvobstructivevpulmonaryvdisease,vplansvtovcarevforvthevpatientvat
vhome.vThevspousevsaysvthatvtheirvgrownvchildren,vwhovlivevnearby,vwillvhelp.vThevbestvapp

roachvtovdischargevplanningvisvto:

1.vArrangevnursingvhomevplacementvforvthevcouple.
2.vConsultvthevspouse'svhealthcarevprovidervaboutvthevspouse'svabilityvtovcarevforvthevpatie
nt.
3.vContactvthevchildrenvtovascertainvtheirvcommitmentvtovhelp.

, 4.vDiscussvcommunityvresourcesvwithvthevspousevandvoffervtovmakevreferrals.v-
vCORRECTvANSWER-

4.vDiscussvcommunityvresourcesvwithvthevspousevandvoffervtovmakevreferrals.

Avmedical-
surgicalvnurse,vwhovisvcaringvforvavpatientvwithvavnewvdiagnosisvofvcancer,vobservesvthevpat
ientvbecomingvangryvwithvthevphysiciansvandvnursingvstaff.vThevbestvapproachvtovdiffusevth
evemotionallyvchargedvdiscussionvisvto:

1.vAllowvthevpatientvandvfamilyvmembersvtimevtovbevalone.
2.vArrangevtimevforvthevpatientvtovspeakvwithvanothervpatientvwithvcancer.
3.vDirectvthevdiscussionvandvvalidationvofvemotion,vwithoutvfalsevreassurance.
4.vRequestvavconsultationvfromvavsocialvworkervonvthevoncologyvunit.v-
vCORRECTvANSWER-

3.vDirectvthevdiscussionvandvvalidationvofvemotion,vwithoutvfalsevreassurance.

Avnursevfailedvtovadministervavmedicationvtovavpatientvaccordingvtovacceptedvstandards.vCo
nsequently,vthe
patientvsufferedvadverseveffects.vFailurevtovprovidevpatientvcarevandvtovfollowvappropriatevs
tandardsvisvcalled:
A.vbreachvofvduty.
B.vbreachvofvcontract.
C.vbattery.
D.vtortv-vCORRECTvANSWER-A.vbreachvofvduty.

Rationale:vBreachvofvdutyvmeansvthatvthevnursevprovidedvcarevthatvdidn'tvmeetvthevaccepte
d
standard.vWhenvinvestigatingvbreachvofvduty,vthevcourtvasks:vHowvwouldvavreasonable,vpru
dentvnursevwithvcomparablevtrainingvandvexperiencevhavevactedvinvcomparablevcircumsta
nces?v
Avbreachvofvcontractv(OptionvB)vresultsvwhenvonevpartyvfailsvtovperformvasvrequiredvbyvavco
ntract.vBatteryv(OptionvC)visvtouchingvavpatientvwithoutvjustificationvorvpermission.v
Avtortv(OptionvD)visvavcivilvactionvforvdamagesvforvinjuryvtovavperson,vproperty,vorvreputation

Avnursevisvpreparingvtovreinforcevthevteachingvplanvforvavpatientvwhovhasvrecentlyvbeenvdia
gnosedvwithvsquamousvcellvcarcinomavofvthevleftvlung.vWhichvstatementvbyvthevnursevisvcor
rect?
A.v"Youvhavevavslow-growingvcancervthatvrarelyvspreads."
B.v"Invtermsvofvprognosis,vyouvmayvhavevonlyvavfewvmonthsvtovlive."
C.v"Squamousvcellvcancervisvavveryvrapidlyvgrowingvcancer."
D.v"Thevcancervhasvgenerallyvmetastasizedvbyvthevtimevdiagnosisvisvmade."v-
vCORRECTvANSWER-A.v"Youvhavevavslow-growingvcancervthatvrarelyvspreads."




Rationale:vSquamousvcellvcarcinomavisvavtypevofvcancervthatvgrowsvslowlyvandvrarelyvmeta
stasizes.

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