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CMSRN Practice Questions #1 Questions With Complete Solutions
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CMSRN Practice Questions #1 Questions With Complete Solutions
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CMSRN Practice Questions #1 Questions With CompleteSolutions
1. A woman calls the unit and identifies herself as a patient's
cousin. She asks about the patient's condition. The patient is
unable to communicate. Her power of attorney (POA) is her
husband, and he is not present for the call. How should you
respond to the inquiry?
a. Give the caller a brief synopsis of how the patient is doing.
b. Give the caller the husband's phone number and instruct her
to call him.
c. Apologize and explain to the caller than you cannot give out
that information.
d. Give the caller directions to the hospital and request that she
speak with you in person since you cannot give out that
information over the phone. Correct Answer c. Apologize and
explain to the caller than you cannot give out that information.
A female patient presents with gradual onset of weight gain,
headaches, acne and purple striae on her abdomen and upper
arms. She is diagnosed with Cushing's syndrome. She is likely
to have which of the following?
a. hyperkalemia, hyponatremia, hypoglycemia
b. hypokalemia, hyperglycemia, high-serum cortisol levels
c. low-serum cortisol, high T4 levels, hyperkalemia
d. hypotension, intact skin, heat intolerance Correct Answer b.
hypokalemia, hyperglycemia, high-serum cortisol levels
,These laboratory findings are typical in a patient with Cushing's
syndrome. Hyperkalemia, hyponatremia and hypoglycemia
represent Addison's disease.
A female patient recovering from sickle-cell crisis tells you that
her family is going skiing in a couple of months in Colorado.
Which response would be best for the nurse?
a. "That sounds like a wonderful vacation."
b. "Have you talked to the doctor about taking the trip?"
c. "Areas with higher altitudes may precipitate a sickle-cell
crises, so you should reconsider going on that trip."
d. "Why do you want to go skiing?" Correct Answer c. "Areas
with higher altitudes may precipitate a sickle-cell crises, so you
should reconsider going on that trip."
A nurse administers albuterol to a patient with asthma. For
which common side effects should the nurse monitor?
a. flushing
b. dyspnea
c. tachycardia
d. hypotension Correct Answer c. tachycardia
A patient has been started on a thyroid medication, and the nurse
is educating the patient to note the following adverse effects: a
fast heart rate (HR) or heart palpitations, difficulty sleeping,
tremors and weight loss. The nurse is teaching about which of
the following medications?
a. propylthiouracil (PTU)
, b. levothyroxine (Synthroid)
c. methimazole (Tapezole)
d. propranolol hydrochloride (Inderal) Correct Answer b.
levothyroxine (Synthroid)
Levothyroxine is given to patients with hypothyroidism. The
side effects include increase heart rate (HR) and blood pressure
(BP), tremors, insomnia and weight loss. PTU and methimazole
are used for hyperthyroidism. Propranolol is a beta blocker and
will slow the HR.
A patient is admitted with hypothyroidism. The nurse is aware
that which of the following needs to be included in the plan of
care:
a. observing for signs of decreased level of consciousness (LOC)
b. assessing for tachycardia and palpitations
c. administering methimazole (Tapazole) as ordered
d. providing decreased stimuli in the room Correct Answer a.
observing for signs of decreased level of consciousness (LOC)
The patient with hypothyroidism has a decreased metabolic rate.
If the condition worsens or goes without adequate treatment, the
patient can progress to myxedema coma and can die from
cardiac, respiratory or neurologic complications
A patient is being discharged with a prescription for amlodipine
besylate. Which of the following should be included in the
discharge education about this medication?
a. The medication may cause bradycardia.
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