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Certified Medical-Surgical Registered Nurse Sample Questions and Answers
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Certified Medical-Surgical
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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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.