CMSRN 2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS ||
GUARANTEED PASS
1. mallows hierarchy of needs - ANSWER ✅ physiological, safety,
love/belonging, esteem, self-actualization
2. Stages of adult development: young adulthood - ANSWER ✅ 18-35,
intimacy vs isolation
3. stages of adult development: middle adulthood - ANSWER ✅ 36-65
generativity vs despair
4. stages of adult development: older adult - ANSWER ✅ 66+ integrity vs
despair
5. respiratory alkalosis causes - ANSWER ✅ Primary cause: Hyperventilation
(causes hypocapnia); Contributing Causes: Overventilation on a ventilator,
Response to acidosis, Bacteremia, Thyrotoxicosis, Fever, Hepatic failure,
Response to hypoxia, Hysteria
6. BMI values - ANSWER ✅ >18.5 -- underweight
18.5-24.9 -- normal
25-29.9 -- overweight
30-34.9 -- obesity class 1
35-39.9 -- obesity class 2
>40 -- obesity class 3
,7. Aortic area auscultation - ANSWER ✅ 2nd intercostal space, right sternal
border
8. Pulmonic area auscultation - ANSWER ✅ 2nd intercostal space, left sternal
border
9. Erb's point - ANSWER ✅ 3rd intercostal space, left sternal border
10.Tricuspid area of auscultation - ANSWER ✅ 5th intercostal space, left
sternal border
11.Mitral area auscultation - ANSWER ✅ 5 ICS midclavicular line
12.First degree AV block treatment - ANSWER ✅ atropine if severe
bradycardia. digoxin cautiously, correction of underlying cause.
13.2nd degree av I wenckebach block treatment - ANSWER ✅ atropine if
symptomatic, discontinue digoxin, temp pacing if ventricular rate is slow
14.2nd degree av block type II - ANSWER ✅ Mobitz. PR interval constant
with QRS complexes dropped. treat with temp pacemaker, sometimes
followed by permanent, digoxin discontinued, atropine, dopamine,
epinephrine for symptomatic bradycardia
15.3rd degree av block - ANSWER ✅ no relationship between P waves and
QRS complexes. typically requires TCP, followed by permanent pacemaker.
, dopamine and epinephrine to maintain blood pressures. atropine for
symptomatic bradycardia, CPR until pain initiated.
16.PVC (Premature Ventricular Contraction) - ANSWER ✅ most ominous
when clustered. if stable no treatment. if warranted: lidocaine, amiodarone,
procainamide IV. can be induced by hypoK, hypoMg.
17.ventricular tachycardia - ANSWER ✅ if pulse absent: CPR. ACLS
epi/vasopressin followed by amiodarone, lidocaine, magnesium, or
procainamide.
if pulse present: Blockers, lidocaine, amiodarone, procainamide, or sotalol.
drugs unsuccessful: cardioversion
18.Buerger's disease (thromboangiitis obliterans) - ANSWER ✅ inflammation
of the peripheral arteries and veins of the extremities with clot formation.
stop smoking. avoid cold to reduce constriction, protect extremities,
participate in progressive exercise.
19.Endocarditis S/S - ANSWER ✅ history of recent infection/surgery/IV
abuse.
-Fever, chills, anorexia, weight loss
-Possibly new onset of murmurs
-Splinter nail hemorrhages,
-Petechiae on skin or mucous membranes (tender red nodules).
a. Janeway;s lesions (palms and soles of feet)
b. Osler's nodes on fingers and toes
i. Systemic emboli (pulmonary and brain)
20.Raynaud's disease - ANSWER ✅ a peripheral arterial occlusive disease in
which intermittent attacks are triggered by cold or stress. women b/w
puberty and age 40. white, blue, red
, 21.Therapeutic PTT for Heparin - ANSWER ✅ 1.5-2.5x normal (times 16-40
seconds). Over 100 is life threatening bleeding risk - stop heparin
immediately.
22.Hodgkin's lymphoma - ANSWER ✅ distinguished from other lymphomas
by the presence of large, cancerous lymphocytes known as Reed-Sternberg
cells. ages 15-30, older than 55. associated with viral infections (Ebstein-
barr). most treatable good prognosis.
23.Hodgkin's lymphoma s/s - ANSWER ✅ enlargement of cervical, axillary or
inguinal lymph nodes, anorexia, weight loss, night sweats, malaise, and
extreme pruritus. Later- low grade fever, leukocytosis, respiratory infections,
and bone pain
24.Leukemia - ANSWER ✅ Blood condition of white cells; malignant
(cancerous) condition. uncontrolled proliferation of WBCs. benzene
exposure, aplastic anemia drugs, radiation exposure, downs.
25.multiple myeloma - ANSWER ✅ malignant tumor of bone marrow cells.
two times more likely in black males ages 50-70. 50% men more likely
petroleum related industries
26.Acute Lymphocytic Leukemia (ALL) - ANSWER ✅ Immature
lymphocytes (lymphoblasts) predominate. This form is seen most often in
children and adolescents <5yrs; onset is sudden. survival rates higher in
children, better prognosis
WITH CORRECT DETAILED ANSWERS ||
GUARANTEED PASS
1. mallows hierarchy of needs - ANSWER ✅ physiological, safety,
love/belonging, esteem, self-actualization
2. Stages of adult development: young adulthood - ANSWER ✅ 18-35,
intimacy vs isolation
3. stages of adult development: middle adulthood - ANSWER ✅ 36-65
generativity vs despair
4. stages of adult development: older adult - ANSWER ✅ 66+ integrity vs
despair
5. respiratory alkalosis causes - ANSWER ✅ Primary cause: Hyperventilation
(causes hypocapnia); Contributing Causes: Overventilation on a ventilator,
Response to acidosis, Bacteremia, Thyrotoxicosis, Fever, Hepatic failure,
Response to hypoxia, Hysteria
6. BMI values - ANSWER ✅ >18.5 -- underweight
18.5-24.9 -- normal
25-29.9 -- overweight
30-34.9 -- obesity class 1
35-39.9 -- obesity class 2
>40 -- obesity class 3
,7. Aortic area auscultation - ANSWER ✅ 2nd intercostal space, right sternal
border
8. Pulmonic area auscultation - ANSWER ✅ 2nd intercostal space, left sternal
border
9. Erb's point - ANSWER ✅ 3rd intercostal space, left sternal border
10.Tricuspid area of auscultation - ANSWER ✅ 5th intercostal space, left
sternal border
11.Mitral area auscultation - ANSWER ✅ 5 ICS midclavicular line
12.First degree AV block treatment - ANSWER ✅ atropine if severe
bradycardia. digoxin cautiously, correction of underlying cause.
13.2nd degree av I wenckebach block treatment - ANSWER ✅ atropine if
symptomatic, discontinue digoxin, temp pacing if ventricular rate is slow
14.2nd degree av block type II - ANSWER ✅ Mobitz. PR interval constant
with QRS complexes dropped. treat with temp pacemaker, sometimes
followed by permanent, digoxin discontinued, atropine, dopamine,
epinephrine for symptomatic bradycardia
15.3rd degree av block - ANSWER ✅ no relationship between P waves and
QRS complexes. typically requires TCP, followed by permanent pacemaker.
, dopamine and epinephrine to maintain blood pressures. atropine for
symptomatic bradycardia, CPR until pain initiated.
16.PVC (Premature Ventricular Contraction) - ANSWER ✅ most ominous
when clustered. if stable no treatment. if warranted: lidocaine, amiodarone,
procainamide IV. can be induced by hypoK, hypoMg.
17.ventricular tachycardia - ANSWER ✅ if pulse absent: CPR. ACLS
epi/vasopressin followed by amiodarone, lidocaine, magnesium, or
procainamide.
if pulse present: Blockers, lidocaine, amiodarone, procainamide, or sotalol.
drugs unsuccessful: cardioversion
18.Buerger's disease (thromboangiitis obliterans) - ANSWER ✅ inflammation
of the peripheral arteries and veins of the extremities with clot formation.
stop smoking. avoid cold to reduce constriction, protect extremities,
participate in progressive exercise.
19.Endocarditis S/S - ANSWER ✅ history of recent infection/surgery/IV
abuse.
-Fever, chills, anorexia, weight loss
-Possibly new onset of murmurs
-Splinter nail hemorrhages,
-Petechiae on skin or mucous membranes (tender red nodules).
a. Janeway;s lesions (palms and soles of feet)
b. Osler's nodes on fingers and toes
i. Systemic emboli (pulmonary and brain)
20.Raynaud's disease - ANSWER ✅ a peripheral arterial occlusive disease in
which intermittent attacks are triggered by cold or stress. women b/w
puberty and age 40. white, blue, red
, 21.Therapeutic PTT for Heparin - ANSWER ✅ 1.5-2.5x normal (times 16-40
seconds). Over 100 is life threatening bleeding risk - stop heparin
immediately.
22.Hodgkin's lymphoma - ANSWER ✅ distinguished from other lymphomas
by the presence of large, cancerous lymphocytes known as Reed-Sternberg
cells. ages 15-30, older than 55. associated with viral infections (Ebstein-
barr). most treatable good prognosis.
23.Hodgkin's lymphoma s/s - ANSWER ✅ enlargement of cervical, axillary or
inguinal lymph nodes, anorexia, weight loss, night sweats, malaise, and
extreme pruritus. Later- low grade fever, leukocytosis, respiratory infections,
and bone pain
24.Leukemia - ANSWER ✅ Blood condition of white cells; malignant
(cancerous) condition. uncontrolled proliferation of WBCs. benzene
exposure, aplastic anemia drugs, radiation exposure, downs.
25.multiple myeloma - ANSWER ✅ malignant tumor of bone marrow cells.
two times more likely in black males ages 50-70. 50% men more likely
petroleum related industries
26.Acute Lymphocytic Leukemia (ALL) - ANSWER ✅ Immature
lymphocytes (lymphoblasts) predominate. This form is seen most often in
children and adolescents <5yrs; onset is sudden. survival rates higher in
children, better prognosis
