CMSRN Exam TEST BANK
CMSRN EXAM TEST BANK | 150 VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES 100% CORRECT –
LATEST 2025 /2026- GRADE A+ GUARANTEED PASS
Mrs. Clark is prescribed metoprolol tartrate (Lopressor) for hypertension. Which symptom of
hypoglycemia would be masked by Lopressor?
1) Diaphoresis.
2) Tingling.
3) Diplopia.
4) Tachycardia. - ANSWER-4) Tachycardia.
Rationale: A side effect of Lopressor, a beta blocker, is bradycardia. The Lopressor-induced
bradycardia can mask tachycardia, a symptom of hypoglycemia.
Charles Haverford is diagnosed with prostate cancer and is to have a radical prostatectomy.
Mr. Haverford has been researching his diagnosis and now asks the nurse to recommend a
reliable web source for accurate prostate cancer information. The nurse should identify which of
these websites as most reliable?
1) www.wikipedia.org.
2) www.cancer.gov.
3) www.caringbridge.org.
4) www.google.com. - ANSWER-2) www.cancer.gov.
Rationale: When a patient asks about researching information on the internet, the patient
should be instructed to look at reliable sites. Sites that are most reliable are those sponsored by
the government (.gov).
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, CMSRN Exam TEST BANK
Mr. Haverford has the planned surgery and immediately postoperatively he has a urinary
catheter inserted. After the urinary catheter is removed Mr. Haverford is urinating normally,
however he is experiencing occasional incontinence with dribbling. Mr. Haverford is to be
discharged.
Mr. Haverford says to the nurse, "I'm so embarrassed. What will my wife think about this
dribbling?" In addition to acknowledging his feelings, the nurse should encourage the patient to
1) limit oral intake of fluids before bedtime.
2) palpate his bladder to check for distention three times a day.
3) perform pelvic floor exercises several times daily.
4) avoid interrupting the urinary stream during voiding. - ANSWER-3) perform pelvic floor
exercises several times daily.
Rationale: It is not unusual for a patient who has had a prostatectomy, to complain of not having
complete bladder control after catheter removal. To help the patient regain urinary control,
pelvic floor strengthening exercises are recommended.
A patient's wife is visibly upset and says to the nurse, "I thought my husband only broke his hip,
but the doctor thinks he might have had a stroke." Which of the following would be an
appropriate response by the nurse?
1) "It's really too early to be concerned about that. Let's wait until the test results come back."
2) "If it is a stroke, your husband is in the right hospital for treatment."
3) "Yes, he does have symptoms of a stroke. That's what the tests will help us find out."
4) "I'm going to get you some information to read about strokes and their treatment." -
ANSWER-3) "Yes, he does have symptoms of a stroke. That's what the tests will help us find
out."
Rationale: Symptoms of stroke vary greatly and the initial diagnosis is made after a non-contrast
CT scan is done to determine if the event was ischemic or hemorrhagic. Then, further tests are
done to confirm the diagnosis and decide on treatment.
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, CMSRN Exam TEST BANK
In the event of a fire in a hospital's dialysis unit, which of these actions should the nurse take
first?
1) Extinguish the fire if possible.
2) Activate the fire response system.
3) Confine the fire by closing all fire doors.
4) Remove patients or staff in danger. - ANSWER-4) Remove patients or staff in danger.
Rationale: When a fire occurs in a patient area within the hospital, the nurses' first actions are
to protect patients and staff. This usually involves removing the patients and staff from exposure
to the fire.
An 80-year-old male who has mild dementia is readmitted for the third time with multiple
pressure ulcers. During the nursing assessment, multiple bruises are also observed on his body.
He lives with his son and daughter-in-law. The nurse suspects elder abuse/neglect. Which of
these actions should the nurse take?
1) Have a staff member present during family visits.
2) Report the findings.
3) Discuss the situation with the family.
4) Ask the patient who is providing his care. - ANSWER-2) Report the findings.
Rationale: Most states require that health care workers report suspected elder abuse to an
official agency, such as Adult Protective Services.
A patient who has active pulmonary tuberculosis (TB) states, "I'm not going to take these TB
pills!" Which of these responses by the nurse would be appropriate?
3|Page
, CMSRN Exam TEST BANK
1) "You have a legal right to refuse to take this medication."
2) "You need to sign a Refusal of Treatment Form."
3) "You need to ask your doctor about the possibility of discontinuing the medication."
4) "You should know that the health department can require you to take the medication." -
ANSWER-4) "You should know that the health department can require you to take the
medication."
Rationale: Tuberculosis (TB) is a public health problem that requires reporting of the disease to
the health department. It is essential that the patient understand the need to take prescribed
TB medications as directed. Patients who are unwilling or unable to adhere to treatment may be
required to do so by law or may be quarantined or isolated until noninfectious. State
governments have legal responsibility for TB control activities, including treatment protocols for
nonadherent patients. Health care workers should be familiar with the law in their particular
states for these procedures.
When a patient is having a chest tube removed, which of these instructions would be
appropriate?
1) "Take short quick breaths with your mouth open."
2) "Take a deep breath and hold it."
3) "Breathe only through your mouth."
4) "Breathe as you normally do." - ANSWER-2) "Take a deep breath and hold it."
Rationale: Taking a deep breath and holding it (or performing the Valsalva maneuver) will
prevent air from being pulled back into the pleural space as the tube is removed.
Using the average cost of a problem and the cost of intervention to demonstrate savings is:
A. A cost-benefit analysis
B. An efficacy study
4|Page
CMSRN EXAM TEST BANK | 150 VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES 100% CORRECT –
LATEST 2025 /2026- GRADE A+ GUARANTEED PASS
Mrs. Clark is prescribed metoprolol tartrate (Lopressor) for hypertension. Which symptom of
hypoglycemia would be masked by Lopressor?
1) Diaphoresis.
2) Tingling.
3) Diplopia.
4) Tachycardia. - ANSWER-4) Tachycardia.
Rationale: A side effect of Lopressor, a beta blocker, is bradycardia. The Lopressor-induced
bradycardia can mask tachycardia, a symptom of hypoglycemia.
Charles Haverford is diagnosed with prostate cancer and is to have a radical prostatectomy.
Mr. Haverford has been researching his diagnosis and now asks the nurse to recommend a
reliable web source for accurate prostate cancer information. The nurse should identify which of
these websites as most reliable?
1) www.wikipedia.org.
2) www.cancer.gov.
3) www.caringbridge.org.
4) www.google.com. - ANSWER-2) www.cancer.gov.
Rationale: When a patient asks about researching information on the internet, the patient
should be instructed to look at reliable sites. Sites that are most reliable are those sponsored by
the government (.gov).
1|Page
, CMSRN Exam TEST BANK
Mr. Haverford has the planned surgery and immediately postoperatively he has a urinary
catheter inserted. After the urinary catheter is removed Mr. Haverford is urinating normally,
however he is experiencing occasional incontinence with dribbling. Mr. Haverford is to be
discharged.
Mr. Haverford says to the nurse, "I'm so embarrassed. What will my wife think about this
dribbling?" In addition to acknowledging his feelings, the nurse should encourage the patient to
1) limit oral intake of fluids before bedtime.
2) palpate his bladder to check for distention three times a day.
3) perform pelvic floor exercises several times daily.
4) avoid interrupting the urinary stream during voiding. - ANSWER-3) perform pelvic floor
exercises several times daily.
Rationale: It is not unusual for a patient who has had a prostatectomy, to complain of not having
complete bladder control after catheter removal. To help the patient regain urinary control,
pelvic floor strengthening exercises are recommended.
A patient's wife is visibly upset and says to the nurse, "I thought my husband only broke his hip,
but the doctor thinks he might have had a stroke." Which of the following would be an
appropriate response by the nurse?
1) "It's really too early to be concerned about that. Let's wait until the test results come back."
2) "If it is a stroke, your husband is in the right hospital for treatment."
3) "Yes, he does have symptoms of a stroke. That's what the tests will help us find out."
4) "I'm going to get you some information to read about strokes and their treatment." -
ANSWER-3) "Yes, he does have symptoms of a stroke. That's what the tests will help us find
out."
Rationale: Symptoms of stroke vary greatly and the initial diagnosis is made after a non-contrast
CT scan is done to determine if the event was ischemic or hemorrhagic. Then, further tests are
done to confirm the diagnosis and decide on treatment.
2|Page
, CMSRN Exam TEST BANK
In the event of a fire in a hospital's dialysis unit, which of these actions should the nurse take
first?
1) Extinguish the fire if possible.
2) Activate the fire response system.
3) Confine the fire by closing all fire doors.
4) Remove patients or staff in danger. - ANSWER-4) Remove patients or staff in danger.
Rationale: When a fire occurs in a patient area within the hospital, the nurses' first actions are
to protect patients and staff. This usually involves removing the patients and staff from exposure
to the fire.
An 80-year-old male who has mild dementia is readmitted for the third time with multiple
pressure ulcers. During the nursing assessment, multiple bruises are also observed on his body.
He lives with his son and daughter-in-law. The nurse suspects elder abuse/neglect. Which of
these actions should the nurse take?
1) Have a staff member present during family visits.
2) Report the findings.
3) Discuss the situation with the family.
4) Ask the patient who is providing his care. - ANSWER-2) Report the findings.
Rationale: Most states require that health care workers report suspected elder abuse to an
official agency, such as Adult Protective Services.
A patient who has active pulmonary tuberculosis (TB) states, "I'm not going to take these TB
pills!" Which of these responses by the nurse would be appropriate?
3|Page
, CMSRN Exam TEST BANK
1) "You have a legal right to refuse to take this medication."
2) "You need to sign a Refusal of Treatment Form."
3) "You need to ask your doctor about the possibility of discontinuing the medication."
4) "You should know that the health department can require you to take the medication." -
ANSWER-4) "You should know that the health department can require you to take the
medication."
Rationale: Tuberculosis (TB) is a public health problem that requires reporting of the disease to
the health department. It is essential that the patient understand the need to take prescribed
TB medications as directed. Patients who are unwilling or unable to adhere to treatment may be
required to do so by law or may be quarantined or isolated until noninfectious. State
governments have legal responsibility for TB control activities, including treatment protocols for
nonadherent patients. Health care workers should be familiar with the law in their particular
states for these procedures.
When a patient is having a chest tube removed, which of these instructions would be
appropriate?
1) "Take short quick breaths with your mouth open."
2) "Take a deep breath and hold it."
3) "Breathe only through your mouth."
4) "Breathe as you normally do." - ANSWER-2) "Take a deep breath and hold it."
Rationale: Taking a deep breath and holding it (or performing the Valsalva maneuver) will
prevent air from being pulled back into the pleural space as the tube is removed.
Using the average cost of a problem and the cost of intervention to demonstrate savings is:
A. A cost-benefit analysis
B. An efficacy study
4|Page
