CMSRN /CMSRN Exam 1 Questions &
Answers
/.You may see a slight increase in diastolic blood pressure early in shock
because:
A. Concurrent brain injury is present
B. Stroke volume has increased
C. There is an increase in vascular tone
D. Left ventricular contractions have strengthened
/.A 62-year-old male patient with a remote history of rheumatic fever is admitted
to the medical-surgical unit with the following symptoms:
Subjective: Shortness of breath, chest pain, syncope
Objective: Peripheral edema, neck vein distension, weight gain, cyanosis,
hepatomegaly, bounding pulses, cardiac arrhythmia
Which of the following is most likely this patient's primary diagnosis?
A. Abdominal aortic aneurysm
B. Left heart failure
C. Aortic valve stenosis
D. Endocarditis
/.You are caring for a patient who has been admitted to the hospital with an
intestinal obstruction. All of the following are appropriate nursing interventions
for this patient except:
A. Monitor hemodynamics closely
B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy
/.A patient is admitted to the hospital with severe pain, guarding, and rigidity of
the abdomen. Labs indicate increased levels of amylase and leukocytosis.
, Cullen's sign is positive (bruising around the umbilicus, indicative of intra-
abdominal bleeding) and the patient is showing some signs of respiratory
distress. The patient has a history of alcohol abuse. Which of the following
conditions is most
likely to be diagnosed?
A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis
/.Your male patient, who has a diagnosis of chronic liver failure, has deficient
vitamin K absorption. Which assessment findings indicate vitamin K deficiency?
A. Testicular atrophy and gynecomastia
B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea
/.When performing an assessment on a patient with emphysema, you find that
your patient has a barrel chest. The alteration in the patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli
/..Supination is defined as:
A. Turning a part toward midline
B. Turning a part away from midline
C. Turning upward
D. Turning downward
/.To confirm a diagnosis of myocardial infarction (MI), the nurse would expect the
physician to order which laboratory tests?
A. Myoglobin, creatine kinase, and sedimentation rate
B. Creatine kinase, troponin, and sedimentation rate
C. Troponin, aPTT, and myoglobin
D. Troponin, myoglobin, and creatine kinase
Answers
/.You may see a slight increase in diastolic blood pressure early in shock
because:
A. Concurrent brain injury is present
B. Stroke volume has increased
C. There is an increase in vascular tone
D. Left ventricular contractions have strengthened
/.A 62-year-old male patient with a remote history of rheumatic fever is admitted
to the medical-surgical unit with the following symptoms:
Subjective: Shortness of breath, chest pain, syncope
Objective: Peripheral edema, neck vein distension, weight gain, cyanosis,
hepatomegaly, bounding pulses, cardiac arrhythmia
Which of the following is most likely this patient's primary diagnosis?
A. Abdominal aortic aneurysm
B. Left heart failure
C. Aortic valve stenosis
D. Endocarditis
/.You are caring for a patient who has been admitted to the hospital with an
intestinal obstruction. All of the following are appropriate nursing interventions
for this patient except:
A. Monitor hemodynamics closely
B. Educate the patient on enteral nutrition
C. Provide pain management as ordered
D. Prepare patient and family for surgical procedure and potential ostomy
/.A patient is admitted to the hospital with severe pain, guarding, and rigidity of
the abdomen. Labs indicate increased levels of amylase and leukocytosis.
, Cullen's sign is positive (bruising around the umbilicus, indicative of intra-
abdominal bleeding) and the patient is showing some signs of respiratory
distress. The patient has a history of alcohol abuse. Which of the following
conditions is most
likely to be diagnosed?
A. Alcoholic cirrhosis
B. Pneumonia
C. Acute liver failure
D. Acute pancreatitis
/.Your male patient, who has a diagnosis of chronic liver failure, has deficient
vitamin K absorption. Which assessment findings indicate vitamin K deficiency?
A. Testicular atrophy and gynecomastia
B. Dyspnea and fatigue
C. Petechiae and ecchymoses
D. Ascites and orthopnea
/.When performing an assessment on a patient with emphysema, you find that
your patient has a barrel chest. The alteration in the patient's chest is due to:
A. Hyperinflation of the lungs
B. Use of accessory muscles
C. Chronic hypoxia
D. Collapse of distal alveoli
/..Supination is defined as:
A. Turning a part toward midline
B. Turning a part away from midline
C. Turning upward
D. Turning downward
/.To confirm a diagnosis of myocardial infarction (MI), the nurse would expect the
physician to order which laboratory tests?
A. Myoglobin, creatine kinase, and sedimentation rate
B. Creatine kinase, troponin, and sedimentation rate
C. Troponin, aPTT, and myoglobin
D. Troponin, myoglobin, and creatine kinase
