CMSRN EXAM BANK 2026/2027 | ACCURATE
REAL EXAM QUESTIONS AND ANSWERS
Christine Warren, 45 years old, has a long history of ulcerative colitis,
and non-surgical treatment no longer relieved her symptoms. She
underwent a total proctocolectomy and a permanent ileostomy 12
hours ago.
The nurse should contact the physician immediately if Mrs. Warren
has which of these findings?
1) The stoma appears pale and dry.
2) The stoma appears red and shiny.
3) There is 200 mL of dark green output from the stoma.
4) There is 50 mL of serosanguinous drainage from the stoma. -
ANSWER-1) The stoma appears pale and dry.
Rationale: If there is an adequate blood supply to the stoma, the color
is pink or red, and the stoma is moist as a result of mucous
production. A pale dry color suggests ischemia of the stoma or bowel
and must be reported immediately to the physician. With an ileostomy
initially after surgery, the output is a loose, dark green liquid that may
contain some blood. The ileostomy usually begins to drain within 24 of
surgery at more than one liter per day.
When changing Mrs. Warren's ileostomy bag, the nurse notices that
the peristomal skin is irritated.
,Which of these actions by the nurse would be appropriate before
reapplying the appliance?
1) Wash the area with antiseptic soap and water.
2) Clean the site with Dakin's solution.
3) Use a solid skin barrier.
4) Obtain an order for a topical antibiotic. - ANSWER-3) Use a solid
skin barrier.
Rationale: The drainage from the stoma can quickly irritate the
surrounding tissue. Therefore, a solid skin barrier, with a pectin base
or karaya wafer that has a measurable thickness and hydrocolloid
adhesive properties, should be applied.
Which of these comments, if made by Mrs. Warren before her surgery,
would indicate that she had concerns about her body image?
1) "I will have to stop my aerobics classes."
2) "I'm so afraid I may not survive the surgery."
3) "I need to go shopping for some loose, baggy clothes."
4) "I'm concerned that this may be only the first of many surgeries." -
ANSWER-3) "I need to go shopping for some loose, baggy clothes."
Rationale:Body image refers to a person's perception of self and
determines how the person interacts with others. One does not need
to purchase special clothing after ileostomy surgery, although some
minor adjustments may be needed for comfort, e.g., stretch
underwear or pantyhose for support.
,To medical surgical nursing 11th edition by ignatavicius workman Test
Bank or any other Test Banks email
banks and other E books -
ANSWER-
A patient's Glasgow Coma Scale number has dropped since being
admitted to a hospital. A telemetry monitor shows a pulseless
concern. What should be done at this point?
A. Conduct a CT Scan of the brain
B. Administer epinephrine
C. Administer atropine
D. Insert a breathing tube - ANSWER-D. Insert a breathing tube.
Airway should always be supported first
The nurse receives all of the following stat orders for Mr. Palmer.
Which one should the nurse question?
1) Oxygen per nasal cannula at 4 L per minute.
2) Enoxaparin (Lovenox) 40 mg subcutaneously.
3) Troponin level.
4) Computed tomography (CT) angiogram. - ANSWER-Rationale: The
nurse should questions the order for Lovenox because the patient is
receiving a heparin drip.
Which of the following is true of priapism?
A. It may develop following sex
, B. It can impact the abdomen
C. It is not caused by sexual arousal
D. It may cause discharge - ANSWER-C. It is not caused by sexual
arousal. It is triggered by blood illnesses, or blood pressure issues, or
groin injuries
What can be prescribed to reduce the intracranial pressure in a
patient?
A. Lasix
B. Lanoxin
C. Levothyroxine
D. Lantus - ANSWER-A. Lasix. The medication moves fluid from the
cranial area and back into circulation, thus easing tension in the area
What should be administered to a patient who is experiencing
tachycardia without a pulse?
A. Dopamine
B. Lidocaine
C. Magnesium
D. Amiodarone - ANSWER-A. Dopamine.
What should be done if a patient cannot swallow an aspirin?
REAL EXAM QUESTIONS AND ANSWERS
Christine Warren, 45 years old, has a long history of ulcerative colitis,
and non-surgical treatment no longer relieved her symptoms. She
underwent a total proctocolectomy and a permanent ileostomy 12
hours ago.
The nurse should contact the physician immediately if Mrs. Warren
has which of these findings?
1) The stoma appears pale and dry.
2) The stoma appears red and shiny.
3) There is 200 mL of dark green output from the stoma.
4) There is 50 mL of serosanguinous drainage from the stoma. -
ANSWER-1) The stoma appears pale and dry.
Rationale: If there is an adequate blood supply to the stoma, the color
is pink or red, and the stoma is moist as a result of mucous
production. A pale dry color suggests ischemia of the stoma or bowel
and must be reported immediately to the physician. With an ileostomy
initially after surgery, the output is a loose, dark green liquid that may
contain some blood. The ileostomy usually begins to drain within 24 of
surgery at more than one liter per day.
When changing Mrs. Warren's ileostomy bag, the nurse notices that
the peristomal skin is irritated.
,Which of these actions by the nurse would be appropriate before
reapplying the appliance?
1) Wash the area with antiseptic soap and water.
2) Clean the site with Dakin's solution.
3) Use a solid skin barrier.
4) Obtain an order for a topical antibiotic. - ANSWER-3) Use a solid
skin barrier.
Rationale: The drainage from the stoma can quickly irritate the
surrounding tissue. Therefore, a solid skin barrier, with a pectin base
or karaya wafer that has a measurable thickness and hydrocolloid
adhesive properties, should be applied.
Which of these comments, if made by Mrs. Warren before her surgery,
would indicate that she had concerns about her body image?
1) "I will have to stop my aerobics classes."
2) "I'm so afraid I may not survive the surgery."
3) "I need to go shopping for some loose, baggy clothes."
4) "I'm concerned that this may be only the first of many surgeries." -
ANSWER-3) "I need to go shopping for some loose, baggy clothes."
Rationale:Body image refers to a person's perception of self and
determines how the person interacts with others. One does not need
to purchase special clothing after ileostomy surgery, although some
minor adjustments may be needed for comfort, e.g., stretch
underwear or pantyhose for support.
,To medical surgical nursing 11th edition by ignatavicius workman Test
Bank or any other Test Banks email
banks and other E books -
ANSWER-
A patient's Glasgow Coma Scale number has dropped since being
admitted to a hospital. A telemetry monitor shows a pulseless
concern. What should be done at this point?
A. Conduct a CT Scan of the brain
B. Administer epinephrine
C. Administer atropine
D. Insert a breathing tube - ANSWER-D. Insert a breathing tube.
Airway should always be supported first
The nurse receives all of the following stat orders for Mr. Palmer.
Which one should the nurse question?
1) Oxygen per nasal cannula at 4 L per minute.
2) Enoxaparin (Lovenox) 40 mg subcutaneously.
3) Troponin level.
4) Computed tomography (CT) angiogram. - ANSWER-Rationale: The
nurse should questions the order for Lovenox because the patient is
receiving a heparin drip.
Which of the following is true of priapism?
A. It may develop following sex
, B. It can impact the abdomen
C. It is not caused by sexual arousal
D. It may cause discharge - ANSWER-C. It is not caused by sexual
arousal. It is triggered by blood illnesses, or blood pressure issues, or
groin injuries
What can be prescribed to reduce the intracranial pressure in a
patient?
A. Lasix
B. Lanoxin
C. Levothyroxine
D. Lantus - ANSWER-A. Lasix. The medication moves fluid from the
cranial area and back into circulation, thus easing tension in the area
What should be administered to a patient who is experiencing
tachycardia without a pulse?
A. Dopamine
B. Lidocaine
C. Magnesium
D. Amiodarone - ANSWER-A. Dopamine.
What should be done if a patient cannot swallow an aspirin?
