CMSRN CERTIFIED NURSE PRACTICE EVALUATION 2026 QUESTIONS WITH ANSWERS GRADED A+

CMS PN ADULT MEDICAL SURGICAL EXAM
CERTIFICATION REVIEW SET 2026
QUESTIONS WITH SOLUTIONS

⫸ A nurse is caring for a client who has cancer and has a WBC count of
4,000/mm3. Which of the following
actions should the nurse take?


a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products. Answer: A.
Cleanse the client's toothbrush with hydrogen peroxide.


Rationale:


A WBC count of 4,000/mm3 is considered low and is known as
leukopenia. A low WBC count can be caused by cancer or cancer
treatment. The nurse should instruct the client to cleanse their toothbrush
with hydrogen peroxide. People with leukemia or leukopenia should
avoid using disposable razors, which can cause cuts and bleeding that
can lead to infections. Instead, they recommend using an electric razor to
reduce the risk of injury. Encouraging the client to eat unpasteurized
dairy products is not recommended as they can contain harmful bacteria
that can cause infections. Decreasing the client's protein intake is not

,recommended as protein is important for wound healing and immune
function


⫸ TEST
A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following actions should the nurse take first?


a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. Answer: C. Assist the client to a nearby common area.


Rationale:


use
Rescue
Alarm
Contain
Extinguish


⫸ TEST

,A nurse is contributing to the plan of care for a client who reports
difficulty eating due to chronic arthritis. Which of the following
interventions should the nurse include in the plan?


a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet. Answer: A.
Apply foam handles to the client's eating utensils.


Rationale:


To help a client with chronic arthritis who experiences difficulty eating,
applying foam handles to the eating utensils can provide a larger, more
comfortable grip and reduce strain on the joints. Asking for a puree diet
may not be necessary unless swallowing difficulties are present. Having
an assistive personnel feed the client may not promote independence.
While obtaining a referral for physical therapy may be beneficial for
overall mobility, it does not directly address the client's difficulty with
eating.


⫸ A nurse is providing directions to an assistive personnel about
moving a client up in bed.


a. "Place a pillow under the client's head prior to repositioning."
b. "Keep your feet close together while moving the client"

, c "Face in the direction of the client's movement"
d. "Move the client's arms to his sides prior to repositioning." Answer:
C. "Face in the direction of the client's movement."


Rational:


When moving a client up in bed, it is important for the nurse to face in
the direction of the client's movement to maintain proper body
mechanics and ensure safe transfer.


1)Adjust the head of the bed to a flat position.
2)Remove all pillows from under the client.
3)Position the UAP on the side opposite the nurse.
4)Place a friction-reducing sheet under the client.
5)Ask the client to bend the legs and place the chin on the chest.
6)Grasp the sheet and move the client on the count of three.


⫸ A nurse is obtaining a medication history from a client who is to start
taking nitroglycerin for chest discomfort with activity. Which of the
following medications should the nurse instruct the client to avoid taking
within 24 hrs of using nitroglycerin?


a) Atorvastatin
b) Metformin
c) Sildenafil