Certified Medical-Surgical Nurse Quiz

Mrs. Warren has a total proctocolectomy and permanent ileostomy. The nurse should contact the physician immediately if she has which finding?

What action would be appropriate before reapplying Mrs. Warren's ileostomy bag due to irritated peristomal skin?

Which comment made by Mrs. Warren indicates concerns about her body image?

Due to Mr. Palmer receiving heparin, what is essential for the nurse to do?

After Mr. Palmer's amputation, which question is most important for the nurse to ask when he reports chest pain?

Which stat order for Mr. Palmer should the nurse question?

What is important for Mrs. Clark to monitor while taking Glucophage?

Which symptom of hypoglycemia would be masked by Lopressor?

Which website is the most reliable for prostate cancer information?

What should the nurse encourage Mr. Haverford to do to help with incontinence after prostate surgery?

What should the nurse's response be to a wife's concern about her husband possibly having a stroke?

What should the nurse's first action be in the event of a fire in a hospital's dialysis unit?

When elder abuse is suspected, what action should the nurse take?

What should the nurse inform a patient refusing TB medication?

What instruction should be given when a patient is having a chest tube removed?

In cost analysis, what method uses the average cost of a problem and the cost of intervention to demonstrate savings?

In Erikson's psychosocial model, which stage is typical for those entering young adulthood?

What stage of grief is a patient with advanced ovarian cancer likely experiencing when blaming themselves?

What is the most appropriate nursing diagnosis for a sedentary patient at risk of disuse syndrome?

Which method measures the effectiveness of an intervention rather than monetary savings?

What is the main goal of treatment for acute glomerulonephritis?

How do nursing diagnoses primarily differ from medical diagnoses?

What should patients taking phenytoin sodium (Dilantin) be instructed to do to prevent adverse effects?

During which stage of healing does granulation tissue form and epithelialization occur?

Which of the following are external factors that subject the skin to injury?

Where is a venous ulcer typically found on a patient?

Which substance enables the transport of oxygen during wound healing?

The first line of intervention for preventing the spread of infection is:

Of the following actions, which is the first for the nurse to take when a patient requests more pain medication?

A patient with disorientation and weakness is taking hydrochlorothiazide. What electrolyte imbalance does the patient most likely suffer from?

Early signs and symptoms of dehydration include:

Which sign or symptom would be most indicative of infection in a postoperative patient?

When planning postoperative care for a patient after a lacerated spleen repair, what intervention should take priority?

Which diet would be most appropriate for a patient with ulcerative colitis?

What should be practiced to maintain good dental health?

What is the most common, preventable complication of abdominal surgery?

Which of the following could be an early sign of malnutrition for a patient postoperative after a lobectomy?

What is the best approach to discharge planning for a patient whose spouse has chronic obstructive pulmonary disease?

Which of the following is an example of restrictive weight-loss surgery?

In what type of electrolyte imbalance would the nurse observe tall, tented T waves and a widened QRS complex on the patient's ECG?

During an assessment of a patient who sustained a head injury, what is the nurse's initial action upon noting slurred speech and disorientation?

The nurse hears an extra heart sound immediately after the second heart sound (S2) in a patient with mitral insufficiency. What should the nurse document this sound as?

For the evaluation feedback process to be effective, what should a manager do?

What are the changes in mental status associated with isolation in an infected patient?

What should the nurse do if a 55-year-old black male is found to have a blood pressure of 150/90 mm Hg during a worksite health screening?

Which laboratory value indicates warfarin is at therapeutic levels for a patient with deep vein thrombophlebitis?

What should a medical-surgical nurse do to prepare a patient for a bronchoscopic procedure?

The nurse should notify the practitioner that captopril therapy is ineffective if an assessment reveals:

Which physiological response is often associated with surgery-related stress?

What reflects the family's assumption about a patient's end-of-life care preferences?

What indicates a patient's understanding of insulin glargine (Lantus)?

Which action occurs primarily during the evaluation phase of the nursing process?

What describes a sentinel event alert?

What is primarily a developmental task of middle age?

What is the best approach to diffuse an emotionally charged discussion with a cancer patient?

What type of analysis is conducted by auditing nursing records for compliance with digoxin administration policy?

What is the patient outcome criterion for a nursing diagnosis of activity intolerance after a myocardial infarction?

Which theorist supports the concept that caring is key in nursing practice?

What reflects an accurate understanding of herbal supplements by a patient?

What diet should be recommended for a patient with Crohn's disease?

What is expected when examining a patient paralyzed below the T4 level?

What is the next step after completing a neurological and physical assessment for a patient suspected of having a stroke?

What is the first step in applying the quality improvement process in a clinical setting?

What task does the nurse assign to an unlicensed assistant?

What nursing diagnosis is indicated by impaired coordination, decreased muscle strength, limited range of motion, and reluctance to move?

In prioritizing a patient's care plan based on Maslow's hierarchy of needs, what is the nurse's first priority?

What type of consultation does a nurse seek when asking another nurse for advice on managing a patient problem?

What is the most important factor to ensure the success of an evidence-based nursing program to decrease pressure ulcers?

What is the first step a nurse should take when planning the implementation of evidence-based practices to prevent falls?

What is the most effective measure to reduce the risk of health care-associated infections?

What should a nurse do when receiving a telephone order from a physician?

What is referred to as a secondary latency phase that occurs in some diseases, commonly followed by another acute phase?

What term in qualitative research describes the act of a researcher laying aside what is known about the experience being studied?

Why is the nurse at fault for the patient's fall after leaving them alone?

Under the law, when must a nurse obtain informed consent before treatment?

Which of the following acts committed by a nurse is an intentional tort?

OSHA is responsible for:

Who is most likely to be held liable if a patient suffered after receiving the wrong medication from a nurse?

Which of the following is incorrect about informed consent?

Which of the following is considered identifiable health information?

In a negligence suit against a nurse, what must the plaintiff prove?

A nurse failed to administer a medication to a patient according to accepted standards. What is this called?

The belief that one's own cultural values and beliefs are superior is:

Which initial statement or question is most effective in assessing pain in a patient with appendicitis?

When performing an abdominal assessment, the nurse should follow which examination sequence?

An example of clarification in therapeutic communication is?

In the stages of death and dying defined by Elisabeth Kübler-Ross, loss, grief, and intense sadness are symptoms of:

In the levels of basic human needs defined by Abraham Maslow, which is the most basic?

According to the stages of development, what conflict does the older adult experience?

What type of therapeutic communication is the nurse using when allowing a patient time to gather thoughts?

Which response by the nurse best demonstrates clarification when a patient complains about a treatment group?

Which of Piaget's cognitive developmental stages occurs from ages 7 to 11?

Which interaction style describes a nurse who cannot clearly separate her own emotional responses from the patient's needs?

A patient with an arterial ulcer is in pain. What is the most common cause of this pain?

Which assessment finding is common in a patient with venous ulceration?

What guideline is appropriate when caring for a patient with a wet-to-dry dressing?

Which laboratory value indicates a patient with an abdominal wound healing by secondary intention is receiving adequate nutrition?

What term describes the softening of tissue by wetting or soaking?

What stage pressure ulcer is characterized by visible subcutaneous fat but no exposure of bone, tendon, or muscle?