Free CMSRN Practice Test Questions

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A 68-year-old patient with heart failure is scheduled to receive digoxin 0.25 mg orally. Current assessment reveals heart rate 58 bpm, blood pressure 128/78 mmHg, and serum potassium 3.6 mEq/L. Which finding requires withholding the medication?

A 9-year-old child with diabetes expresses worry about 'doing it wrong' during blood glucose monitoring education. Which teaching approach incorporates developmental theory principles?

A hospitalized patient reports constant worry, refuses diagnostic tests, experiences nausea and insomnia, and states 'everything will go wrong.' Which assessment describes this response?

A patient with widespread breast cancer has developed bone metastases throughout the spine and pelvis, experiencing worsening pain and limited mobility. Which approach best reflects appropriate palliative care management?

A 24-year-old patient with a closed femur fracture from a motor vehicle accident develops respiratory distress, altered mental status, and hypoxia 48 hours after injury. Which assessment finding is most characteristic of fat embolus syndrome?

A patient diagnosed with rheumatoid arthritis currently taking methotrexate inquires about additional strategies to improve joint mobility and overall well-being. Which complementary approach would be most beneficial to incorporate into their treatment plan?

A patient with HIV reports chronic diarrhea, night sweats, and abdominal pain over two months with 15% weight loss. CD4+ count is 85 cells/μL. These findings indicate:

Which patient scenario presents the greatest risk for developing folic acid deficiency?

A patient arrives with temperature 101.8°F (38.8°C), heart rate 110 bpm, blood pressure 88/54 mmHg, altered mental status, lactate 3.2 mmol/L, and white blood cell count 16,000/mm³. What intervention takes highest priority?

A patient with diabetes and chronic renal failure develops fever (101.2°F/38.4°C), tachycardia (112 bpm), and warm flushed skin two days after central line insertion. Which of the following interventions should be implemented FIRST?

A 68-year-old patient in the medical-surgical unit suddenly develops complete loss of vision in the right eye approximately 90 minutes ago. The patient denies experiencing any discomfort. What is the most appropriate initial nursing action?

A stroke patient requires positioning interventions to optimize venous blood flow from the brain. Which positioning strategy should the nurse implement?

A patient presents to the emergency department 3 hours after developing acute left-sided weakness, facial drooping, and speech difficulties. Which diagnostic test should be obtained first to guide immediate treatment decisions?

What communication approach promotes patient disclosure of complementary and alternative medicine therapy use?