To become a CMSRN you will need to pass the Certified Medical-Surgical Registered Nurse exam. This exam is administered by the Academy of Medical-Surgical Nurses, or AMSN. Try our CMSRN practice test to see what the exam questions are like. Sample questions are great for test prep. Get started now with our free Medical-Surgical Certification practice test.
CMSRN Practice Questions
A client with acute pulmonary edema secondary to congestive heart failure has continuous monitoring of ventral venous pressure (CVP). Which of the following conditions indicates that the client’s treatment regimen is effective?
Central venous pressure increases.
Central venous pressure decreases.
There is no change in the central venous pressure.
Central venous pressure is not a useful indicator for this client.
After EGD, Edna was diagnosed to have gastroesophageal reflux disease (GERD). The nurse teaches Edna about ways to minimize symptoms. Which of the following statements made by Edna indicates that more teaching is needed?
“I will be sure to drink tea instead of coffee.”
“I will take a walk after I eat.”
“I will try to eat smaller meals more frequently.”
“I will sleep with the head of the bed elevated about 12 inches.”
A client with a left leg fracture is to be taught the three-point gait before discharge. Which instruction should the nurse give to this client?
“Advance your right crutch, swing the left foot forward, advance the left crutch, and then bring the right foot forward.”
“Move your right crutch and left foot forward together, and then swing the right foot and left crutch in one movement.”
“While partially bearing weight on your left leg, advance both crutches and then bring your right leg forward.”
“Using one movement, advance your left foot and both crutches and then bring right leg forward.”
Shane, 12 years old, is an avid fan of skateboarding. She tried to learn the moves but accidentally fell on her first try. Agonizing in pain, she was then brought to the Emergency Department. The X-ray film showed incomplete fracture of the left tibia. The doctor ordered for a closed reduction and a cast was applied on her left leg. Which of the following is an incorrect intervention for Shane?
Elevate entire extremity higher than the client’s heart for the first 24 to 48 hours.
Exercise her toes.
Support Shane’s foot with the ankle in 90 degrees of flexion.
Create a turning schedule for position changes every 3 hours.
The nurse is encouraging a client who had undergone an amputation to fit a prosthesis immediately. The advantage for this immediate action is
ability to ambulate sooner.
less chance of phantom limb sensation.
dressing changes are not necessary.
better fit of the prosthesis.
Ms. JMM has been diagnosed with Hashimoto’s disease, an autoimmune disorder. Which of the following signs and symptoms were most probably exhibited by the client that led to the diagnosis?
Increased appetite, weight loss, hyperdefecation
Increased urination, weight loss, increased thirst
Decreased appetite, weight gain, constipation
Increased urination, weight gain, and purplish red striae
The nurse is teaching Mrs. Jones, a known diabetic, to monitor her blood glucose using a glucometer. The nurse will know that Mrs. Jones is competent in performing her finger-stick to obtain blood when she
uses the ball of a finger as the puncture site.
uses the side of a fingertip as the puncture site.
avoids using the fingers of her dominant hand as puncture sites.
avoids using the thumbs as puncture sites.
Mr. Daniels, 55 year-old mechanic, was diagnosed with adult-onset diabetes. The nurse will know that Mr. Daniels understand the symptoms of a hyperglycemic reaction if he verbalized,
“I will experience thirst, always going to the bathroom to pee, and will also have decreased appetite.”
“I may feel flushed cheeks, will have acetone breath, and increased thirst.”
“I may feel nauseated, even vomiting, and some episodes of diarrhea.”
“I will experience weight gain, a normal breath, and constant thirst.”
Jena, age 32, visited a day clinic to report a sudden weight gain. She also reported to the nurse on duty that her abdomen is now bigger than before and her face looks “swollen” and rounded. Which additional assessment finding would lead the nurse to suspect that Jena has Cushing’s syndrome rather than obesity?
large thighs and upper arms
pendulous abdomen and large hips
pendulous abdomen and large hips
posterior neck fat pad and thin extremities
The most accurate description the nurse could give a colleague about a thyroid scan is that it:
Assists in differentiating between primary and secondary hypothyroidism.
Demonstrates increased uptake of radioactive iodine in areas of possible malignancy.
Demonstrates decreased uptake of radioactive iodine in areas of possible malignancy.
Measures the effect of TSH on thyroid function.
Following a thyroid scan with radioactive iodine for a thyroid nodule, the nurse should plan for:
No special radiations precautions.
Full radiation precautions to be instituted, including segregating the client in a private room.
Radiation precautions that are limited to urine and feces.
Full radiation precautions to be instituted for 8 hours (the half-life of radioactive iodine).
Ruby, a College student, was admitted due to persistent abdominal pain, nausea and vomiting, and difficulty in swallowing. The doctor orders for an upper GI series. Nursing preparation for this procedure includes:
NPO for 24 hours before the procedure.
Administering an enema or cathartic to enhance visualization.
Discouraging the client from smoking the morning of the procedure because smoking can stimulate gastric motility.
Instructing the client that the test involves insertion of a rubber gastroscopy tube.
Mr. HP has recently undergone a colostomy. During his first day post-operatively, the nurse does not find any measurable fecal drainage from the colostomy. What should the nurse do?
Continue the current plan of care
Call the doctor immediately
Irrigate the stoma
Encourage the patient to increase fluid intake
The nurse demonstrates to Mr. HP the correct way of cutting the appliance by making the opening how much larger than that of the client’s stoma?
Partial-and-full-thickness burns over 20% of TSBA is the diagnosis of a 25-year-old machine operator. A large-bore central venous line is inserted to allow administration of fluids and electrolytes. A large amount of lactated Ringer's solution and 5% dextrose in saline are given to?
Expand the plasma
Maintain blood volume
Replace lost electrolytes
Prevent fluid shiftings
About the CMSRN Exam:
In order to become a certified med-surg nurse you will need to pass the Certified Medical-Surgical Registered Nurse Exam. This exam tests the RN’s knowledge of nursing interventions that are performed on medical and surgical patients. Some questions will pertain to specific disease processes and potential complications of these diseases. Other topics covered include patient education information, professional standards, and ethical issue.
The CMSRN exam can be taken as a paper-and-pencil test or as a computer-based test. The computer-based option is much more popular and is available year-round at over 250 locations. The med-surg certification test consists of 150 questions that must be completed within 3 hours. To pass you must achieve a score of at least 71%. Start your test prep now with out free CMSRN practice test!