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Latest MCQs 2026 Updated Certified Medical-Surgical Registered Nurse exam Questions

CMSRN MCQs & Practice Test

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CMSRN exam Format | CMSRN Course Contents | CMSRN Course Outline | CMSRN exam Syllabus | CMSRN exam Objectives

- Nursing process - exam- diagnosis- planning- implementation- evaluation

- Patient safety protocols

- skin

- falls

- restraints

- rounding

- suicide

- Risk factors

- pharmacological

- environment

- equipment

- demographics

- Patient safety culture

- near miss reporting

- "just culture"

- "speak up"

- high accountable organizations

- Care bundles

- checklist

- algorithms



- Patient safety exams and reporting

- abuse

- human trafficking

- social determinants

- Risk exam methods

- Root Cause Analysis [RCA]

- Failure Mode and Effects Analysis [FMEA]

- safety rounds- safety huddles

- Universal and transmission-based precautions

- Infection control practices and standards



- Current evidence-based practice for infection control and prevention procedures

- Antimicrobial stewardship

- surgical scrub

- antibiotics

- probiotics

- Safe medication administration practices

- interaction

- adverse reaction

- intravenous therapy

- Patient medication education

- Polypharmacy



- Safe drug management and disposal (e.g.- stewardship- home medication management)

- Advanced access devices (i.e.- ports- central lines- epidurals)

- Financial implications to patients

- Chronic and/or acute pain management (e.g.- pharmacological- non-pharmacological- multimodal)



- Patient pain management expectations

- Patient advocacy Non-Pharmacological Interventions

- Non-pharmacological interventions (e.g.- repositioning- heat or cold)

- Complementary and alternative therapies (e.g.- acupuncture- aromatherapy)

- Pre- and post-procedural unit standards (e.g.- consent- timeout- frequent monitoring)



- Pertinent potential complications and management

- Scope of practice related to procedures (e.g.- moderate/procedural sedation)

- Supplies- instruments- and equipment

- Individualized nutritional needs (e.g.- malnutrition- disease processes- complications- cultural)



- Nutrition administration modalities (e.g.- enteral- parenteral)

- Resources for alternate nutrition administration (e.g.- speech consultation- dietary consultation)

- Indications for alternate nutrition administration



- Patient-centered care (e.g.- active listening- communication preferences- family involvement- health goals.

- Resources for patient-centered care

- Patient advocacy

- Patient satisfaction management (e.g.- grievances- concerns regarding practices- second opinion- service recovery)

- Cultural and linguistic needs (e.g.- sign- oral- and written languages)

- Cultural and linguistic resources (e.g.- translated materials- interpreter services)

- Implicit bias

- Health maintenance and disease prevention

- Health literacy

- Teaching methods



- Health promotion goals

- Resources available for patient/family

- Health information to meet patient needs

- Palliative or end-of-life patient/caregiver resources (e.g.- hospice- spiritual- cultural- physical)



- End-of-life preferences (e.g.- advance directives- code status)

- Post-mortem care

- Organ donation process

- Regulatory requirements for reporting death (e.g.- coroner's case)



- Nursing process - exam- diagnosis- planning- implementation- evaluation

- Strategies to individualize care

- Role within the interdisciplinary team (e.g.- teamwork- communication skills)

- Interprofessional rounding

- Care coordination

- Collaborative problem solving



- Community resources

- Interdisciplinary collaboration integration methods (e.g.- discharge planning- mobility- physical therapy)

- Health history exam from multiple sources

- Discharge procedures (e.g.- medication reconciliation)

- Patient/family centered care



- Care coordination and transition

- Interprofessional roles and responsibilities

- Continuum of care

- Patients at risk for readmissions

- Social determinants of health

- Quality patient outcome measures



- Documentation of patient care

- Electronic health records

- Downtime procedures

- Coaching for documentation performance improvement

- Technology- equipment use- and troubleshooting

- Technology trends in health care

- Nursing informatics



- Chain of command

- Communication skills (e.g.- active listening- verbal- non-verbal- written- conflict resolution- mediation)

- Information sharing (e.g.- Situation- Background- Assessment- Recommendation [SBAR]- hand-off- closed-loop- check- back- read-back- huddle- verbal orders- bedside report- interdisciplinary)



- Communication barriers (e.g.- need for interpreter/translator- physical and cognitive limitations)

- De-escalation techniques (e.g.- verbal intervention- calm communication)

- Time management and prioritization of care

- Crisis situations and resources (e.g.- rapid response team- deteriorating patients- early warning systems)

- Crisis management



- Critical thinking

- self-regulation

- problem solving

- analysis

- interpretation

- inference

- Workplace safety

- physical

- emotional

- environmental

- Nurse resiliency and well-being

- Unintended consequences

- moral distress

- moral injury

- compassion fatigue

- burnout



- Resource allocation (e.g.- staffing- equipment)

- Peer accountability

- Scope of practice and code of ethics for nurses per local and regional nursing bodies

- Code of Ethics for Nurses with Interpretive Statements

- Standard V of the AMSN Scope and Standards

- local governing Scope of Practice

- Patients rights and responsibilities



- Professional reporting and resources (e.g.- ethics- scope of practice- unsafe practice)

- Policies- procedures- regulatory and licensure requirements- standards of practice- and applicable state- federal- and local laws

- Evidence-based guidelines for nursing sensitive indicators

- Quality standards and policies

- Continuous quality and process improvement

- Nursing professional practice model



- Adverse event reporting

- Patient customer experience based on data results (e.g.- surveys- value-based purchasing)

- Service recovery

- Project development

- Legislative and licensure requirements

- Evidence-based practice principles

- Research process



- Delegation and/or supervision practices

- Scope of practice (e.g.- licensed and unlicensed team members)

- Prioritization skills (e.g.- disease process)

- Budgetary considerations (e.g.- supplies- staffing- fiscal efficiency)



- Professional engagement

- Mentoring and coaching resources

- Reflective practice

- Roles and responsibilities

- Coaching and learning theories

- Professional empowerment



- Orientation planning and preceptor best practices

- Career development resources (e.g.- education- training)

- Professional nursing practice and individual competencies

- Professional behaviors (e.g.- network- participate in professional organization)



- Clinical judgement

- Peer review methods

- Educational needs exam

- Regulatory and compliance standards

- Organizational structure

- Shared decision-making

- Nursing philosophy

- Leadership models

- Nursing care delivery systems

- Change management (e.g.- Awareness- Desire- Knowledge- Ability- Reinforcement [ADKAR])

- Recruitment and retention

- Employee engagement

- Staff advocacy

- Conflict management

- Financial stewardship

- Emergency procedures

- Hospital incident command structure

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