Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

Review Free Medical Surgical Certification Practice Questions related questions and content

A client is experiencing an acute exacerbation of asthma. Which medication should the nurse administer first?

  • A. Albuterol (Proventil)
  • B. Ipratropium (Atrovent)
  • C. Salmeterol (Serevent)
  • D. Fluticasone (Flovent)
Correct Answer: A

Rationale: The correct answer is A: Albuterol (Proventil). Albuterol is a short-acting beta agonist bronchodilator that provides quick relief during an asthma exacerbation by relaxing the smooth muscles in the airways. This helps to rapidly open up the airways and improve breathing. Administering albuterol first is crucial in managing acute asthma symptoms.

Summary of other choices:
B: Ipratropium (Atrovent) is an anticholinergic bronchodilator that is often used in combination with albuterol for asthma exacerbations, but albuterol is preferred for initial rapid relief.
C: Salmeterol (Serevent) is a long-acting beta agonist used for maintenance treatment of asthma, not for acute exacerbations.
D: Fluticasone (Flovent) is an inhaled corticosteroid used for long-term control of asthma symptoms and prevention of exacerbations

You may also like to solve these questions

The client's potassium level is 6.7 mEq/L. Which intervention should you delegate to the student nurse under your supervision?

  • A. Administer Kayexalate 15 g orally
  • B. Administer spironolactone 25 mg orally
  • C. Assess ECG strip for tall T waves
  • D. Administer potassium 10 mEq orally
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The first step in applying the quality improvement process to an activity in a clinical setting is to

  • A. assemble a team to review and revise the activity.
  • B. collect data to measure the status of the activity.
  • C. identify a problem for improvement.
  • D. set a measurable standard for the activity.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A healthcare provider assesses a client with pneumonia. Which clinical manifestation should the provider expect to find?

  • A. Fremitus
  • B. Hyperresonance
  • C. Dullness on percussion
  • D. Decreased tactile fremitus
Correct Answer: C

Rationale: The correct answer is C: Dullness on percussion. Pneumonia is characterized by consolidation of lung tissue, causing dullness on percussion due to increased density. Fremitus (A) and tactile fremitus (D) are decreased in conditions like pleural effusion or pneumothorax, not pneumonia. Hyperresonance (B) is associated with conditions like emphysema, not pneumonia. In pneumonia, the affected area is consolidated, leading to dullness on percussion.

A client has a tracheostomy tube in place. When the nurse suctions the client, food particles are noted. What action by the nurse is best?

  • A. Elevate the head of the client's bed.
  • B. Measure and compare cuff pressures.
  • C. Place the client on NPO status.
  • D. Request a swallow study for the client.
Correct Answer: B

Rationale: Correct Answer: B
Rationale:
1. Tracheostomy cuff should be inflated to prevent aspiration.
2. Food particles indicate cuff leakage.
3. Measuring cuff pressure ensures proper sealing.
4. Prevents aspiration and respiratory complications.

Summary:
A: Elevating the head is beneficial but doesn't address cuff leakage.
C: NPO status is extreme and unnecessary without confirmation of aspiration risk.
D: Swallow study is for assessing swallowing function, not related to cuff pressure.

A nursing student asks what essential hypertension is. What response by the registered nurse is best?

  • A. It means it is caused by another disease.
  • B. It means it is essential that it be treated.
  • C. It is hypertension with no specific cause.
  • D. It refers to severe and life-threatening hypertension.
Correct Answer: C

Rationale: The correct answer is C: It is hypertension with no specific cause.
Rationale:
1. Essential hypertension is also known as primary or idiopathic hypertension.
2. It is the most common type of hypertension, accounting for about 90-95% of cases.
3. The exact cause of essential hypertension is unknown, but it is believed to be due to a combination of genetic, environmental, and lifestyle factors.
4. Choices A, B, and D are incorrect because essential hypertension is not caused by another disease, does not necessarily require treatment as essential means "fundamental," and is not specifically severe or life-threatening.

Copyright © 2025 Nokea. All rights reserved.