Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

Review Free Medical Surgical Certification Practice Questions related questions and content

What instruction should be included when teaching a client with asthma about using a metered-dose inhaler (MDI)?

  • A. Shake the inhaler well before use.
  • B. Inhale rapidly while administering the medication.
  • C. Administer the medication while lying down.
  • D. Hold the inhaler 2 inches away from the mouth while inhaling.
Correct Answer: A

Rationale: Rationale for Correct Answer A:
1. Shaking the inhaler well before use helps ensure proper mixing of the medication.
2. This action helps to distribute the medication evenly for effective delivery.
3. It prevents clogging and ensures the client receives the correct dose.
4. Shake-and-use approach is essential for optimal therapeutic benefits.

Summary of Incorrect Choices:
B: Inhaling rapidly may lead to improper medication delivery and increase the risk of side effects.
C: Administering medication while lying down may not allow the client to inhale the medication effectively.
D: Holding the inhaler too far away can result in decreased medication intake and reduced efficacy.

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While assessing a patient in the PACU, the nurse finds that the patient's blood pressure is below the preoperative baseline. The nurse determines that the patient has residual vasodilating effects of anesthesia when what is assessed?

  • A. A urinary output >30 mL/hr
  • B. An oxygen saturation of 88%
  • C. A normal pulse with warm, dry, pink skin
  • D. A narrowing pulse pressure with normal pulse
Correct Answer: C

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

A healthcare professional auscultates a harsh hollow sound over a client's trachea & larynx. Which action should the healthcare professional take first?

  • A. Document findings.
  • B. Administer O2 therapy.
  • C. Position client in high-Fowler's position.
  • D. Administer prescribed albuterol.
Correct Answer: A

Rationale: The correct answer is A: Document findings. This is important because the harsh hollow sound over the trachea and larynx could indicate a potential emergency or serious condition like an airway obstruction or laryngeal edema. Documenting findings helps in providing clear communication to other healthcare professionals and ensures proper follow-up care. Administering O2 therapy (B) or albuterol (D) without a clear understanding of the underlying issue could be harmful. Positioning the client in high-Fowler's position (C) may not directly address the potential emergency at hand.

What drugs might a client have taken in the past that would have affected their hearing?

  • A. Salicylates
  • B. Penicillin
  • C. Spironolactone
  • D. Ceclor
Correct Answer: A

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

While caring for a client using O2 in the hospital, what assessment finding indicates that goals for a priority diagnosis are being met?

  • A. 100% of meals being eaten by the client
  • B. Intact skin behind the ears
  • C. The client understanding the need for oxygen
  • D. Unchanged weight for the past 3 days
Correct Answer: B

Rationale: The correct answer is B because intact skin behind the ears indicates proper oxygen delivery, ensuring the client's respiratory needs are being met. This assessment finding shows that the oxygen therapy is effective in improving oxygenation.

A: This choice is incorrect as the client's meal intake does not directly reflect the effectiveness of oxygen therapy.
C: Although important, the client's understanding of the need for oxygen does not directly indicate the success of the oxygen therapy.
D: Unchanged weight is not a direct indicator of the effectiveness of oxygen therapy in this situation.

Roger presents with blurred and double vision, muscle weakness, and intolerance of temperature changes. In order to rule out multiple sclerosis, the physician will likely order

  • A. CBC showing a very low WBC count.
  • B. Endocrine function study showing a low growth hormone and high T3 and T4.
  • C. CT scan showing plaque formation.
  • D. Fasting glucose test showing a result over 300 mg/dL.
Correct Answer: C

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

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