Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

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A client is wearing a Venturi mask to receive oxygen, and the dinner tray has arrived. What action by the nurse is best?

  • A. Assess the client's oxygen saturation and, if normal, turn off the oxygen.
  • B. Determine if the client can switch to a nasal cannula during the meal.
  • C. Have the client lift the mask off the face when taking bites of food.
  • D. Turn off the oxygen while the client eats the meal and then restart it.
Correct Answer: B

Rationale: The correct answer is B: Determine if the client can switch to a nasal cannula during the meal. This is the best action because the client can maintain oxygen therapy while eating without the obstruction of the Venturi mask. Switching to a nasal cannula allows for continued oxygen delivery during meals.

A: Assessing the client's oxygen saturation and turning off the oxygen if normal is incorrect because the client still needs oxygen support during meals.

C: Having the client lift the mask off the face when taking bites of food is incorrect as it disrupts continuous oxygen therapy.

D: Turning off the oxygen while the client eats the meal and then restarting it is incorrect as it interrupts oxygen therapy, which should be continuous for clients requiring oxygen support.

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A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply)

  • A. I held the client's morning bronchodilator medication.
  • B. The client is ready to go down to radiology for this examination.
  • C. Physical therapy states the client can run on a treadmill.
  • D. I advised the client not to smoke for 6 hours prior to the test.
Correct Answer: B

Rationale: The correct answer is B because it communicates important information to the respiratory therapist regarding the client's readiness for the PFTs. Going down to radiology indicates the client is prepared for the examination, which ensures the test can be conducted smoothly.

Rationale:
A: Holding the client's morning bronchodilator medication may impact test results, but this information is more relevant for the healthcare provider interpreting the results, not the respiratory therapist conducting the test.
C: Physical therapy's statement about running on a treadmill is irrelevant to the PFTs and does not impact the collaboration between the nurse and respiratory therapist.
D: Advising the client not to smoke for 6 hours prior to the test is important for accurate results, but this information is more pertinent for the client and healthcare provider interpreting the results, not the respiratory therapist conducting the test.

In which clients is electroconvulsive therapy (ECT) usually contraindicated?

  • A. Clients with cardiac or neurovascular diseases
  • B. Clients who have not responded to drug therapy
  • C. Clients who are intolerant of the side effects of antidepressant medications
  • D. Clients who are extremely suicidal
Correct Answer: A

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

It is estimated that the population of people aged 65 or older in United States will increase to:

  • A. 13%
  • B. 20%
  • C. 25%
  • D. 38%
Correct Answer: B

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

Clients with mitral stenosis would likely manifest findings associated with congestion in the:

  • A. Pulmonary circulation.
  • B. Descending aorta.
  • C. Superior vena cava.
  • D. Bundle of His.
Correct Answer: A

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

What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP) for a client receiving O2 at 4 liters per nasal cannula?

  • A. Apply water-soluble ointment to nares and lips.
  • B. Periodically adjust the oxygen flow rate.
  • C. Remove the tubing from the client's nose.
  • D. Turn the client every 2 hours or as needed.
Correct Answer: A

Rationale: The correct answer is A - Apply water-soluble ointment to nares and lips. This is an appropriate comfort measure that can be safely delegated to UAP as it helps prevent dryness and irritation caused by the oxygen flow. UAP can apply ointment without adjusting the oxygen flow rate (B), which should be done by licensed staff. Removing the tubing (C) can disrupt oxygen delivery. Turning the client (D) is important for preventing pressure ulcers but is not directly related to oxygen therapy comfort.

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