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 with a mediastinal chest tube is being assessed by a nurse. Which symptoms require the nurse's immediate intervention? (SATA)

  • A. Production of pink sputum
  • B. Tracheal deviation
  • C. Pain at insertion site
  • D. Sudden onset of shortness of breath
Correct Answer: B

Rationale: The correct answer is B: Tracheal deviation. Tracheal deviation indicates a tension pneumothorax, a life-threatening emergency that requires immediate intervention to prevent further complications. The other choices are incorrect because:
A: Production of pink sputum may indicate blood-tinged sputum, which could be a sign of minor bleeding but does not require immediate intervention.
C: Pain at insertion site is common after chest tube insertion and can be managed with pain medication, not necessarily requiring immediate intervention.
D: Sudden onset of shortness of breath could indicate various issues, including pneumothorax, but tracheal deviation is a more specific and urgent sign that requires immediate attention.

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Which energy medicine technique promotes healing using electricity, magnets, or both?

  • A. Reiki
  • B. Acupuncture
  • C. Electromagnetic therapy
  • D. Chiropractic therapy
Correct Answer: C

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

The client has received preoperative teaching for a vertical partial laryngectomy. The nurse determines that the teaching has been effective when the client states:

  • A. I know I will need special swallowing training after my surgery.'
  • B. The quality of my voice will be excellent after surgery.'
  • C. I will have very little difficulty swallowing after surgery.'
  • D. I may also have to have a radical neck dissection done.'
Correct Answer: C

Rationale: Special swallowing training is required for a client with a supraglottic (horizontal partial) laryngectomy, not a vertical partial laryngectomy. The quality of the client's voice will be altered, but it will be adequate for communication. The client will have minimal difficulty swallowing. A radical neck dissection may be done with a total laryngectomy, not with a partial laryngectomy.

11. A patient who is receiving radiation therapy for breast cancer tells the nurse that she cannot verbalize her fears about her treatment. Which complementary or alternative therapy would be most beneficial for the nurse to teach this patient about at this time?

  • A. Journaling
  • B. Yoga therapy
  • C. Herbal therapy
  • D. Chiropractic therapy
Correct Answer: A

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

A client learns about pursed-lip breathing. Which statement by the client indicates teaching has been effective?

  • A. I will breathe in quickly through my mouth and out through my nose.
  • B. I will breathe in slowly through my nose and out through pursed lips.
  • C. I will hold my breath for 10 seconds before exhaling.
  • D. I will breathe in and out through pursed lips.
Correct Answer: B

Rationale: The correct answer is B because pursed-lip breathing involves inhaling slowly through the nose and exhaling slowly through pursed lips, which helps improve lung function and relaxes the client. Choice A is incorrect because breathing in quickly through the mouth is not part of pursed-lip breathing technique. Choice C is incorrect as holding breath before exhaling is not recommended in pursed-lip breathing. Choice D is partially correct but lacks the emphasis on inhaling slowly through the nose. Therefore, the most effective statement indicating correct teaching is choice B.

A client who is interested in smoking cessation receives teaching from a nurse. Which statements should the nurse include in this teaching? (Select ONE that does not apply)

  • A. Find an activity that you enjoy and that will keep your hands busy.
  • B. Keep healthy snacks on hand to nibble on.
  • C. Identify reasons for quitting smoking.
  • D. Make a list of reasons for quitting smoking.
Correct Answer: C

Rationale: The correct answer is C: Identify reasons for quitting smoking. This should not be included in the teaching because the client should already have identified their reasons for quitting before receiving the teaching. The client should have a clear understanding of why they want to quit smoking before seeking help. Choices A and B are correct as they provide practical tips to distract from smoking and avoid unhealthy behaviors. Choice D is also correct as making a list of reasons can help reinforce motivation.

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