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 chronic obstructive pulmonary disease (COPD) is being taught by a healthcare provider. Which statement by the client indicates a need for further teaching?

  • A. I will avoid smoking to prevent further damage to my lungs.
  • B. I will eat smaller, more frequent meals to avoid feeling bloated.
  • C. I will exercise every day to improve my strength and endurance.
  • D. I will drink plenty of fluids to help thin my mucus.
Correct Answer: C

Rationale: The correct answer is C because daily exercise may exacerbate COPD symptoms in some cases. Individuals with COPD may experience increased shortness of breath and fatigue during physical activity. Therefore, it is crucial to tailor an exercise plan to each client's specific needs and capabilities. Choices A, B, and D are correct as they align with COPD management strategies of smoking cessation, dietary modifications, and hydration to help with mucus clearance, respectively.

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What nursing action takes priority for Mr. Alexander intubated for pneumonia?

  • A. Provide the patient with intermittent positive pressure
  • B. Aspirate secretions from the airway, as needed
  • C. Explain the need for frequent suctioning
  • D. Order a room air humidifier
Correct Answer: B

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

17. Which spice may be used to treat the nausea and vomiting related to pregnancy?

  • A. Aloe
  • B. Ginger
  • C. Cranberry
  • D. Evening primrose
Correct Answer: B

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

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.

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.

You are teaching prevention of accidental eye injuries in a community health clinic to a church group. What is the most important thing to stress?

  • A. Follow workplace policies for handling chemicals.
  • B. Children and parents should be cautious about aggressive play.
  • C. Wear protective eyewear during sports or hazardous work.
  • D. Establish emergency eyewash stations in the workplace.
Correct Answer: C

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

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