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 healthcare professional assesses a client who is experiencing an acute asthma attack. Which assessment finding requires immediate intervention?

  • A. Loud wheezing
  • B. Increased respiratory rate
  • C. Use of accessory muscles
  • D. Silent chest
Correct Answer: D

Rationale: The correct answer is D: Silent chest. This finding indicates severe airway obstruction and impending respiratory failure, requiring immediate intervention to prevent respiratory arrest. Silent chest means minimal or absent breath sounds, suggesting no air movement, which is a critical emergency situation. Wheezing (A), increased respiratory rate (B), and use of accessory muscles (C) are common in asthma attacks but do not indicate as severe a condition as a silent chest. Monitoring and addressing a silent chest promptly is crucial in managing acute asthma exacerbations.

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According to the World Health Organization, identify the specific goals of palliative care (select all that apply).

  • A. Regard dying as a normal process.
  • B. Minimize the financial burden on the family.
  • C. Provide relief from symptoms
  • D. including pain.
Correct Answer: D

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

During a preoperative physical examination, the nurse is alerted to the possibility of compromised respiratory function during or after surgery in a patient with which problem?

  • A. Obesity
  • B. Dehydration
  • C. Enlarged liver
  • D. Decreased peripheral pulses
Correct Answer: A

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

Describe the physiologic stress response.

  • A. Eat a balanced diet
  • B. Exercise regularly
  • C. Sleep for at least 8 hours
  • D. Reduce stress levels
Correct Answer: A

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

What statement best indicates patient understanding of postural drainage?

  • A. ‘I should try to hold the proper position for 20 minutes.’
  • B. ‘I should continue postural drainage even when my cough is nonproductive.’
  • C. ‘The positions for postural drainage always remain the same.’
  • D. ‘Postural drainage uses gravity to move the secretions.’
Correct Answer: D

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

A client had a bronchoscopy 2 hours ago and asks for a drink of water. Which action should the nurse take next?

  • A. Call the healthcare provider to request a prescription for food and water.
  • B. Provide the client with ice chips instead of a drink of water.
  • C. Assess the client's gag reflex before giving any food or water.
  • D. Let the client have a small sip to assess swallowing ability.
Correct Answer: C

Rationale: The correct answer is C: Assess the client's gag reflex before giving any food or water. After a bronchoscopy, the client may have an impaired gag reflex due to the numbing agent used during the procedure. Assessing the gag reflex is crucial to prevent aspiration and ensure the client can safely swallow without the risk of choking or inhaling fluids. This step is essential before offering any food or water to the client.

Option A is incorrect because calling the healthcare provider for a prescription is unnecessary at this point. Option B is incorrect because ice chips can still pose a risk if the client's gag reflex is impaired. Option D is incorrect as allowing the client to have a sip without assessing the gag reflex first could lead to complications if the client is unable to swallow properly.

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