Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

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A healthcare provider collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the healthcare provider include in communications with the respiratory therapist prior to the tests? (Select ONE that does not apply)

  • A. I ensured the client did not use bronchodilator medication within the specified timeframe.
  • B. The client is prepared to undergo the examination in radiology.
  • C. Physical therapy has approved the client for treadmill exercise.
  • D. I instructed the client not to smoke for the required duration before the test.
Correct Answer: C

Rationale: Correct Answer: C

Rationale:
- Option C, stating that physical therapy has approved the client for treadmill exercise, is unrelated to pulmonary function tests (PFTs). PFTs measure lung function, not physical therapy or exercise tolerance.
- Options A, B, and D are all essential for accurate PFT results. A) Ensuring the client did not use bronchodilators can affect test outcomes. B) The location for the examination is not relevant as long as the equipment is available. D) Instructing the client not to smoke before the test is crucial as smoking can affect lung function.

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You are caring for a patient with an infected wound. You would expect

  • A. To prepare for sutures to close the wound.
  • B. To use steri strips to hold the edges together.
  • C. To leave the wound open.
  • D. To cover the wound with a loose, fluffy dressing.
Correct Answer: C

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

A client has an oxygen saturation of 88% on room air. Which action should the nurse take first?

  • A. Initiate oxygen therapy at 2 liters per minute via nasal cannula.
  • B. Place the client in a high-Fowler's position.
  • C. Notify the healthcare provider.
  • D. Document the finding in the client's medical record.
Correct Answer: A

Rationale: The correct answer is A: Initiate oxygen therapy at 2 liters per minute via nasal cannula. Oxygen saturation of 88% indicates hypoxemia and requires immediate intervention. Providing supplemental oxygen via nasal cannula will help improve oxygenation. Placing the client in high-Fowler's position may help with ventilation but addressing hypoxemia is the priority. Notifying the healthcare provider is important but immediate intervention is necessary. Documenting the finding is important but should not delay providing oxygen therapy.

For the patient described in Question 1, the data will lead the night shift nurse to complete a focused nursing assessment of which body part(s)?

  • A. Abdomen
  • B. Head and neck
  • C. Arms and legs
  • D. Anterior and posterior chest
Correct Answer: D

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

Proper body alignment of the hemiplegic patient with the use of a footboard, trochanter rolls, and pillows will minimize the development of

  • A. plantar extension
  • B. shoulder abduction
  • C. internal hip rotation
  • D. external hip rotation
Correct Answer: A

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

The client is prescribed a long-acting beta2 agonist and expresses concerns about the cost, stating they only use the inhaler during asthma attacks. How should the nurse respond?

  • A. Explain the importance of using the inhaler daily to prevent asthma attacks.
  • B. Suggest identifying community services to help with the cost and encourage daily use of the inhaler.
  • C. Explore the client's fears regarding breathlessness.
  • D. Emphasize the necessity of using this inhaler daily and discuss potential community services for financial assistance.
Correct Answer: B

Rationale: Step 1: The nurse must acknowledge the client's concern about the cost of the inhaler.
Step 2: Suggesting community services shows empathy and addresses the financial aspect.
Step 3: Encouraging daily use aligns with the standard treatment guidelines.
Step 4: By addressing both cost and importance of daily use, the nurse promotes adherence and support.

Summary of other choices:
A: Incorrect. This option doesn't address the client's financial concerns.
C: Incorrect. Focusing on fears of breathlessness doesn't directly address the client's cost concern.
D: Incorrect. While discussing daily use is important, not directly addressing the cost concern may lead to non-adherence.

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