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 student is practicing suctioning a tracheostomy in the skills laboratory. What action by the student demonstrates that more teaching is needed?

  • A. Applying suction while withdrawing the catheter
  • B. Preoxygenating the client before suctioning
  • C. Suctioning up to three times if necessary
  • D. Suctioning for a duration of 10 to 15 seconds each time
Correct Answer: A

Rationale: The correct answer is A. When suctioning a tracheostomy, the student should not apply suction while withdrawing the catheter to prevent mucosal damage. The correct technique involves inserting the catheter without applying suction, then withdrawing it while applying suction. This helps to clear secretions effectively without causing trauma. Choices B, C, and D are incorrect. Preoxygenating the client is a recommended practice to prevent hypoxemia during suctioning. Suctioning up to three times if necessary and suctioning for 10-15 seconds each time are appropriate techniques to clear secretions effectively without causing harm.

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For a patient who is receiving chemotherapy, which laboratory result is of particular importance?

  • A. WBC.
  • B. PT and PTT.
  • C. Electrolytes.
  • D. BUN.
Correct Answer: A

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

The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the patient outcome criterion of

  • A. agreeing to discontinue smoking.
  • B. ambulating 50 feet without experiencing dyspnea.
  • C. experiencing no dyspnea on exertion.
  • D. tolerating activity well.
Correct Answer: B

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

A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy, and the eyelids are swollen. What action by the nurse takes priority?

  • A. Assess the client's oxygen saturation.
  • B. Notify the Rapid Response Team.
  • C. Oxygenate the client with a bag-valve-mask.
  • D. Palpate the skin of the upper chest.
Correct Answer: A

Rationale: The correct answer is A: Assess the client's oxygen saturation. This is the priority because the client's puffy face and swollen eyelids may indicate airway obstruction or respiratory distress, common complications in tracheostomy patients. Assessing oxygen saturation helps determine if the client is getting enough oxygen. Option B (Notify the Rapid Response Team) is not the immediate action unless the client's condition deteriorates rapidly. Option C (Oxygenate the client with a bag-valve-mask) may be necessary but should come after assessing oxygen saturation. Option D (Palpate the skin of the upper chest) is irrelevant to the client's current symptoms.

Ramona Gunther, 18, was diagnosed with Stage II Hodgkins disease and is preparing to receive external radiation therapy. She tells the nurse she is scared 'about having to get radiation treatments all over my body.' Which of the following is the most appropriate response?

  • A. The dose will be very low based on the disease staging.
  • B. With Stage II, you'll only have radiation over half your body.
  • C. I know it's scary, but it will help to decrease the potential of fractures.
  • D. You know you don't have to worry about being radioactive.
Correct Answer: B

Rationale: The dose of radiation is not based on the staging of the disease alone, and there is not enough information to know that the dose will be low. With Stage II, the involved lymph nodes are all on the same side of the diaphragm, so the radiation will be given on that part of the body. The potential of fractures occurs because of the cancer, but the radiation is not given for that reason. She has not stated that she's afraid of being radioactive, so this answer does not address her concern.

What is the correct sequence of examination techniques that should be used when assessing the patient’s abdomen?

  • A. Inspection, palpation, auscultation, percussion
  • B. Palpation, percussion, auscultation, inspection
  • C. Auscultation, inspection, percussion, palpation
  • D. Inspection, auscultation, percussion, palpation
Correct Answer: D

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

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