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 receiving oxygen therapy. Which assessment finding requires the nurse to take immediate action?

  • A. Oxygen saturation of 90%
  • B. Respiratory rate of 22 breaths per minute
  • C. Client reports shortness of breath
  • D. Client's respiratory rate decreases to 10 breaths per minute
Correct Answer: D

Rationale: The correct answer is D because a sudden decrease in respiratory rate to 10 breaths per minute in a client with COPD receiving oxygen therapy can indicate respiratory depression or impending respiratory arrest, which are life-threatening emergencies. Immediate action is necessary to prevent further complications.

A: An oxygen saturation of 90% is below the normal range but not an immediate concern unless it continues to decrease.
B: A respiratory rate of 22 breaths per minute is within the normal range and does not require immediate action.
C: Shortness of breath is common in clients with COPD and may not require immediate action unless it is severe or worsening rapidly.

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Suzette is having a minor surgical procedure performed in same-day surgical setting. Which type of anesthesia is most likely to be used?

  • A. General.
  • B. Epidural.
  • C. Regional.
  • D. Conscious sedation.
Correct Answer: D

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

A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience should the nurse provide this service?

  • A. African American churches
  • B. Asian American groceries
  • C. High school sports camps
  • D. Women's health clinics
Correct Answer: A

Rationale: The correct answer is A: African American churches. This target audience is appropriate because African Americans have a higher prevalence of hypertension compared to other ethnic groups. By providing education and screening at African American churches, the nurse can reach a population that is at higher risk for hypertension. Churches are also community hubs where individuals gather regularly, making it an effective platform for health promotion.

Choice B: Asian American groceries is incorrect as it does not specifically target a population with a high prevalence of hypertension.

Choice C: High school sports camps may not be an ideal target audience for hypertension education as the focus is typically on physical fitness rather than chronic disease management.

Choice D: Women's health clinics may not reach the priority population of African Americans who have a higher prevalence of hypertension.

Which of the following should be immediately reported to the physician?

  • A. Change in color vision
  • B. Crusty yellow drainage on eyelashes
  • C. Increased lacrimation
  • D. Curtain-like shadow across visual field
Correct Answer: D

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

A client is prescribed prednisone for asthma management. Which statement by the client indicates a need for further teaching?

  • A. I will take this medication every day to prevent asthma attacks.
  • B. I will avoid people with infections while taking this medication.
  • C. I will take this medication with food to prevent stomach upset.
  • D. I will stop taking this medication if I feel fine.
Correct Answer: D

Rationale: The correct answer is D because stopping prednisone abruptly can lead to adrenal insufficiency due to the suppression of the body's natural cortisol production. The client should never stop taking prednisone suddenly without consulting the healthcare provider. Choice A is correct because prednisone is often used as a daily preventive medication for asthma. Choice B is correct as prednisone can lower the immune system, making the client more susceptible to infections. Choice C is incorrect because prednisone is usually taken with food to minimize stomach upset.

What is your evaluation of the nursing action regarding continuous bubbling in the water-seal chamber?

  • A. Incorrect, chest tubes should never be clamped because of the risk of tension pneumothorax
  • B. Correct, clamping the chest tubes demonstrated that the system was intact; the leak was in the patient
  • C. Partially correct, since clamping the chest tubes corrected the pattern, the nurse should have left them clamped until the physician checked the patient
  • D. Partially correct, the nurse should have increased the external suction while waiting for the physician to come
Correct Answer: B

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

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