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 learns about pursed-lip breathing. Which statement by the client indicates teaching has been effective?

  • A. I will breathe in quickly through my mouth and out through my nose.
  • B. I will breathe in slowly through my nose and out through pursed lips.
  • C. I will hold my breath for 10 seconds before exhaling.
  • D. I will breathe in and out through pursed lips.
Correct Answer: B

Rationale: The correct answer is B because pursed-lip breathing involves inhaling slowly through the nose and exhaling slowly through pursed lips, which helps improve lung function and relaxes the client. Choice A is incorrect because breathing in quickly through the mouth is not part of pursed-lip breathing technique. Choice C is incorrect as holding breath before exhaling is not recommended in pursed-lip breathing. Choice D is partially correct but lacks the emphasis on inhaling slowly through the nose. Therefore, the most effective statement indicating correct teaching is choice B.

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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.

A common reason that a nurse may need extra time when preparing older adults for surgery is their

  • A. ineffective coping.
  • B. limited adaptation to stress.
  • C. diminished vision and hearing.
  • D. need to include caregivers in activities.
Correct Answer: C

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

What aspect should a nurse pay particular attention to when assessing a client with a potential or actual infection?

  • A. The client’s age and sex
  • B. The client’s lifestyle and drinking habits
  • C. The client’s recent travel to a foreign country
  • D. The client’s diet and preference for meat
Correct Answer: C

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

Steps to prevent a pressure ulcer may include

  • A. Not disturbing the patient.
  • B. Changing the position of a bedbound patient every 4 hours.
  • C. Vigorously rubbing the skin with alcohol.
  • D. Avoiding pressure on the heels of a bedbound patient.
Correct Answer: D

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

A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient?

  • A. A fluid bolus as ordered.
  • B. Fluid restrictions as ordered.
  • C. Urinalysis as ordered.
  • D. Sodium-restricted diet as ordered.
Correct Answer: B

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

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