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 very obese female client returns to her room after abdominal surgery. The client is drowsy, but oriented; her abdominal dressing is dry and intact; and her vital signs are T 98.4, P 87, R 18, and BP 146/72. An appropriate postoperative nursing diagnosis would be:

  • A. that airway clearance is ineffective.
  • B. noncompliance.
  • C. altered nutrition, less than her body requirements.
  • D. alteration in comfort, abdominal pain.
Correct Answer: D

Rationale: The assessment information provided does not suggest a postoperative airway problem or a problem with compliance. The assessment information provided does not suggest a problem with compliance or a postoperative airway problem. While the client is obese and has altered nutrition, the nutritional problem is more than her body requirements, not less. Pain is a common phenomenon in clients who have had surgery. Postoperative pain is related to the manipulation of and the injury to tissues during the surgical procedure.

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A client with asthma presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (SATA)

  • A. Administer prescribed salmeterol (Serevent) inhaler.
  • B. Assess the client for a tracheal deviation.
  • C. Administer oxygen to maintain saturations above 94%.
  • D. Perform peak expiratory flow measurements.
Correct Answer: C

Rationale: The correct answer is C. Administer oxygen to maintain saturations above 94%. In asthma exacerbation, maintaining oxygen saturation is crucial to prevent hypoxia. Oxygen therapy helps improve oxygen delivery to tissues and organs. Administering salmeterol (choice A) may help with long-term management but is not an immediate priority. Tracheal deviation assessment (choice B) is not relevant to asthma exacerbation. Performing peak expiratory flow measurements (choice D) may be helpful for monitoring asthma severity but is not the priority in this acute situation.

A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:

  • A. monitoring the chest tubes.
  • B. positioning the client on the right side.
  • C. positioning the client in the semi-Fowler's position with a pillow under the shoulder and back.
  • D. monitoring the right lung for an increase in rales.
Correct Answer: D

Rationale: Chest tubes are not usually necessary in a pneumonectomy, because there is no lung to re-expand on the operative side. The pneumonectomy client should be positioned on the back or operated side, because the sutured bronchial stump may open, which would allow fluid to drain into the unoperated side and drown the client. The client should not have a pillow under the shoulder and back, because of the subscapular incision. Rales are commonly heard over the base of the remaining lung. An increase could indicate circulatory overload. Rales should be closely monitored.

What information should you immediately report to the physician?

  • A. The parent is unsure about the child's tetanus immunization status
  • B. The child is upset and pulls out the IV
  • C. The parent declines the IV conscious sedation
  • D. The parent wants information about the IV conscious sedation
Correct Answer: A

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

What is the typical weight gain in the year after smoking cessation?

  • A. Deep breathing exercises
  • B. Avoid social interactions
  • C. Ignore stressors
  • D. Increase workload
Correct Answer: C

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

The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown only. What is the rationale for this nursing intervention?

  • A. To reduce the risk of the client feeling cold due to decreased fat and subcutaneous tissue.
  • B. To cover the bony prominence and areas where there is skin breakdown.
  • C. So the client knows what type of clothing to wear when weighed.
  • D. To reduce the tendency of the client to hide objects under his or her clothing.
Correct Answer: D

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

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