Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

Review Free Medical Surgical Certification Practice Questions related questions and content

After a thoracentesis, a healthcare provider assesses a client. Which assessment finding warrants immediate action?

  • A. The client rates pain as 5/10 at the site of the procedure.
  • B. A small amount of drainage is noted from the site.
  • C. Pulse oximetry reads 93% on 2 liters of oxygen.
  • D. The trachea is deviated toward the opposite side of the neck.
Correct Answer: D

Rationale: The correct answer is D because tracheal deviation indicates a potential tension pneumothorax, a life-threatening emergency requiring immediate intervention. Tracheal deviation occurs when there is a significant shift in the mediastinum due to increased pressure in the pleural space. This can compromise respiratory function and lead to respiratory failure. Options A, B, and C are not as urgent as tracheal deviation. Pain at 5/10 is expected post-thoracentesis, a small amount of drainage is common, and a pulse oximetry reading of 93% on low oxygen is concerning but not immediately life-threatening.

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What is the most common cause of optic neuritis?

  • A. Multiple sclerosis
  • B. Infections
  • C. Trauma
  • D. All of the above
Correct Answer: A

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

What statement best indicates patient understanding of postural drainage?

  • A. ‘I should try to hold the proper position for 20 minutes.’
  • B. ‘I should continue postural drainage even when my cough is nonproductive.’
  • C. ‘The positions for postural drainage always remain the same.’
  • D. ‘Postural drainage uses gravity to move the secretions.’
Correct Answer: D

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

Which area of the ED is the most appropriate assignment for this nurse?

  • A. Trauma team
  • B. Triage
  • C. Ambulatory or fast track clinic
  • D. Pediatric medicine team
Correct Answer: C

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

A new medical resident assessed a patient who is starting withdrawal from benzodiazepine. The resident writes orders for Ativan. What is your best response?

  • A. Ask the attending physician to review the orders.
  • B. Administer the medication as prescribed.
  • C. Ask the resident to clarify the orders.
  • D. Point out to the resident that the patient is dependent on benzodiazepine.
Correct Answer: D

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

A client with a pleural effusion is being assessed by a nurse. Which clinical manifestation does the nurse expect to find?

  • A. Decreased breath sounds on the affected side
  • B. Hyperresonance on percussion of the affected side
  • C. Increased tactile fremitus on the affected side
  • D. Tracheal deviation toward the affected side
Correct Answer: A

Rationale: The correct answer is A: Decreased breath sounds on the affected side. In a pleural effusion, fluid accumulates in the pleural space, leading to decreased air entry and diminished breath sounds on auscultation. This occurs because the fluid dampens the transmission of sound through the lungs.

B: Hyperresonance on percussion of the affected side is not expected in pleural effusion, as it is typically associated with conditions like pneumothorax.

C: Increased tactile fremitus on the affected side is not a typical finding in pleural effusion. Tactile fremitus may be decreased due to the presence of fluid.

D: Tracheal deviation toward the affected side is more commonly seen in conditions like tension pneumothorax, not pleural effusion.

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