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 is being taught by a nurse. Which nutritional information should the nurse include in the teaching? (SATA)

  • A. Avoid drinking fluids just before and during meals.
  • B. Rest before meals if you have dyspnea.
  • C. Have about six small meals a day.
  • D. Eat high-fiber foods to promote gastric emptying.
Correct Answer: D

Rationale: Correct Answer: D

Rationale:
1. High-fiber foods promote gastric emptying, reducing the risk of bloating and discomfort in COPD patients.
2. COPD patients may experience difficulty breathing, leading to decreased physical activity and slower digestion.
3. Consuming high-fiber foods helps regulate bowel movements and prevents constipation, common in COPD patients.

Summary of Incorrect Choices:
A: Avoiding fluids just before and during meals is not specific to COPD patients and may not directly address their nutritional needs.
B: Resting before meals if experiencing dyspnea may be helpful, but it does not address specific nutritional information.
C: Having six small meals a day may be beneficial for some COPD patients, but it does not directly address the importance of high-fiber foods for promoting gastric emptying.

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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 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.

A client who is interested in smoking cessation receives teaching from a nurse. Which statements should the nurse include in this teaching? (Select ONE that does not apply)

  • A. Find an activity that you enjoy and that will keep your hands busy.
  • B. Keep healthy snacks on hand to nibble on.
  • C. Identify reasons for quitting smoking.
  • D. Make a list of reasons for quitting smoking.
Correct Answer: C

Rationale: The correct answer is C: Identify reasons for quitting smoking. This should not be included in the teaching because the client should already have identified their reasons for quitting before receiving the teaching. The client should have a clear understanding of why they want to quit smoking before seeking help. Choices A and B are correct as they provide practical tips to distract from smoking and avoid unhealthy behaviors. Choice D is also correct as making a list of reasons can help reinforce motivation.

When staging a pressure ulcer, you correctly recognize a stage II ulcer as

  • A. Redness, with no break in the skin.
  • B. Shallow ulcer with red base.
  • C. Dermis involvement with eschar.
  • D. Bone visible with no drainage.
Correct Answer: B

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

What are four basic characteristics of culture?

  • A. Ever-present,shared by all members expected by all members adapted to individuals
  • B. Dynamic,not always shared by all members
  • C. adapted to specific conditions
  • D. learned by communication and imitation
Correct Answer: D

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

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