Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

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The client is prescribed a long-acting beta2 agonist and expresses concerns about the cost, stating they only use the inhaler during asthma attacks. How should the nurse respond?

  • A. Explain the importance of using the inhaler daily to prevent asthma attacks.
  • B. Suggest identifying community services to help with the cost and encourage daily use of the inhaler.
  • C. Explore the client's fears regarding breathlessness.
  • D. Emphasize the necessity of using this inhaler daily and discuss potential community services for financial assistance.
Correct Answer: B

Rationale: Step 1: The nurse must acknowledge the client's concern about the cost of the inhaler.
Step 2: Suggesting community services shows empathy and addresses the financial aspect.
Step 3: Encouraging daily use aligns with the standard treatment guidelines.
Step 4: By addressing both cost and importance of daily use, the nurse promotes adherence and support.

Summary of other choices:
A: Incorrect. This option doesn't address the client's financial concerns.
C: Incorrect. Focusing on fears of breathlessness doesn't directly address the client's cost concern.
D: Incorrect. While discussing daily use is important, not directly addressing the cost concern may lead to non-adherence.

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11. A patient who is receiving radiation therapy for breast cancer tells the nurse that she cannot verbalize her fears about her treatment. Which complementary or alternative therapy would be most beneficial for the nurse to teach this patient about at this time?

  • A. Journaling
  • B. Yoga therapy
  • C. Herbal therapy
  • D. Chiropractic therapy
Correct Answer: A

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

A healthcare provider collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the healthcare provider include in communications with the respiratory therapist prior to the tests? (Select ONE that does not apply)

  • A. I ensured the client did not use bronchodilator medication within the specified timeframe.
  • B. The client is prepared to undergo the examination in radiology.
  • C. Physical therapy has approved the client for treadmill exercise.
  • D. I instructed the client not to smoke for the required duration before the test.
Correct Answer: C

Rationale: Correct Answer: C

Rationale:
- Option C, stating that physical therapy has approved the client for treadmill exercise, is unrelated to pulmonary function tests (PFTs). PFTs measure lung function, not physical therapy or exercise tolerance.
- Options A, B, and D are all essential for accurate PFT results. A) Ensuring the client did not use bronchodilators can affect test outcomes. B) The location for the examination is not relevant as long as the equipment is available. D) Instructing the client not to smoke before the test is crucial as smoking can affect lung function.

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 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.

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.

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