Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

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A client with asthma is assessed by a nurse and presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (Select all that apply)

  • A. Administer prescribed albuterol (Ventolin) inhaler.
  • B. Assess the client for tracheal deviation.
  • C. Administer oxygen to maintain saturations greater than 94%.
  • D. Perform peak expiratory flow measurements.
Correct Answer: C

Rationale: Step-by-step rationale for choice C (Administer oxygen to maintain saturations greater than 94%):
1. Oxygen is crucial in managing asthma exacerbations to improve oxygen saturation levels and prevent hypoxemia.
2. Decreased pulse oxygen saturation indicates hypoxemia, which can lead to serious complications.
3. Maintaining saturations greater than 94% ensures adequate oxygenation of tissues and organs.
4. Administering oxygen promptly can help alleviate respiratory distress and improve the client's condition.

Summary of why other choices are incorrect:
- Choice A (Administer albuterol inhaler): While albuterol is a common medication for asthma, oxygen therapy is the priority in this scenario to address hypoxemia.
- Choice B (Assess for tracheal deviation): Tracheal deviation is not typically associated with asthma exacerbations and is not the most urgent action needed in this situation.
- Choice D (Perform peak expiratory flow measurements): Peak expiratory flow

You may also like to solve these questions

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.

John presents with bronchitis. He thinks that he might have chronic bronchitis and asks you to explain the difference between them. You respond by saying

  • A. Acute bronchitis lasts for 3 consecutive months and is reversible.
  • B. Acute bronchitis lasts 7 to 10 days.
  • C. Chronic bronchitis lasts 3 consecutive months in 2 consecutive years. This results in a blockage of the airways which cannot be reversed. Acute bronchitis is caused by a viral or bacterial infection and lasts about 10 days. Blockage of the airways is reversible in acute bronchitis.
  • D. I will ask your physician to explain the differences during his rounds.
Correct Answer: C

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

A client is wearing a Venturi mask to receive oxygen, and the dinner tray has arrived. What action by the nurse is best?

  • A. Assess the client's oxygen saturation and, if normal, turn off the oxygen.
  • B. Determine if the client can switch to a nasal cannula during the meal.
  • C. Have the client lift the mask off the face when taking bites of food.
  • D. Turn off the oxygen while the client eats the meal and then restart it.
Correct Answer: B

Rationale: The correct answer is B: Determine if the client can switch to a nasal cannula during the meal. This is the best action because the client can maintain oxygen therapy while eating without the obstruction of the Venturi mask. Switching to a nasal cannula allows for continued oxygen delivery during meals.

A: Assessing the client's oxygen saturation and turning off the oxygen if normal is incorrect because the client still needs oxygen support during meals.

C: Having the client lift the mask off the face when taking bites of food is incorrect as it disrupts continuous oxygen therapy.

D: Turning off the oxygen while the client eats the meal and then restarting it is incorrect as it interrupts oxygen therapy, which should be continuous for clients requiring oxygen support.

The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:

  • A. infected.
  • B. not healing.
  • C. necrotic.
  • D. healing.
Correct Answer: D

Rationale: The wound is not infected. An infected wound would contain pus, debris, and exudate. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries.

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.

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