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 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.

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For a patient who is receiving chemotherapy, which laboratory result is of particular importance?

  • A. WBC.
  • B. PT and PTT.
  • C. Electrolytes.
  • D. BUN.
Correct Answer: A

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

How will recognizing that clients have different perceptions of time assist the nurse to provide more sensitive care?

  • A. Adapting care plans to accommodate varying time perspectives.
  • B. Enforcing strict schedules regardless of cultural differences.
  • C. Ignoring time-related preferences.
  • D. None of the above.
Correct Answer: A

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

Which BMI is associated with overeating syndromes?

  • A. Increase protein intake
  • B. Reduce carbohydrate consumption
  • C. Drink more water
  • D. Take vitamin supplements
Correct Answer: C

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

A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding does the nurse expect?

  • A. Increased anteroposterior (AP) chest diameter
  • B. Decreased respiratory rate
  • C. Weight gain
  • D. Productive cough with yellow sputum
Correct Answer: A

Rationale: The correct answer is A: Increased anteroposterior (AP) chest diameter. In COPD, the chronic obstruction of airflow leads to air trapping in the lungs, causing the chest to expand more front-to-back (increased AP diameter). This is known as "barrel chest" and is a characteristic finding in COPD due to hyperinflation of the lungs.
Incorrect choices:
B: Decreased respiratory rate is not expected in COPD as patients may have increased respiratory rate due to difficulty breathing.
C: Weight gain is not a typical finding in COPD as patients often experience weight loss due to increased energy expenditure and decreased appetite.
D: Productive cough with yellow sputum is common in COPD, but it is not the most specific finding for this condition.

What high-priority nursing diagnoses and interventions would you identify for a client diagnosed with anxiety?

  • A. High blood pressure
  • B. Increased heart rate
  • C. Decreased oxygen supply
  • D. Muscle relaxation
Correct Answer: D

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

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