ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
Ken Thom needs instruction on the medications he is taking for his hypothyroidism. You would include which of the following in a teaching plan?
Correct Answer: C
Rationale: Thyroid medications will be absorbed better if taken on an empty stomach. Thyroid medications would best be taken in the morning, as they may cause difficulty in sleeping when taken at night. Weight loss should occur, but the patient should be taught to report an excessive loss. Leg cramps may indicate a calcium disturbance that needs correction. Iodine is an antithyroid, decreasing thyroid function. Increasing intake of thyroid would effectively act as an antidote to the thyroid medications Mr. Thom is taking.
Question 2 of 5
The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:
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.
Question 3 of 5
A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:
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.
Question 4 of 5
A 29-year-old client is scheduled for an arthrotomy of the right knee following a football injury. The client describes his state of health as excellent and states that he does not use any medication. In providing psychological support for the client during the preoperative period, the nurse should:
Correct Answer: B
Rationale: Teaching coughing and deep breathing is a component of preoperative teaching, but it does not necessarily provide psychological support. Spiritual care, a component of psychological support, can reduce the client's fears and anxieties related to the surgical experience. Performing a physical assessment is part of the physical preparation for surgery, not the psychological preparation. Providing the preoperative medication is a part of the preparation immediately before surgery. While the medication will sedate and relax the client, it is not considered to be psychological support.
Question 5 of 5
The client has received preoperative teaching for a vertical partial laryngectomy. The nurse determines that the teaching has been effective when the client states:
Correct Answer: C
Rationale: Special swallowing training is required for a client with a supraglottic (horizontal partial) laryngectomy, not a vertical partial laryngectomy. The quality of the client's voice will be altered, but it will be adequate for communication. The client will have minimal difficulty swallowing. A radical neck dissection may be done with a total laryngectomy, not with a partial laryngectomy.