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MEDICAL-SURGICAL NURSING PRACTICE TEST PART 1 (WITH ANSWERS AND RATIONALE AT THE END OF THE TEST)

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Instructions: Carefully read each given scenarios and questions and choose the BEST answer. A 37 year-old Female went to the E.R. after complaining of difficulty of breathing she experienced after cl ... eaning their house attic. The E.R. nurse noted wheezing. The physician then diagnosed the patient with bronchial asthma and was then discharged after relief was provided by antiasthmatics. She was asked to continue these medications for a month twice a day. 1. The client was prescribed Salmetrol and Fluticasone both per inhalation as home medications. Which among the following statements made by the client warrants further teaching? A. “I will take Fluticasone first then Salmetrol and afterwards, I should gargle.” B. “I should allow at least 1.5” space between the inhaler and my mouth.” C. “There has to be a 5-minute interval between these 2 medications.” D. “I should hold the inhaler at least 2 fingerwidths infront of my mouth.” 2. Which among the following statements made by the client indicates she understood the health teachings provided by the nurse? A. “After activating the inhaler, I will hold my breath for 5 seconds and breathe in slowly.” B. “After puffing the medication, I should wait for 5 seconds before exhaling slowly” C. “I will wait for 1 minute before inhaling another dose of Salmetrol.” D. “There should at least be a 2 fingerwidth distance between the spacer and my mouth.” 3. Which among the following descriptions would validate the nurse’s finding? A. A discontinuous high pitch sound was auscultated on expiration B. A continuous high pitch sound was auscultated on inspiration C. A discontinuous high pitch sound was auscultated on inspiration D. A continuous high pitch sound was auscultated on expiration [Show More]

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