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CERTIFIED MEDICAL SURGICAL PRACTICE EXAM | ACTUAL QUESTIONS AND ANSWERS | EXPERT VERIFIED SOLUTIONS FOR PASS| LATEST VERSION | RATED A+ $18.99   Add to cart

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CERTIFIED MEDICAL SURGICAL PRACTICE EXAM | ACTUAL QUESTIONS AND ANSWERS | EXPERT VERIFIED SOLUTIONS FOR PASS| LATEST VERSION | RATED A+

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CERTIFIED MEDICAL SURGICAL PRACTICE EXAM | ACTUAL QUESTIONS AND ANSWERS | EXPERT VERIFIED SOLUTIONS FOR PASS| LATEST VERSION | RATED A+ The nurse recognizes the patient most likely to experience hypercarbic respiratory failure is the one with a diagnosis of a. acute respiratory di...

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  • October 2, 2024
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Mboffin
CERTIFIED MEDICAL SURGICAL
PRACTICE EXAM | ACTUAL
QUESTIONS AND ANSWERS |
EXPERT VERIFIED SOLUTIONS
FOR PASS| LATEST VERSION |
RATED A+



The nurse recognizes the patient most likely to experience hypercarbic respiratory
failure is the one with a diagnosis of
a. acute respiratory distress syndrome
b. pulmonary embolus
c. bronchitis
d. pulmonary edema - Correct answer: C.
Hypercarbic respiratory failure occurs when conditions cause a reduction in minute
volume or an increase in physiologic dead space (for example, COPD [including
bronchitis], asthma, exacerbation of underlying neuromuscular disease). Hypoxic
respiratory failure results from an insult to the pulmonary tissues (such as pneumonia,
ARDS, pulmonary contusion)

A patient with Stage II adenocarcinoma of the lung is being treated with the anti-tumor
antibiotic doxorubicin (Adriamycin). The nurse knows that alteration in dose scheduling
of doxorubicin is needed to decrease the risk of toxicity to which of the following organs:
a. liver

, b. heart
c. pancreas
d. kidney - Correct Answer: B.
Cardiotoxicity can develop from a cumulative drug effect. Altering the dose scheduling
of doxorubicin to include frequent lower doses has resulted in reduction of cardiotoxicity
without compromise of anti tumor effects.

A 57 Year old patient is admitted to the medical unit for progressive symptoms of
dyspnea on exertion and decreased appetite, and is scheduled for pulmonary function
testing. when the patient asks what the test will measure, the nurse's response is based
on the knowledge that the tests are used to identify which three general patterns of
pulmonary abnormality?

a. obstructive, restrictive, and mixed
b. obstructive, constrictive, and mixed
c. restrictive, functional, and mixed
d. constrictive, functional and mixed - Correct Answer: A.
Pulmonary function tests are used to identify and quantify abnormalities in respiratory
function, including three general patterns of abnormality: obstructive, restrictive, and
mixed.

The preferred Mantoux test for screening and diagnosis of tuberculosis should be read
by the trained nurse in:

a. 18 to 24 hours
b. 24 to 36 hours
c. 48 to 72 hours.
d. 72 to 96 hours - Correct Answer: C.
the skin test should be read 48 to 72 hours after it has been administered.

Arterial blood gas results, including a pH less than 7.35 and a pCO2 greater than 45,
would reflect:
a. metabolic acidosis
b. respiratory acidosis
c. metabolic alkalosis
d. respiratory alkalosis - Correct Answer: B.
Assess pH; less than 7.35 = acidosis.
Assess pCO2; greater than 45 = respiratory acidosis

For the patient with a new tracheostomy, the nurse must be alert to which early
complication?

a. decannulation
b. infection
c. bleeding
d. tracheomalacia - Correct Answer: C.

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