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VATI MEDICAL SURGICAL FINAL ASSESSMENT 2023 WITH CORRECT ANSWERS
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VATI MEDICAL SURGICAL FINAL ASSESSMENT 2023 WITH CORRECT ANSWERS
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2022VATI MEDICAL SURGICAL
FINAL ASSESSMENT 2023 WITH CORRECT
ANSWERS
A nurse is preparing to discharge a client who is postop following a hip arthroplasty.
Which of the following equipment should the nurse ensure that the client has available
at home prior to discharge? Elevated toilet seat.
A nurse is assessing a client who has suspected appendicitis. Which of the following
manifestations should the nurse expect? SATA
Elevated WBC
Rebound tenderness
Anorexia
A nurse teaching a client who has a new diagnosis of type 1 DM. Which of the following
"I astatements by the client indicates an understanding of the teaching? aware A nurse
that my diabetes is caused by an autoimmune disorder." caring for a male client who
has a new prescription for cyclosporine
adverse effect following
24 of thisWhich of the following findings should the nurse identify as
mg/dL an therapy?
chemotherapy.
teaching? Whichteaching for a client who has neutropenia and is receiving
SATAof the following client statements indicates an
" I will avoid crowds" understanding of
"I will take my temperature daily"
eaching to a client who has a new prescription for
atements by the client indicates an understanding
erated." results of a client who is in respiratory
idosis. Which of should the nurse identify as
responsible for this acid-base
suspension. Which of the following
the teaching? -predominant irritable
"I will keep the medication
,nurse is analyzing the A of the following statements should the nurse include in
ABG
imbalance? client who is scheduled for a bronchoscopy.
Retention of carbon dioxide Which of
A nurse is providing teaching for a clie
ch the tethe nurse include in the after the
bowel syndrome (IBS-C). Whiteaching?
"Take psyllium in the evening." A procedure until you are able to cough." nurse
is providing teaching to a the followingteaching to a client who is scheduled for a
statements should "You will not be abl radical owing information should the nurse
to eat or drink A nurse is include in the
preoperative providing pain control.
teaching? eaching about infection control at home for a client
A PCA pump will be used for postop
nurse is providing discharge
the teaching?
"I will place my used tissues in a A
nurse is assessing a client who
findings should the nurse Aho
expect? e following statements by the client indicates an
understanding of
plastic bag."
has Cushing's syndrome. Which of the following
Osteoporosis
A nurse is assessing a client who has a chest tube connected to a closed water-seal
drainage system. Which of the following findings should the nurse report to the
provider?
Constant bubbling in the water seal chamber.
A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of
the following findings should indicate to the nurse that the medication has been
effective?
The client's daily peak expiratory flow (PEF) measures 85% above personal best. A
nurse is assessing a client's ECG strip and notes an irregular heart rate of 98 pbm
with no clear p waves. Which of the following cardiac dysrhythmias should the nurse
document?
A fib
A nurse is assessing a client who has an exacerbation of diverticular disease. In which
of the following quadrants should the nurse anticipate the client to be experiencing
abdominal pain? LLQ
,A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for which of the
following adverse effects? Thinning of the skin.
A nurse is performing a risk assessment for a client. Which of the following factors
should the nurse identify as increasing the client's risk for falls?
The client had cataracts surgery 1 day ago.
A nurse is caring for a client who is receiving vancomycin intermittent IV bolus therapy
for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following findings
is an indication to the nurse that the client is experiencing an adverse effect of the
medication?
The client is becoming flushed.
A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the
following findings should the nurse identify as a manifestation of cardiac tamponade?
Paradoxical pulse.
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse
should identify which of the following lesion characteristics on the client's skin.
A pearly, waxy nodule.
A nurse is caring for a client who is receiving a transfusion of packed RBCs. The nurse
notes that the client's blood type is AB positive an the blood transfusing is labeled type
B negative. Which of the following actions should the nurse take?
Monitor the client for any adverse reactions?
A nurse is caring for a client who has multiple leg fractures and is 24 hr post op following
placement of skeletal traction. Which of the following actions should the nurse take?
Inspect the pin sites at least every 8 hours.
A nurse is providing teaching to a client who has a new prescription for warfarin. Which
of the following medications should the nurse instruct the client to avoid? SATA
, Aspirin
Naproxen
A nurse is caring for a client who is receiving mechanical ventilation. Which of the
following actions should the nurse implement to decrease the client's risk for ventilator-
associated pneumonia (VAP)?
Monitor for oral secretions every 2 hrs
Provide oral care evert 2 hrs
Assess the client daily for readiness for extubation
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of left-sided HF?
Frothy sputum
A nurse is assessing a client who is undergoing radiation therapy for breast cancer.
Which of the following findings is an indication to the nurse that the client is
experiencing an adverse effect of the therapy?
Skin Changes
A nurse is planning care for a client who is scheduled for surgery and has a latex
allergy. Which of the following actions should the nurse plan to take?
Place monitoring cords and tubes in a stockinette
A nurse is teaching a client about self-management of their halo fixator device. Which of
the following information should the nurse include in the teaching?
Place a small pillow under the head while lying supine.
A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and
indwelling urinary catheter. The nurse should identify which of the following findings as
an indication of a complication of the surgery?
Clear drainage on the dressings.
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following
actions should the nurse take?
Report cloudy dialysate drainage to the provider.
A nurse is caring for a client who had a surgical repair of an abdominal aortic aneurysm
3 days ago. The client's vital signs are: temp 38.3 degrees celcius, HR 80 bpm, RR 16
bpm, BP 128/76 mmHg. Which of the following actions is the nurse's priorirty?
Assess the surgical incision for signs of infection.
l
What natura
Aloe vera upplement/homeopathic remedy is used to help heal burns and wounds?
What is lavage?
Washing out o
solution
What is a a body cavity, such as a colon or stomach with water or a medicated
peritoneal
lavage?
aspirated with st in which a catheter is inserted into peritoneal cavity and fluid is
a cavity in clie syringe. It is most commonly performed to assess for bleeding in abd
What are adre who have experienced blunt trauma.
hormones: holamines?
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