Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
Custom:PN VATI Medical Surgical Re-evaluation
Assessment
A client admitted to the hospital reports flank pain, nausea, and vomiting for 24 hr. Which of the
following would be a priority nursing action?
A) Monitor intake and output
B) Strain the urine
C) Administer pain medication
D) Administer an antiemetic - ANS-C) Administer pain medication
A community health nurse is assisting with planning an immunization clinic for older adult
clients. The nurse should advise the clients to receive an influenza vaccine
A) only if they are in a high-risk group
B) every 10 yrs
C) annually
D) if the clietn has never had influenza - ANS-C) annually
A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal
cannula. The client tells the nurse she has been having difficulty breathing. Which of the
following nursing actions is the priority at this time?
A) Increase the oxygen flow to 3 L/min
B) Evaluate the client's respiratory status
C) Call emergency services for the client
D) Have the client cough and expectorate secretions - ANS-B) Evaluate the client's respiratory
status
A nurse assisting with the care of a client who is receiving treatment following a motor vehicle
crash. Which of the following actions should the nurse take to determine the client's level of
alertness?
A) check the client's eye opening in response to verbal stimuli
B) Check the client's pupillary response to light
C) Check the client's motor response to nail bed pressure
D) Check teh client's response to questions about place and time - ANS-A) check the client's
eye opening in response to verbal stimuli
A nurse at a community health clinic is caring for a client who reports a headache and stiff neck.
Which of the following actions hsould the nurse perform first?
Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
,Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
A) obtain a throat culture specimen
B) Perform a complete blood count
C) Check the client's temperature
D) Administer an oral analgesics - ANS-C) Check the client's temperature
A nurse collects data on a client who returned to the unit four hr ago following a partial
colectomy. Which of the following conditions should the nurse attend to first?
A) Change the moderately saturated dressing.
B) Administer analgesic medication for incisional pain.
C) Catheterize for a distended bladder.
D) Cough and deep breathe client. - ANS-B) Administer analgesic medication for incisional pain.
Rationale: Administer pain medication to establish comfort and then attend to the other reported
condition.
A nurse finds radioactive pellets on the surgical unit suite floor. Which of the following should be
the nurse's priority action?
A) Follow material safety data sheet (MSDS) instructions
B) Place pellets in the biohazard area
C) Contact environment services
D) Notify the surgical department director. - ANS-A) Follow material safety data sheet (MSDS)
instructions
A nurse has been assigned to care for four clients. The nurse should observe which of the
following clients for indication of Vitamin B6 deficiency?
A) A client who has cystic fibrosis
B) A client who has a chronic alcohol problem
C) A client who take phenytoin (Dilantin) for a seizure disorder
D) A client who is prescribed rifampin (Rifadin) for tuberculosis - ANS-B) A client who has a
chronic alcohol problem
A nurse in a health clinic is assisting in the planning of an educational program on skin cancer.
Which of the following statements should be included in the presentation?
A) Squamous cell carcinoma occurs most often on the face and trunk
B) Radiation therapy is the treatment of choice for mestatic skin cancer.
C) Sun exposure as a child is a significant risk factor for skin cancer.
D) Basal cell carcinoma is an aggressive cancer with a high rate of metastasis. - ANS-C) Sun
exposure as a child is a significant risk factor for skin cancer.
Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
, Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
A nurse in an emergency department is caring for a client who has a deep laceration on her left
lower forearm and is bleeding heavily from the wound. Which of the following interventions
should the nurse perform first?
A) Apply a tourniquet just above the wound
B) Apply pressure directly at the wound
C) Elevate the extremity
D) Place the client in a modified Trendelenburg position - ANS-B) Apply pressure directly at the
wound
A nurse in an emergency department is preparing to care for a client who is brought with
multiple system trauma following a motor vehicle crash. Which of the following is the priority
focus of care? - ANS-A) Airway protection.
A nurse in the emergency department is assisting with the care of a client who is comatose. The
provider suspects ketoacidosis. Which of the following findings should the nurse expect?
A) Malignant hypertension
B) Acetone odor to breath
C) Cheyne-Stokes breathing
D) Blood glucose level below 40 mg/dL - ANS-B) Acetone odor to breath
A nurse is admitting a client with suspected appendicitis. Identify where the nurse should
palpate to monitor for pain at McBurney's point. (Selectable areas / Hot spots) - ANS-Right
lower quadrant
OO
XO
A nurse is assessing a client who is African-American and who is jaundice. Which of the
following areas are the most reliable for the nurse to inspect?
A) Palms of hands
B) Hard palate
C) Sclera
D) Nail beds - ANS-Hard palate
A nurse is assigned to care for a client suspected of having diabetes insipidus. The nurse
should frequently check the client for the development of :
A) hypotension
B) polyphagia
C) hyperglycemia
D) bradycardia - ANS-A) hypotension
Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
Custom:PN VATI Medical Surgical Re-evaluation
Assessment
A client admitted to the hospital reports flank pain, nausea, and vomiting for 24 hr. Which of the
following would be a priority nursing action?
A) Monitor intake and output
B) Strain the urine
C) Administer pain medication
D) Administer an antiemetic - ANS-C) Administer pain medication
A community health nurse is assisting with planning an immunization clinic for older adult
clients. The nurse should advise the clients to receive an influenza vaccine
A) only if they are in a high-risk group
B) every 10 yrs
C) annually
D) if the clietn has never had influenza - ANS-C) annually
A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal
cannula. The client tells the nurse she has been having difficulty breathing. Which of the
following nursing actions is the priority at this time?
A) Increase the oxygen flow to 3 L/min
B) Evaluate the client's respiratory status
C) Call emergency services for the client
D) Have the client cough and expectorate secretions - ANS-B) Evaluate the client's respiratory
status
A nurse assisting with the care of a client who is receiving treatment following a motor vehicle
crash. Which of the following actions should the nurse take to determine the client's level of
alertness?
A) check the client's eye opening in response to verbal stimuli
B) Check the client's pupillary response to light
C) Check the client's motor response to nail bed pressure
D) Check teh client's response to questions about place and time - ANS-A) check the client's
eye opening in response to verbal stimuli
A nurse at a community health clinic is caring for a client who reports a headache and stiff neck.
Which of the following actions hsould the nurse perform first?
Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
,Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
A) obtain a throat culture specimen
B) Perform a complete blood count
C) Check the client's temperature
D) Administer an oral analgesics - ANS-C) Check the client's temperature
A nurse collects data on a client who returned to the unit four hr ago following a partial
colectomy. Which of the following conditions should the nurse attend to first?
A) Change the moderately saturated dressing.
B) Administer analgesic medication for incisional pain.
C) Catheterize for a distended bladder.
D) Cough and deep breathe client. - ANS-B) Administer analgesic medication for incisional pain.
Rationale: Administer pain medication to establish comfort and then attend to the other reported
condition.
A nurse finds radioactive pellets on the surgical unit suite floor. Which of the following should be
the nurse's priority action?
A) Follow material safety data sheet (MSDS) instructions
B) Place pellets in the biohazard area
C) Contact environment services
D) Notify the surgical department director. - ANS-A) Follow material safety data sheet (MSDS)
instructions
A nurse has been assigned to care for four clients. The nurse should observe which of the
following clients for indication of Vitamin B6 deficiency?
A) A client who has cystic fibrosis
B) A client who has a chronic alcohol problem
C) A client who take phenytoin (Dilantin) for a seizure disorder
D) A client who is prescribed rifampin (Rifadin) for tuberculosis - ANS-B) A client who has a
chronic alcohol problem
A nurse in a health clinic is assisting in the planning of an educational program on skin cancer.
Which of the following statements should be included in the presentation?
A) Squamous cell carcinoma occurs most often on the face and trunk
B) Radiation therapy is the treatment of choice for mestatic skin cancer.
C) Sun exposure as a child is a significant risk factor for skin cancer.
D) Basal cell carcinoma is an aggressive cancer with a high rate of metastasis. - ANS-C) Sun
exposure as a child is a significant risk factor for skin cancer.
Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
, Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
A nurse in an emergency department is caring for a client who has a deep laceration on her left
lower forearm and is bleeding heavily from the wound. Which of the following interventions
should the nurse perform first?
A) Apply a tourniquet just above the wound
B) Apply pressure directly at the wound
C) Elevate the extremity
D) Place the client in a modified Trendelenburg position - ANS-B) Apply pressure directly at the
wound
A nurse in an emergency department is preparing to care for a client who is brought with
multiple system trauma following a motor vehicle crash. Which of the following is the priority
focus of care? - ANS-A) Airway protection.
A nurse in the emergency department is assisting with the care of a client who is comatose. The
provider suspects ketoacidosis. Which of the following findings should the nurse expect?
A) Malignant hypertension
B) Acetone odor to breath
C) Cheyne-Stokes breathing
D) Blood glucose level below 40 mg/dL - ANS-B) Acetone odor to breath
A nurse is admitting a client with suspected appendicitis. Identify where the nurse should
palpate to monitor for pain at McBurney's point. (Selectable areas / Hot spots) - ANS-Right
lower quadrant
OO
XO
A nurse is assessing a client who is African-American and who is jaundice. Which of the
following areas are the most reliable for the nurse to inspect?
A) Palms of hands
B) Hard palate
C) Sclera
D) Nail beds - ANS-Hard palate
A nurse is assigned to care for a client suspected of having diabetes insipidus. The nurse
should frequently check the client for the development of :
A) hypotension
B) polyphagia
C) hyperglycemia
D) bradycardia - ANS-A) hypotension
Custom_PN VATI Medical Surgical Re-evaluation
Custom_PN
Assessment
VATI Medical Surgical Re-evaluation
Custom_PN
Assessment.pdf
VATI Medical Surgical Re-evaluation Assessment.pdf
