VATI MED SURG EXAM SCRIPT 2026
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET 200
◉ - You will lean forward on the over bed table for this procedure
A thoracentesis is a therapeutic or diagnostic procedure that
involves insertion of a needle into the pleural space. It can be
performed at the client's bedside with the client leaning forward on
pillows and across an overbed table. This position widens the
intercostal spaces and makes it easier to insert the needle into the
posterior chest and remove the pleural fluid.
Answer: A nurse is reinforcing teaching with a client who is
scheduled for a thoracentesis to remove
pleural fluid. Which of the following information should the nurse
include in the teaching
- You will lean forward on the over bed table for this procedure
◉ - Do not eat or drink anything 15min before or after chewing the
gum
,The client should not eat or drink anything 15 min before, during, or
15 min after chewing the gum. Food and beverages can interfere
with the absorption of nicotine and diminish its therapeutic effects
as nicotine replacement therapy.
Answer: A nurse is reinforcing teaching with a client who is in early
stage stages of COPD and wants to
use nicotine chewing gum to help him stop smoking. Which of the
following recommendations should the nurse make
- Do not eat or drink anything 15min before or after chewing the
gum
◉ - I'll prop my feet up while im watching television
Elevation promotes circulation to the client's feet. Clients who have
diabetes mellitus develop changes to microvasculature, which can
impair circulation.
Answer: A nurse is reinforcing teaching about foot care with a client
who has a new diagnosis of diabetes
mellitus, which of the following statements by the client indicates an
understanding of the
instructions
- I'll prop my feet up while im watching television
◉ Stroke the inner thigh
, A client who has a spinal cord injury can experience a loss of urinary
control. The injury to the spinal cord results in a neurogenic bladder,
which means the client is unaware of the need to void. This can
result in bladder distention, renal calculi, or autonomic dysreflexia.
The nurse should monitor urinary output and implement a bladder
retraining program that includes teaching the client how to trigger
voiding, such as stroking the inner thigh.
Answer: A nurse is contributing to the plan of care for a client who
has a neurogenic bladder following a
spinal cord injury. Which of the following interventions should the
nurse include in the plan to develop bladder control
- Stroke the inner thigh
◉ - Joint pain
The nurse should expect a client who has SLE to exhibit
manifestations such as joint pain, photosensitivity, hair loss, and
malaise. SLE is an autoimmune disease that causes the body to
produce antibodies that attack body cells instead of pathogens, such
as bacteria and fungi.
Answer: A nurse is reviewing the medical record of a client who has
systemic lupus erythematosus. Which of the following findings
should the nurse expect
- Joint pain
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET 200
◉ - You will lean forward on the over bed table for this procedure
A thoracentesis is a therapeutic or diagnostic procedure that
involves insertion of a needle into the pleural space. It can be
performed at the client's bedside with the client leaning forward on
pillows and across an overbed table. This position widens the
intercostal spaces and makes it easier to insert the needle into the
posterior chest and remove the pleural fluid.
Answer: A nurse is reinforcing teaching with a client who is
scheduled for a thoracentesis to remove
pleural fluid. Which of the following information should the nurse
include in the teaching
- You will lean forward on the over bed table for this procedure
◉ - Do not eat or drink anything 15min before or after chewing the
gum
,The client should not eat or drink anything 15 min before, during, or
15 min after chewing the gum. Food and beverages can interfere
with the absorption of nicotine and diminish its therapeutic effects
as nicotine replacement therapy.
Answer: A nurse is reinforcing teaching with a client who is in early
stage stages of COPD and wants to
use nicotine chewing gum to help him stop smoking. Which of the
following recommendations should the nurse make
- Do not eat or drink anything 15min before or after chewing the
gum
◉ - I'll prop my feet up while im watching television
Elevation promotes circulation to the client's feet. Clients who have
diabetes mellitus develop changes to microvasculature, which can
impair circulation.
Answer: A nurse is reinforcing teaching about foot care with a client
who has a new diagnosis of diabetes
mellitus, which of the following statements by the client indicates an
understanding of the
instructions
- I'll prop my feet up while im watching television
◉ Stroke the inner thigh
, A client who has a spinal cord injury can experience a loss of urinary
control. The injury to the spinal cord results in a neurogenic bladder,
which means the client is unaware of the need to void. This can
result in bladder distention, renal calculi, or autonomic dysreflexia.
The nurse should monitor urinary output and implement a bladder
retraining program that includes teaching the client how to trigger
voiding, such as stroking the inner thigh.
Answer: A nurse is contributing to the plan of care for a client who
has a neurogenic bladder following a
spinal cord injury. Which of the following interventions should the
nurse include in the plan to develop bladder control
- Stroke the inner thigh
◉ - Joint pain
The nurse should expect a client who has SLE to exhibit
manifestations such as joint pain, photosensitivity, hair loss, and
malaise. SLE is an autoimmune disease that causes the body to
produce antibodies that attack body cells instead of pathogens, such
as bacteria and fungi.
Answer: A nurse is reviewing the medical record of a client who has
systemic lupus erythematosus. Which of the following findings
should the nurse expect
- Joint pain
