COMPLETE TEST BANK – VATI GREEN LIGHT --- --- --- --- --- --- ---
COMPREHENSIVE EXAM (FORMS A, B & C) | --- --- --- --- --- --- --- ---
450+ VERIFIED QUESTIONS & ANSWERS |
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LATEST 2026/2027 UPDATE | GRADED A+ --- --- --- --- --- ---
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Form A: Medical-Surgical Nursing
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Question 1 --- ---
A nurse is assessing a client who has pneumonia. Which of
--- --- --- --- --- --- --- --- --- --- ---
the following findings should the nurse expect?
--- --- --- --- --- --- ---
A) Hyperresonance on percussion --- --- ---
B) Bronchial breath sounds over consolidated area --- --- --- --- --- ---
C) Decreased tactile fremitus --- --- ---
D) Prolonged expiratory phase --- --- ---
Answer: B --- ---
Rationale: In pneumonia with lung consolidation, bronchial breath
--- --- --- --- --- --- --- -
-- sounds are heard over the affected area due to improved sound
--- --- --- --- --- --- --- --- --- --- -
-- transmission through consolidated tissue . Hyperresonance occurs
--- --- --- --- --- --- ---
,in pneumothorax or COPD. Tactile fremitus is increased, not
--- --- --- --- --- --- --- --- ---
decreased, in consolidation. Prolonged expiratory phase is
--- --- --- --- --- --- ---
typical of obstructive lung disease .
--- --- --- --- --- ---
--
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Question 2 --- ---
A client with type 1 diabetes mellitus has a blood glucose
--- --- --- --- --- --- --- --- --- --- ---
level of 320 mg/dL and large ketones in the urine. Which of
--- --- --- --- --- --- --- --- --- --- --- ---
the following actions should the nurse take FIRST?
--- --- --- --- --- --- --- ---
A) Administer regular insulin IV --- --- --- ---
B) Administer 0.9% sodium chloride IV --- --- --- --- ---
C) Check serum potassium level --- --- --- ---
D) Obtain an arterial blood gas --- --- --- --- ---
Answer: B --- ---
Rationale: In diabetic ketoacidosis (DKA), the priority
--- --- --- --- --- --- ---
intervention is fluid resuscitation with IV 0.9% sodium chloride to
--- --- --- --- --- --- --- --- --- ---
correct dehydration and improve tissue perfusion . Insulin
--- --- --- --- --- --- --- ---
administration follows fluid resuscitation. Potassium levels should --- --- --- --- --- --- ---
be monitored after fluid and insulin therapy. ABG is important
--- --- --- --- --- --- --- --- --- ---
but not the first action .
--- --- --- --- --- ---
--
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,Question 3 --- ---
A client is receiving a continuous IV infusion of heparin.
--- --- --- --- --- --- --- --- --- ---
Which of the following laboratory values should the nurse
--- --- --- --- --- --- --- --- ---
monitor to evaluate therapeutic effect?
--- --- --- --- ---
A) Prothrombin time (PT) --- --- ---
B) International normalized ratio (INR) --- --- --- ---
C) Activated partial thromboplastin time (aPTT) --- --- --- --- ---
D) Platelet count --- ---
Answer: C --- ---
Rationale: aPTT is used to monitor heparin therapy, with a
--- --- --- --- --- --- --- --- --- ---
therapeutic range typically 1.5-2.5 times the control value . PT
--- --- --- --- --- --- --- --- --- ---
and INR monitor warfarin therapy. Platelet count monitors for
--- --- --- --- --- --- --- --- ---
heparin-induced thrombocytopenia (HIT), not therapeutic effect . --- --- --- --- --- --- ---
--
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Question 4 --- ---
A client with chronic kidney disease has a potassium level of
--- --- --- --- --- --- --- --- --- --- ---
6.5 mEq/L. Which of the following medications should the
--- --- --- --- --- --- --- --- ---
nurse anticipate administering?
--- --- ---
A) Furosemide ---
, B) Sodium polystyrene sulfonate (Kayexalate)
--- --- --- ---
C) Calcium gluconate --- ---
D) Sodium bicarbonate --- ---
Answer: B --- ---
Rationale: Sodium polystyrene sulfonate is a cation-exchange
--- --- --- --- --- --- ---
resin that lowers serum potassium by exchanging sodium for
--- --- --- --- --- --- --- --- ---
potassium in the gastrointestinal tract . It is used for moderate to
--- --- --- --- --- --- --- --- --- --- --- ---
severe hyperkalemia. Calcium gluconate stabilizes cardiac
--- --- --- --- --- ---
membranes but does not lower potassium. Furosemide increases
--- --- --- --- --- --- --- ---
potassium excretion but is less effective in advanced CKD.
--- --- --- --- --- --- --- --- ---
Sodium bicarbonate shifts potassium intracellularly in acidosis .
--- --- --- --- --- --- --- ---
--
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Question 5 --- ---
A nurse is assessing a client who has a chest tube connected
--- --- --- --- --- --- --- --- --- --- --- ---
to a water seal drainage system. Which of the following
--- --- --- --- --- --- --- --- --- ---
findings indicates proper function of the system?
--- --- --- --- --- --- ---
A) Continuous bubbling in the water seal chamber B)
--- --- --- --- --- --- --- --- ---
Tidaling (fluctuations) in the water seal chamber with
--- --- --- --- --- --- --- ---
inspiration ---
C) Absence of drainage in the collection chamber
--- --- --- --- --- --- ---
COMPREHENSIVE EXAM (FORMS A, B & C) | --- --- --- --- --- --- --- ---
450+ VERIFIED QUESTIONS & ANSWERS |
--- --- --- --- --- ---
LATEST 2026/2027 UPDATE | GRADED A+ --- --- --- --- --- ---
--
-
Form A: Medical-Surgical Nursing
--- --- --- ---
Question 1 --- ---
A nurse is assessing a client who has pneumonia. Which of
--- --- --- --- --- --- --- --- --- --- ---
the following findings should the nurse expect?
--- --- --- --- --- --- ---
A) Hyperresonance on percussion --- --- ---
B) Bronchial breath sounds over consolidated area --- --- --- --- --- ---
C) Decreased tactile fremitus --- --- ---
D) Prolonged expiratory phase --- --- ---
Answer: B --- ---
Rationale: In pneumonia with lung consolidation, bronchial breath
--- --- --- --- --- --- --- -
-- sounds are heard over the affected area due to improved sound
--- --- --- --- --- --- --- --- --- --- -
-- transmission through consolidated tissue . Hyperresonance occurs
--- --- --- --- --- --- ---
,in pneumothorax or COPD. Tactile fremitus is increased, not
--- --- --- --- --- --- --- --- ---
decreased, in consolidation. Prolonged expiratory phase is
--- --- --- --- --- --- ---
typical of obstructive lung disease .
--- --- --- --- --- ---
--
-
Question 2 --- ---
A client with type 1 diabetes mellitus has a blood glucose
--- --- --- --- --- --- --- --- --- --- ---
level of 320 mg/dL and large ketones in the urine. Which of
--- --- --- --- --- --- --- --- --- --- --- ---
the following actions should the nurse take FIRST?
--- --- --- --- --- --- --- ---
A) Administer regular insulin IV --- --- --- ---
B) Administer 0.9% sodium chloride IV --- --- --- --- ---
C) Check serum potassium level --- --- --- ---
D) Obtain an arterial blood gas --- --- --- --- ---
Answer: B --- ---
Rationale: In diabetic ketoacidosis (DKA), the priority
--- --- --- --- --- --- ---
intervention is fluid resuscitation with IV 0.9% sodium chloride to
--- --- --- --- --- --- --- --- --- ---
correct dehydration and improve tissue perfusion . Insulin
--- --- --- --- --- --- --- ---
administration follows fluid resuscitation. Potassium levels should --- --- --- --- --- --- ---
be monitored after fluid and insulin therapy. ABG is important
--- --- --- --- --- --- --- --- --- ---
but not the first action .
--- --- --- --- --- ---
--
-
,Question 3 --- ---
A client is receiving a continuous IV infusion of heparin.
--- --- --- --- --- --- --- --- --- ---
Which of the following laboratory values should the nurse
--- --- --- --- --- --- --- --- ---
monitor to evaluate therapeutic effect?
--- --- --- --- ---
A) Prothrombin time (PT) --- --- ---
B) International normalized ratio (INR) --- --- --- ---
C) Activated partial thromboplastin time (aPTT) --- --- --- --- ---
D) Platelet count --- ---
Answer: C --- ---
Rationale: aPTT is used to monitor heparin therapy, with a
--- --- --- --- --- --- --- --- --- ---
therapeutic range typically 1.5-2.5 times the control value . PT
--- --- --- --- --- --- --- --- --- ---
and INR monitor warfarin therapy. Platelet count monitors for
--- --- --- --- --- --- --- --- ---
heparin-induced thrombocytopenia (HIT), not therapeutic effect . --- --- --- --- --- --- ---
--
-
Question 4 --- ---
A client with chronic kidney disease has a potassium level of
--- --- --- --- --- --- --- --- --- --- ---
6.5 mEq/L. Which of the following medications should the
--- --- --- --- --- --- --- --- ---
nurse anticipate administering?
--- --- ---
A) Furosemide ---
, B) Sodium polystyrene sulfonate (Kayexalate)
--- --- --- ---
C) Calcium gluconate --- ---
D) Sodium bicarbonate --- ---
Answer: B --- ---
Rationale: Sodium polystyrene sulfonate is a cation-exchange
--- --- --- --- --- --- ---
resin that lowers serum potassium by exchanging sodium for
--- --- --- --- --- --- --- --- ---
potassium in the gastrointestinal tract . It is used for moderate to
--- --- --- --- --- --- --- --- --- --- --- ---
severe hyperkalemia. Calcium gluconate stabilizes cardiac
--- --- --- --- --- ---
membranes but does not lower potassium. Furosemide increases
--- --- --- --- --- --- --- ---
potassium excretion but is less effective in advanced CKD.
--- --- --- --- --- --- --- --- ---
Sodium bicarbonate shifts potassium intracellularly in acidosis .
--- --- --- --- --- --- --- ---
--
-
Question 5 --- ---
A nurse is assessing a client who has a chest tube connected
--- --- --- --- --- --- --- --- --- --- --- ---
to a water seal drainage system. Which of the following
--- --- --- --- --- --- --- --- --- ---
findings indicates proper function of the system?
--- --- --- --- --- --- ---
A) Continuous bubbling in the water seal chamber B)
--- --- --- --- --- --- --- --- ---
Tidaling (fluctuations) in the water seal chamber with
--- --- --- --- --- --- --- ---
inspiration ---
C) Absence of drainage in the collection chamber
--- --- --- --- --- --- ---
