VATI Med-Surg Post-
Assessment
1. B. Request a consult with the speech-language pathologist.
The speech-language pathologist can recommend specific communication strategies
for a client who has global aphasia. By identifying this need, the nurse is advocating
for the client.: A nurse is caring for a client who has global aphasia following a
cerebrovascular accident (CVA). Which of the following actions should the nurse
incorporate into the client's care?
A. Provide the client with two-step tasks
B. Request a consult with the speech-language pathologist.
C. Ask questions the client can answer with a simple "yes" or "no."
D.Use a raised voice when speaking to the client.
2. C. "Tell me more about what is making you feel unsure about taking this
medication."
This is an open-ended statement that allows the client to express their con- cerns
about the treatment plan.: A client who is newly diagnosed with cancer has been
prescribed oral chemotherapy. The client tells the nurse, "I'm not sure if I want to take this
medicine." Which of the following responses should the nurse make?
A. "I think you should seriously consider the consequences of not going through with
treatment."
B. "You do not have to take any medications that you don't want to."
C. "Tell me more about what is making you feel unsure about taking this medication."
D."Are you nervous about the side effects of chemotherapy?"
3. D. Occupational therapist
Occupational therapists assist with developing a client's fine motor skills used for
activities of daily living, such as eating, grooming, and hygiene.: A nurse is caring
for a client who has multiple sclerosis and is unable to maintain a grip on eating utensils.
Which of the following referrals should the nurse make?
A. Speech-language pathologist
B. Physical therapist
C. Registered dietitian
D.Occupational therapist
4. A. History of thyroid cancer
The nurse should identify a personal or family history of thyroid cancer as a
, VATI Med-Surg Post-
Assessment
contraindication to taking liraglutide and notify the provider. Other contraindi-
cations to receiving this medication can include type 1 diabetes mellitus, diabetic
ketoacidosis, and a history of suicidal thoughts or attempts.: A nurse is reviewing the
medical record of a client who has a prescription for liraglutide.
Which of the following findings should the nurse identify as a contraindication to this
medication?
A. History of thyroid cancer
B. Concurrent use of metformin
C. Blood glucose 200 mg/dL
D.Albumin 3.8 g/dL
5. D. Myalgia
The nurse should identify that myalgia is an adverse effect of ciprofloxacin and can be
an indication that the client might be experiencing tendonitis, which could lead to
tendon rupture. Other adverse effects can include dizziness, agitation, and
confusion.: A nurse is monitoring a client who has a prescription for ciprofloxacin 400 mg
IV every 12 hr. Which of the following manifestations should the nurse identify as an
adverse effect of this medication?
A. Constipation
B. Anorexia
C. Fever
D.Myalgia
6. C. Confirm the plasma compatibility with another nurse.
The nurse should confirm the plasma ABO compatibility with another nurse by
verifying the client's identity and comparing the bag of FFP to the medical record to
prevent an adverse reaction. The nurse should also check the expi- ration time on the
FFP.: A nurse is preparing to administer a unit of fresh frozen plasma (FFP) to a client.
Which of the following actions should the nurse plan to take prior to the transfusion?
A. Initiate an IV infusion of dextrose 5% in water.
B. Ensure the FFP is compatible with the client's Rh status.
C. Confirm the plasma compatibility with another nurse.
D.Review liver function tests.
7. A. Check the blood return
Assessment
1. B. Request a consult with the speech-language pathologist.
The speech-language pathologist can recommend specific communication strategies
for a client who has global aphasia. By identifying this need, the nurse is advocating
for the client.: A nurse is caring for a client who has global aphasia following a
cerebrovascular accident (CVA). Which of the following actions should the nurse
incorporate into the client's care?
A. Provide the client with two-step tasks
B. Request a consult with the speech-language pathologist.
C. Ask questions the client can answer with a simple "yes" or "no."
D.Use a raised voice when speaking to the client.
2. C. "Tell me more about what is making you feel unsure about taking this
medication."
This is an open-ended statement that allows the client to express their con- cerns
about the treatment plan.: A client who is newly diagnosed with cancer has been
prescribed oral chemotherapy. The client tells the nurse, "I'm not sure if I want to take this
medicine." Which of the following responses should the nurse make?
A. "I think you should seriously consider the consequences of not going through with
treatment."
B. "You do not have to take any medications that you don't want to."
C. "Tell me more about what is making you feel unsure about taking this medication."
D."Are you nervous about the side effects of chemotherapy?"
3. D. Occupational therapist
Occupational therapists assist with developing a client's fine motor skills used for
activities of daily living, such as eating, grooming, and hygiene.: A nurse is caring
for a client who has multiple sclerosis and is unable to maintain a grip on eating utensils.
Which of the following referrals should the nurse make?
A. Speech-language pathologist
B. Physical therapist
C. Registered dietitian
D.Occupational therapist
4. A. History of thyroid cancer
The nurse should identify a personal or family history of thyroid cancer as a
, VATI Med-Surg Post-
Assessment
contraindication to taking liraglutide and notify the provider. Other contraindi-
cations to receiving this medication can include type 1 diabetes mellitus, diabetic
ketoacidosis, and a history of suicidal thoughts or attempts.: A nurse is reviewing the
medical record of a client who has a prescription for liraglutide.
Which of the following findings should the nurse identify as a contraindication to this
medication?
A. History of thyroid cancer
B. Concurrent use of metformin
C. Blood glucose 200 mg/dL
D.Albumin 3.8 g/dL
5. D. Myalgia
The nurse should identify that myalgia is an adverse effect of ciprofloxacin and can be
an indication that the client might be experiencing tendonitis, which could lead to
tendon rupture. Other adverse effects can include dizziness, agitation, and
confusion.: A nurse is monitoring a client who has a prescription for ciprofloxacin 400 mg
IV every 12 hr. Which of the following manifestations should the nurse identify as an
adverse effect of this medication?
A. Constipation
B. Anorexia
C. Fever
D.Myalgia
6. C. Confirm the plasma compatibility with another nurse.
The nurse should confirm the plasma ABO compatibility with another nurse by
verifying the client's identity and comparing the bag of FFP to the medical record to
prevent an adverse reaction. The nurse should also check the expi- ration time on the
FFP.: A nurse is preparing to administer a unit of fresh frozen plasma (FFP) to a client.
Which of the following actions should the nurse plan to take prior to the transfusion?
A. Initiate an IV infusion of dextrose 5% in water.
B. Ensure the FFP is compatible with the client's Rh status.
C. Confirm the plasma compatibility with another nurse.
D.Review liver function tests.
7. A. Check the blood return
