PN VATI Medical Surgical Re-evaluation Assessment 2024
Questions With Complete Solutions
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 Correct Answers 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 Correct Answers 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 Correct
Answers 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
Correct Answers 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?
A) obtain a throat culture specimen
B) Perform a complete blood count
C) Check the client's temperature
D) Administer an oral analgesics Correct Answers 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. Correct Answers 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. Correct Answers 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
Correct Answers 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. Correct Answers C) Sun exposure as a child is a
significant risk factor for skin cancer.
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
Correct Answers 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? Correct Answers 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
Questions With Complete Solutions
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 Correct Answers 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 Correct Answers 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 Correct
Answers 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
Correct Answers 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?
A) obtain a throat culture specimen
B) Perform a complete blood count
C) Check the client's temperature
D) Administer an oral analgesics Correct Answers 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. Correct Answers 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. Correct Answers 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
Correct Answers 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. Correct Answers C) Sun exposure as a child is a
significant risk factor for skin cancer.
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
Correct Answers 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? Correct Answers 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
