VATI MED SURG PRE ASSESSMENT TEST LATEST
2024-2025 COMPLETE ACTUAL TEST 50 REAL
QUESTIONS AND CORRECT ANSWERS (CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED VERSION
|GUARANTEED PASS.
A nurse is teaching a newly licensed nurse about the risk
factors for dehiscence for clients who have surgical
incisions. Which of the following factors should the nurse
include in the teaching? (Select all that apply.)
A. Poor nutritional state
B. Altered mental status
C. Obesity
D. Pain medication administration
E. Wound infection
Answer- A. Poor nutritional state
C. Obesity
E. Wound infection
,A nurse is caring for a client who has an endotracheal
tube and is receiving mechanical ventilation. Which of
the following interventions should the nurse take to
reduce the risk for ventilator-associated pneumonia?
A. Position the head of the client's bed in the flat
position.
B. Turn the client every 4 hr.
C. Rinse the client's mouth with an antimicrobial solution
every 4 hr.
D. Perform hand hygiene prior to suctioning the client's
endotracheal tube.
Answer- C. Rinse the client's mouth with an antimicrobial
solution every 4 hr.
Rationale: The nurse should brush the client's teeth
every 8 hr and rinse the client's mouth with an
antimicrobial rinse every 2 hr to reduce the growth of
bacteria.
,The nurse should elevate the head of the client's bed 30°
to reduce the risk for aspiration and pneumonia. The
nurse should turn the client every 2 hr to promote lung
expansion and reduce the risk for pneumonia. The nurse
should perform hand hygiene prior to suctioning the
client's endotracheal tube to reduce the risk of
introducing bacteria.
A nurse is providing instruction to a new nurse about
caring for clients who are receiving diuretic therapy to
treat heart failure. The nurse should explain that which
of the following medications puts clients at risk for both
hyperkalemia and hyponatremia?
A. Furosemide
B. Hydrochlorothiazide
C. Metolazone
D. Spironolactone
Answer- D. Spironolactone
, Rationale: Spironolactone is a potassium-sparing diuretic.
It blocks the effects of aldosterone in the renal tubules,
causing a loss of sodium and water and the retention of
potassium. The possible adverse reactions include
hyperkalemia and hyponatremia.
Furosemide is a high-ceiling (loop) diuretic that increases
the risk of hyponatremia and hypokalemia, not
hyperkalemia. Hydrochlorothiazide is a thiazide diuretic
that increases the risk of hypokalemia, not hyperkalemia.
Metolazone is a thiazide diuretic that increases the risk
of hyponatremia and hypokalemia, not hyperkalemia.
A nurse is reviewing the medical record of a client who
has a peptic ulcer. Which of the following findings should
the nurse recognize as a risk factor for this medication?
A. History of bulimia
B. History of NSAID use
C. Drinks green tea
2024-2025 COMPLETE ACTUAL TEST 50 REAL
QUESTIONS AND CORRECT ANSWERS (CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED VERSION
|GUARANTEED PASS.
A nurse is teaching a newly licensed nurse about the risk
factors for dehiscence for clients who have surgical
incisions. Which of the following factors should the nurse
include in the teaching? (Select all that apply.)
A. Poor nutritional state
B. Altered mental status
C. Obesity
D. Pain medication administration
E. Wound infection
Answer- A. Poor nutritional state
C. Obesity
E. Wound infection
,A nurse is caring for a client who has an endotracheal
tube and is receiving mechanical ventilation. Which of
the following interventions should the nurse take to
reduce the risk for ventilator-associated pneumonia?
A. Position the head of the client's bed in the flat
position.
B. Turn the client every 4 hr.
C. Rinse the client's mouth with an antimicrobial solution
every 4 hr.
D. Perform hand hygiene prior to suctioning the client's
endotracheal tube.
Answer- C. Rinse the client's mouth with an antimicrobial
solution every 4 hr.
Rationale: The nurse should brush the client's teeth
every 8 hr and rinse the client's mouth with an
antimicrobial rinse every 2 hr to reduce the growth of
bacteria.
,The nurse should elevate the head of the client's bed 30°
to reduce the risk for aspiration and pneumonia. The
nurse should turn the client every 2 hr to promote lung
expansion and reduce the risk for pneumonia. The nurse
should perform hand hygiene prior to suctioning the
client's endotracheal tube to reduce the risk of
introducing bacteria.
A nurse is providing instruction to a new nurse about
caring for clients who are receiving diuretic therapy to
treat heart failure. The nurse should explain that which
of the following medications puts clients at risk for both
hyperkalemia and hyponatremia?
A. Furosemide
B. Hydrochlorothiazide
C. Metolazone
D. Spironolactone
Answer- D. Spironolactone
, Rationale: Spironolactone is a potassium-sparing diuretic.
It blocks the effects of aldosterone in the renal tubules,
causing a loss of sodium and water and the retention of
potassium. The possible adverse reactions include
hyperkalemia and hyponatremia.
Furosemide is a high-ceiling (loop) diuretic that increases
the risk of hyponatremia and hypokalemia, not
hyperkalemia. Hydrochlorothiazide is a thiazide diuretic
that increases the risk of hypokalemia, not hyperkalemia.
Metolazone is a thiazide diuretic that increases the risk
of hyponatremia and hypokalemia, not hyperkalemia.
A nurse is reviewing the medical record of a client who
has a peptic ulcer. Which of the following findings should
the nurse recognize as a risk factor for this medication?
A. History of bulimia
B. History of NSAID use
C. Drinks green tea
