MEDSURG VATI ASSESSMENT LATEST
ACTUAL VERIFIED QUESTIONS WITH
ANSWERS LATEST VERSION /GRADE
A+ ASSURED
Terms in this set (100)
,A nurse is assisting - A client who has chest tubes and an
with the care of oxygen Sat of 90%
four clients. Which
of the following Using the airway, breathing, and
clients is the circulation approach to client care, the
priority for nurse should determine that the priority
the nurse to see finding is the client's oxygen saturation
level, which is below the expected
-A client who has reference range of 95% to 100%.
chest tubes and an Therefore, the nurse should attend to
oxygen Sat of 90% this client first.
- aclient who has
peripheral edema
and urinary output
of 130 over 4hrs
- A client who has
a permanent
pacemaker with
heart rate of
76/min
-a client who has
pericarditis and
temp. 38 c 100.4
,A nurse is Nonresponsive Commands
collecting data
from a client who A client who has a GCS of less than 8
was admitted with has evidence of severe head injury and
a Glasgow Coma is in a comatose state. The GCS is a
Scale of 3. Which standardized tool that allows for the
of the following evaluation of a client's level of
findings should consciousness. The test is divided into
the nurse expect? three sections that evaluate eye
- Vacalizes sound opening, motor response, and verbal
-Blinks eyes when response. The GCS ranges from a high
asked score of 15 (fully alert) to a low score of
-Follows motor 3 (fully comatose).
commands
-Nonresponsive
Commands
, A nurse is - Persistent bubbling in the water seal
monitoring a client chamber
who has a
pneumothorax Excessive and persistent bubbling in the
and a chest tube in water-seal chamber indicates an air leak
place with a in the drainage system. The nurse
closed chest should notify the charge nurse of this
drainage system finding.
connected to low
suction. For which
of the following
findings should
the nurse notify
the charge nurse
- Fluctation of the
water level in the
water seal
chamber
-constant bubling
in the suction
control chamber
- periodic
bubbling in the
water seal
chamber
- Persistent
bubbling in the
ACTUAL VERIFIED QUESTIONS WITH
ANSWERS LATEST VERSION /GRADE
A+ ASSURED
Terms in this set (100)
,A nurse is assisting - A client who has chest tubes and an
with the care of oxygen Sat of 90%
four clients. Which
of the following Using the airway, breathing, and
clients is the circulation approach to client care, the
priority for nurse should determine that the priority
the nurse to see finding is the client's oxygen saturation
level, which is below the expected
-A client who has reference range of 95% to 100%.
chest tubes and an Therefore, the nurse should attend to
oxygen Sat of 90% this client first.
- aclient who has
peripheral edema
and urinary output
of 130 over 4hrs
- A client who has
a permanent
pacemaker with
heart rate of
76/min
-a client who has
pericarditis and
temp. 38 c 100.4
,A nurse is Nonresponsive Commands
collecting data
from a client who A client who has a GCS of less than 8
was admitted with has evidence of severe head injury and
a Glasgow Coma is in a comatose state. The GCS is a
Scale of 3. Which standardized tool that allows for the
of the following evaluation of a client's level of
findings should consciousness. The test is divided into
the nurse expect? three sections that evaluate eye
- Vacalizes sound opening, motor response, and verbal
-Blinks eyes when response. The GCS ranges from a high
asked score of 15 (fully alert) to a low score of
-Follows motor 3 (fully comatose).
commands
-Nonresponsive
Commands
, A nurse is - Persistent bubbling in the water seal
monitoring a client chamber
who has a
pneumothorax Excessive and persistent bubbling in the
and a chest tube in water-seal chamber indicates an air leak
place with a in the drainage system. The nurse
closed chest should notify the charge nurse of this
drainage system finding.
connected to low
suction. For which
of the following
findings should
the nurse notify
the charge nurse
- Fluctation of the
water level in the
water seal
chamber
-constant bubling
in the suction
control chamber
- periodic
bubbling in the
water seal
chamber
- Persistent
bubbling in the
