VATI PN MED-SURG ASSESSMENT
EXAM WITH CORRECT ANSWERS 2025
A nurse is collecting data from a client who has right-sided heart failure.
Which of the
following findings should the nurse expect? (Select all that apply.) - Correct
answers -
Poripheral
Hepatomega
edema
ly
Abdominal
distention
A nurse is caring for a client who has heart failure and a new
prescription The
furosemide. for nurse should monitor the client for which of the
following adverse
effects of the medication? - Correct answers -
Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and
hearing loss.is recommended for clients recelving prolonged IV
Audiometry
furosemide.
A nurse is reinforcing teaching with a client who is recovering from severe
diarrhea
is ready toandresume eating solid foods. Which of the following food items
shouldrecommend?
nurse the - Correct answers -
Yogurt
The nurse should recommend adding yogurt to the diet to provide
probiotics and
substance add
to the stool, making it more formed. A client who is recovering
from diarrhea
should consume a diet that is low in fiber. Taking probiotics can also help
restore the
natural gastrointestinal
flora.
A nurse is monitoring a client who has a new prescription for furosemide for
edema. For which of the following adverse effects should the nurse
peripheral
monitor?-- Muscle
answers Correct
weakness
Furosemide is a loop diuretic, which is used to treat hypertension
and edema. can cause excess excretion of potassium. The nurse should
Furosemide
monitor
client forthe
manifestations of hypokalemia such as nausea, muscle
weakness, and
spasms
.
A nurse is contacting the provider of a client who has heart failure and a
potassium
of 3.4 mEq/L. level
Which of the following client medications should the nurse
expect the
provider to withhold? - Correct answers -
Digoxin
The nurse should expect the provider to withhold digoxin when the client's
potassium
level is low to decrease the client's risk of dysrhythrmias due to
digoxin toxicity.
,Potassium assists in displacing digoxin, because digoxin binds to
potassiurm,
reduces the and
risk for digoxin
toxicity.
A nurse is assisting with the care of a client who has cellulitis and is
receiving IV During data collection, the nurse notes the client is flushed
ceftriaxone.
and the urticaria.
reports client After stopping the IV infusion, which of the following
actionstake
nurse should the
first? - Correct answers - Check the client's
respirations.
After stopping the IV infusion, the first action the nurse should take
when using
airway, breathing,
the circulation approach to client care is to count the client's
respirations
and monitor for dyspnea because a client experiencing an allergic reaction
cananaphylactic
to progress shock and
death.
A registered nurse (RN) in an acute care facility is caring for a group of
clients withof
assistance thea licensed practical nurse (LPN). Which of the following tasks
should
RN the to the LPN? (Select all that apply.) - Correct answers -
delegate
Inserting
tub an NG
Monitoring an IV
e
infusion
Administering IM
medications
A nurse is reinforcing teaching with a young adult client about
testicular self-Which of the following instructions should the nurse
examination.
include? - "Examine
answers Correct your testicles after a warm
shower."
After exposure to warm water in a shower or bath, the scrotum relaxes
and becomes
easy to palpate. The testicle should feel smooth and round, and the client
should
any report
lumps to his
provider.
A nurse is assisting in the planning of a health education class for a group of
older adult
clients. Which of the following recommendations should the nurse include?
- Correct- Obtain a pneumococcal
answers
immunization
The pneumococcal immunization should be obtained to prevent
pneumonia
generally given
and atis or near the age of 65, One dose provides lifelong
immunity
A nurse is preparing to administer eardrops to an adult client who has
otitis
Whichmedia.
of the following actions should the nurse plan to take? - Correct
answers
Warm the- bottle by holding it in the palm for 5 min before
administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the
palm of
hand or the
putting the bottle in a pocket for about 5 min. Administering cold
ear drops
cause the can
client to experience discomfort or
dizziness.
A nurse is reinforcing teaching about the use of an oxygen concentrator in
the home for a client who has end-stage emphysema. Which of the following
instructions should the
, nurse include to promote client safety? - Correct answers - Maintain an
backup
electrical
system.
medical services and the electric company of the The nurse should remind
the client to maintain an electrical backup system to ensure continuity of
oxygen therapy. This includes notifying local emergency use of home oxygen
equipment. In the event of power loss, the client should notify 911, the
provider, and the home health care agency.
A nurse is caring for a client who is receiving continuous bladder irrigation
following a resection of the prostate. The client has reduced urinary
transurethral
output,
and red urine,
reports bladder pain. Which of the following actions should the nurse
take first?
Correct answers
- - Increase the flow rate of the
irrigation
When providing client care, the nurse should use the least restrictive
intervention
therefore, thefirst;
nurse should first increase the flow rate of continuous bladder
irrigation
keep the urinary
to output light pink or
yellow.
A nurse is reinforcing teaching with a newly licensed nurse about enoxaparin.
The nurse
should include in the teaching that which of the following medications can
interact with (Select all that apply.) - Correct answers -
enoxaparin?
Clopidogrel
Aspiri
Ginkgo
n
biloba
A nurse is collecting data from a client who has hypokalemia. Which of
the following
findings should the nurse expect? - Correct answers - Cardiac
dysrhythmias
The nurse should monitor the client who has hypokalemia, an electrolyte
imbalance, for cardlac dysrhythmilas, abdominal pain, and
life-threatening
distention.
A nurse is collecting data from a client who reports dizziness and
vertigo and the
performing is Romberg test. Which of the following instructions should the
nurse
the client
giveabout this test? - Correct answers - "Open
your eyes."
The nurse should instruct the client to stand with their feet together and
eyes open.
Then the client should close their eyes to determine if they lose balance.
The test isif the client can remain upright and keep balance with minimal
negative
swaying and
without moving their feet to another position. A positive test can indicate a
of the cerebellum or inner
dysfunction
ear.
A nurse is collecting data from a client who reports amenorrhea and
insomnia.
the Which
following dataofshould the nurse report to the provider? (Click on the
exhibit tabs
additional for
information about the client. There are three tabs that
contain separate
categories of data.) - Correct answers
- T4
EXAM WITH CORRECT ANSWERS 2025
A nurse is collecting data from a client who has right-sided heart failure.
Which of the
following findings should the nurse expect? (Select all that apply.) - Correct
answers -
Poripheral
Hepatomega
edema
ly
Abdominal
distention
A nurse is caring for a client who has heart failure and a new
prescription The
furosemide. for nurse should monitor the client for which of the
following adverse
effects of the medication? - Correct answers -
Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and
hearing loss.is recommended for clients recelving prolonged IV
Audiometry
furosemide.
A nurse is reinforcing teaching with a client who is recovering from severe
diarrhea
is ready toandresume eating solid foods. Which of the following food items
shouldrecommend?
nurse the - Correct answers -
Yogurt
The nurse should recommend adding yogurt to the diet to provide
probiotics and
substance add
to the stool, making it more formed. A client who is recovering
from diarrhea
should consume a diet that is low in fiber. Taking probiotics can also help
restore the
natural gastrointestinal
flora.
A nurse is monitoring a client who has a new prescription for furosemide for
edema. For which of the following adverse effects should the nurse
peripheral
monitor?-- Muscle
answers Correct
weakness
Furosemide is a loop diuretic, which is used to treat hypertension
and edema. can cause excess excretion of potassium. The nurse should
Furosemide
monitor
client forthe
manifestations of hypokalemia such as nausea, muscle
weakness, and
spasms
.
A nurse is contacting the provider of a client who has heart failure and a
potassium
of 3.4 mEq/L. level
Which of the following client medications should the nurse
expect the
provider to withhold? - Correct answers -
Digoxin
The nurse should expect the provider to withhold digoxin when the client's
potassium
level is low to decrease the client's risk of dysrhythrmias due to
digoxin toxicity.
,Potassium assists in displacing digoxin, because digoxin binds to
potassiurm,
reduces the and
risk for digoxin
toxicity.
A nurse is assisting with the care of a client who has cellulitis and is
receiving IV During data collection, the nurse notes the client is flushed
ceftriaxone.
and the urticaria.
reports client After stopping the IV infusion, which of the following
actionstake
nurse should the
first? - Correct answers - Check the client's
respirations.
After stopping the IV infusion, the first action the nurse should take
when using
airway, breathing,
the circulation approach to client care is to count the client's
respirations
and monitor for dyspnea because a client experiencing an allergic reaction
cananaphylactic
to progress shock and
death.
A registered nurse (RN) in an acute care facility is caring for a group of
clients withof
assistance thea licensed practical nurse (LPN). Which of the following tasks
should
RN the to the LPN? (Select all that apply.) - Correct answers -
delegate
Inserting
tub an NG
Monitoring an IV
e
infusion
Administering IM
medications
A nurse is reinforcing teaching with a young adult client about
testicular self-Which of the following instructions should the nurse
examination.
include? - "Examine
answers Correct your testicles after a warm
shower."
After exposure to warm water in a shower or bath, the scrotum relaxes
and becomes
easy to palpate. The testicle should feel smooth and round, and the client
should
any report
lumps to his
provider.
A nurse is assisting in the planning of a health education class for a group of
older adult
clients. Which of the following recommendations should the nurse include?
- Correct- Obtain a pneumococcal
answers
immunization
The pneumococcal immunization should be obtained to prevent
pneumonia
generally given
and atis or near the age of 65, One dose provides lifelong
immunity
A nurse is preparing to administer eardrops to an adult client who has
otitis
Whichmedia.
of the following actions should the nurse plan to take? - Correct
answers
Warm the- bottle by holding it in the palm for 5 min before
administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the
palm of
hand or the
putting the bottle in a pocket for about 5 min. Administering cold
ear drops
cause the can
client to experience discomfort or
dizziness.
A nurse is reinforcing teaching about the use of an oxygen concentrator in
the home for a client who has end-stage emphysema. Which of the following
instructions should the
, nurse include to promote client safety? - Correct answers - Maintain an
backup
electrical
system.
medical services and the electric company of the The nurse should remind
the client to maintain an electrical backup system to ensure continuity of
oxygen therapy. This includes notifying local emergency use of home oxygen
equipment. In the event of power loss, the client should notify 911, the
provider, and the home health care agency.
A nurse is caring for a client who is receiving continuous bladder irrigation
following a resection of the prostate. The client has reduced urinary
transurethral
output,
and red urine,
reports bladder pain. Which of the following actions should the nurse
take first?
Correct answers
- - Increase the flow rate of the
irrigation
When providing client care, the nurse should use the least restrictive
intervention
therefore, thefirst;
nurse should first increase the flow rate of continuous bladder
irrigation
keep the urinary
to output light pink or
yellow.
A nurse is reinforcing teaching with a newly licensed nurse about enoxaparin.
The nurse
should include in the teaching that which of the following medications can
interact with (Select all that apply.) - Correct answers -
enoxaparin?
Clopidogrel
Aspiri
Ginkgo
n
biloba
A nurse is collecting data from a client who has hypokalemia. Which of
the following
findings should the nurse expect? - Correct answers - Cardiac
dysrhythmias
The nurse should monitor the client who has hypokalemia, an electrolyte
imbalance, for cardlac dysrhythmilas, abdominal pain, and
life-threatening
distention.
A nurse is collecting data from a client who reports dizziness and
vertigo and the
performing is Romberg test. Which of the following instructions should the
nurse
the client
giveabout this test? - Correct answers - "Open
your eyes."
The nurse should instruct the client to stand with their feet together and
eyes open.
Then the client should close their eyes to determine if they lose balance.
The test isif the client can remain upright and keep balance with minimal
negative
swaying and
without moving their feet to another position. A positive test can indicate a
of the cerebellum or inner
dysfunction
ear.
A nurse is collecting data from a client who reports amenorrhea and
insomnia.
the Which
following dataofshould the nurse report to the provider? (Click on the
exhibit tabs
additional for
information about the client. There are three tabs that
contain separate
categories of data.) - Correct answers
- T4
