VATI Medical-Surgical Nursing Assessment |
2025/2026 Edition | Verified Exam Questions
with Answers
This document contains expertly verified exam questions and 100% correct answers for the VATI
Medical-Surgical Nursing Assessment, updated for the 2025/2026 edition. It covers adult
health nursing, pathophysiology, nursing interventions, pharmacologic and non-
pharmacologic management, patient education, and safety protocols. Designed to align
with NCLEX standards, this resource is ideal for nursing students aiming for high
performance on assessments and clinical readiness.
A nurse is caring for a client who has atopic dermatitis and a
prescription for triamcinolone ointment. The nurse should
assess the client to monitor for which of the following
adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect
of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis,
,or excessive hair growth, especially on the facial area.
Thinning of the skin
A nurse is providing discharge teaching about infection
control at home for a client who has tuberculosis. Which of
the following statements by the client indicates an
understanding of the teaching?
"I will cover my mouth with my hands when I have to
cough."
A nurse is teaching a client who is scheduled to receive
radioactive iodine therapy for treatment of hyperthyroidism.
Which of the following instructions should the nurse include
in the teaching?
Use disposable utensils for meals.
A nurse is providing preoperative teaching to a client who is
scheduled for a radical prostatectomy. Which of the
following information should the nurse include in the
teaching?
A PCA pump will be used for postoperative pain control.
A nurse is assessing a client's ECG strip and notes an
irregular heart rate of 98/min with no clear P waves. Which
of the following cardiac dysrhythmias should the nurse
document?
Atrial fibrillation
A nurse is caring for a client who is receiving peritoneal
dialysis. Which of the following actions should the nurse
take?
Report cloudy dialysate drainage to the provider.
,A nurse is assessing a client who has suspected appendicitis.
Which of the following manifestations should the nurse
expect? (Select all that apply.)
Elevated WBC count
Rebound tenderness
Anorexia
A nurse is planning preventative strategies for a client who
is at risk for pressure injuries. Which of the following actions
should the nurse include in the plan?
Apply moisturizer to damp skin after bathing.
A nurse is caring for a client who has a new diagnosis of type
1 diabetes mellitus. Which of the following findings should
the nurse identify as a manifestation of type 1 diabetes?
Ketones in the urine
A nurse is caring for a client who had a surgical repair of an
abdominal aortic aneurysm 3 days ago. The client's vital
signs are: temperature 38.3° C (100.9° F), heart rate 80/min,
respirations 16/min, and blood pressure 128/76 mm Hg.
Which of the following actions is the nurse's priority?
Assess the surgical incision for signs of infection.
A nurse is providing discharge teaching to a client following
a loop electrosurgical excision procedure (LEEP) for the
treatment of cervical cancer. Which of the following
statements by the client indicates an understanding of the
teaching?
"I may have mild cramping for several hours."
, assessing a client who has left-sided heart failure. Which of
the following findings should the nurse identify as a
manifestation of left-sided heart failure?
Frothy sputum
A nurse is caring for a client who is experiencing anxiety as
well as numbness and tingling of the
lipsandfingers.Theclient'sABGsare:pH7.48,PCO2
30mmHg,HCO3- 24mEq/L,PaO2 85mm Hg. Which of the
following acid-base imbalances should the nurse identify
that the client is experiencing?
Respiratory alkalosis
A nurse is assessing a client who has Cushing's syndrome.
Which of the following findings should the nurse expect?
Osteoporosis
A nurse is inspecting the skin of a client who has basal cell
carcinoma. The nurse should identify which of the following
lesion characteristics on the client's skin?
A pearly, waxy nodule
A nurse is assessing a client who has hypocalcemia. In which
of the following areas should the nurse tap on the client's
face to detect the presence of Chvostek's sign? (You will find
hot spots to select in the artwork below. Select only the hot
spot that corresponds to your answer.)
A is correct. The nurse should tap the client's cheek just in
front of the ear and below the zygomatic arch. The client
who has hypocalcemia will display a Chvostek's sign, which
is a twitching of the facial muscle.
A nurse in an emergency department is assessing a client
who is overusing prescribed diuretics and has a sodium level
2025/2026 Edition | Verified Exam Questions
with Answers
This document contains expertly verified exam questions and 100% correct answers for the VATI
Medical-Surgical Nursing Assessment, updated for the 2025/2026 edition. It covers adult
health nursing, pathophysiology, nursing interventions, pharmacologic and non-
pharmacologic management, patient education, and safety protocols. Designed to align
with NCLEX standards, this resource is ideal for nursing students aiming for high
performance on assessments and clinical readiness.
A nurse is caring for a client who has atopic dermatitis and a
prescription for triamcinolone ointment. The nurse should
assess the client to monitor for which of the following
adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect
of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis,
,or excessive hair growth, especially on the facial area.
Thinning of the skin
A nurse is providing discharge teaching about infection
control at home for a client who has tuberculosis. Which of
the following statements by the client indicates an
understanding of the teaching?
"I will cover my mouth with my hands when I have to
cough."
A nurse is teaching a client who is scheduled to receive
radioactive iodine therapy for treatment of hyperthyroidism.
Which of the following instructions should the nurse include
in the teaching?
Use disposable utensils for meals.
A nurse is providing preoperative teaching to a client who is
scheduled for a radical prostatectomy. Which of the
following information should the nurse include in the
teaching?
A PCA pump will be used for postoperative pain control.
A nurse is assessing a client's ECG strip and notes an
irregular heart rate of 98/min with no clear P waves. Which
of the following cardiac dysrhythmias should the nurse
document?
Atrial fibrillation
A nurse is caring for a client who is receiving peritoneal
dialysis. Which of the following actions should the nurse
take?
Report cloudy dialysate drainage to the provider.
,A nurse is assessing a client who has suspected appendicitis.
Which of the following manifestations should the nurse
expect? (Select all that apply.)
Elevated WBC count
Rebound tenderness
Anorexia
A nurse is planning preventative strategies for a client who
is at risk for pressure injuries. Which of the following actions
should the nurse include in the plan?
Apply moisturizer to damp skin after bathing.
A nurse is caring for a client who has a new diagnosis of type
1 diabetes mellitus. Which of the following findings should
the nurse identify as a manifestation of type 1 diabetes?
Ketones in the urine
A nurse is caring for a client who had a surgical repair of an
abdominal aortic aneurysm 3 days ago. The client's vital
signs are: temperature 38.3° C (100.9° F), heart rate 80/min,
respirations 16/min, and blood pressure 128/76 mm Hg.
Which of the following actions is the nurse's priority?
Assess the surgical incision for signs of infection.
A nurse is providing discharge teaching to a client following
a loop electrosurgical excision procedure (LEEP) for the
treatment of cervical cancer. Which of the following
statements by the client indicates an understanding of the
teaching?
"I may have mild cramping for several hours."
, assessing a client who has left-sided heart failure. Which of
the following findings should the nurse identify as a
manifestation of left-sided heart failure?
Frothy sputum
A nurse is caring for a client who is experiencing anxiety as
well as numbness and tingling of the
lipsandfingers.Theclient'sABGsare:pH7.48,PCO2
30mmHg,HCO3- 24mEq/L,PaO2 85mm Hg. Which of the
following acid-base imbalances should the nurse identify
that the client is experiencing?
Respiratory alkalosis
A nurse is assessing a client who has Cushing's syndrome.
Which of the following findings should the nurse expect?
Osteoporosis
A nurse is inspecting the skin of a client who has basal cell
carcinoma. The nurse should identify which of the following
lesion characteristics on the client's skin?
A pearly, waxy nodule
A nurse is assessing a client who has hypocalcemia. In which
of the following areas should the nurse tap on the client's
face to detect the presence of Chvostek's sign? (You will find
hot spots to select in the artwork below. Select only the hot
spot that corresponds to your answer.)
A is correct. The nurse should tap the client's cheek just in
front of the ear and below the zygomatic arch. The client
who has hypocalcemia will display a Chvostek's sign, which
is a twitching of the facial muscle.
A nurse in an emergency department is assessing a client
who is overusing prescribed diuretics and has a sodium level
