Med Surg Vati [ACTUAL EXAM WITH RATIONALE]
LATEST VERSION [QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
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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? - CORRECT ANSWER ✔✔✔✔✔ Apply
pressure to the wound
A nurse is caring for a client who has end-stage renal disease and must limit protein
intake. Which of the following foods should the nurse plan to include in the client's diet?
- CORRECT ANSWER ✔✔✔✔✔ eggs
A nurse is contributing to the plan of care for a client who has a pressure ulcer on his
heel. Which of the following should the nurse include in the planning? - CORRECT
ANSWER ✔✔✔✔✔ provide the client a diet high in Vitamin C
A nurse is caring for a client who has a large wound that has a vacuum-assisted closure
device placed over it. Which of the following findings by the nurse indicates healing of
the wound? - CORRECT ANSWER ✔✔✔✔✔ -Granulation tissue on the surface of the
wound
As the wound heals, the nurse should expect the wound base to become redder as
granulation tissue lines the surface of the wound. Therefore, this is an expected finding.
The vacuum-assisted closure device assists in wound closure by applying a localized
negative pressure to draw the edges of the wound together. The device consists of a
suction tube embedded in a foam dressing. The foam dressing is applied to the wound
bed and sealed in place with an occlusive dressing. The suction is then attached to the
vacuum unit, causing the foam to collapse and resulting in drainage of excess fluids,
and increasing circulation to the wound bed.
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube
drainage system to suction. Which of the following actions should the nurse take? -
CORRECT ANSWER ✔✔✔✔✔ Maintain the drainage container below the level of the
client's chest
A nurse is caring for an older adult client diagnosed with colon cancer. The client asks
the nurse several questions about his treatment plan.
, Which of the following nursing actions is appropriate? - CORRECT ANSWER ✔✔✔✔✔
Help the client write down questions to ask his provider
A nurse is teaching a client who is at risk for iron-deficiency anemia about optimizing
her dietary intake of iron. The nurse should explain that which of the following sources
of iron is easiest for the body to absorb? - CORRECT ANSWER ✔✔✔✔✔ chicken
A nurse is reinforcing teaching about preventing long-term complications of retinopathy
and neuropathy with an older adult client who has diabetes mellitus. Which of the
following actions is the most important for the nurse to include in the teaching? -
CORRECT ANSWER ✔✔✔✔✔ maintain stable blood glucose levels
A nurse is reviewing a client's admission laboratory findings, which indicate the client is
hyponatremic. Which of the following laboratory findings should the nurse anticipate will
also be below the expected reference range? - CORRECT ANSWER ✔✔✔✔✔
Chloride
A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus.
Which of the following laboratory results indicates to the nurse that the client is at risk
for diabetes mellitus? - CORRECT ANSWER ✔✔✔✔✔ fasting blood glucose 155 mg
per dL
A nurse is reinforcing teaching with a client who has a skin lesion and is scheduled for
an excisional skin biopsy. Which of the following information should the nurse include in
the teaching? - CORRECT ANSWER ✔✔✔✔✔ -"You will need to change the dressing
daily."
The nurse should instruct the client that a dressing will be applied after the biopsy which
will need a daily dressing change.
A nurse is assisting with the care of a client who was admitted to the emergency
department with reports of chest pain and severe epigastric distress. The nurse should
anticipate that in the presence of an acute myocardial infarction the client's creatinine
kinase-MB (CK-MB) is expected to peak how many hours after the onset of chest pain?
- CORRECT ANSWER ✔✔✔✔✔ 24 hours
CK-MB will peak 18 to 24 hr after onset pain acute myocardial infraction
A nurse is caring for a client following the application of an aquathermia pad. Which of
the following is the first indication that the client is experiencing a thermal injury to the
application site? - CORRECT ANSWER ✔✔✔✔✔ erythema
A nurse is caring for a client in a body cast. Which of the following is the priority action
the nurse should recommend for inclusion in the plan of care? - CORRECT ANSWER
✔✔✔✔✔ Assess the abdomen
LATEST VERSION [QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
Save
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? - CORRECT ANSWER ✔✔✔✔✔ Apply
pressure to the wound
A nurse is caring for a client who has end-stage renal disease and must limit protein
intake. Which of the following foods should the nurse plan to include in the client's diet?
- CORRECT ANSWER ✔✔✔✔✔ eggs
A nurse is contributing to the plan of care for a client who has a pressure ulcer on his
heel. Which of the following should the nurse include in the planning? - CORRECT
ANSWER ✔✔✔✔✔ provide the client a diet high in Vitamin C
A nurse is caring for a client who has a large wound that has a vacuum-assisted closure
device placed over it. Which of the following findings by the nurse indicates healing of
the wound? - CORRECT ANSWER ✔✔✔✔✔ -Granulation tissue on the surface of the
wound
As the wound heals, the nurse should expect the wound base to become redder as
granulation tissue lines the surface of the wound. Therefore, this is an expected finding.
The vacuum-assisted closure device assists in wound closure by applying a localized
negative pressure to draw the edges of the wound together. The device consists of a
suction tube embedded in a foam dressing. The foam dressing is applied to the wound
bed and sealed in place with an occlusive dressing. The suction is then attached to the
vacuum unit, causing the foam to collapse and resulting in drainage of excess fluids,
and increasing circulation to the wound bed.
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube
drainage system to suction. Which of the following actions should the nurse take? -
CORRECT ANSWER ✔✔✔✔✔ Maintain the drainage container below the level of the
client's chest
A nurse is caring for an older adult client diagnosed with colon cancer. The client asks
the nurse several questions about his treatment plan.
, Which of the following nursing actions is appropriate? - CORRECT ANSWER ✔✔✔✔✔
Help the client write down questions to ask his provider
A nurse is teaching a client who is at risk for iron-deficiency anemia about optimizing
her dietary intake of iron. The nurse should explain that which of the following sources
of iron is easiest for the body to absorb? - CORRECT ANSWER ✔✔✔✔✔ chicken
A nurse is reinforcing teaching about preventing long-term complications of retinopathy
and neuropathy with an older adult client who has diabetes mellitus. Which of the
following actions is the most important for the nurse to include in the teaching? -
CORRECT ANSWER ✔✔✔✔✔ maintain stable blood glucose levels
A nurse is reviewing a client's admission laboratory findings, which indicate the client is
hyponatremic. Which of the following laboratory findings should the nurse anticipate will
also be below the expected reference range? - CORRECT ANSWER ✔✔✔✔✔
Chloride
A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus.
Which of the following laboratory results indicates to the nurse that the client is at risk
for diabetes mellitus? - CORRECT ANSWER ✔✔✔✔✔ fasting blood glucose 155 mg
per dL
A nurse is reinforcing teaching with a client who has a skin lesion and is scheduled for
an excisional skin biopsy. Which of the following information should the nurse include in
the teaching? - CORRECT ANSWER ✔✔✔✔✔ -"You will need to change the dressing
daily."
The nurse should instruct the client that a dressing will be applied after the biopsy which
will need a daily dressing change.
A nurse is assisting with the care of a client who was admitted to the emergency
department with reports of chest pain and severe epigastric distress. The nurse should
anticipate that in the presence of an acute myocardial infarction the client's creatinine
kinase-MB (CK-MB) is expected to peak how many hours after the onset of chest pain?
- CORRECT ANSWER ✔✔✔✔✔ 24 hours
CK-MB will peak 18 to 24 hr after onset pain acute myocardial infraction
A nurse is caring for a client following the application of an aquathermia pad. Which of
the following is the first indication that the client is experiencing a thermal injury to the
application site? - CORRECT ANSWER ✔✔✔✔✔ erythema
A nurse is caring for a client in a body cast. Which of the following is the priority action
the nurse should recommend for inclusion in the plan of care? - CORRECT ANSWER
✔✔✔✔✔ Assess the abdomen
