2/10/25, 9:19 PM MEDSURG VATI ASSESSMENT 2025 complete exam set questions and answers MULTIPLE CHOICES and RATIONALES |1…
MEDSURG VATI ASSESSMENT 2025 complete
exam set questions and answers MULTIPLE
CHOICES and RATIONALES |100% Passed!!
Save
Terms in this set (100)
A nurse is assisting with - A client who has chest tubes and an oxygen Sat of
the care of four clients. 90%
Which of the following
clients is the priority for Using the airway, breathing, and circulation
the nurse to see approach to client care, the nurse should determine
that the priority finding is the client's oxygen
-A client who has chest saturation level, which is below the expected
tubes and an oxygen Sat reference range of 95% to 100%. Therefore, the
of 90% nurse should attend to 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
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,2/10/25, 9:19 PM MEDSURG VATI ASSESSMENT 2025 complete exam set questions and answers MULTIPLE CHOICES and RATIONALES |1…
A nurse is collecting data Nonresponsive Commands
from a client who was
admitted with a Glasgow A client who has a GCS of less than 8 has evidence
Coma Scale of 3. Which of severe head injury and is in a comatose state. The
of the following findings GCS is a standardized tool that allows for the
should the nurse expect? evaluation of a client's level of consciousness. The
- Vacalizes sound test is divided into three sections that evaluate eye
-Blinks eyes when asked opening, motor response, and verbal response. The
-Follows motor GCS ranges from a high score of 15 (fully alert) to a
commands low score of 3 (fully comatose).
-Nonresponsive
Commands
A nurse is monitoring a - Persistent bubbling in the water seal chamber
client who has a
pneumothorax and a Excessive and persistent bubbling in the water-seal
chest tube in place with a chamber indicates an air leak in the drainage system.
closed chest drainage The nurse should notify the charge nurse of this
system connected to low finding.
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 water seal chamber
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,2/10/25, 9:19 PM MEDSURG VATI ASSESSMENT 2025 complete exam set questions and answers MULTIPLE CHOICES and RATIONALES |1…
A nurse is reinforcing Comb your hair with the unaffected arm
teaching with a male
client who has right sided The nurse should instruct the client to brush their
hemiparesis about hair with the unaffected arm to reduce frustration
preforming ADL's. Which and increase independence and self-esteem.
of the following
instructions should the
nurse include in the
teaching
-Comb your hair with the
unaffected arm
-Dress your unaffected
side first
choose clothing with
buttons
-shave with your affected
side
A nurse is collecting data - Fine crackles
from a client and
auscultates intermittent Fine crackles are auscultated in the base of the
high-pitched sounds lungs as air moves through airway secretions. Fine
during inspiration over crackles are intermittent, high-pitched sounds heard
the lower base of the more often during inspiration.
lungs. The nurse should
identify this finding as
which of the following
lungs sounds
- Fine crackles
-stridor
-rhonchi
-friction
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, 2/10/25, 9:19 PM MEDSURG VATI ASSESSMENT 2025 complete exam set questions and answers MULTIPLE CHOICES and RATIONALES |1…
A nurse is collecting data - Chest Discomfort Radiated
from a client who has - Pain lasting less that 15mins
coronary artery disease. - Pain that is relieved with res
Which of the following
manifestations should the
nurse identify as an
indication that the client
has angina ( SatA)
- Chest Discomfort
Radiated
- Pain lasting less that
15mins
- Pain that is relieved with
rest
A client who has diabetes mellitus with diaphoretic
A nurse is receiving
change-of-shift report for
When using the urgent vs. nonurgent approach to
a group of clients. Which
client care, the nurse should determine that the
of the following clients
priority action is to attend to a client who has
should the nurse plan to
diabetes mellitus and is diaphoretic. Diaphoresis is a
see first?
manifestation of hypoglycemia and can lead to
- A client who has
decreased cerebral function. The nurse should
diabetes mellitus with
check the client's blood glucose and administer a
diaphoretic
fast-acting glucose as prescribed.
https://quizlet.com/1004063426/medsurg-vati-assessment-2025-complete-exam-set-questions-and-answers-multiple-choices-and-rationales-100… 4/37
MEDSURG VATI ASSESSMENT 2025 complete
exam set questions and answers MULTIPLE
CHOICES and RATIONALES |100% Passed!!
Save
Terms in this set (100)
A nurse is assisting with - A client who has chest tubes and an oxygen Sat of
the care of four clients. 90%
Which of the following
clients is the priority for Using the airway, breathing, and circulation
the nurse to see approach to client care, the nurse should determine
that the priority finding is the client's oxygen
-A client who has chest saturation level, which is below the expected
tubes and an oxygen Sat reference range of 95% to 100%. Therefore, the
of 90% nurse should attend to 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
https://quizlet.com/1004063426/medsurg-vati-assessment-2025-complete-exam-set-questions-and-answers-multiple-choices-and-rationales-100… 1/37
,2/10/25, 9:19 PM MEDSURG VATI ASSESSMENT 2025 complete exam set questions and answers MULTIPLE CHOICES and RATIONALES |1…
A nurse is collecting data Nonresponsive Commands
from a client who was
admitted with a Glasgow A client who has a GCS of less than 8 has evidence
Coma Scale of 3. Which of severe head injury and is in a comatose state. The
of the following findings GCS is a standardized tool that allows for the
should the nurse expect? evaluation of a client's level of consciousness. The
- Vacalizes sound test is divided into three sections that evaluate eye
-Blinks eyes when asked opening, motor response, and verbal response. The
-Follows motor GCS ranges from a high score of 15 (fully alert) to a
commands low score of 3 (fully comatose).
-Nonresponsive
Commands
A nurse is monitoring a - Persistent bubbling in the water seal chamber
client who has a
pneumothorax and a Excessive and persistent bubbling in the water-seal
chest tube in place with a chamber indicates an air leak in the drainage system.
closed chest drainage The nurse should notify the charge nurse of this
system connected to low finding.
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 water seal chamber
https://quizlet.com/1004063426/medsurg-vati-assessment-2025-complete-exam-set-questions-and-answers-multiple-choices-and-rationales-100… 2/37
,2/10/25, 9:19 PM MEDSURG VATI ASSESSMENT 2025 complete exam set questions and answers MULTIPLE CHOICES and RATIONALES |1…
A nurse is reinforcing Comb your hair with the unaffected arm
teaching with a male
client who has right sided The nurse should instruct the client to brush their
hemiparesis about hair with the unaffected arm to reduce frustration
preforming ADL's. Which and increase independence and self-esteem.
of the following
instructions should the
nurse include in the
teaching
-Comb your hair with the
unaffected arm
-Dress your unaffected
side first
choose clothing with
buttons
-shave with your affected
side
A nurse is collecting data - Fine crackles
from a client and
auscultates intermittent Fine crackles are auscultated in the base of the
high-pitched sounds lungs as air moves through airway secretions. Fine
during inspiration over crackles are intermittent, high-pitched sounds heard
the lower base of the more often during inspiration.
lungs. The nurse should
identify this finding as
which of the following
lungs sounds
- Fine crackles
-stridor
-rhonchi
-friction
https://quizlet.com/1004063426/medsurg-vati-assessment-2025-complete-exam-set-questions-and-answers-multiple-choices-and-rationales-100… 3/37
, 2/10/25, 9:19 PM MEDSURG VATI ASSESSMENT 2025 complete exam set questions and answers MULTIPLE CHOICES and RATIONALES |1…
A nurse is collecting data - Chest Discomfort Radiated
from a client who has - Pain lasting less that 15mins
coronary artery disease. - Pain that is relieved with res
Which of the following
manifestations should the
nurse identify as an
indication that the client
has angina ( SatA)
- Chest Discomfort
Radiated
- Pain lasting less that
15mins
- Pain that is relieved with
rest
A client who has diabetes mellitus with diaphoretic
A nurse is receiving
change-of-shift report for
When using the urgent vs. nonurgent approach to
a group of clients. Which
client care, the nurse should determine that the
of the following clients
priority action is to attend to a client who has
should the nurse plan to
diabetes mellitus and is diaphoretic. Diaphoresis is a
see first?
manifestation of hypoglycemia and can lead to
- A client who has
decreased cerebral function. The nurse should
diabetes mellitus with
check the client's blood glucose and administer a
diaphoretic
fast-acting glucose as prescribed.
https://quizlet.com/1004063426/medsurg-vati-assessment-2025-complete-exam-set-questions-and-answers-multiple-choices-and-rationales-100… 4/37
