ATI EXAM vc
Exam Solution vc
MEDSURG VATI ASSESSMENT 90 Q'S Cartes 2026 A+ GR vc vc vc vc vc vc vc vc
ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
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NSWERS (F6EF4) vc
QUESTION 1 vc
A nurse is assisting with the care of four clients. Which of the following clients is the prio
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rity for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% -
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aclient who has peripheral edema and urinary output of 130 over 4hrs -
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A client who has a permanent pacemaker with heart rate of 76/min -
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a client who has pericarditis and temp. 38 c 100.4
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ANSWER
-
A client who has chest tubes and an oxygen Sat of 90% Using the airway, breathing, and circulation app
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roach to client care, the nurse should determine that the priority finding is the client's oxygen saturatio
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n level, which is below the expected reference range of 95% to 100%. Therefore, the nurse should atten
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d to this client first.
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QUESTION 2 vc
A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3
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. Which of the following findings should the nurse expect? - Vacalizes sound -
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Blinks eyes when asked -Follows motor commands -Nonresponsive Commands
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ANSWER
Nonresponsive Commands A client who has a GCS of less than 8 has evidence of severe head injury and
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is in a comatose state. The GCS is a standardized tool that allows for the evaluation of a client's level of
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consciousness. The test is divided into three sections that evaluate eye opening, motor response, and ve
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rbal response. The GCS ranges from a high score of 15 (fully alert) to a low score of 3 (fully comatose).
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QUESTION 3 vc
A nurse is reinforcing teaching with a male client who has right sided hemiparesis about
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preforming ADL's. Which of the following instructions should the nurse include in the te
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,aching -Comb your hair with the unaffected arm -
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Dress your unaffected side first choose clothing with buttons -
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shave with your affected side vc vc vc vc
ANSWER
Comb your hair with the unaffected arm The nurse should instruct the client to brush their hair with th
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e unaffected arm to reduce frustration and increase independence and self-esteem.
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QUESTION 4 vc
A nurse is collecting data from a client and auscultates intermittent high-
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pitched sounds during inspiration over the lower base of the lungs. The nurse should ide
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ntify this finding as which of the following lungs sounds - Fine crackles -stridor -
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rhonchi -friction vc
ANSWER
-
Fine crackles Fine crackles are auscultated in the base of the lungs as air moves through airway secreti
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ons. Fine crackles are intermittent, high-pitched sounds heard more often during inspiration.
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QUESTION 5 vc
A nurse is collecting data from a client who has coronary artery disease. Which of the foll
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owing manifestations should the nurse identify as an indication that the client has angin
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a ( SatA) - Chest Discomfort Radiated - Pain lasting less that 15mins -
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Pain that is relieved with rest
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ANSWER
- Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with res
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QUESTION 6 vc
A nurse is receiving change-of-
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shift report for a group of clients. Which of the following clients should the nurse plan to
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see first? - A client who has diabetes mellitus with diaphoretic
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ANSWER
A client who has diabetes mellitus with diaphoretic When using the urgent vs. nonurgent approach to cl
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ient care, the nurse should determine that the priority action is to attend to a client who has diabetes m
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ellitus and is diaphoretic. Diaphoresis is a manifestation of hypoglycemia and can lead to decreased cere
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bral function. The nurse should check the client's blood glucose and administer a fast-
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acting glucose as prescribed. vc vc vc
QUESTION 7 vc
, A nurse is reinforcing teaching with a young adult client about testicular self-
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examination. Which of the following instructions should the nurse include? - vc vc vc vc vc vc vc vc vc vc
Examine your testicles after a warm shower -
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Press each testicle inwardly with your finger -
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Rinse any soap off your hands before examining your testicle -Perform the self-
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examination every 2 month
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ANSWER
Examine your testicles after a warm shower After exposure to warm water in a shower or bath, the scro
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tum relaxes and becomes easy to palpate. The testicle should feel smooth and round, and the client shou
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ld report any lumps to his provider.
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QUESTION 8 vc
A nurse is collecting data from a client who has tuberculosis and started combination the
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rapy 2months ago. Which of the following diagnostic results indicates that the client is a
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dhering to the medication regimen. - A negative chest X-ray - A negative sputum culture -
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A negative tuberculin skin test -A negative titer for cytomegalovirus
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ANSWER
A negative sputum culture Tuberculosis is an infectious disease spread through airborne droplets. Sputu
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m cultures are obtained to both diagnose tuberculosis and to determine whether the medication treatm
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ent has been effective. After the client begins antibiotic treatment for tuberculosis, a sputum culture is o
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btained monthly. A negative culture is an indication that the client is no longer infectious and the medic
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ation therapy has been effective.
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QUESTION 9 vc
A nurse is collecting data from a client who has bacterial meningitis. Which of the followi
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ng findings should the nurse expect? - Severe Headache
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ANSWER
-
Severe Headache The nurse should expect a client who has meningitis to have severe and persistent he
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adaches that worsen with movement of the head.
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QUESTION 10 vc
A nurse is reinforcing with a client who has pernicious anemia. Which of the following st
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atements by the client indicated an understanding of the teaching -
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I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize
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ANSWER
I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize
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Exam Solution vc
MEDSURG VATI ASSESSMENT 90 Q'S Cartes 2026 A+ GR vc vc vc vc vc vc vc vc
ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
vc vc vc vc vc vc
NSWERS (F6EF4) vc
QUESTION 1 vc
A nurse is assisting with the care of four clients. Which of the following clients is the prio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rity for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% -
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
aclient who has peripheral edema and urinary output of 130 over 4hrs -
vc vc vc vc vc vc vc vc vc vc vc vc vc
A client who has a permanent pacemaker with heart rate of 76/min -
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a client who has pericarditis and temp. 38 c 100.4
vc vc vc vc vc vc vc vc vc
ANSWER
-
A client who has chest tubes and an oxygen Sat of 90% Using the airway, breathing, and circulation app
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
roach to client care, the nurse should determine that the priority finding is the client's oxygen saturatio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n level, which is below the expected reference range of 95% to 100%. Therefore, the nurse should atten
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
d to this client first.
vc vc vc vc
QUESTION 2 vc
A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
. Which of the following findings should the nurse expect? - Vacalizes sound -
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Blinks eyes when asked -Follows motor commands -Nonresponsive Commands
vc vc vc vc vc vc vc vc
ANSWER
Nonresponsive Commands A client who has a GCS of less than 8 has evidence of severe head injury and
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is in a comatose state. The GCS is a standardized tool that allows for the evaluation of a client's level of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
consciousness. The test is divided into three sections that evaluate eye opening, motor response, and ve
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rbal response. The GCS ranges from a high score of 15 (fully alert) to a low score of 3 (fully comatose).
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 3 vc
A nurse is reinforcing teaching with a male client who has right sided hemiparesis about
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
preforming ADL's. Which of the following instructions should the nurse include in the te
vc vc vc vc vc vc vc vc vc vc vc vc vc
,aching -Comb your hair with the unaffected arm -
vc vc vc vc vc vc vc vc
Dress your unaffected side first choose clothing with buttons -
vc vc vc vc vc vc vc vc vc
shave with your affected side vc vc vc vc
ANSWER
Comb your hair with the unaffected arm The nurse should instruct the client to brush their hair with th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e unaffected arm to reduce frustration and increase independence and self-esteem.
vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
A nurse is collecting data from a client and auscultates intermittent high-
vc vc vc vc vc vc vc vc vc vc vc
pitched sounds during inspiration over the lower base of the lungs. The nurse should ide
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ntify this finding as which of the following lungs sounds - Fine crackles -stridor -
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rhonchi -friction vc
ANSWER
-
Fine crackles Fine crackles are auscultated in the base of the lungs as air moves through airway secreti
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ons. Fine crackles are intermittent, high-pitched sounds heard more often during inspiration.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 5 vc
A nurse is collecting data from a client who has coronary artery disease. Which of the foll
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
owing manifestations should the nurse identify as an indication that the client has angin
vc vc vc vc vc vc vc vc vc vc vc vc vc
a ( SatA) - Chest Discomfort Radiated - Pain lasting less that 15mins -
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Pain that is relieved with rest
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ANSWER
- Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with res
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 6 vc
A nurse is receiving change-of-
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shift report for a group of clients. Which of the following clients should the nurse plan to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
see first? - A client who has diabetes mellitus with diaphoretic
vc vc vc vc vc vc vc vc vc vc
ANSWER
A client who has diabetes mellitus with diaphoretic When using the urgent vs. nonurgent approach to cl
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ient care, the nurse should determine that the priority action is to attend to a client who has diabetes m
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ellitus and is diaphoretic. Diaphoresis is a manifestation of hypoglycemia and can lead to decreased cere
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
bral function. The nurse should check the client's blood glucose and administer a fast-
vc vc vc vc vc vc vc vc vc vc vc vc vc
acting glucose as prescribed. vc vc vc
QUESTION 7 vc
, A nurse is reinforcing teaching with a young adult client about testicular self-
vc vc vc vc vc vc vc vc vc vc vc vc
examination. Which of the following instructions should the nurse include? - vc vc vc vc vc vc vc vc vc vc
Examine your testicles after a warm shower -
vc vc vc vc vc vc vc vc
Press each testicle inwardly with your finger -
vc vc vc vc vc vc vc vc
Rinse any soap off your hands before examining your testicle -Perform the self-
vc vc vc vc vc vc vc vc vc vc vc vc vc
examination every 2 month
vc vc vc vc
ANSWER
Examine your testicles after a warm shower After exposure to warm water in a shower or bath, the scro
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tum relaxes and becomes easy to palpate. The testicle should feel smooth and round, and the client shou
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ld report any lumps to his provider.
vc vc vc vc vc vc
QUESTION 8 vc
A nurse is collecting data from a client who has tuberculosis and started combination the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rapy 2months ago. Which of the following diagnostic results indicates that the client is a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dhering to the medication regimen. - A negative chest X-ray - A negative sputum culture -
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
A negative tuberculin skin test -A negative titer for cytomegalovirus
vc vc vc vc vc vc vc vc vc
ANSWER
A negative sputum culture Tuberculosis is an infectious disease spread through airborne droplets. Sputu
vc vc vc vc vc vc vc vc vc vc vc vc vc
m cultures are obtained to both diagnose tuberculosis and to determine whether the medication treatm
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ent has been effective. After the client begins antibiotic treatment for tuberculosis, a sputum culture is o
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
btained monthly. A negative culture is an indication that the client is no longer infectious and the medic
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ation therapy has been effective.
vc vc vc vc
QUESTION 9 vc
A nurse is collecting data from a client who has bacterial meningitis. Which of the followi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ng findings should the nurse expect? - Severe Headache
vc vc vc vc vc vc vc vc
ANSWER
-
Severe Headache The nurse should expect a client who has meningitis to have severe and persistent he
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
adaches that worsen with movement of the head.
vc vc vc vc vc vc vc
QUESTION 10 vc
A nurse is reinforcing with a client who has pernicious anemia. Which of the following st
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
atements by the client indicated an understanding of the teaching -
vc vc vc vc vc vc vc vc vc vc
I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize
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