RN VATI Adult Medical Surgical Assessment Exam
Complete MCQ Bank -Updated Per Latest Guidelines |
Graded A+
Question 1
A nurse is caring for a client with heart failure who has been prescribed
digoxin. Which of the following findings indicates digoxin toxicity?
A) Heart rate of 72 beats per minute
B) Serum potassium level of 4.0 mEq/L
C) Visual disturbances such as yellow-tinged vision
D) Blood pressure of 130/80 mmHg
Answer: C) Visual disturbances such as yellow-tinged vision
Rationale: Visual disturbances, including yellow-tinged or halos around
vision, are classic signs of digoxin toxicity. Bradycardia (not a rate of 72) and
hypokalemia (potassium below 3.5) are also associated, but the potassium
level here is normal. A heart rate of 72 is within normal limits.
Question 2
A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas (ABG) result showing pH 7.30, PaCO₂ 58 mmHg, HCO₃⁻ 30
mEq/L. Which of the following acid-base imbalances does this indicate?
,A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
C) Fully compensated respiratory alkalosis
D) Partially compensated metabolic alkalosis
Answer: B) Partially compensated respiratory acidosis
Rationale: The pH is low (acidosis) and PaCO₂ is elevated, indicating a
respiratory acidosis. The HCO₃⁻ is elevated (above 24), showing the kidneys
are attempting compensation, but the pH remains below 7.35, so it is only
partially compensated.
Question 3
A nurse is caring for a client who is 24 hours post-appendectomy. Which of
the following findings requires immediate intervention?
A) Temperature of 99.2°F (37.3°C)
B) White blood cell count of 12,000/mm³
C) Sudden onset of abdominal rigidity and severe pain
D) Serosanguineous drainage on the surgical dressing
Answer: C) Sudden onset of abdominal rigidity and severe pain
Rationale: Sudden rigidity and severe pain after abdominal surgery may
indicate peritonitis or wound dehiscence. Low-grade fever and mild
leukocytosis are expected post-surgery. Serosanguineous drainage is normal
in the first 24 hours.
,Question 4
A client with diabetes
1-200 NO LINKS
Here is a complete set of 200 multiple-choice questions for the RN VATI
Adult Medical Surgical Assessment Exam, formatted for Stuvia
upload with:
• Questions numbered 1–200
• Answers in bold italics
• Rationales in italics
• Blank lines between each element for clean readability
• 100% Verified Solutions | Updated Per Latest Guidelines | Graded
A+
• NO LINKS
RN VATI Adult Medical Surgical Assessment Exam
Complete MCQ Bank (1–200) | Updated Per Latest
Guidelines | Graded A+
, Question 1
A nurse is caring for a client with heart failure who has been prescribed
digoxin. Which of the following findings indicates digoxin toxicity?
A) Heart rate of 72 beats per minute
B) Serum potassium level of 4.0 mEq/L
C) Visual disturbances such as yellow-tinged vision
D) Blood pressure of 130/80 mmHg
Answer: C) Visual disturbances such as yellow-tinged vision
Rationale: Visual disturbances, including yellow-tinged or halos around
vision, are classic signs of digoxin toxicity. Bradycardia (not a rate of 72) and
hypokalemia (potassium below 3.5) are also associated, but the potassium
level here is normal. A heart rate of 72 is within normal limits.
Question 2
A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas (ABG) result showing pH 7.30, PaCO₂ 58 mmHg, HCO₃⁻ 30
mEq/L. Which of the following acid-base imbalances does this indicate?
A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
C) Fully compensated respiratory alkalosis
D) Partially compensated metabolic alkalosis
Answer: B) Partially compensated respiratory acidosis
Rationale: The pH is low (acidosis) and PaCO₂ is elevated, indicating a
respiratory acidosis. The HCO₃⁻ is elevated (above 24), showing the kidneys
Complete MCQ Bank -Updated Per Latest Guidelines |
Graded A+
Question 1
A nurse is caring for a client with heart failure who has been prescribed
digoxin. Which of the following findings indicates digoxin toxicity?
A) Heart rate of 72 beats per minute
B) Serum potassium level of 4.0 mEq/L
C) Visual disturbances such as yellow-tinged vision
D) Blood pressure of 130/80 mmHg
Answer: C) Visual disturbances such as yellow-tinged vision
Rationale: Visual disturbances, including yellow-tinged or halos around
vision, are classic signs of digoxin toxicity. Bradycardia (not a rate of 72) and
hypokalemia (potassium below 3.5) are also associated, but the potassium
level here is normal. A heart rate of 72 is within normal limits.
Question 2
A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas (ABG) result showing pH 7.30, PaCO₂ 58 mmHg, HCO₃⁻ 30
mEq/L. Which of the following acid-base imbalances does this indicate?
,A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
C) Fully compensated respiratory alkalosis
D) Partially compensated metabolic alkalosis
Answer: B) Partially compensated respiratory acidosis
Rationale: The pH is low (acidosis) and PaCO₂ is elevated, indicating a
respiratory acidosis. The HCO₃⁻ is elevated (above 24), showing the kidneys
are attempting compensation, but the pH remains below 7.35, so it is only
partially compensated.
Question 3
A nurse is caring for a client who is 24 hours post-appendectomy. Which of
the following findings requires immediate intervention?
A) Temperature of 99.2°F (37.3°C)
B) White blood cell count of 12,000/mm³
C) Sudden onset of abdominal rigidity and severe pain
D) Serosanguineous drainage on the surgical dressing
Answer: C) Sudden onset of abdominal rigidity and severe pain
Rationale: Sudden rigidity and severe pain after abdominal surgery may
indicate peritonitis or wound dehiscence. Low-grade fever and mild
leukocytosis are expected post-surgery. Serosanguineous drainage is normal
in the first 24 hours.
,Question 4
A client with diabetes
1-200 NO LINKS
Here is a complete set of 200 multiple-choice questions for the RN VATI
Adult Medical Surgical Assessment Exam, formatted for Stuvia
upload with:
• Questions numbered 1–200
• Answers in bold italics
• Rationales in italics
• Blank lines between each element for clean readability
• 100% Verified Solutions | Updated Per Latest Guidelines | Graded
A+
• NO LINKS
RN VATI Adult Medical Surgical Assessment Exam
Complete MCQ Bank (1–200) | Updated Per Latest
Guidelines | Graded A+
, Question 1
A nurse is caring for a client with heart failure who has been prescribed
digoxin. Which of the following findings indicates digoxin toxicity?
A) Heart rate of 72 beats per minute
B) Serum potassium level of 4.0 mEq/L
C) Visual disturbances such as yellow-tinged vision
D) Blood pressure of 130/80 mmHg
Answer: C) Visual disturbances such as yellow-tinged vision
Rationale: Visual disturbances, including yellow-tinged or halos around
vision, are classic signs of digoxin toxicity. Bradycardia (not a rate of 72) and
hypokalemia (potassium below 3.5) are also associated, but the potassium
level here is normal. A heart rate of 72 is within normal limits.
Question 2
A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas (ABG) result showing pH 7.30, PaCO₂ 58 mmHg, HCO₃⁻ 30
mEq/L. Which of the following acid-base imbalances does this indicate?
A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
C) Fully compensated respiratory alkalosis
D) Partially compensated metabolic alkalosis
Answer: B) Partially compensated respiratory acidosis
Rationale: The pH is low (acidosis) and PaCO₂ is elevated, indicating a
respiratory acidosis. The HCO₃⁻ is elevated (above 24), showing the kidneys
