RN VATI MEDICAL SURGERY 2019 EXAM
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
A nurse is caring for a client who is 24 hr postoperative
following a total hip arthroplasty. Which of the following actions
should the nurse take?
A. Place the affected leg in external rotation.
B. Encourage the client to use the incentive spirometer every
shift.
C. Instruct the client to lean forward when rising from a chair.
D. Maintain abduction of the affected extremity.
D. Maintain abduction of the affected extremity.
The nurse should ensure that the affected extremity is in a
position of abduction to prevent hip dislocation. The nurse
should place an abductor pillow or several pillows between the
client's legs to keep the affected extremity in abduction while
the client is in bed
A nurse is assessing a client who takes salmeterol to treat
moderate asthma. Which of the following findings should
indicate to the nurse that the medication has been effective?
A. The client's daily peak expiratory flow (PEF) measures 85%
above personal best.
B. The client's ABGs shows a pH level of 7.32.
,RN VATI MEDICAL SURGERY 2019 EXAM
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
C. The client's forced expiratory volume is decreased after
treatment with medication.
D. The client's wheezing is limited to expiratory.
A. The client's daily peak expiratory flow (PEF) measures 85%
above personal best.
A client who has asthma should use a peak flow meter twice
daily to monitor asthma control. A PEF in the green zone, or
80% or above personal best, indicates the effectiveness of
medication therapy
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?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the hair
D. Increased sensitivity to the sun
C. Thinning of the hair
Thinning of the skin and delayed healing are adverse effects of
,RN VATI MEDICAL SURGERY 2019 EXAM
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
topical glucocorticoid preparations. The client should only apply
the ointment to dry patches of the skin because topical steroids
can cause atrophy of the dermis and epidermis, which can
result in thinning of the skin
A nurse is 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?
A. Dependent edema
B. Jugular distention
C. Weight Gain
D/ Frothy sputum
D. Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and
wheezing are manifestations of left-sided heart failure.
Treatment includes fluid restriction and diuretics to decrease
preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can
be life-threatening. Therefore, the nurse should notify the
provider immediately.
, RN VATI MEDICAL SURGERY 2019 EXAM
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
A nurse is caring for a client who is experiencing anxiety as well
as numbness and tingling of the lips and fingers. The client's
ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3 - 24 mEq/L, PaO2 85
mm Hg. Which of the following acid-base imbalances should
the nurse identify that the client is experiencing?
A.Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
A. Respiratory Alkalosis
This pH is alkaline (increased) and the PCO2 is decreased,
representing alveolar hyperventilation and resultant respiratory
alkalosis.
A nurse is assessing a client who has Cushing's syndrome.
Which of the following findings should the nurse expect?
A. Vitiligo
B. Osteoporosis
C. Myxedema
D. Heat intolerance
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
A nurse is caring for a client who is 24 hr postoperative
following a total hip arthroplasty. Which of the following actions
should the nurse take?
A. Place the affected leg in external rotation.
B. Encourage the client to use the incentive spirometer every
shift.
C. Instruct the client to lean forward when rising from a chair.
D. Maintain abduction of the affected extremity.
D. Maintain abduction of the affected extremity.
The nurse should ensure that the affected extremity is in a
position of abduction to prevent hip dislocation. The nurse
should place an abductor pillow or several pillows between the
client's legs to keep the affected extremity in abduction while
the client is in bed
A nurse is assessing a client who takes salmeterol to treat
moderate asthma. Which of the following findings should
indicate to the nurse that the medication has been effective?
A. The client's daily peak expiratory flow (PEF) measures 85%
above personal best.
B. The client's ABGs shows a pH level of 7.32.
,RN VATI MEDICAL SURGERY 2019 EXAM
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
C. The client's forced expiratory volume is decreased after
treatment with medication.
D. The client's wheezing is limited to expiratory.
A. The client's daily peak expiratory flow (PEF) measures 85%
above personal best.
A client who has asthma should use a peak flow meter twice
daily to monitor asthma control. A PEF in the green zone, or
80% or above personal best, indicates the effectiveness of
medication therapy
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?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the hair
D. Increased sensitivity to the sun
C. Thinning of the hair
Thinning of the skin and delayed healing are adverse effects of
,RN VATI MEDICAL SURGERY 2019 EXAM
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
topical glucocorticoid preparations. The client should only apply
the ointment to dry patches of the skin because topical steroids
can cause atrophy of the dermis and epidermis, which can
result in thinning of the skin
A nurse is 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?
A. Dependent edema
B. Jugular distention
C. Weight Gain
D/ Frothy sputum
D. Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and
wheezing are manifestations of left-sided heart failure.
Treatment includes fluid restriction and diuretics to decrease
preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can
be life-threatening. Therefore, the nurse should notify the
provider immediately.
, RN VATI MEDICAL SURGERY 2019 EXAM
QUESTIONS AND ANSWERS UPDATED 2025/2026 A
COMPLETE SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
A nurse is caring for a client who is experiencing anxiety as well
as numbness and tingling of the lips and fingers. The client's
ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3 - 24 mEq/L, PaO2 85
mm Hg. Which of the following acid-base imbalances should
the nurse identify that the client is experiencing?
A.Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
A. Respiratory Alkalosis
This pH is alkaline (increased) and the PCO2 is decreased,
representing alveolar hyperventilation and resultant respiratory
alkalosis.
A nurse is assessing a client who has Cushing's syndrome.
Which of the following findings should the nurse expect?
A. Vitiligo
B. Osteoporosis
C. Myxedema
D. Heat intolerance
