VATI PN Medical Surgical Re-evaluation Assessment | 100 % Correct Questions and Verified Answers | 2023 Update

VATI PN Medical Surgical Re-evaluation Assessment | 100 % Correct Questions and Verified Answers | 2023 Update 1. 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? A) Auscultate lung sounds B) Palpate peripheral pulses C) Monitor urinary output D) Assess the abdomen ~ Answer: D) Assess the abdomen 2. A nurse is caring for a client who had an open reduction and internal fixation of a fractured femur. Which of the following findings has the highest pirority? A) Altered level of consciousness B) Oral temperature 37.7 C (100 F) C) Muscle spasms D) Headache ~ Answer: A) Altered level of consciousness 3. A nurse is planning possible interventions in the care for a client who may need for total parenteral nutrition (TPN). Which of the following clients should benefit form TPN? A) A client who has acute gastritis B) A client who has a complete bowel obstruction C) A client who has been vomiting for the past 4 hrs D) A client who has undergone a cholecystectomy ~ Answer: B) A client who has a complete bowel obstruction 4. A nurse notes a small section of bowel protruding from the abdominal incision of a postoperative client. Which of the following actions should the nurse perform first? A) Cover the client's wound with a moist sterile dressing B) Determine the client's pain level C) Check the client's vital signs D) Obtain a culture and sensitivity of the client's wound drainage. ~ Answer: A) Cover the client's wound with a moist sterile dressing 5. A nurse is reviewing the laboratory report of a client who is receiving treatment for a high fever and a viral infection. Which of the following findings should the nurse expect? A) Elevated T-cell count B) Decreasedf leukocyte count C) Elevated hemoglobin level D) Decreased albumin level ~ Answer: A) Elevated T-cell count 6. A nurse is caring for a client who is receiving a unit of packed RBC's. About 15 min following the start of the transfusion, the nurse notes that the client is flushed and febrile, and reports chills. To help confirm that the clietn is having an acute hemolytic transfusion reaction, the nurse should observe for which of the following manifestations? A) Urticaria B) Muscle pain C) Hypotension D) Distended neck veins ~ Answer: C) Hypotension 7. A nurse is caring for a postthoracotomy client who has just returned from the operating room. Which of the following is the nurse's priority action? A) Administer oxygen via nasal cannula B) Monitor urinary output C) Measure urinary output D) Maintain IV access at a rate of 75 mL/hour ~ Answer: A) Administer oxygen via nasal cannula