RN VATI Adult Med Surg 2019 Questions and Answers

RN VATI Adult Med Surg 2019 Questions and Answers RN VATI Adult Med Surg 2019 Questions and Answers 1. A nurse is preparing to discharge a client who is postop following a hip arthroplasty. Which of the following equipment should the nurse ensure that the client has available at home prior to discharge?: Elevated toilet seat. 2. A nurse is assessing a client who has suspected appendicitis. Which of the following manifestations should the nurse expect? SATA: Elevated WBC Rebound tenderness Anorexia 3. A nurse is teaching a client who has a new diagnoses of type 1 DM. Which of the following statements by the client indicates an understanding of the teaching?: "I am aware that my diabetes is caused by an autoimmune disorder." 4. A nurse is caring for a male client who has a new prescription for cy- closporine following a kidney transplant. Which of the following findings should the nurse identify as an adverse effect of this therapy?: BUN 24 mg/dL 5. A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching? SATA: "I will avoid crowds" "I will take my temperature daily" 6. A nurse is providing teaching to a client who has a new prescription for cephalexin oral suspension. Which of the following statements by the client indicates an understanding of the teaching?: "I will keep the medication refrig- erated." 7. A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the following mechanisms should the nurse identify as responsible for this acid-base imbalance?: Retention of carbon dioxide 8. A nurse is providing teaching for a client who has constipation-predominant irritable bowl syndrome (IBS-C). Which of the following statements should the nurse include in the teaching?: "Take psyllium in the evening." 9. A nurse is providing teaching to a client who is scheduled for a bron- choscopy. Which of the following statements should the nurse include in the teaching?: "You will not be able to eat or drink after the procedure until you are able to cough." 10. A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching?: A PCA pump will be used for postop pain control. 11. A nurse is providing discharge teaching about infection control at home for a client who has TB. Which of the following statements by the client indicates an understanding of the teaching?: "I will place my used tissues in a plastic bag." 12. A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?: Osteoporosis 13. A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage system. Which of the following findings should the nurse report to the provider?: Constant bubbling in the water seal chamber. 14. 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?: The client's daily peak expiratory flow (PEF) measures 85% above personal best. 15. A nurse is assessing a client's ECG strip and notes an irregular heart rate of 98 pbm with no clear p waves. Which of the following cardiac dysrhythmias should the nurse document?: A fib 16. A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the following quadrants should the nurse anticipate the client to be experiencing abdominal pain?: LLQ 17. 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?: Thinning of the skin. 18. A nurse is performing a risk assessment for a client. Which of the following factors should the nurse identify as increasing the client's risk for falls?: The client had cataracts surgery 1 day ago. 19. A nurse is caring for a client who is receiving vancomycin intermittent IV bolus therapy for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following findings is an indication to the nurse that the client is experi- encing an adverse effect of the medication?: The client is becoming flushed. 20. A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings should the nurse identify as a manifestation of cardiac tamponade?: Paradoxical pulse. 21. A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin.: A pearly, waxy nodule. 22. A nurse is caring for a client who is receiving a transfusion of packed RBCs. The nurse notes that the client's blood type is AB positive an the blood transfusing is labeled type B negative. Which of the following actions should the nurse take?: Monitor the client for any adverse reactions? 23. A nurse is caring for a client who has multiple leg fractures and is 24 hr post op following placement of skeletal traction. Which of the following actions should the nurse take?: Inspect the pin sites at least every 8 hours. 24. A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following medications should the nurse instruct the client to avoid? SATA: Aspirin Naproxen 25. A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse implement to decrease the client's risk for ventilator-associated pneumonia (VAP)?: Monitor for oral secretions every 2 hrs Provide oral care evert 2 hrs Assess the client daily for readiness for extubation 26. 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 HF?: Frothy sputum 27. A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the following findings is an indication to the nurse that the client is experiencing an adverse effect of the therapy?: Skin Changes 28. A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse plan to take?: Place monitoring cords and tubes in a stockinette 29. A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching?: Place a small pillow under the head while lying supine. 30. A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling urinary catheter. The nurse should identify which of the following findings as an indication of a complication of the surgery?: Clear drainage on the dressings. 31. A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?: Report cloudy dialysate drainage to the provider. 32. A nurse is caring for a client who had a surgical repair of an abdominal aortic aneurysm 3 days ago. The client's vital signs are: temp 38.3 degrees celcius, HR 80 bpm, RR 16 bpm, BP 128/76 mmHg. Which of the following actions is the nurse's priorirty?: Assess the surgical incision for signs of infection. 2023/2024