VATI MED SURG PROCTORED EXAM |
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2024
UPDATE!!
A nurse is reinforcing teaching with a client about advance directives.
The nurse should identify that which of the following client responses
indicates an understanding of the teaching? - ✔✔✔ Correct Answer
> If i have advance directives with a do-not-resuscitate order, Ican
change it later.
The nurse should instruct the client that she can change the advance
directives at any time after the document is signed,
A nurse is contributing to the plan of care for a client who has a
neurogenic bladder following a spinal cord injury. Which of the
following interventions should the nurse include in the plan to develop
bladder control? - ✔✔✔ Correct Answer > Stroke the inner thigh
,A client who has a spinal cord injury can experience a loss of urinary
control. The injury to the spinal cord results in a neurogenic bladder,
which means the client is unaware of the need to void. This can resultin
bladder distention, renal calculi, or autonomic dysreflexia. The nurse
should monitor urinary output and implement a bladder retraining
program that includes teaching the client how to trigger voiding, such
as stroking the inner thigh.
A nurse is caring for a client who has burns to the face, neck, and upper
chest. The client has expressed concerns regarding the change to their
physical appearance. Which of the following actions should the nurse
take? - ✔✔✔ Correct Answer > Encourage the client to ask questions
about their treatment
The nurse should assist the client through the grief process by
encouraging them to ask questions and verbalize concerns. Including
the client in the treatment plan provides the client with a sense of
control.
A nurse is reinforcing discharge teaching with a client who has a new
cast. The client is prescribed hydrocodone for pain. The nurse should
instruct the client to report immediately which of the following findings
to the provider? - ✔✔✔ Correct Answer > Swelling of the affected
extremity
,When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding for the client to report to the
provider is swelling of the affected extremity. This should be
immediately reported to the provider because it is an indication of
external pressure restricting blood flow and can result in the
development of compartment syndrome and loss of function.
A nurse is caring for a client who is experiencing difficulty using utensils
to eat following a stroke. Which of the following referrals should the
nurse recommend? - ✔✔✔ Correct Answer > Occupational therapist
The nurse should initiate a referral to an occupational therapist to assist
the client who has impaired function to gain the skills for ADLS,
including using eating utensils.
A nurse is reinforcing teaching with a client who is experiencing
neutropenia as a result of chemotherapy. Which of the following
information should the nurse include? (Select all that apply.) - ✔✔✔
Correct Answer > Bathe with antimicrobial soap daily.
Take temperature daily.
Avoid gardening
A nurse is collecting data from a client who has diabetes mellitus and a
blood glucose level of 61 mg/dL. Which of the following findings should
the nurse expect? - ✔✔✔ Correct Answer > Difficulty concentrating
, The nurse should identify a blood glucose of 61 mg/dL is below the
expected reference range of 74 to 110 mg/dL. The nurse should expect
a client who is experiencing hypoglycemia to exhibit difficulty
concentrating, slurred speech, and a change in emotional behavior.
Other manifestations of hypoglycemia can include pale, cool skin,
headache, hunger, and sweating. The nurse should administer 15 to 20
g of a fast-acting sugar to a client who is experiencing hypoglycemia.
A nurse is reinforcing teaching with a client who has a history of
calcium oxalate kidney stones. Which of the following statements by
the client indicates an understanding of the instructions? - ✔✔✔
Correct Answer > I'll be sure to eliminate peanuts from my diet.
Peanuts are a source of oxalate, therefore, the client should avoid them
to reduce the formation of calcium oxalate stones. Certain fruits, nuts,
grains, and legumes contain oxalate, and the client should minimize or
eliminate intake of these foods.
A nurse is caring for a client who is receiving bolus enteral feedings and
is prescribed digoxin and furosemide. Which of the following actions
should the nurse take? - ✔✔✔ Correct Answer > Flush the tube with
water before and after each medication
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2024
UPDATE!!
A nurse is reinforcing teaching with a client about advance directives.
The nurse should identify that which of the following client responses
indicates an understanding of the teaching? - ✔✔✔ Correct Answer
> If i have advance directives with a do-not-resuscitate order, Ican
change it later.
The nurse should instruct the client that she can change the advance
directives at any time after the document is signed,
A nurse is contributing to the plan of care for a client who has a
neurogenic bladder following a spinal cord injury. Which of the
following interventions should the nurse include in the plan to develop
bladder control? - ✔✔✔ Correct Answer > Stroke the inner thigh
,A client who has a spinal cord injury can experience a loss of urinary
control. The injury to the spinal cord results in a neurogenic bladder,
which means the client is unaware of the need to void. This can resultin
bladder distention, renal calculi, or autonomic dysreflexia. The nurse
should monitor urinary output and implement a bladder retraining
program that includes teaching the client how to trigger voiding, such
as stroking the inner thigh.
A nurse is caring for a client who has burns to the face, neck, and upper
chest. The client has expressed concerns regarding the change to their
physical appearance. Which of the following actions should the nurse
take? - ✔✔✔ Correct Answer > Encourage the client to ask questions
about their treatment
The nurse should assist the client through the grief process by
encouraging them to ask questions and verbalize concerns. Including
the client in the treatment plan provides the client with a sense of
control.
A nurse is reinforcing discharge teaching with a client who has a new
cast. The client is prescribed hydrocodone for pain. The nurse should
instruct the client to report immediately which of the following findings
to the provider? - ✔✔✔ Correct Answer > Swelling of the affected
extremity
,When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding for the client to report to the
provider is swelling of the affected extremity. This should be
immediately reported to the provider because it is an indication of
external pressure restricting blood flow and can result in the
development of compartment syndrome and loss of function.
A nurse is caring for a client who is experiencing difficulty using utensils
to eat following a stroke. Which of the following referrals should the
nurse recommend? - ✔✔✔ Correct Answer > Occupational therapist
The nurse should initiate a referral to an occupational therapist to assist
the client who has impaired function to gain the skills for ADLS,
including using eating utensils.
A nurse is reinforcing teaching with a client who is experiencing
neutropenia as a result of chemotherapy. Which of the following
information should the nurse include? (Select all that apply.) - ✔✔✔
Correct Answer > Bathe with antimicrobial soap daily.
Take temperature daily.
Avoid gardening
A nurse is collecting data from a client who has diabetes mellitus and a
blood glucose level of 61 mg/dL. Which of the following findings should
the nurse expect? - ✔✔✔ Correct Answer > Difficulty concentrating
, The nurse should identify a blood glucose of 61 mg/dL is below the
expected reference range of 74 to 110 mg/dL. The nurse should expect
a client who is experiencing hypoglycemia to exhibit difficulty
concentrating, slurred speech, and a change in emotional behavior.
Other manifestations of hypoglycemia can include pale, cool skin,
headache, hunger, and sweating. The nurse should administer 15 to 20
g of a fast-acting sugar to a client who is experiencing hypoglycemia.
A nurse is reinforcing teaching with a client who has a history of
calcium oxalate kidney stones. Which of the following statements by
the client indicates an understanding of the instructions? - ✔✔✔
Correct Answer > I'll be sure to eliminate peanuts from my diet.
Peanuts are a source of oxalate, therefore, the client should avoid them
to reduce the formation of calcium oxalate stones. Certain fruits, nuts,
grains, and legumes contain oxalate, and the client should minimize or
eliminate intake of these foods.
A nurse is caring for a client who is receiving bolus enteral feedings and
is prescribed digoxin and furosemide. Which of the following actions
should the nurse take? - ✔✔✔ Correct Answer > Flush the tube with
water before and after each medication
