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Pn Vati Medsurg Exam Newest Exam | All Questions And Correct Answers With Rationales | Graded A+ | Verified Answers | Just Released

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PN VATI MEDSURG EXAM NEWEST EXAM | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | GRADED A+ | VERIFIED ANSWERS | JUST RELEASED

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1/27/25, 5:58 PM PN VATI MEDSURG EXAM NEWEST EXAM | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | GRADED A+ | …




PN VATI MEDSURG EXAM NEWEST EXAM | ALL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | GRADED A+ | VERIFIED ANSWERS
| JUST RELEASED

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Terms in this set (100)


A nurse is assisting with - A client who has chest tubes and an oxygen Sat of
the care of four clients. 90%
Which of the following
clients is the priority for Using the airway, breathing, and circulation approach
the nurse to see to client care, the nurse should determine that the
priority finding is the client's oxygen saturation level,
-A client who has chest which is below the expected reference range of 95%
tubes and an oxygen Sat to 100%. Therefore, the nurse should attend to this
of 90% client first.
- aclient who has
peripheral edema and
urinary output of 130 over
4hrs
- A client who has a
permanent pacemaker
with heart rate of 76/min
-a client who has
pericarditis and temp. 38 c
100.4




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,1/27/25, 5:58 PM PN VATI MEDSURG EXAM NEWEST EXAM | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | GRADED A+ | …


A nurse is collecting data Nonresponsive Commands
from a client who was
admitted with a Glasgow A client who has a GCS of less than 8 has evidence of
Coma Scale of 3. Which severe head injury and is in a comatose state. The GCS
of the following findings is a standardized tool that allows for the evaluation of
should the nurse expect? a client's level of consciousness. The test is divided
- Vacalizes sound into three sections that evaluate eye opening, motor
-Blinks eyes when asked response, and verbal response. The GCS ranges from
-Follows motor a high score of 15 (fully alert) to a low score of 3 (fully
commands comatose).
-Nonresponsive
Commands

A nurse is monitoring a - Persistent bubbling in the water seal chamber
client who has a
pneumothorax and a chest Excessive and persistent bubbling in the water-seal
tube in place with a chamber indicates an air leak in the drainage system.
closed chest drainage The nurse should notify the charge nurse of this
system connected to low finding.
suction. For which of the
following findings should
the nurse notify the
charge nurse


- Fluctation of the water
level in the water seal
chamber
-constant bubling in the
suction control chamber
- periodic bubbling in the
water seal chamber
- Persistent bubbling in
the water seal chamber




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,1/27/25, 5:58 PM PN VATI MEDSURG EXAM NEWEST EXAM | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | GRADED A+ | …


A nurse is reinforcing Comb your hair with the unaffected arm
teaching with a male client
who has right sided The nurse should instruct the client to brush their hair
hemiparesis about with the unaffected arm to reduce frustration and
preforming ADL's. Which increase independence and self-esteem.
of the following
instructions should the
nurse include in the
teaching
-Comb your hair with the
unaffected arm
-Dress your unaffected
side first
choose clothing with
buttons
-shave with your affected
side

A nurse is collecting data - Fine crackles
from a client and
auscultates intermittent Fine crackles are auscultated in the base of the lungs
high-pitched sounds as air moves through airway secretions. Fine crackles
during inspiration over the are intermittent, high-pitched sounds heard more
lower base of the lungs. often during inspiration.
The nurse should identify
this finding as which of the
following lungs sounds


- Fine crackles
-stridor
-rhonchi
-friction




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, 1/27/25, 5:58 PM PN VATI MEDSURG EXAM NEWEST EXAM | ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | GRADED A+ | …


A nurse is collecting data - Chest Discomfort Radiated
from a client who has - Pain lasting less that 15mins
coronary artery disease. - Pain that is relieved with res
Which of the following
manifestations should the
nurse identify as an
indication that the client
has angina ( SatA)
- Chest Discomfort
Radiated
- Pain lasting less that
15mins
- Pain that is relieved with
rest

A client who has diabetes mellitus with diaphoretic
A nurse is receiving
change-of-shift report for
When using the urgent vs. nonurgent approach to
a group of clients. Which
client care, the nurse should determine that the
of the following clients
priority action is to attend to a client who has diabetes
should the nurse plan to
mellitus and is diaphoretic. Diaphoresis is a
see first?
manifestation of hypoglycemia and can lead to
- A client who has
decreased cerebral function. The nurse should check
diabetes mellitus with
the client's blood glucose and administer a fast-acting
diaphoretic
glucose as prescribed.




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