©THESTAR 2024/2025 ALL RIGHTS RESERVED 9:50PM. A+
VATI Med surg proctored Exam Questions
With Correct Answers 100% Verified.
A nurse is collecting data from a client who has right-sided heart failure. Which of the following
findings should the nurse expect? (Select all that apply.) - Answer✔Poripheral edema
Hepatomegaly
Abdominal distention
A nurse is caring for a client who has heart failure and a new prescription for furosemide. The
nurse should monitor the client for which of the following adverse effects of the medication? -
Answer✔Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and hearing loss.
Audiometry is recommended for clients recelving prolonged IV furosemide.
A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and is ready
to resume eating solid foods. Which of the following food items should the nurse recommend?
- Answer✔Yogurt
The nurse should recommend adding yogurt to the diet to provide probiotics and add
substance to the stool, making it more formed. A client who is recovering from diarrhea should
consume a diet that is low in fiber. Taking probiotics can also help restore the natural
gastrointestinal flora.
A nurse is monitoring a client who has a new prescription for furosemide for peripheral edema.
For which of the following adverse effects should the nurse monitor? - Answer✔Muscle
weakness
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 9:50PM. A+
Furosemide is a loop diuretic, which is used to treat hypertension and edema. Furosemide can
cause excess excretion of potassium. The nurse should monitor the client for manifestations of
hypokalemia such as nausea, muscle weakness, and spasms.
A nurse is contacting the provider of a client who has heart failure and a potassium level of 3.4
mEq/L. Which of the following client medications should the nurse expect the provider to
withhold? - Answer✔Digoxin
The nurse should expect the provider to withhold digoxin when the client's potassium level is
low to decrease the client's risk of dysrhythrmias due to digoxin toxicity. Potassium assists in
displacing digoxin, because digoxin binds to potassiurm, and reduces the risk for digoxin
toxicity.
A nurse is assisting with the care of a client who has cellulitis and is receiving IV ceftriaxone.
During data collection, the nurse notes the client is flushed and the client reports urticaria.
After stopping the IV infusion, which of the following actions should the nurse take first? -
Answer✔Check the client's respirations.
After stopping the IV infusion, the first action the nurse should take when using the airway,
breathing, circulation approach to client care is to count the client's respirations and monitor
for dyspnea because a client experiencing an allergic reaction can progress to anaphylactic
shock and death.
A registered nurse (RN) in an acute care facility is caring for a group of clients with the
assistance of a licensed practical nurse (LPN). Which of the following tasks should the RN
delegate to the LPN? (Select all that apply.) - Answer✔Inserting an NG tube
Monitoring an IV infusion
Administering IM medications
A nurse is reinforcing teaching with a young adult client about testicular self-examination.
Which of the following instructions should the nurse include? - Answer✔"Examine your
testicles after a warm shower."
After exposure to warm water in a shower or bath, the scrotum relaxes and becomes easy to
palpate. The testicle should feel smooth and round, and the client should report any lumps to
his provider.
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 9:50PM. A+
A nurse is assisting in the planning of a health education class for a group of older adult clients.
Which of the following recommendations should the nurse include? - Answer✔Obtain a
pneumococcal immunization
The pneumococcal immunization should be obtained to prevent pneumonia and is generally
given at or near the age of 65, One dose provides lifelong immunity
A nurse is preparing to administer eardrops to an adult client who has otitis media. Which of
the following actions should the nurse plan to take? - Answer✔Warm the bottle by holding it in
the palm for 5 min before administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the hand
or putting the bottle in a pocket for about 5 min. Administering cold ear drops can cause the
client to experience discomfort or dizziness.
A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for a client
who has end-stage emphysema. Which of the following instructions should the nurse include to
promote client safety? - Answer✔Maintain an electrical backup system.
medical services and the electric company of the The nurse should remind the client to
maintain an electrical backup system to ensure continuity of oxygen therapy. This includes
notifying local emergency use of home oxygen equipment. In the event of power loss, the client
should notify 911, the provider, and the home health care agency.
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. The client has reduced urinary output, red urine, and
reports bladder pain. Which of the following actions should the nurse take first? -
Answer✔Increase the flow rate of the irrigation
When providing client care, the nurse should use the least restrictive intervention first;
therefore, the nurse should first increase the flow rate of continuous bladder irrigation to keep
the urinary output light pink or yellow.
A nurse is reinforcing teaching with a newly licensed nurse about enoxaparin. The nurse should
include in the teaching that which of the following medications can interact with enoxaparin?
(Select all that apply.) - Answer✔Clopidogrel
Aspirin
3
VATI Med surg proctored Exam Questions
With Correct Answers 100% Verified.
A nurse is collecting data from a client who has right-sided heart failure. Which of the following
findings should the nurse expect? (Select all that apply.) - Answer✔Poripheral edema
Hepatomegaly
Abdominal distention
A nurse is caring for a client who has heart failure and a new prescription for furosemide. The
nurse should monitor the client for which of the following adverse effects of the medication? -
Answer✔Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and hearing loss.
Audiometry is recommended for clients recelving prolonged IV furosemide.
A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and is ready
to resume eating solid foods. Which of the following food items should the nurse recommend?
- Answer✔Yogurt
The nurse should recommend adding yogurt to the diet to provide probiotics and add
substance to the stool, making it more formed. A client who is recovering from diarrhea should
consume a diet that is low in fiber. Taking probiotics can also help restore the natural
gastrointestinal flora.
A nurse is monitoring a client who has a new prescription for furosemide for peripheral edema.
For which of the following adverse effects should the nurse monitor? - Answer✔Muscle
weakness
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 9:50PM. A+
Furosemide is a loop diuretic, which is used to treat hypertension and edema. Furosemide can
cause excess excretion of potassium. The nurse should monitor the client for manifestations of
hypokalemia such as nausea, muscle weakness, and spasms.
A nurse is contacting the provider of a client who has heart failure and a potassium level of 3.4
mEq/L. Which of the following client medications should the nurse expect the provider to
withhold? - Answer✔Digoxin
The nurse should expect the provider to withhold digoxin when the client's potassium level is
low to decrease the client's risk of dysrhythrmias due to digoxin toxicity. Potassium assists in
displacing digoxin, because digoxin binds to potassiurm, and reduces the risk for digoxin
toxicity.
A nurse is assisting with the care of a client who has cellulitis and is receiving IV ceftriaxone.
During data collection, the nurse notes the client is flushed and the client reports urticaria.
After stopping the IV infusion, which of the following actions should the nurse take first? -
Answer✔Check the client's respirations.
After stopping the IV infusion, the first action the nurse should take when using the airway,
breathing, circulation approach to client care is to count the client's respirations and monitor
for dyspnea because a client experiencing an allergic reaction can progress to anaphylactic
shock and death.
A registered nurse (RN) in an acute care facility is caring for a group of clients with the
assistance of a licensed practical nurse (LPN). Which of the following tasks should the RN
delegate to the LPN? (Select all that apply.) - Answer✔Inserting an NG tube
Monitoring an IV infusion
Administering IM medications
A nurse is reinforcing teaching with a young adult client about testicular self-examination.
Which of the following instructions should the nurse include? - Answer✔"Examine your
testicles after a warm shower."
After exposure to warm water in a shower or bath, the scrotum relaxes and becomes easy to
palpate. The testicle should feel smooth and round, and the client should report any lumps to
his provider.
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 9:50PM. A+
A nurse is assisting in the planning of a health education class for a group of older adult clients.
Which of the following recommendations should the nurse include? - Answer✔Obtain a
pneumococcal immunization
The pneumococcal immunization should be obtained to prevent pneumonia and is generally
given at or near the age of 65, One dose provides lifelong immunity
A nurse is preparing to administer eardrops to an adult client who has otitis media. Which of
the following actions should the nurse plan to take? - Answer✔Warm the bottle by holding it in
the palm for 5 min before administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the hand
or putting the bottle in a pocket for about 5 min. Administering cold ear drops can cause the
client to experience discomfort or dizziness.
A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for a client
who has end-stage emphysema. Which of the following instructions should the nurse include to
promote client safety? - Answer✔Maintain an electrical backup system.
medical services and the electric company of the The nurse should remind the client to
maintain an electrical backup system to ensure continuity of oxygen therapy. This includes
notifying local emergency use of home oxygen equipment. In the event of power loss, the client
should notify 911, the provider, and the home health care agency.
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. The client has reduced urinary output, red urine, and
reports bladder pain. Which of the following actions should the nurse take first? -
Answer✔Increase the flow rate of the irrigation
When providing client care, the nurse should use the least restrictive intervention first;
therefore, the nurse should first increase the flow rate of continuous bladder irrigation to keep
the urinary output light pink or yellow.
A nurse is reinforcing teaching with a newly licensed nurse about enoxaparin. The nurse should
include in the teaching that which of the following medications can interact with enoxaparin?
(Select all that apply.) - Answer✔Clopidogrel
Aspirin
3
