2025 VATI MED SURG PROCTORED ACTUAL EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2025/2026
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? - 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? - 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? - 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? -
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.) - Clopidogrel
Aspirin
Ginkgo biloba
A nurse is collecting data from a client who has hypokalemia. Which of the following
findings should the nurse expect? - Cardiac dysrhythmias
The nurse should monitor the client who has hypokalemia, an electrolyte imbalance, for
life-threatening cardlac dysrhythmilas, abdominal pain, and distention.
,A nurse is collecting data from a client who reports dizziness and vertigo and is
performing the Romberg test. Which of the following instructions should the nurse give
the client about this test? - "Open your eyes."
The nurse should instruct the client to stand with their feet together and eyes open.
Then the client should close their eyes to determine if they lose balance. The test is
negative if the client can remain upright and keep balance with minimal swaying and
without moving their feet to another position. A positive test can indicate a dysfunction
of the cerebellum or inner ear.
A nurse is collecting data from a client who reports amenorrhea and insomnia. Which of
the following data should the nurse report to the provider? (Click on the exhibit tabs for
additional information about the client. There are three tabs that contain separate
categories of data.) - T4
The client's T4 is above the expected reference range of 4 to 12 mcg/dL, which
indicates hyperthyroidism. The nurse should report this value to the provider so that
treatment for hyperthyroidism can begin.
A nurse is caring for a client who has a foot fracture and requires crutches. Which of the
following actions should the nurse take to ensure client safety? - Measure the crutches
with two finger widths below the axilla.
The axillary bar on crutches should be measured with two finger widths under the axilla,
Measuring two finger widths below the axilla can reduce the risk for nerve damage.
A nurse is collecting data from a client who is 4 hr postoperative following abdominal
surgery. The nurse notes the wound is eviscerating. Which of the following actions
should the nurse take? - Place the client supine with her knees bent
The nurse should place the client in a supine position with the knees bent to decrease
strain on the abdominal muscles. This position also decreases tension on the surgical
site. Wound evisceration is a medical emergency that requires immediate surgical
repair.
A nurse is preparing to remove personal protective equipment (PPE) after irrigating a
client's wound infection and applying a fresh sterile dressing. Identify the sequence for
removing PPE. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.) - The nurse should remove the most contaminated
piece of PPE. the gloves, first, Next, the nurse should remove the face shield and then
the gown. The nurse should remove the least contaminated piece of PPE, the mask or
respirator, last.
, A nurse is reinforcing teaching with a client who is in the early stages of COPD and
wants to use nicotine chewing gum to stop smoking. Which of the following
recommendations should the nurse make? - "Do not eat or drink anything for 15
minutes before or after chewing the gum.
The client should not eat or drink anything 15 min before, during, or 15 min after
chewing the gum. Food and beverages can interfere with the absorption of nicotine and
diminish its therapeutic effects as nicotine replacement therapy.
A nurse is reinforcing teaching with an older adult client about age-related changes.
Which of the following physiological changes should the nurse include in the teaching?
(Select all that apply.) - Reduction in height
Loss of skin elasticity
Decreased near vision
A nurse is collecting data from a client who has acute cholecystitis. Which of the
following manifestations should the nurse expect? - Pain radiating to the right shoulder
Pain radiating to the right shoulder is a common manifestation of acute cholecystitis due
to the contraction of the bile ducts of the gallbladder.
A nurse is reinforcing teaching with a client who has a prescription for clopidogrel
following a thrombotic stroke. Which of the following information should the nurse
include in the teaching? - The medication prevents clot formation.
Clopidogrel is an antiplatelet medication that prevents platelets from sticking together
and, as a result, prolongs bleeding time, It is used to prevent blockage of coronary
arteries and prevent clot formation.
A nurse is contributing to the plan of care for a client who is in skeletal traction. Which of
the following interventions should the nurse include? - Keep the client's body centered
in the bed.
The nurse should keep the client's body centered on the bed to maintain alignment of
the body with the direction of the pull of traction. This will ensure continued alignment of
the bone.
A nurse is contributing to the plan of care for a client who has dysphagia following a
stroke. Which of the following actions should the nurse include in the plan of care to
prevent aspiration? - Keep the client upright for 30 min after a meal.
The nurse should keep the client upright for 30 to 60 min after a meal to reduce the risk
for aspiration.
WITH ANSWERS GRADED A+ 2025/2026
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? - 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? - 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? - 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? -
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.) - Clopidogrel
Aspirin
Ginkgo biloba
A nurse is collecting data from a client who has hypokalemia. Which of the following
findings should the nurse expect? - Cardiac dysrhythmias
The nurse should monitor the client who has hypokalemia, an electrolyte imbalance, for
life-threatening cardlac dysrhythmilas, abdominal pain, and distention.
,A nurse is collecting data from a client who reports dizziness and vertigo and is
performing the Romberg test. Which of the following instructions should the nurse give
the client about this test? - "Open your eyes."
The nurse should instruct the client to stand with their feet together and eyes open.
Then the client should close their eyes to determine if they lose balance. The test is
negative if the client can remain upright and keep balance with minimal swaying and
without moving their feet to another position. A positive test can indicate a dysfunction
of the cerebellum or inner ear.
A nurse is collecting data from a client who reports amenorrhea and insomnia. Which of
the following data should the nurse report to the provider? (Click on the exhibit tabs for
additional information about the client. There are three tabs that contain separate
categories of data.) - T4
The client's T4 is above the expected reference range of 4 to 12 mcg/dL, which
indicates hyperthyroidism. The nurse should report this value to the provider so that
treatment for hyperthyroidism can begin.
A nurse is caring for a client who has a foot fracture and requires crutches. Which of the
following actions should the nurse take to ensure client safety? - Measure the crutches
with two finger widths below the axilla.
The axillary bar on crutches should be measured with two finger widths under the axilla,
Measuring two finger widths below the axilla can reduce the risk for nerve damage.
A nurse is collecting data from a client who is 4 hr postoperative following abdominal
surgery. The nurse notes the wound is eviscerating. Which of the following actions
should the nurse take? - Place the client supine with her knees bent
The nurse should place the client in a supine position with the knees bent to decrease
strain on the abdominal muscles. This position also decreases tension on the surgical
site. Wound evisceration is a medical emergency that requires immediate surgical
repair.
A nurse is preparing to remove personal protective equipment (PPE) after irrigating a
client's wound infection and applying a fresh sterile dressing. Identify the sequence for
removing PPE. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.) - The nurse should remove the most contaminated
piece of PPE. the gloves, first, Next, the nurse should remove the face shield and then
the gown. The nurse should remove the least contaminated piece of PPE, the mask or
respirator, last.
, A nurse is reinforcing teaching with a client who is in the early stages of COPD and
wants to use nicotine chewing gum to stop smoking. Which of the following
recommendations should the nurse make? - "Do not eat or drink anything for 15
minutes before or after chewing the gum.
The client should not eat or drink anything 15 min before, during, or 15 min after
chewing the gum. Food and beverages can interfere with the absorption of nicotine and
diminish its therapeutic effects as nicotine replacement therapy.
A nurse is reinforcing teaching with an older adult client about age-related changes.
Which of the following physiological changes should the nurse include in the teaching?
(Select all that apply.) - Reduction in height
Loss of skin elasticity
Decreased near vision
A nurse is collecting data from a client who has acute cholecystitis. Which of the
following manifestations should the nurse expect? - Pain radiating to the right shoulder
Pain radiating to the right shoulder is a common manifestation of acute cholecystitis due
to the contraction of the bile ducts of the gallbladder.
A nurse is reinforcing teaching with a client who has a prescription for clopidogrel
following a thrombotic stroke. Which of the following information should the nurse
include in the teaching? - The medication prevents clot formation.
Clopidogrel is an antiplatelet medication that prevents platelets from sticking together
and, as a result, prolongs bleeding time, It is used to prevent blockage of coronary
arteries and prevent clot formation.
A nurse is contributing to the plan of care for a client who is in skeletal traction. Which of
the following interventions should the nurse include? - Keep the client's body centered
in the bed.
The nurse should keep the client's body centered on the bed to maintain alignment of
the body with the direction of the pull of traction. This will ensure continued alignment of
the bone.
A nurse is contributing to the plan of care for a client who has dysphagia following a
stroke. Which of the following actions should the nurse include in the plan of care to
prevent aspiration? - Keep the client upright for 30 min after a meal.
The nurse should keep the client upright for 30 to 60 min after a meal to reduce the risk
for aspiration.
