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MEDSURG VATI ASSESSMENT 90 Q

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MEDSURG VATI ASSESSMENT 90 Q

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VATI MED SURGE

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VATI MED SURGE

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Institution: VATI MED SURGE
Course: VATI MED SURGE

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Uploaded on: March 14, 2025
Number of pages: 21
Written in: 2024/2025
Type: Exam (elaborations)
Contains: Questions & answers

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medsurg vati assessment 90 q

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MEDSURG VATI ASSESSMENT 90 Q'S
QUESTIONS WITH CORRECT
ANSWERS 2025/2026
AAnurseAisAassistingAwithAtheAcareAofAfourAclients.AWhichAofAtheAfollowingAclientsAisAtheApriority
Afor

theAnurseAtoAsee

-AAclientAwhoAhasAchestAtubesAandAanAoxygenASatAofA90%

-AaclientAwhoAhasAperipheralAedemaAandAurinaryAoutputAofA130AoverA4hrs

-AAAclientAwhoAhasAaApermanentApacemakerAwithAheartArateAofA76/min

-aAclientAwhoAhasApericarditisAandAtemp.A38AcA100.4A-AcorrectAanswers-
AAAclientAwhoAhasAchestAtubesAandAanAoxygenASatAofA90%

UsingAtheAairway,Abreathing,AandAcirculationAapproachAtoAclientAcare,AtheAnurseAshouldAdeter
mineAthatAtheApriorityAfindingAisAtheAclient'sAoxygenAsaturationAlevel,AwhichAisAbelowAtheAexpe
ctedAreferenceArangeAofA95%AtoA100%.ATherefore,AtheAnurseAshouldAattendAtoAthisAclientAfirst.

AAnurseAisAcollectingAdataAfromAaAclientAwhoAwasAadmittedAwithAaAGlasgowAComaAScaleAofA3.A
Which

ofAtheAfollowingAfindingsAshouldAtheAnurseAexpect?

-AVacalizesAsound

-BlinksAeyesAwhenAasked

-FollowsAmotorAcommands

-NonresponsiveACommandsA-AcorrectAanswersNonresponsiveACommands

AAclientAwhoAhasAaAGCSAofAlessAthanA8AhasAevidenceAofAsevereAheadAinjuryAandAisAinAaAcomatos
eAstate.ATheAGCSAisAaAstandardizedAtoolAthatAallowsAforAtheAevaluationAofAaAclient'sAlevelAofAcon
sciousness.ATheAtestAisAdividedAintoAthreeAsectionsAthatAevaluateAeyeAopening,AmotorArespons
e,AandAverbalAresponse.ATheAGCSArangesAfromAaAhighAscoreAofA15A(fullyAalert)AtoAaAlowAscoreAof
A3A(fullyAcomatose).

,AAnurseAisAmonitoringAaAclientAwhoAhasAaApneumothoraxAandAaAchestAtubeAinAplaceAwithAaAclos
edAchestAdrainageAsystemAconnectedAtoAlowAsuction.AForAwhichAofAtheAfollowingAfindingsAshou
ldAtheAnurseAnotifyAtheAchargeAnurse

-AFluctationAofAtheAwaterAlevelAinAtheAwaterAsealAchamber

-constantAbublingAinAtheAsuctionAcontrolAchamber

-AperiodicAbubblingAinAtheAwaterAsealAchamber

-APersistentAbubblingAinAtheAwaterAsealAchamberA-AcorrectAanswers-
APersistentAbubblingAinAtheAwaterAsealAchamber

ExcessiveAandApersistentAbubblingAinAtheAwater-
sealAchamberAindicatesAanAairAleakAinAtheAdrainageAsystem.ATheAnurseAshouldAnotifyAtheAcharg
eAnurseAofAthisAfinding.

AAnurseAisAreinforcingAteachingAwithAaAmaleAclientAwhoAhasArightAsidedAhemiparesisAabout

preformingAADL's.AWhichAofAtheAfollowingAinstructionsAshouldAtheAnurseAincludeAinAtheAteachi
ng

-CombAyourAhairAwithAtheAunaffectedAarm

-DressAyourAunaffectedAsideAfirst

chooseAclothingAwithAbuttons

-shaveAwithAyourAaffectedAsideA-AcorrectAanswersCombAyourAhairAwithAtheAunaffectedAarm

TheAnurseAshouldAinstructAtheAclientAtoAbrushAtheirAhairAwithAtheAunaffectedAarmAtoAreduceAfr
ustrationAandAincreaseAindependenceAandAself-esteem.

AAnurseAisAcollectingAdataAfromAaAclientAandAauscultatesAintermittentAhigh-
pitchedAsoundsAduringAinspirationAoverAtheAlowerAbaseAofAtheAlungs.ATheAnurseAshouldAidentif
yAthisAfindingAasAwhichAofAtheAfollowingAlungsAsounds

-AFineAcrackles

-stridor

-rhonchi

-frictionA-AcorrectAanswers-AFineAcrackles

, FineAcracklesAareAauscultatedAinAtheAbaseAofAtheAlungsAasAairAmovesAthroughAairwayAsecretions
.AFineAcracklesAareAintermittent,Ahigh-pitchedAsoundsAheardAmoreAoftenAduringAinspiration.

AAnurseAisAcollectingAdataAfromAaAclientAwhoAhasAcoronaryAarteryAdisease.AWhichAofAtheAfollow
ing

manifestationsAshouldAtheAnurseAidentifyAasAanAindicationAthatAtheAclientAhasAanginaA(ASatA)

-AChestADiscomfortARadiated

-APainAlastingAlessAthatA15mins

-APainAthatAisArelievedAwithArestA-AcorrectAanswers-AChestADiscomfortARadiated

-APainAlastingAlessAthatA15mins

-APainAthatAisArelievedAwithAres

AAnurseAisAreceivingAchange-of-
shiftAreportAforAaAgroupAofAclients.AWhichAofAtheAfollowingAclients

shouldAtheAnurseAplanAtoAseeAfirst?

-AAAclientAwhoAhasAdiabetesAmellitusAwithAdiaphoreticA-
AcorrectAanswersAAclientAwhoAhasAdiabetesAmellitusAwithAdiaphoretic

WhenAusingAtheAurgentAvs.AnonurgentAapproachAtoAclientAcare,AtheAnurseAshouldAdetermineAt
hatAtheApriorityAactionAisAtoAattendAtoAaAclientAwhoAhasAdiabetesAmellitusAandAisAdiaphoretic.AD
iaphoresisAisAaAmanifestationAofAhypoglycemiaAandAcanAleadAtoAdecreasedAcerebralAfunction.AT
heAnurseAshouldAcheckAtheAclient'sAbloodAglucoseAandAadministerAaAfast-
actingAglucoseAasAprescribed.

AAnurseAisAcollectingAdataAfromAaAclientAwhoAhasAtuberculosisAandAstartedAcombinationAtherap
y

2monthsAago.AWhichAofAtheAfollowingAdiagnosticAresultsAindicatesAthatAtheAclientAisAadheringAt
oAthe

medicationAregimen.

-AAAnegativeAchestAX-ray

-AAAnegativeAsputumAculture

-AAnegativeAtuberculinAskinAtest

-AAnegativeAtiterAforAcytomegalovirusA-AcorrectAanswersAAnegativeAsputumAculture

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