Delights Test Banks
Top Notch 2024-2025 RN VATI
Comprehensive Exam Review/Test Bank:
200 Real Exam Questions & 100% Correct
Answers with Full Explanations
,Category: Medical-Surgical Nursing
Question 1:
A nurse is caring for a patient who is post-operative after a cholecystectomy.
The patient begins to exhibit signs of jaundice, clay-colored stools, and dark
urine. Which complication should the nurse suspect?
• A) Hepatic encephalopathy
• B) Pancreatitis
• C) Bile duct obstruction
• D) Peritonitis
Correct Answer: C) Bile duct obstruction
Rationale: Jaundice, clay-colored stools, and dark urine are classic signs of
bile duct obstruction, which can occur after a cholecystectomy. The liver
produces bile, and if the bile ducts become blocked, it prevents bile from being
secreted into the intestine, causing the symptoms described. Hepatic
encephalopathy, pancreatitis, and peritonitis do not typically cause these
specific symptoms.
Question 2:
,A nurse is preparing to administer an intravenous (IV) medication to a patient.
Which of the following is the most important action before giving the IV
medication?
• A) Check the patient's vital signs
• B) Verify the patient’s identity using two identifiers
• C) Ask the patient if they have any allergies
• D) Ensure the IV catheter is patent
Correct Answer: B) Verify the patient’s identity using two identifiers
Rationale: Patient identification is the most important action before
administering any medication. This ensures that the right patient is receiving
the right medication. While checking vital signs, confirming allergies, and
ensuring the IV catheter is patent are important, verifying the patient's identity
is the top priority.
Category: Pharmacology
Question 3:
A nurse is caring for a patient who has been prescribed warfarin for
anticoagulation therapy. Which of the following laboratory tests should be
monitored regularly for this patient?
• A) Platelet count
, • B) Prothrombin time (PT) and International Normalized Ratio (INR)
• C) Complete blood count (CBC)
• D) Blood urea nitrogen (BUN)
Correct Answer: B) Prothrombin time (PT) and International Normalized Ratio
(INR)
Rationale: Warfarin is an anticoagulant, and the PT and INR are used to
monitor the effectiveness of the medication and ensure the patient is within the
therapeutic range. Platelet count, CBC, and BUN are not directly used to
monitor warfarin therapy.
Question 4:
A nurse is teaching a patient who has been prescribed a beta-blocker about the
medication’s side effects. The nurse should instruct the patient to report which
of the following symptoms immediately?
• A) Dizziness upon standing
• B) Decreased libido
• C) Shortness of breath
• D) Mild fatigue
Correct Answer: C) Shortness of breath
Rationale: Shortness of breath is a serious side effect of beta-blockers and
Top Notch 2024-2025 RN VATI
Comprehensive Exam Review/Test Bank:
200 Real Exam Questions & 100% Correct
Answers with Full Explanations
,Category: Medical-Surgical Nursing
Question 1:
A nurse is caring for a patient who is post-operative after a cholecystectomy.
The patient begins to exhibit signs of jaundice, clay-colored stools, and dark
urine. Which complication should the nurse suspect?
• A) Hepatic encephalopathy
• B) Pancreatitis
• C) Bile duct obstruction
• D) Peritonitis
Correct Answer: C) Bile duct obstruction
Rationale: Jaundice, clay-colored stools, and dark urine are classic signs of
bile duct obstruction, which can occur after a cholecystectomy. The liver
produces bile, and if the bile ducts become blocked, it prevents bile from being
secreted into the intestine, causing the symptoms described. Hepatic
encephalopathy, pancreatitis, and peritonitis do not typically cause these
specific symptoms.
Question 2:
,A nurse is preparing to administer an intravenous (IV) medication to a patient.
Which of the following is the most important action before giving the IV
medication?
• A) Check the patient's vital signs
• B) Verify the patient’s identity using two identifiers
• C) Ask the patient if they have any allergies
• D) Ensure the IV catheter is patent
Correct Answer: B) Verify the patient’s identity using two identifiers
Rationale: Patient identification is the most important action before
administering any medication. This ensures that the right patient is receiving
the right medication. While checking vital signs, confirming allergies, and
ensuring the IV catheter is patent are important, verifying the patient's identity
is the top priority.
Category: Pharmacology
Question 3:
A nurse is caring for a patient who has been prescribed warfarin for
anticoagulation therapy. Which of the following laboratory tests should be
monitored regularly for this patient?
• A) Platelet count
, • B) Prothrombin time (PT) and International Normalized Ratio (INR)
• C) Complete blood count (CBC)
• D) Blood urea nitrogen (BUN)
Correct Answer: B) Prothrombin time (PT) and International Normalized Ratio
(INR)
Rationale: Warfarin is an anticoagulant, and the PT and INR are used to
monitor the effectiveness of the medication and ensure the patient is within the
therapeutic range. Platelet count, CBC, and BUN are not directly used to
monitor warfarin therapy.
Question 4:
A nurse is teaching a patient who has been prescribed a beta-blocker about the
medication’s side effects. The nurse should instruct the patient to report which
of the following symptoms immediately?
• A) Dizziness upon standing
• B) Decreased libido
• C) Shortness of breath
• D) Mild fatigue
Correct Answer: C) Shortness of breath
Rationale: Shortness of breath is a serious side effect of beta-blockers and
