VATI MED SURG PROCTORED EXAM 2025 NEWEST EXAM
FORM A AND B COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) // GRADED A+
atopic dermatitis triamcinolone ointment. - answer Thinning of the skin.
left-sided heart failure? - answer Frothy sputum
pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg. - answer Respiratory
alkalosis
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings
should the nurse expect? - answer Osteoporosis
Bone become thinner as a result of mineral loss & nitrogen depletion.
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should
identify which of the following lesion characteristics on the client's skin? - answer A pearly,
waxy nodule.
- Basal cell carcinoma has a nodular lesion with well-defined borders & pearly or waxy
appearance resulting from overexposure to the sun. especially on the face, head, and neck.
-A client who has melanoma has a lesion with irregular borders and variegated colours of red,
white, and blue, most often on the upper back or lower legs.
-A client who has squamous cell carcinoma has a firm, nodular, and crusty lesion with an
ulcerated centre, resulting from sun exposure, chronic irritation, burns, or irradiation to the
skin.
A nurse in an emergency department is assessing a client who is overusing prescribed
diuretics and has a sodium level of 127 mEq/L. Which of the following laboratory findings
should the nurse expect? - answer LOW URINE SPECFIC GRAVITY.
-A client who has hyponatremia as a result of diuretic overuse has a low urine specific
gravity. The increased excretion of water alters the ratio of particulate matter, which affects
the specific gravity.
1
,A home health nurse is assisting a client with planning care for a family member who has
Alzheimer's disease. Which of the following instructions should the nurse include? - answer
Remove clutter from rooms and hallways
- This allows the client is able to walk without the risk of falling or tripping over objects.
Later in the disease, the client can experience seizures, so cluttered areas could be a risk to
the client
A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS).
Which of the following findings should the nurse identify as a manifestation of this
syndrome? - answer REFRACTORY HYPOXEMIA
- A client who has ARDS has refractory hypoxemia, which is hypoxemia that does not
improve with oxygen therapy. Extensive pulmonary edema evident on a chest x-ray is a
manifestation of ARDS.
An emergency room nurse is assessing a client who has asthma and difficulty breathing.
Which of the following findings should indicate to the nurse that the client is experiencing
status asthmaticus? - answer USE OF ASSCESSORY MUSCLES.
- A client who has status asthmaticus uses accessory muscles to help facilitate breathing,
which is a manifestation of a severe airflow obstruction. The situation is life-threatening and
the nurse should intervene immediately with strong systemic bronchodilators, epinephrine,
corticosteroids, and oxygen.
A nurse is teaching a client who has a new prescription for PHENYTOIN to treat a seizure
disorder. Which of the following adverse effects should the nurse instruct the client to report
IMMEDIATELY to the provider? - answer SKIN RASH.
- the nurse should determine that the priority finding is a rash, which can have a measles-like
appearance and progress to exfoliative dermatitis or Stevens-Johnson syndrome. The client
should report this finding to the provider immediately.
A nurse is monitoring a client following a LUMBAR LAMINECTOMY. The client has a
drain and indwelling urinary catheter. The nurse should identify which of the following
2
, findings as an indication of a COMPLICATION of the surgery? - answer CLEAR
DRAINAGE OF DRESSINGS
- This is an indication of a cerebral spinal leak
A nurse is assessing a client who has RIGHT-SIDED HEART FAILURE. Which of the
following findings should the nurse identify as a manifestation of RIGHT- SIDED HEART
FAILURE? - answer INCREASED ABDOMINAL GIRTH
A nurse is caring for a client who recently assumed the role of caregiver for their aging
parents who have chronic illnesses. The nurse should identify that which of the following
statements by the client indicates ACCEPTANCE of the role change? - answer " I changed
the floor plan of our homes to accommodate my father's wheelchair. "
A nurse is caring for a client who is receiving VANCOMYCIN intermittent IV bolus therapy
for METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS. Which of the following
findings is an indication to the nurse that the client is experiencing an ADVERSE EFFECT of
the medication? - answer THE CLIENT IS BECOMING FLUSHED.
- Flushing is a manifestation of an infusion reaction to vancomycin that also causes a rash on
the face and upper body, called red man syndrome. Red man syndrome results from infusing
vancomycin to rapidly. The nurse should infuse the medication over at least 60 mins.
A nurse is caring for a male client who has a new prescription for CYCLOSPORINE
following a kidney transplant. Which of the following findings should the nurse identify as an
adverse effect of this therapy? - answer BUN 24 mg/dL.
- A BUN of 24 mg/dL is above the expected reference range of 10 to 20 mg/dL, indicating
renal impairment. An adverse effect of cyclosporine is nephrotoxicity
A nurse is caring for a client who has DUMPING SYNDROME following a gastric resection.
The nurse should monitor the client for which of the following complications of DUMPING
SYNDROME? - answer IRON DEFICIENCY ANEMIA.
- The nurse should monitor the client for manifestations of anemia, such as pallor,
tachycardia, and fatigue.
3
FORM A AND B COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) // GRADED A+
atopic dermatitis triamcinolone ointment. - answer Thinning of the skin.
left-sided heart failure? - answer Frothy sputum
pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg. - answer Respiratory
alkalosis
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings
should the nurse expect? - answer Osteoporosis
Bone become thinner as a result of mineral loss & nitrogen depletion.
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should
identify which of the following lesion characteristics on the client's skin? - answer A pearly,
waxy nodule.
- Basal cell carcinoma has a nodular lesion with well-defined borders & pearly or waxy
appearance resulting from overexposure to the sun. especially on the face, head, and neck.
-A client who has melanoma has a lesion with irregular borders and variegated colours of red,
white, and blue, most often on the upper back or lower legs.
-A client who has squamous cell carcinoma has a firm, nodular, and crusty lesion with an
ulcerated centre, resulting from sun exposure, chronic irritation, burns, or irradiation to the
skin.
A nurse in an emergency department is assessing a client who is overusing prescribed
diuretics and has a sodium level of 127 mEq/L. Which of the following laboratory findings
should the nurse expect? - answer LOW URINE SPECFIC GRAVITY.
-A client who has hyponatremia as a result of diuretic overuse has a low urine specific
gravity. The increased excretion of water alters the ratio of particulate matter, which affects
the specific gravity.
1
,A home health nurse is assisting a client with planning care for a family member who has
Alzheimer's disease. Which of the following instructions should the nurse include? - answer
Remove clutter from rooms and hallways
- This allows the client is able to walk without the risk of falling or tripping over objects.
Later in the disease, the client can experience seizures, so cluttered areas could be a risk to
the client
A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS).
Which of the following findings should the nurse identify as a manifestation of this
syndrome? - answer REFRACTORY HYPOXEMIA
- A client who has ARDS has refractory hypoxemia, which is hypoxemia that does not
improve with oxygen therapy. Extensive pulmonary edema evident on a chest x-ray is a
manifestation of ARDS.
An emergency room nurse is assessing a client who has asthma and difficulty breathing.
Which of the following findings should indicate to the nurse that the client is experiencing
status asthmaticus? - answer USE OF ASSCESSORY MUSCLES.
- A client who has status asthmaticus uses accessory muscles to help facilitate breathing,
which is a manifestation of a severe airflow obstruction. The situation is life-threatening and
the nurse should intervene immediately with strong systemic bronchodilators, epinephrine,
corticosteroids, and oxygen.
A nurse is teaching a client who has a new prescription for PHENYTOIN to treat a seizure
disorder. Which of the following adverse effects should the nurse instruct the client to report
IMMEDIATELY to the provider? - answer SKIN RASH.
- the nurse should determine that the priority finding is a rash, which can have a measles-like
appearance and progress to exfoliative dermatitis or Stevens-Johnson syndrome. The client
should report this finding to the provider immediately.
A nurse is monitoring a client following a LUMBAR LAMINECTOMY. The client has a
drain and indwelling urinary catheter. The nurse should identify which of the following
2
, findings as an indication of a COMPLICATION of the surgery? - answer CLEAR
DRAINAGE OF DRESSINGS
- This is an indication of a cerebral spinal leak
A nurse is assessing a client who has RIGHT-SIDED HEART FAILURE. Which of the
following findings should the nurse identify as a manifestation of RIGHT- SIDED HEART
FAILURE? - answer INCREASED ABDOMINAL GIRTH
A nurse is caring for a client who recently assumed the role of caregiver for their aging
parents who have chronic illnesses. The nurse should identify that which of the following
statements by the client indicates ACCEPTANCE of the role change? - answer " I changed
the floor plan of our homes to accommodate my father's wheelchair. "
A nurse is caring for a client who is receiving VANCOMYCIN intermittent IV bolus therapy
for METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS. Which of the following
findings is an indication to the nurse that the client is experiencing an ADVERSE EFFECT of
the medication? - answer THE CLIENT IS BECOMING FLUSHED.
- Flushing is a manifestation of an infusion reaction to vancomycin that also causes a rash on
the face and upper body, called red man syndrome. Red man syndrome results from infusing
vancomycin to rapidly. The nurse should infuse the medication over at least 60 mins.
A nurse is caring for a male client who has a new prescription for CYCLOSPORINE
following a kidney transplant. Which of the following findings should the nurse identify as an
adverse effect of this therapy? - answer BUN 24 mg/dL.
- A BUN of 24 mg/dL is above the expected reference range of 10 to 20 mg/dL, indicating
renal impairment. An adverse effect of cyclosporine is nephrotoxicity
A nurse is caring for a client who has DUMPING SYNDROME following a gastric resection.
The nurse should monitor the client for which of the following complications of DUMPING
SYNDROME? - answer IRON DEFICIENCY ANEMIA.
- The nurse should monitor the client for manifestations of anemia, such as pallor,
tachycardia, and fatigue.
3
