1
PN VATI (Virtual-ATI) Adult Medical-Surgical Exam
PROCTORED 2025 includes accurate and verified questions
covering key areas of practical nursing care, including
respiratory, cardiovascular, gastrointestinal,
musculoskeletal, endocrine, and neurological systems. This
adaptive assessment is designed to evaluate readiness for the
through realistic clinical scenarios and evidence-based
nursing interventions.
A nurse is providing discharge teaching about infection control
at home for a client who has TUBERCULOSIS. Which of the
following statements by the client indicates an understanding of
the teaching? - ANSWER-" I will place my used tissues in a
plastic bag. "
- The sputum of a client who has tuberculosis is considered
infectious until there are three consecutive sputum samples that
test negative for Mycobacterium tuberculosis. Tissues that are
soiled with the client's sputum should be placed in a plastic bag
and sealed to avoid spreading the infection
A nurse is teaching a client who is scheduled to receive
RADIOACTIVE IODINE THERAPHY for treatment of
hyperthyroidism. Which of the following instructions should the
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nurse include in the teaching? - ANSWER-USE DISPOSABLE
UTENSILS FOR MEALS.
- The client who receives radioactive iodine has radioactivity in
the body fluids, including saliva, for several weeks following
treatment. The nurse should instruct the client to use disposable
utensils, plates, and cups during this time period to decrease the
risk for radiation exposure to other members of the household
A nurse is providing preoperative teaching to a client who is
scheduled for a RADICAL PROSTATECTOMY. Which of the
following information should the nurse include in the teaching?
- ANSWER-A PCA PUMP WILL BE USED FOR
POSTOPERATIVE PAIN CONTROL.
- A PCA pump is a common method of pain management in the
first 24 hr following an open radical prostatectomy. The nurse
should teach the client how to manage pain during the
preoperative period rather than waiting until after surgery when
the client is feeling the sedative effects of the anesthesia and
pain medication.
A nurse is assessing a client's ECG strip and notes an irregular
heart rate of 98/min with NO CLEAR P WAVES. Which of the
,3
following cardiac dysrhythmias should the nurse document? -
ANSWER-ATRIAL FIBRILLATION.
- With atrial fibrillation, multiple rapid impulses from many
different foci cause depolarization of the atria in a rapid,
disorganized manner. This causes a chaotic rhythm on the ECG
strip that has no clear P waves, no atrial contractions, and an
irregular rhythm.
A nurse is caring for a client who is receiving peritoneal dialysis.
Which of the following actions should the nurse take? -
ANSWER-REPORT CLOUDY DIALYSATE DRAINAGE TO
THE PROVIDER.
- The most serious complication of peritoneal dialysis is
peritonitis, an inflammation of the peritoneum. Assessment
findings include cloudy dialysate drainage, rebound abdominal
tenderness, and diffuse abdominal pain. The nurse should report
these findings immediately to the provider, who can then
prescribe a fluid culture, quick exchanges to wash out mediators
of infection, and antibiotics.
, 4
A nurse is assessing a client who has suspected APPENDICITIS.
Which of the following manifestations should the nurse expect?
- ANSWER-- Elevated WBC count (20,000+)
A client who has acute appendicitis will show a moderate
elevation of the WBC count from 10,000 to 18,000/mm3. If the
WBC count is greater than 20,000/mm3, it can indicate a
perforated appendix.
- Rebound tenderness (RLQ)
A client who has appendicitis develops localized pain over the
right lower quadrant of the abdomen. When the area is palpated,
pain occurs during release of pressure on the client's abdomen.
- Anorexia
A client who has acute appendicitis experiences nausea,
vomiting, and reduced appetite.
A nurse is planning preventative strategies for a client who is at
risk for PRESSURE INJURIES. Which of the following actions
should the nurse include in the plan? - ANSWER-APPLY
MOISTURIZER TO DAMP SKIN AFTER BATHING.
- Applying a moisturizer to damp skin after bathing helps
prevent dry skin. The drier the skin is, the greater the risk is for
skin breakdown.
PN VATI (Virtual-ATI) Adult Medical-Surgical Exam
PROCTORED 2025 includes accurate and verified questions
covering key areas of practical nursing care, including
respiratory, cardiovascular, gastrointestinal,
musculoskeletal, endocrine, and neurological systems. This
adaptive assessment is designed to evaluate readiness for the
through realistic clinical scenarios and evidence-based
nursing interventions.
A nurse is providing discharge teaching about infection control
at home for a client who has TUBERCULOSIS. Which of the
following statements by the client indicates an understanding of
the teaching? - ANSWER-" I will place my used tissues in a
plastic bag. "
- The sputum of a client who has tuberculosis is considered
infectious until there are three consecutive sputum samples that
test negative for Mycobacterium tuberculosis. Tissues that are
soiled with the client's sputum should be placed in a plastic bag
and sealed to avoid spreading the infection
A nurse is teaching a client who is scheduled to receive
RADIOACTIVE IODINE THERAPHY for treatment of
hyperthyroidism. Which of the following instructions should the
,2
nurse include in the teaching? - ANSWER-USE DISPOSABLE
UTENSILS FOR MEALS.
- The client who receives radioactive iodine has radioactivity in
the body fluids, including saliva, for several weeks following
treatment. The nurse should instruct the client to use disposable
utensils, plates, and cups during this time period to decrease the
risk for radiation exposure to other members of the household
A nurse is providing preoperative teaching to a client who is
scheduled for a RADICAL PROSTATECTOMY. Which of the
following information should the nurse include in the teaching?
- ANSWER-A PCA PUMP WILL BE USED FOR
POSTOPERATIVE PAIN CONTROL.
- A PCA pump is a common method of pain management in the
first 24 hr following an open radical prostatectomy. The nurse
should teach the client how to manage pain during the
preoperative period rather than waiting until after surgery when
the client is feeling the sedative effects of the anesthesia and
pain medication.
A nurse is assessing a client's ECG strip and notes an irregular
heart rate of 98/min with NO CLEAR P WAVES. Which of the
,3
following cardiac dysrhythmias should the nurse document? -
ANSWER-ATRIAL FIBRILLATION.
- With atrial fibrillation, multiple rapid impulses from many
different foci cause depolarization of the atria in a rapid,
disorganized manner. This causes a chaotic rhythm on the ECG
strip that has no clear P waves, no atrial contractions, and an
irregular rhythm.
A nurse is caring for a client who is receiving peritoneal dialysis.
Which of the following actions should the nurse take? -
ANSWER-REPORT CLOUDY DIALYSATE DRAINAGE TO
THE PROVIDER.
- The most serious complication of peritoneal dialysis is
peritonitis, an inflammation of the peritoneum. Assessment
findings include cloudy dialysate drainage, rebound abdominal
tenderness, and diffuse abdominal pain. The nurse should report
these findings immediately to the provider, who can then
prescribe a fluid culture, quick exchanges to wash out mediators
of infection, and antibiotics.
, 4
A nurse is assessing a client who has suspected APPENDICITIS.
Which of the following manifestations should the nurse expect?
- ANSWER-- Elevated WBC count (20,000+)
A client who has acute appendicitis will show a moderate
elevation of the WBC count from 10,000 to 18,000/mm3. If the
WBC count is greater than 20,000/mm3, it can indicate a
perforated appendix.
- Rebound tenderness (RLQ)
A client who has appendicitis develops localized pain over the
right lower quadrant of the abdomen. When the area is palpated,
pain occurs during release of pressure on the client's abdomen.
- Anorexia
A client who has acute appendicitis experiences nausea,
vomiting, and reduced appetite.
A nurse is planning preventative strategies for a client who is at
risk for PRESSURE INJURIES. Which of the following actions
should the nurse include in the plan? - ANSWER-APPLY
MOISTURIZER TO DAMP SKIN AFTER BATHING.
- Applying a moisturizer to damp skin after bathing helps
prevent dry skin. The drier the skin is, the greater the risk is for
skin breakdown.
