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VATI MED SURG 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
A nurse is monitoring a client who has a traumatic brain injury.
Which of the following findings should the nurse identify as a
manifestation of Cushing's triad? -correct answer -Increase in
blood pressure from 130/80 mm Hg to 180/100 mm Hg
- A change in blood pressure from 130/80 mm Hg to 180/100 mm
Hg indicates a widened pulse pressure and hypertension, which
are components of Cushing's triad, a sign of increased
intracranial pressure.
A nurse is providing teaching about dietary options for a client
who has cholelithiasis. Which of the following statements should
the nurse include in the teaching? -correct answer -"Select
desserts such as angel-food cake."
Clients who have acute cholelithiasis will be prescribed a low-fat
diet. Desserts such as sherbet, gelatin, and angel food cake are
dessert choices that are low in fat.
A nurse is providing discharge teaching to a client who has
COPD. Which of the following instructions should the nurse
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include in the teaching? -correct answer -CONSUME A DIET
THAT IS HIGH IN CALORIES.
- Dyspnea decreases energy available for eating. Therefore, the
nurse should encourage the client to eat soft, high-calorie and
high-protein foods to prevent weight loss.
A nurse is assessing a client's understanding of a surgical
procedure prior to witnessing their signature on the informed
consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following
actions should the nurse take? -correct answer -CONTACT THE
PROVIDER WHO WILL BE PERFORMING THE PROCEDURE.
- The nurse should advocate for the client by informing the
provider if the client does not understand the procedure. It is the
responsibility of the provider to discuss the procedure more fully
with the client.
A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the
nurse include in the teaching? -correct answer -"You will not be
able to eat or drink after the procedure until you are able to
cough."
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- A client who had a bronchoscopy received a local anesthetic
that can suppress the cough reflex. The cough reflex protects the
client from aspirating fluids or food. Therefore, the client should
not eat or drink until the cough reflex returns.
A nurse is caring for a client who is 24 hr postoperative following
a total hip arthroplasty. Which of the following actions should the
nurse take? -correct answer -MAINTAIN ABDUCTION OF THE
AFFECTED EXTREMITY.
- The nurse should ensure that the affected extremity is in a
position of abduction to prevent hip dislocation. The nurse should
place an abductor pillow or several pillows between the client's
legs to keep the affected extremity in abduction while the client is
in bed.
A nurse is providing teaching to a client who has urinary
incontinences. Which of the following instructions should the
nurse include? -correct answer -Run water in the sink prior to
toileting.
-The nurse should instruct the client to run water prior to toileting.
The sound of the running water can trigger the clients urge to
urinate.
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A nurse is providing palliative care to a client who has cancer.
Besides helping to relieve pain, which of the following
interventions will improve circulation? -correct answer -Massage
therapy.
-Massage therapy involves manipulating the clients muscles and
soft tissue, which improves circulation and promotes relaxation.
Massage can decrease pain in clients who have cancer. Light
pressure should be applied.
A nurse is planning dietary teaching for a client who has
cholecystitis. The nurse should instruct the client to limit intake of
which of the following foods? -correct answer -Broccoli
-Clients who have cholecystitis should avoid gas=producing
foods, which include broccoli and cabbage. The client should also
consume a diet high in fiber and low in fat.
A nurse is caring for four clients. Which of the following clients is
at risk for skin breakdown? -correct answer -A client who has a
prealbumin level of 8.6 mg/dL
-A client who has a low prealbumin level may be experiencing
malnutrition, a risk factor for skin breakdown. The expected
VATI MED SURG 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
A nurse is monitoring a client who has a traumatic brain injury.
Which of the following findings should the nurse identify as a
manifestation of Cushing's triad? -correct answer -Increase in
blood pressure from 130/80 mm Hg to 180/100 mm Hg
- A change in blood pressure from 130/80 mm Hg to 180/100 mm
Hg indicates a widened pulse pressure and hypertension, which
are components of Cushing's triad, a sign of increased
intracranial pressure.
A nurse is providing teaching about dietary options for a client
who has cholelithiasis. Which of the following statements should
the nurse include in the teaching? -correct answer -"Select
desserts such as angel-food cake."
Clients who have acute cholelithiasis will be prescribed a low-fat
diet. Desserts such as sherbet, gelatin, and angel food cake are
dessert choices that are low in fat.
A nurse is providing discharge teaching to a client who has
COPD. Which of the following instructions should the nurse
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include in the teaching? -correct answer -CONSUME A DIET
THAT IS HIGH IN CALORIES.
- Dyspnea decreases energy available for eating. Therefore, the
nurse should encourage the client to eat soft, high-calorie and
high-protein foods to prevent weight loss.
A nurse is assessing a client's understanding of a surgical
procedure prior to witnessing their signature on the informed
consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following
actions should the nurse take? -correct answer -CONTACT THE
PROVIDER WHO WILL BE PERFORMING THE PROCEDURE.
- The nurse should advocate for the client by informing the
provider if the client does not understand the procedure. It is the
responsibility of the provider to discuss the procedure more fully
with the client.
A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the
nurse include in the teaching? -correct answer -"You will not be
able to eat or drink after the procedure until you are able to
cough."
, Page | 3
- A client who had a bronchoscopy received a local anesthetic
that can suppress the cough reflex. The cough reflex protects the
client from aspirating fluids or food. Therefore, the client should
not eat or drink until the cough reflex returns.
A nurse is caring for a client who is 24 hr postoperative following
a total hip arthroplasty. Which of the following actions should the
nurse take? -correct answer -MAINTAIN ABDUCTION OF THE
AFFECTED EXTREMITY.
- The nurse should ensure that the affected extremity is in a
position of abduction to prevent hip dislocation. The nurse should
place an abductor pillow or several pillows between the client's
legs to keep the affected extremity in abduction while the client is
in bed.
A nurse is providing teaching to a client who has urinary
incontinences. Which of the following instructions should the
nurse include? -correct answer -Run water in the sink prior to
toileting.
-The nurse should instruct the client to run water prior to toileting.
The sound of the running water can trigger the clients urge to
urinate.
, Page | 4
A nurse is providing palliative care to a client who has cancer.
Besides helping to relieve pain, which of the following
interventions will improve circulation? -correct answer -Massage
therapy.
-Massage therapy involves manipulating the clients muscles and
soft tissue, which improves circulation and promotes relaxation.
Massage can decrease pain in clients who have cancer. Light
pressure should be applied.
A nurse is planning dietary teaching for a client who has
cholecystitis. The nurse should instruct the client to limit intake of
which of the following foods? -correct answer -Broccoli
-Clients who have cholecystitis should avoid gas=producing
foods, which include broccoli and cabbage. The client should also
consume a diet high in fiber and low in fat.
A nurse is caring for four clients. Which of the following clients is
at risk for skin breakdown? -correct answer -A client who has a
prealbumin level of 8.6 mg/dL
-A client who has a low prealbumin level may be experiencing
malnutrition, a risk factor for skin breakdown. The expected
