Med Surg vati assessment exam questions
with correct answers
A nurse is preparing to discharge a client who is postoperative following a total
| | | | | | | | | | | | | |
hip arthroplasty. Which of the following equipment should the nurse ensure that
| | | | | | | | | | | |
the client has available at home prior to discharge?
| | | | | | | |
Continuous passive motion device | | |
Elevated toilet seat
| |
Trapeze bar |
Compression garment - CORRECT ANSWER✔✔-Elevated toilet seat
| | | | | |
A client who is postoperative following a total hip arthroplasty is at risk for
| | | | | | | | | | | | | |
dislocation of the hip prosthesis. Limitations on hip flexion and adduction
| | | | | | | | | | |
decrease the risk. The client should avoid flexing the hip greater than 90° and
| | | | | | | | | | | | | |
should avoid using toilet seats that are low to the ground. An elevated toilet seat
| | | | | | | | | | | | | | |
should be in place in the client's home prior to the client's discharge.
| | | | | | | | | | | |
A nurse is assessing a client who has suspected appendicitis. Which of the
| | | | | | | | | | | | |
following manifestations should the nurse expect? (select all that apply)
| | | | | | | | |
Elevated WBC count
| |
Elevated amylase level
| |
Rebound tenderness |
Ascites
,Anorexia - CORRECT ANSWER✔✔-Elevated WBC count
| | | | |
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 |
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 teaching a client who has a new diagnosis of type 1 diabetes mellitus.
| | | | | | | | | | | | | | | |
Which of the following statements by the client indicates an understanding of the
| | | | | | | | | | | |
teaching?
|
"I am aware that my diabetes is caused by an autoimmune disorder."
| | | | | | | | | | |
"I know that my diabetes developed slowly over several years."
| | | | | | | | |
"If I lose weight, I may be able to stop taking insulin."
| | | | | | | | | | |
"I have developed a resistance to insulin." - CORRECT ANSWER✔✔-"I am aware
| | | | | | | | | | | |
that my diabetes is caused by an autoimmune disorder."
| | | | | | | |
Type 1 diabetes mellitus is an autoimmune disorder that destroys pancreatic beta
| | | | | | | | | | |
cells. This autoimmune reaction is often triggered by a viral infection.
| | | | | | | | | | |
,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?
| | | | | | |
WBC count 8,000/mm3 | |
RBC count 6 million/mm3
| | |
BUN 24 mg/dL | |
Potassium 3.5 mEq/L - CORRECT 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.
| | | | | | | | | |
The nurse should monitor the client for increases in BUN and creatinine and
| | | | | | | | | | | | |
report any elevation to the provider. A rise in BUN could indicate transplant
| | | | | | | | | | | | |
rejection.
A nurse in a long-term care facility is caring for a client who has dementia. Which
| | | | | | | | | | | | | | | |
of the following actions should the nurse take?
| | | | | | |
Give detailed directions when addressing the client.
| | | | | |
Provide finger food at mealtime. | | | |
Use written signs to redirect the client.
| | | | | |
Seat the client at a large table for meals. - CORRECT ANSWER✔✔-Provide finger
| | | | | | | | | | | | |
food at mealtime.| |
The nurse should provide the client who has dementia with fingers foods. Clients
| | | | | | | | | | | | |
who have dementia can have difficulty sitting still and tend to wander, which
| | | | | | | | | | | | |
makes weight loss and malnutrition a concern. Therefore, foods that the client
| | | | | | | | | | | |
can hold while ambulating are ideal.
| | | | |
, A nurse is caring for a client immediately following intubation with an
| | | | | | | | | | | |
endotracheal (ET) tube. Which of the following methods should the nurse identify
| | | | | | | | | | |
as the most reliable for verifying placement of the ET tube?
| | | | | | | | | | |
Feel for exhaled air emerging from the endotracheal tube.
| | | | | | | |
Assess for bilateral breath sounds.
| | | |
Observe for symmetric chest movement.
| | | |
Check for end-tidal carbon dioxide levels. - CORRECT ANSWER✔✔-Check for end-
| | | | | | | | | |
tidal carbon dioxide levels.
| | |
According to evidence-based practice, the most reliable method for verifying ET
| | | | | | | | | | |
tube placement is checking for end-tidal carbon dioxide levels by using
| | | | | | | | | | |
capnometry. A chest x-ray is another reliable method for verifying placement.
| | | | | | | | | |
A nurse is providing teaching for a client who has neutropenia and is receiving
| | | | | | | | | | | | | |
chemotherapy. Which of the following client statements indicates an | | | | | | | | |
understanding of the teaching? (select all that apply) | | | | | | |
"I will avoid crowds."
| | |
"I will wash my toothbrush weekly."
| | | | |
"I will change my cat's litter box twice weekly."
| | | | | | | |
"I will take my temperature daily."
| | | | |
"I will eat plenty of fresh fruits and vegetables." - CORRECT ANSWER✔✔-"I will
| | | | | | | | | | | | |
avoid crowds." |
The client who is immunocompromised should avoid crowds while undergoing
| | | | | | | | | |
chemotherapy to reduce the risk of infection. | | | | | |
with correct answers
A nurse is preparing to discharge a client who is postoperative following a total
| | | | | | | | | | | | | |
hip arthroplasty. Which of the following equipment should the nurse ensure that
| | | | | | | | | | | |
the client has available at home prior to discharge?
| | | | | | | |
Continuous passive motion device | | |
Elevated toilet seat
| |
Trapeze bar |
Compression garment - CORRECT ANSWER✔✔-Elevated toilet seat
| | | | | |
A client who is postoperative following a total hip arthroplasty is at risk for
| | | | | | | | | | | | | |
dislocation of the hip prosthesis. Limitations on hip flexion and adduction
| | | | | | | | | | |
decrease the risk. The client should avoid flexing the hip greater than 90° and
| | | | | | | | | | | | | |
should avoid using toilet seats that are low to the ground. An elevated toilet seat
| | | | | | | | | | | | | | |
should be in place in the client's home prior to the client's discharge.
| | | | | | | | | | | |
A nurse is assessing a client who has suspected appendicitis. Which of the
| | | | | | | | | | | | |
following manifestations should the nurse expect? (select all that apply)
| | | | | | | | |
Elevated WBC count
| |
Elevated amylase level
| |
Rebound tenderness |
Ascites
,Anorexia - CORRECT ANSWER✔✔-Elevated WBC count
| | | | |
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 |
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 teaching a client who has a new diagnosis of type 1 diabetes mellitus.
| | | | | | | | | | | | | | | |
Which of the following statements by the client indicates an understanding of the
| | | | | | | | | | | |
teaching?
|
"I am aware that my diabetes is caused by an autoimmune disorder."
| | | | | | | | | | |
"I know that my diabetes developed slowly over several years."
| | | | | | | | |
"If I lose weight, I may be able to stop taking insulin."
| | | | | | | | | | |
"I have developed a resistance to insulin." - CORRECT ANSWER✔✔-"I am aware
| | | | | | | | | | | |
that my diabetes is caused by an autoimmune disorder."
| | | | | | | |
Type 1 diabetes mellitus is an autoimmune disorder that destroys pancreatic beta
| | | | | | | | | | |
cells. This autoimmune reaction is often triggered by a viral infection.
| | | | | | | | | | |
,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?
| | | | | | |
WBC count 8,000/mm3 | |
RBC count 6 million/mm3
| | |
BUN 24 mg/dL | |
Potassium 3.5 mEq/L - CORRECT 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.
| | | | | | | | | |
The nurse should monitor the client for increases in BUN and creatinine and
| | | | | | | | | | | | |
report any elevation to the provider. A rise in BUN could indicate transplant
| | | | | | | | | | | | |
rejection.
A nurse in a long-term care facility is caring for a client who has dementia. Which
| | | | | | | | | | | | | | | |
of the following actions should the nurse take?
| | | | | | |
Give detailed directions when addressing the client.
| | | | | |
Provide finger food at mealtime. | | | |
Use written signs to redirect the client.
| | | | | |
Seat the client at a large table for meals. - CORRECT ANSWER✔✔-Provide finger
| | | | | | | | | | | | |
food at mealtime.| |
The nurse should provide the client who has dementia with fingers foods. Clients
| | | | | | | | | | | | |
who have dementia can have difficulty sitting still and tend to wander, which
| | | | | | | | | | | | |
makes weight loss and malnutrition a concern. Therefore, foods that the client
| | | | | | | | | | | |
can hold while ambulating are ideal.
| | | | |
, A nurse is caring for a client immediately following intubation with an
| | | | | | | | | | | |
endotracheal (ET) tube. Which of the following methods should the nurse identify
| | | | | | | | | | |
as the most reliable for verifying placement of the ET tube?
| | | | | | | | | | |
Feel for exhaled air emerging from the endotracheal tube.
| | | | | | | |
Assess for bilateral breath sounds.
| | | |
Observe for symmetric chest movement.
| | | |
Check for end-tidal carbon dioxide levels. - CORRECT ANSWER✔✔-Check for end-
| | | | | | | | | |
tidal carbon dioxide levels.
| | |
According to evidence-based practice, the most reliable method for verifying ET
| | | | | | | | | | |
tube placement is checking for end-tidal carbon dioxide levels by using
| | | | | | | | | | |
capnometry. A chest x-ray is another reliable method for verifying placement.
| | | | | | | | | |
A nurse is providing teaching for a client who has neutropenia and is receiving
| | | | | | | | | | | | | |
chemotherapy. Which of the following client statements indicates an | | | | | | | | |
understanding of the teaching? (select all that apply) | | | | | | |
"I will avoid crowds."
| | |
"I will wash my toothbrush weekly."
| | | | |
"I will change my cat's litter box twice weekly."
| | | | | | | |
"I will take my temperature daily."
| | | | |
"I will eat plenty of fresh fruits and vegetables." - CORRECT ANSWER✔✔-"I will
| | | | | | | | | | | | |
avoid crowds." |
The client who is immunocompromised should avoid crowds while undergoing
| | | | | | | | | |
chemotherapy to reduce the risk of infection. | | | | | |
