RN VATI Medical Surgery 2019 \Newest Update with
Complete Questions & Accurate Detailed Answers
\Verified 100% \Graded A+ \LATEST VERSION 2025-2026
A nurse is assessing a client A is correct. The nurse should tap
who has the client's cheek just in front of
hypocalcemia. In which
the ear and below the
of the following areas
zygomatic
should the nurse tap on
arch. The client who has
the client's
hypocalcemia will display a
face to detect the presence
Chvostek's sign, which is a
of Chvostek's sign? (You
twitching of the facial muscle
will find hot spots to select
in the artwork below. Select
only the hot spot that
corresponds to your
answer.)
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A nurse in an emergency B. Low urine specific gravity
department is assessing a A client who has hyponatremia as a result of diuretic
client who is overusing overuse has a low urine specific gravity. The increased
prescribed diuretics and has excretion of water alters the ratio of particulate matter,
a sodium level of 127 which affects the specific gravity
mEq/L. Which of the
following
laboratory findings should
the nurse expect?
a. High lipase
B. Low urine specific gravity
C. Low Hemoglobin
D. High creatine kinase-MB
(CK-MB)
A home health nurse is D. Review the daily schedule with the client every morning
assisting a client with The nurse should instruct the family member to use
planning care for a family short, simple sentences when explaining an activity to
member who has the client. The explanation should be done immediately
Alzheimer's disease. Which before the activity to aid the client's memory and
of the following instructions ability to follow directions.
should the nurse
include?
A. Remove clutter from room
and hallways
B. Place a monthly calendar
in the client's room
C. Use confrontation to
manage the client's
behavior
D. Review the daily schedule
with the client every
morning
A nurse is caring for a C. Refractory hypoxemia
client who has ARDS is a systemic inflammatory response to trauma,
developed acute sepsis, burns, pancreatitis, and blood transfusions, when
respiratory distress excess lung fluid dilutes surfactant activity in the lungs.
syndrome (ARDS). Which of A client who has ARDS has refractory hypoxemia, which
the following findings should is hypoxemia that does not
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the nurse identify as a improve with oxygen therapy. Extensive pulmonary
manifestation of this edema evident on a chest x-ray is a manifestation of
syndrome? ARDS
A. An audile pleural friction rub
B. Tracheal deviation from the
midline
C. Refractory hypoxemia
D. Bloody expectorant when
coughing
An emergency room nurse C. Use of accessory muscles
is assessing a client who A client who has status asthmaticus uses accessory muscles to
help facilitate
has asthma and difficulty
breathing, which is a manifestation of severe airflow
breathing. Which of the
obstruction. The situation is life- threatening and the
following findings should
nurse should intervene immediately with strong
indicate to the nurse that
systemic
the client is experiencing
bronchodilators, epinephrine, corticosteroids, and oxygen.
status asthmaticus?
A. Coughing
B. Flat neck veins
C. Use of accessory muscle
D. Presence of coarse crackles
A nurse is teaching a client D. Skin Rash
who has a new prescription When using the urgent vs. nonurgent approach to client
for phenytoin to treat a care, the nurse should determine that the priority
seizure disorder. Which of finding is a rash, which can have a measles-like
the following adverse appearance and progress to exfoliative dermatitis or
effects should the nurse Stevens-Johnson syndrome. The client should report
instruct the client to report this finding to the provider immediately.
immediately to the
provider?
A. Tender bleeding gums
B. Increased facial hair
C. Constipation
D. Skin Rash
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A nurse is monitoring a B. Clear drainage on the dressings
client following a lumbar The nurse should identify clear drainage on or around
laminectomy. The client has the dressing as an indication of a cerebral spinal leak
a drain and indwelling and should report this finding to the provider
urinary catheter. The nurse immediately.
should identify which of
the following findings as
an indication of a
complication of the
surgery?
A. Oral temperature of 37.2 C
(99 F)
B. Clear drainage on the
dressings
C. Drain output 75 mL in 4
hours
D. Decreased bowel
sounds in all
quadrants of the
abdomen
A nurse is assessing a client C. Increased abdominal girth
who has right- sided heart Increased abdominal girth is an expected finding with
failure. Which of the following right-sided heart failure due to systemic congestion
findings should the nurse and an enlarged liver and spleen. Systemic congestion
identify as a manifestation of can lead to fluid retention and increased pressure in
right-sided heart failure? the venous system, which can manifest with edema
A. S3 gallop in the lower extremities.
B. Weak peripheral pulses
C. Increased abdominal girth
d. Wheezing
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