VATI MED SURG EXAM FINAL PAPER 2026
COMPLETE SOLVED QUESTIONS PRACTICE
REVISION PACK EXPERT REVIEW 200 ITEMS
◉ Nonresponsive Commands
A client who has a GCS of less than 8 has evidence of severe head
injury and is in a comatose state. The GCS is a standardized tool that
allows for the evaluation of a client's level of consciousness. The test
is divided into three sections that evaluate eye opening, motor
response, and verbal response. The GCS ranges from a high score of
15 (fully alert) to a low score of 3 (fully comatose).
Answer: A nurse is collecting data from a client who was admitted
with a Glasgow Coma Scale of 3. Which
of the following findings should the nurse expect?
- Vacalizes sound
-Blinks eyes when asked
-Follows motor commands
-Nonresponsive Commands
◉ - Persistent bubbling in the water seal chamber
,Excessive and persistent bubbling in the water-seal chamber
indicates an air leak in the drainage system. The nurse should notify
the charge nurse of this finding.
Answer: A nurse is monitoring a client who has a pneumothorax and
a chest tube in place with a closed chest drainage system connected
to low suction. For which of the following findings should the nurse
notify the charge nurse
- Fluctation of the water level in the water seal chamber
-constant bubling in the suction control chamber
- periodic bubbling in the water seal chamber
- Persistent bubbling in the water seal chamber
◉ Comb your hair with the unaffected arm
The nurse should instruct the client to brush their hair with the
unaffected arm to reduce frustration and increase independence and
self-esteem.
Answer: A nurse is reinforcing teaching with a male client who has
right sided hemiparesis about
preforming ADL's. Which of the following instructions should the
nurse include in the teaching
-Comb your hair with the unaffected arm
-Dress your unaffected side first
,choose clothing with buttons
-shave with your affected side
◉ - Fine crackles
Fine crackles are auscultated in the base of the lungs as air moves
through airway secretions. Fine crackles are intermittent, high-
pitched sounds heard more often during inspiration.
Answer: A nurse is collecting data from a client and auscultates
intermittent high-pitched sounds during inspiration over the lower
base of the lungs. The nurse should identify this finding as which of
the following lungs sounds
- Fine crackles
-stridor
-rhonchi
-friction
◉ - Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with res
Answer: A nurse is collecting data from a client who has coronary
artery disease. Which of the following
, manifestations should the nurse identify as an indication that the
client has angina ( SatA)
- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with rest
◉ A client who has diabetes mellitus with diaphoretic
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority action is to attend to a
client who has diabetes mellitus and is diaphoretic. Diaphoresis is a
manifestation of hypoglycemia and can lead to decreased cerebral
function. The nurse should check the client's blood glucose and
administer a fast-acting glucose as prescribed.
Answer: A nurse is receiving change-of-shift report for a group of
clients. Which of the following clients
should the nurse plan to see first?
- A client who has diabetes mellitus with diaphoretic
◉ A negative sputum culture
Tuberculosis is an infectious disease spread through airborne
droplets. Sputum cultures are obtained to both diagnose
tuberculosis and to determine whether the medication treatment
COMPLETE SOLVED QUESTIONS PRACTICE
REVISION PACK EXPERT REVIEW 200 ITEMS
◉ Nonresponsive Commands
A client who has a GCS of less than 8 has evidence of severe head
injury and is in a comatose state. The GCS is a standardized tool that
allows for the evaluation of a client's level of consciousness. The test
is divided into three sections that evaluate eye opening, motor
response, and verbal response. The GCS ranges from a high score of
15 (fully alert) to a low score of 3 (fully comatose).
Answer: A nurse is collecting data from a client who was admitted
with a Glasgow Coma Scale of 3. Which
of the following findings should the nurse expect?
- Vacalizes sound
-Blinks eyes when asked
-Follows motor commands
-Nonresponsive Commands
◉ - Persistent bubbling in the water seal chamber
,Excessive and persistent bubbling in the water-seal chamber
indicates an air leak in the drainage system. The nurse should notify
the charge nurse of this finding.
Answer: A nurse is monitoring a client who has a pneumothorax and
a chest tube in place with a closed chest drainage system connected
to low suction. For which of the following findings should the nurse
notify the charge nurse
- Fluctation of the water level in the water seal chamber
-constant bubling in the suction control chamber
- periodic bubbling in the water seal chamber
- Persistent bubbling in the water seal chamber
◉ Comb your hair with the unaffected arm
The nurse should instruct the client to brush their hair with the
unaffected arm to reduce frustration and increase independence and
self-esteem.
Answer: A nurse is reinforcing teaching with a male client who has
right sided hemiparesis about
preforming ADL's. Which of the following instructions should the
nurse include in the teaching
-Comb your hair with the unaffected arm
-Dress your unaffected side first
,choose clothing with buttons
-shave with your affected side
◉ - Fine crackles
Fine crackles are auscultated in the base of the lungs as air moves
through airway secretions. Fine crackles are intermittent, high-
pitched sounds heard more often during inspiration.
Answer: A nurse is collecting data from a client and auscultates
intermittent high-pitched sounds during inspiration over the lower
base of the lungs. The nurse should identify this finding as which of
the following lungs sounds
- Fine crackles
-stridor
-rhonchi
-friction
◉ - Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with res
Answer: A nurse is collecting data from a client who has coronary
artery disease. Which of the following
, manifestations should the nurse identify as an indication that the
client has angina ( SatA)
- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with rest
◉ A client who has diabetes mellitus with diaphoretic
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority action is to attend to a
client who has diabetes mellitus and is diaphoretic. Diaphoresis is a
manifestation of hypoglycemia and can lead to decreased cerebral
function. The nurse should check the client's blood glucose and
administer a fast-acting glucose as prescribed.
Answer: A nurse is receiving change-of-shift report for a group of
clients. Which of the following clients
should the nurse plan to see first?
- A client who has diabetes mellitus with diaphoretic
◉ A negative sputum culture
Tuberculosis is an infectious disease spread through airborne
droplets. Sputum cultures are obtained to both diagnose
tuberculosis and to determine whether the medication treatment
