VATI Med-Surg Pre-Assessment 2026/2027 Nursing Exam Preparation –
Questions and Answers A+ Study Guide
a nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. which
of the following should the nurse include as a risk factor for the development of hypertension? 1. HDL
level of 70, 2. a diet high in potassium, 3. obstructive sleep apnea, 4. taking benazepril -
(answer)Obstructive sleep apnea
a nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker.
which of the following instructions should the nurse include? (SATA) 1. count your pulse for 1 min each
morning; 2. resume activities that can cause jolting, such as horseback riding, after 4 weeks; 3. do not
wear tight clothing over the insertion area; 4. request to be scanned with a handheld metal detector
when in the airport; 5. do not have a microwave oven in the home. - (answer)Count your pulse for 1 min
each morning & Do not wear tight clothing over the insertion area
The nurse is caring for a client with chronic kidney disease (CKD). For each potential provider's
prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
Draw labs from left arm. Administer lisinopril. Administer potassium chloride. Administer sodium
polystyrene sulfonate and weigh client daily. - (answer)Anticipated: Administer lisinopril, Administer
sodium polystyrene sulfonate and weigh client daily. Contraindicated: Draw labs from left arm &
Administer potassium chloride.
A nurse in an emergency department is caring for a male client. Complete the diagram by dragging from
the choices below to specify which condition the client is most likely experiencing, two actions the nurse
should take to address that condition, and two parameters the nurse should monitor to assess the
client's progress. - (answer)Condition: Dehydration; Actions: Provide Fluid replacement & Obtain
electrocardiogram. Parameters to monitor: Potassium level & Urine output
A nurse is assessing a client who has diabetes insipidus, which are the following findings as a
manifestation of this diagnosis. hypertension, bounding peripheral pulses, tachycardia, hyperglycemia. -
(answer)tachycardia
A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client
whose leg is in BUCKS traction, which are the following statements indicates the assistive personnel's
understands the teaching. the footplate works to anchor the traction, the footplate helps prevent foot
drop, the footplate keeps the client from sliding down in bed, the footplate presents pressure sores on
the heel. - (answer)the footplate helps prevent foot drop
, VATI Med-Surg Pre-Assessment 2026/2027 Nursing Exam Preparation –
Questions and Answers A+ Study Guide
Nurse is caring for a client who sustained blood loss. Which are the following as a manifestation of
hypovolemia? decreased heart rate, dyspnea, increased blood pressure, or weak pulse. - (answer)weak
pulse
The nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of
the following manifestations should the nurse monitor to prevent fluid volume overload? Select all that
apply. Dyspnea, gastrointestinal bleeding, jugular vein distension, confusion, or hypotension. -
(answer)Dyspnea, jugular vein distension, confusion
A nurse is planning care for a client who has terminal cancer and has a prescription for morphine. Which
of the following interventions should the nurse include in the plan of care? Instruct the client to take
diphenoxalate atropine 5 milligrams by mouth twice daily. Instruct the client to actively cough to prevent
a buildup of secretions in the airway. Instruct the client to stop taking the morphine if itching develops.
Or instruct the client to keep room lights dim during waking hours. - (answer)Instruct the client to
actively cough to prevent a buildup of secretions in the airway.
The nurse is caring for a client who has a three-chamber closed chest tube system. Which of the
following actions should the nurse take after noticing a rise in the water seal chamber with client
inspiration? Continue to monitor the client. Immediately notify the provider. Reposition the client
toward the left side. Or clamp the chest tube near the water seal. - (answer)Continue to monitor the
client.
A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel
obstruction. The nurse should withhold which of the following medications? Senna, ibuprofen,
omeprazole, or zolpidem. - (answer)Senna
A nurse is caring for a client who has peripheral arterial disease, which are the following symptoms
should the nurse expect to find in the early stage of the disease. Intermittent claudication, dependent
rubor, rest pain, or foot ulcers. - (answer)Intermittent claudication
The staff nurse is teaching a client who has Addison's disease about the disease process. The client asks
the nurse what causes Addison's disease. Which of the following responses should the nurse make? It's
caused by the lack of production of insulin by the pancreas. It's caused by the lack of production of
aldosterone by the adrenal gland. It's caused by the overproduction of growth hormone by the pituitary
Questions and Answers A+ Study Guide
a nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. which
of the following should the nurse include as a risk factor for the development of hypertension? 1. HDL
level of 70, 2. a diet high in potassium, 3. obstructive sleep apnea, 4. taking benazepril -
(answer)Obstructive sleep apnea
a nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker.
which of the following instructions should the nurse include? (SATA) 1. count your pulse for 1 min each
morning; 2. resume activities that can cause jolting, such as horseback riding, after 4 weeks; 3. do not
wear tight clothing over the insertion area; 4. request to be scanned with a handheld metal detector
when in the airport; 5. do not have a microwave oven in the home. - (answer)Count your pulse for 1 min
each morning & Do not wear tight clothing over the insertion area
The nurse is caring for a client with chronic kidney disease (CKD). For each potential provider's
prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
Draw labs from left arm. Administer lisinopril. Administer potassium chloride. Administer sodium
polystyrene sulfonate and weigh client daily. - (answer)Anticipated: Administer lisinopril, Administer
sodium polystyrene sulfonate and weigh client daily. Contraindicated: Draw labs from left arm &
Administer potassium chloride.
A nurse in an emergency department is caring for a male client. Complete the diagram by dragging from
the choices below to specify which condition the client is most likely experiencing, two actions the nurse
should take to address that condition, and two parameters the nurse should monitor to assess the
client's progress. - (answer)Condition: Dehydration; Actions: Provide Fluid replacement & Obtain
electrocardiogram. Parameters to monitor: Potassium level & Urine output
A nurse is assessing a client who has diabetes insipidus, which are the following findings as a
manifestation of this diagnosis. hypertension, bounding peripheral pulses, tachycardia, hyperglycemia. -
(answer)tachycardia
A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client
whose leg is in BUCKS traction, which are the following statements indicates the assistive personnel's
understands the teaching. the footplate works to anchor the traction, the footplate helps prevent foot
drop, the footplate keeps the client from sliding down in bed, the footplate presents pressure sores on
the heel. - (answer)the footplate helps prevent foot drop
, VATI Med-Surg Pre-Assessment 2026/2027 Nursing Exam Preparation –
Questions and Answers A+ Study Guide
Nurse is caring for a client who sustained blood loss. Which are the following as a manifestation of
hypovolemia? decreased heart rate, dyspnea, increased blood pressure, or weak pulse. - (answer)weak
pulse
The nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of
the following manifestations should the nurse monitor to prevent fluid volume overload? Select all that
apply. Dyspnea, gastrointestinal bleeding, jugular vein distension, confusion, or hypotension. -
(answer)Dyspnea, jugular vein distension, confusion
A nurse is planning care for a client who has terminal cancer and has a prescription for morphine. Which
of the following interventions should the nurse include in the plan of care? Instruct the client to take
diphenoxalate atropine 5 milligrams by mouth twice daily. Instruct the client to actively cough to prevent
a buildup of secretions in the airway. Instruct the client to stop taking the morphine if itching develops.
Or instruct the client to keep room lights dim during waking hours. - (answer)Instruct the client to
actively cough to prevent a buildup of secretions in the airway.
The nurse is caring for a client who has a three-chamber closed chest tube system. Which of the
following actions should the nurse take after noticing a rise in the water seal chamber with client
inspiration? Continue to monitor the client. Immediately notify the provider. Reposition the client
toward the left side. Or clamp the chest tube near the water seal. - (answer)Continue to monitor the
client.
A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel
obstruction. The nurse should withhold which of the following medications? Senna, ibuprofen,
omeprazole, or zolpidem. - (answer)Senna
A nurse is caring for a client who has peripheral arterial disease, which are the following symptoms
should the nurse expect to find in the early stage of the disease. Intermittent claudication, dependent
rubor, rest pain, or foot ulcers. - (answer)Intermittent claudication
The staff nurse is teaching a client who has Addison's disease about the disease process. The client asks
the nurse what causes Addison's disease. Which of the following responses should the nurse make? It's
caused by the lack of production of insulin by the pancreas. It's caused by the lack of production of
aldosterone by the adrenal gland. It's caused by the overproduction of growth hormone by the pituitary
