PN VATI Medical Surgical Re-evaluation
Assessment (New 2026/ 2027 Update)
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
A nurse is collecting data from four clients who have wounds. The nurse should
recognize that which of the following clients has a manifestation of a wound infection?
A) A client who has serosanguineous drainage from the wound
B) A client who has swelling and tenderness around the wound
C) A client who has urticaria and itching around the wound
D) A client who has brown crusting over the wound - correct answer B) A client who
has swelling and tenderness around the wound
A nurse is assisting with the plan of care for a client who has viral hepatitis. Which of
the following acitons should the nurse include in the plan?
A) Provide a low calorie diet
B) Adminsiter acetaminphen for pain.
,C) Encourage eating three large meals daily
D) Provide periods of rest - correct answer D) Provide periods of rest
A nurse is caring for a client who is postoperative following surgical repair of a
mandibular fracture. Which of the following is the nurse's priority?
A) Pain control
B) Airway managment
C) Oral hygiene
D) Nutritional support - correct answer B) Airway managment
A nurse is organizing at the beginning of her shift the plan of care for two clients. The
first client who is one day post-operative from a partial bowel resection requires a
complete dressing change, total parental nutririon administration, and is reporting pain
at a level of 6 on a 10-point scale. The second client who has a newly inserted
percutaneous gastrostomy tube requires a tube feeding, dressing change, and daily
weight. Which of the following nursing actions should the nurse plan to complete first?
,A) Weigh the client requiring a daily weight
B) Take vital signs on both clients
C) Administer pain medication to the client reporting pain
D) Change the dressings. - correct answer B) Take vital signs on both clients
A nurse is monitoring a client who has a spinal cord injury and suspects autonomic
dysreflexia. Which of teh following actions should the nurse implement first?
A) Check the client for a fecal impaction
B) Ensure the room temperature is warm
C) Check the client's bladder for distention
D) Place the client in a sitting position - correct answer D) Place the client in a sitting
position
A nurse is planning care for a client who has a suspected myocardial infarction. Which
of the following should the nurse administer first?
A) Nitroglycerin (Nitrostat)
, B) Aspirin (A,S,A)
C) Oxygen
D) Morphine Sulfate - correct answer C) Oxygen
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube
drainage system to suction. Which of the following actions should the nurse take?
A) Add tap water as needed to the suction control chamber
B) Maintain the drainage container below the level of the client's chest
C) Empty the collection container every shift
D) Clamp the chest tubes if it becomes disconnected - correct answer B) Maintain the
drainage container below the level of the client's chest
A nurse is caring for a client who develops a pulmonary embolism. Which of the
following interventions should the nurse implement first?
A) Give morphine IV
B) Administer oxygen therapy
Assessment (New 2026/ 2027 Update)
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
A nurse is collecting data from four clients who have wounds. The nurse should
recognize that which of the following clients has a manifestation of a wound infection?
A) A client who has serosanguineous drainage from the wound
B) A client who has swelling and tenderness around the wound
C) A client who has urticaria and itching around the wound
D) A client who has brown crusting over the wound - correct answer B) A client who
has swelling and tenderness around the wound
A nurse is assisting with the plan of care for a client who has viral hepatitis. Which of
the following acitons should the nurse include in the plan?
A) Provide a low calorie diet
B) Adminsiter acetaminphen for pain.
,C) Encourage eating three large meals daily
D) Provide periods of rest - correct answer D) Provide periods of rest
A nurse is caring for a client who is postoperative following surgical repair of a
mandibular fracture. Which of the following is the nurse's priority?
A) Pain control
B) Airway managment
C) Oral hygiene
D) Nutritional support - correct answer B) Airway managment
A nurse is organizing at the beginning of her shift the plan of care for two clients. The
first client who is one day post-operative from a partial bowel resection requires a
complete dressing change, total parental nutririon administration, and is reporting pain
at a level of 6 on a 10-point scale. The second client who has a newly inserted
percutaneous gastrostomy tube requires a tube feeding, dressing change, and daily
weight. Which of the following nursing actions should the nurse plan to complete first?
,A) Weigh the client requiring a daily weight
B) Take vital signs on both clients
C) Administer pain medication to the client reporting pain
D) Change the dressings. - correct answer B) Take vital signs on both clients
A nurse is monitoring a client who has a spinal cord injury and suspects autonomic
dysreflexia. Which of teh following actions should the nurse implement first?
A) Check the client for a fecal impaction
B) Ensure the room temperature is warm
C) Check the client's bladder for distention
D) Place the client in a sitting position - correct answer D) Place the client in a sitting
position
A nurse is planning care for a client who has a suspected myocardial infarction. Which
of the following should the nurse administer first?
A) Nitroglycerin (Nitrostat)
, B) Aspirin (A,S,A)
C) Oxygen
D) Morphine Sulfate - correct answer C) Oxygen
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube
drainage system to suction. Which of the following actions should the nurse take?
A) Add tap water as needed to the suction control chamber
B) Maintain the drainage container below the level of the client's chest
C) Empty the collection container every shift
D) Clamp the chest tubes if it becomes disconnected - correct answer B) Maintain the
drainage container below the level of the client's chest
A nurse is caring for a client who develops a pulmonary embolism. Which of the
following interventions should the nurse implement first?
A) Give morphine IV
B) Administer oxygen therapy
