VATI MED SURG PROCTORED EXAM 2024
COMPLETE 100 QUESTIONS WITH
DETAILED VERIFIED 100% CORRECT
ANSWERS BRAND NEW ALREADY
GRADED A+
A nurse is assisting with the care of four clients. Which of
the following clients is the priority for
the nurse to see
-A client who has chest tubes and an oxygen Sat of 90%
1
,- aclient who has peripheral edema and urinary output of
130 over 4hrs
- A client who has a permanent pacemaker with heart rate
of 76/min
-a client who has pericarditis and temp. 38 c 100.4 -
....ANSWER...- A client who has chest tubes and an
oxygen Sat of 90%
Using the airway, breathing, and circulation approach to
client care, the nurse should determine that the priority
finding is the client's oxygen saturation level, which is
below the expected reference range of 95% to 100%.
Therefore, the nurse should attend to this client first.
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 -
....ANSWER...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
2
,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).
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 -
....ANSWER...- 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.
A nurse is reinforcing teaching with a male client who has
right sided hemiparesis about
3
, 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 - ....ANSWER...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.
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 - ....ANSWER...- 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
4
COMPLETE 100 QUESTIONS WITH
DETAILED VERIFIED 100% CORRECT
ANSWERS BRAND NEW ALREADY
GRADED A+
A nurse is assisting with the care of four clients. Which of
the following clients is the priority for
the nurse to see
-A client who has chest tubes and an oxygen Sat of 90%
1
,- aclient who has peripheral edema and urinary output of
130 over 4hrs
- A client who has a permanent pacemaker with heart rate
of 76/min
-a client who has pericarditis and temp. 38 c 100.4 -
....ANSWER...- A client who has chest tubes and an
oxygen Sat of 90%
Using the airway, breathing, and circulation approach to
client care, the nurse should determine that the priority
finding is the client's oxygen saturation level, which is
below the expected reference range of 95% to 100%.
Therefore, the nurse should attend to this client first.
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 -
....ANSWER...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
2
,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).
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 -
....ANSWER...- 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.
A nurse is reinforcing teaching with a male client who has
right sided hemiparesis about
3
, 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 - ....ANSWER...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.
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 - ....ANSWER...- 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
4
