RN VATI Comprehensive Predictor
RN Adult Medical Surgical Online Practice
Exam 2019 B (2025 Version) Verified Answers
Graded A+
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct
the client that which of the following medications can increase their risk for developing
osteoporosis?
A. Conjugated estrogens
B. Enalapril
C. Colchicine
D. Prednisone -Correct Answer ✔D. Prednisone
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
D. Areas of warmth on the cast -Correct Answer ✔C. Pain that increases with passive
movement
A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Which of the following statements made by the client reflects an understanding
of the teaching?
A. "I will need to take antibiotics for 1 year."
B. "My partner will need to take an antiviral medication."
C. "My joints ache because I have Lyme disease."
D. "I bruise easily because I have Lyme disease." -Correct Answer ✔C. My joints ache
because I have Lyme disease
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.) -Correct Answer ✔24
A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements.
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,RN VATI Comprehensive Predictor
C. Have the client bear down when readings are obtained.
D. Place a pressure bag around the flush solution. -Correct Answer ✔D. place a
pressure bag around the flush solution
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which
of the following findings should the nurse identify as the priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis -Correct Answer ✔A. Report of sore throat
A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus (SLE). Which of the following findings should the nurse expect?
A. Facial butterfly rash
B. Bradycardia
C. Esophagitis
D. Interstitial fibrosis -Correct Answer ✔A. Facial butterfly rash
A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority?
A. Use pillows to support the client's head and neck.
B. Offer opioid medication.
C. Place a tracheostomy tray at the bedside.
D. Place the client in semi-Fowler's position. -Correct Answer ✔C. Place tach tray at the
bedside
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
A. Low urine specific gravity
B. Hypertension
C. Bounding peripheral pulses
D. Hyperglycemia -Correct Answer ✔A. Low urine specific gravity
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
A. "You will have an implant placed twice each month for the duration of the treatment."
B. "You should remain at least 6 feet away from others between treatments."
C. "You should expect to have blood in your urine for a few days after treatment."
D. "You will need to stay still in the bed during each treatment session." -Correct
Answer ✔D. You will need to stay still in the bed during each treatment session."
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, RN VATI Comprehensive Predictor
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure.
B. Assist the client to hold their arms up during the procedure.
C. Instruct the client to remain NPO after midnight prior to the procedure.
D. Keep the client on bed rest for 8 hr following the procedure.a -Correct Answer ✔A.
Encourage the client to take deep breaths after the procedure
A nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bases. Which of the following
actions should the nurse anticipate taking?
A. Administer an antihistamine.
B. Slow the infusion rate.
C. Give the client a corticosteroid.
D. Elevate the client's lower extremities. -Correct Answer ✔B. Slow the infusion rate
A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the nurse
provide?
A. Kidney donation must come from a living donor.
B. Immunosuppressive therapy is necessary until the donated kidney begins producing
urine.
C. Hemodialysis is sometimes required following surgery.
D. Kidney transplant recipients can resume their regular diet following surgery. -Correct
Answer ✔C. Hemodialys is something required following surgery
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?
A. Constipation
B. tachycardia
C. diaphoresis
D. insomnia -Correct Answer ✔A. Constipation
A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make?
A. "You should accept your body image change before discharge."
B. "It is important for you to look at the incisional site when the dressings are removed."
C. "I will refer you to community resources that can provide support."
D. "The scar will remain red and raised for many years after surgery." -Correct Answer
✔C. I will refer you to community resources that can provide support
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RN Adult Medical Surgical Online Practice
Exam 2019 B (2025 Version) Verified Answers
Graded A+
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct
the client that which of the following medications can increase their risk for developing
osteoporosis?
A. Conjugated estrogens
B. Enalapril
C. Colchicine
D. Prednisone -Correct Answer ✔D. Prednisone
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
D. Areas of warmth on the cast -Correct Answer ✔C. Pain that increases with passive
movement
A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Which of the following statements made by the client reflects an understanding
of the teaching?
A. "I will need to take antibiotics for 1 year."
B. "My partner will need to take an antiviral medication."
C. "My joints ache because I have Lyme disease."
D. "I bruise easily because I have Lyme disease." -Correct Answer ✔C. My joints ache
because I have Lyme disease
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.) -Correct Answer ✔24
A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements.
1|Page
,RN VATI Comprehensive Predictor
C. Have the client bear down when readings are obtained.
D. Place a pressure bag around the flush solution. -Correct Answer ✔D. place a
pressure bag around the flush solution
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which
of the following findings should the nurse identify as the priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis -Correct Answer ✔A. Report of sore throat
A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus (SLE). Which of the following findings should the nurse expect?
A. Facial butterfly rash
B. Bradycardia
C. Esophagitis
D. Interstitial fibrosis -Correct Answer ✔A. Facial butterfly rash
A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority?
A. Use pillows to support the client's head and neck.
B. Offer opioid medication.
C. Place a tracheostomy tray at the bedside.
D. Place the client in semi-Fowler's position. -Correct Answer ✔C. Place tach tray at the
bedside
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
A. Low urine specific gravity
B. Hypertension
C. Bounding peripheral pulses
D. Hyperglycemia -Correct Answer ✔A. Low urine specific gravity
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
A. "You will have an implant placed twice each month for the duration of the treatment."
B. "You should remain at least 6 feet away from others between treatments."
C. "You should expect to have blood in your urine for a few days after treatment."
D. "You will need to stay still in the bed during each treatment session." -Correct
Answer ✔D. You will need to stay still in the bed during each treatment session."
2|Page
, RN VATI Comprehensive Predictor
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure.
B. Assist the client to hold their arms up during the procedure.
C. Instruct the client to remain NPO after midnight prior to the procedure.
D. Keep the client on bed rest for 8 hr following the procedure.a -Correct Answer ✔A.
Encourage the client to take deep breaths after the procedure
A nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bases. Which of the following
actions should the nurse anticipate taking?
A. Administer an antihistamine.
B. Slow the infusion rate.
C. Give the client a corticosteroid.
D. Elevate the client's lower extremities. -Correct Answer ✔B. Slow the infusion rate
A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the nurse
provide?
A. Kidney donation must come from a living donor.
B. Immunosuppressive therapy is necessary until the donated kidney begins producing
urine.
C. Hemodialysis is sometimes required following surgery.
D. Kidney transplant recipients can resume their regular diet following surgery. -Correct
Answer ✔C. Hemodialys is something required following surgery
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?
A. Constipation
B. tachycardia
C. diaphoresis
D. insomnia -Correct Answer ✔A. Constipation
A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make?
A. "You should accept your body image change before discharge."
B. "It is important for you to look at the incisional site when the dressings are removed."
C. "I will refer you to community resources that can provide support."
D. "The scar will remain red and raised for many years after surgery." -Correct Answer
✔C. I will refer you to community resources that can provide support
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