PN VATI Adult Medical Surgical Exam
Questions And Answers
/. A home health nurse is reinforcing teaching with a client who has human
immunodeficiency virus (HIV). Which or the following instructions should the nurse
reinforce to maintain infection control in the client's home? - Answer-Wash dishes in hot
soapy water.
/.A nurse is reinforcing discharge teaching with a client regarding food safety in the
home. Which of the following statements should the nurse include? - Answer-Do not
leave perishable foods at room temperature for longer than 2 hours.
/.A nurse is implementing transmission prevention measures for a client who has active
tuberculosis. Which of the following measures should the nurse include? - Answer-
Place a surgical mask on the client when transporting them to other departments
/.A nurse is transferring a client who has lower extremity paralysis from a bed to a chair
using a transportable hydraulic lift. Which of the following actions should the nurse take
to help prevent injury to the client during the transfer? - Answer-Place the lower edge of
the sling under the knees and the upper edge under the shoulders.
/.A nurse is observing an assistive personnel (AP) provide care to a client in the
immediate postoperative period following a subtotal thyroidectomy. Which of the
following actions by the AP requires intervention by the nurse? - Answer-The AP
positions the client supine.
/.A nurse is reinforcing teaching with an older adult client about the influenza vaccine.
Which of the following statements should the nurse make? - Answer-"Make sure you
receive the high-dose vaccine."
/.A nurse is assisting with teaching a class of clients about health promotion and
prevention. Which of the following statements should the nurse make? - Answer-"You
should receive a tetanus booster every 10 years."
/.A nurse is collecting data from a client who reports hearing loss. Which of the following
tests should the nurse perform to identify conductive hearing loss? - Answer-Weber
/.A nurse is assisting a client who is having a pelvic examination for the first time. The
client states, "I am really nervous." Which of the following statements should the nurse
make? - Answer-"I'll be in the room with you throughout the examination."
, /.A nurse is caring for a client who has expressive aphasia. Which of the following
actions should the nurse take? - Answer-Offer the client a communication board with
pictures
/.The nurse should provide the client with a communication board that shows pictures
because a client who has expressive aphasia is unable to articulate their needs. -
Answer-"Keep two points of support on the floor at all times."
/.A nurse is caring for a client who has Parkinson's disease and reports difficulty eating.
Which of the following interventions should the nurse implement to help the client eat? -
Answer-Offer the client an adaptive fork during meals.
/.A nurse is reinforcing teaching with a client who is postoperative following a subtotal
gastrectomy about dietary changes to help prevent dumping syndrome. Which of the
following statements by the client indicates an understanding of the teaching? - Answer-
"I should restrict eating sugary and starchy food."
/.A nurse is reinforcing teaching with a client who is at risk for osteoporosis. Which of
the following foods should the nurse identify as providing the highest amount of dietary
calcium? - Answer-3 oz canned salmon
/.A nurse is reinforcing teaching about the use of hearing aids with a client who has
hearing loss. Which of the following actions should the nurse take? - Answer-Instruct
the client to disconnect the battery when the device is not in use.
/.A nurse is reinforcing teaching about the purpose of insulin with a client who has type
1 diabetes mellitus. Which of the following information should the nurse include in the
teaching? - Answer-It facilitates body cell use of glucose for energy."
/.A nurse is caring for a client who is taking digoxin daily and develops digoxin toxicity.
The nurse should monitor the client for which of the following adverse effects? -
Answer-Dysrhythmia
/.A nurse is reinforcing teaching with a client who has osteoporosis about taking
alendronate. Which of the following information should the nurse include? - Answer-Sit
upright for 30 to 60 min after taking the medication.
/.A nurse is caring for a client who has a prescription for enalapril 10 mg PO daily and
reports dizziness and weakness. Which of the following actions should the nurse take
first? - Answer-Check the client's blood pressure.
/.A nurse is monitoring a client who is receiving a unit of packed RBCs. Which of the
following statements by the client should alert the nurse that the client might be
experiencing a transfusion reaction related to an incompatibility with the blood product?
- Answer-"I have pain in my lower back."
Questions And Answers
/. A home health nurse is reinforcing teaching with a client who has human
immunodeficiency virus (HIV). Which or the following instructions should the nurse
reinforce to maintain infection control in the client's home? - Answer-Wash dishes in hot
soapy water.
/.A nurse is reinforcing discharge teaching with a client regarding food safety in the
home. Which of the following statements should the nurse include? - Answer-Do not
leave perishable foods at room temperature for longer than 2 hours.
/.A nurse is implementing transmission prevention measures for a client who has active
tuberculosis. Which of the following measures should the nurse include? - Answer-
Place a surgical mask on the client when transporting them to other departments
/.A nurse is transferring a client who has lower extremity paralysis from a bed to a chair
using a transportable hydraulic lift. Which of the following actions should the nurse take
to help prevent injury to the client during the transfer? - Answer-Place the lower edge of
the sling under the knees and the upper edge under the shoulders.
/.A nurse is observing an assistive personnel (AP) provide care to a client in the
immediate postoperative period following a subtotal thyroidectomy. Which of the
following actions by the AP requires intervention by the nurse? - Answer-The AP
positions the client supine.
/.A nurse is reinforcing teaching with an older adult client about the influenza vaccine.
Which of the following statements should the nurse make? - Answer-"Make sure you
receive the high-dose vaccine."
/.A nurse is assisting with teaching a class of clients about health promotion and
prevention. Which of the following statements should the nurse make? - Answer-"You
should receive a tetanus booster every 10 years."
/.A nurse is collecting data from a client who reports hearing loss. Which of the following
tests should the nurse perform to identify conductive hearing loss? - Answer-Weber
/.A nurse is assisting a client who is having a pelvic examination for the first time. The
client states, "I am really nervous." Which of the following statements should the nurse
make? - Answer-"I'll be in the room with you throughout the examination."
, /.A nurse is caring for a client who has expressive aphasia. Which of the following
actions should the nurse take? - Answer-Offer the client a communication board with
pictures
/.The nurse should provide the client with a communication board that shows pictures
because a client who has expressive aphasia is unable to articulate their needs. -
Answer-"Keep two points of support on the floor at all times."
/.A nurse is caring for a client who has Parkinson's disease and reports difficulty eating.
Which of the following interventions should the nurse implement to help the client eat? -
Answer-Offer the client an adaptive fork during meals.
/.A nurse is reinforcing teaching with a client who is postoperative following a subtotal
gastrectomy about dietary changes to help prevent dumping syndrome. Which of the
following statements by the client indicates an understanding of the teaching? - Answer-
"I should restrict eating sugary and starchy food."
/.A nurse is reinforcing teaching with a client who is at risk for osteoporosis. Which of
the following foods should the nurse identify as providing the highest amount of dietary
calcium? - Answer-3 oz canned salmon
/.A nurse is reinforcing teaching about the use of hearing aids with a client who has
hearing loss. Which of the following actions should the nurse take? - Answer-Instruct
the client to disconnect the battery when the device is not in use.
/.A nurse is reinforcing teaching about the purpose of insulin with a client who has type
1 diabetes mellitus. Which of the following information should the nurse include in the
teaching? - Answer-It facilitates body cell use of glucose for energy."
/.A nurse is caring for a client who is taking digoxin daily and develops digoxin toxicity.
The nurse should monitor the client for which of the following adverse effects? -
Answer-Dysrhythmia
/.A nurse is reinforcing teaching with a client who has osteoporosis about taking
alendronate. Which of the following information should the nurse include? - Answer-Sit
upright for 30 to 60 min after taking the medication.
/.A nurse is caring for a client who has a prescription for enalapril 10 mg PO daily and
reports dizziness and weakness. Which of the following actions should the nurse take
first? - Answer-Check the client's blood pressure.
/.A nurse is monitoring a client who is receiving a unit of packed RBCs. Which of the
following statements by the client should alert the nurse that the client might be
experiencing a transfusion reaction related to an incompatibility with the blood product?
- Answer-"I have pain in my lower back."
