VATI MED SURG PRE ASSESSMENT TEST LATEST COMPLETE ACTUAL TEST 50 REAL QUESTIONS AND CORRECT ANSWERS (CORRECT VERIFIED SOLUTIONS) A NEW UPDATED VERSION

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ent 2019, leadership 7 version
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1. A nurse tells the unit manager, "I am tired of all the changes on the unit. Ifthi
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ngs don't get better, I'm going to quit." Which of the following responsesby th
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e unit manager is appropriate?: "So you are upset about all the changes on the u
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nit?"
2. A charge nurse notices that two staff nurses are not taking meal breaksd
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uring their shifts. Which of the following actions should the nurse take first
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?: Determine the reasons the nurses are not taking scheduled breaks.
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3. A client has a new permanent pacemaker inserted. Which of the followingh
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ome care instructions should the nurse include?: Regular programming eval-
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uations can be conducted by telephone
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4. A nurse manager is reviewing isolation guidelines with a newly licensedn
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urse indicates an understanding of the teaching?: I will wear a cover gownwhe
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n caring for a client who has herpes simplex.
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5. A staff nurse is supervising a newly licensed nurse who is preparing to ad
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minister an intermittent tube feeding to a client. Which of the following action
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s by the newly licensed nurse is appropriate?: Checking residual volumebefore e
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ach feeding u



6. A nurse is preparing an education program about professional codes of et
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hics for nurses. Which of the following information should the nurse planto i
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nclude?: A code of ethics a set of principles for nursing practice
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7. The nurse receives change-of- u u u


shift report for the following 4 clients.Whichpatient should the nurse assess fi
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rst?: An older adult client who has bacterial pneumonia and a new onset of restless
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ness
8. A charge nurse is assessing staff knowledge about safety procedures reg
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arding needle stick injuries.Which of the following statements by a nurseindic
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ates appropriate understanding of these safety procedures?: "An inci-
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udent report should be completed if a client receives a stick from her own used needl
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e"
9. A case manager is reviewing documentation on several clients and notesa
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progress report that falsely identifies a client as HIV+ due to multiple sexual p
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artners.The CM should identify that which of the following torts hasoccurred?
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: Libel
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10. A charge nurse making rounds observes that an AP has applied wrist rest
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raints to a client who is agitated and does not have a prescription for re-
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straints. Which of the following actions should the nurse take first?: Removere
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ent 2019, leadership 7 version
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straints




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ent 2019, leadership 7 version
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11. To resolve a conflict between staff members regarding potential changesi
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n policy, a nurse manager decides to implement the changes she prefers reg
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ardless of the feelings of those who oppose those changes. Which of thefollo
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wing conflict resolution strategies is the nurse manager using?: Com- peting
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12. A nurse is caring for a client and notices fraying on the electrical cord ofth
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e client's IV pump. Which of the following actions is priority?: Remove IV pum
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p from the client's room
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13. A nurse is providing discharge teaching to the parent of a toddler who ha
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s a new diagnosis of asthma.The parent states that she is unable to affordthe n
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ebulizer prescribed for the child.Which of the following referrals shouldthe nu
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rse recommend?: Social worker
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14. A charge nurse is completing client care assignments. Which of the follo
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wing assignments is appropriate for a LPN?: A client who is 1 day postop-
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erative and has a continuous bladder irrigation
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15. A nurse is caring for a client who is comatose and has advanced direc-
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utives designating his adult daughter as his healthy proxy.The client's partneri
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nstructs the nurse to institute CPR if the client experiences cardiac arrest. W
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hich of the following actions should the nurse take first?: Inform the partnerthat
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the staff must follow the client's advance directives
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16. A L&D nurse is assigned to float to a med-
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surg unit.Which of the followingactions should the nurse take first?: Request o
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rientation to the med-surg unit u u u u



17. A nurse in the ED is preparing a married 17 y/o client for an appendecto-
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my. The client's parents are enroute to the facility but have not spoken withth
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e surgeon.Which of the following actions should the nurse take first?: Havethe c
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lient sign the consent form after the surgeon explains the procedure.
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18. Client satisfaction surveys from a surgical unit indicate that pain is not be
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ing adequately relieved during the first 12 hours postoperatively. The unitman
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ager decides to identify postoperative pain as a quality indicator. Whichof the
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following data sources will be helpful in determining the reason why clients a
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re not receiving adequate pain management after surgery?: Pain assessment
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policy
19. A nurse manager is reviewing the nursing code of ethics with the staff nu
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rses. Which of the following statements by a staff nurse indicate under-
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ustanding of the teaching? SATA:: "I can delegate the removal of an IV catheterto
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an LPN on the unit"
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"I will attend continuing education classes for professional growth."
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"I administer pain medication to my clients even if they have a history of narcoticad
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diction."
20. A nurse on a surgical unit is preparing to transfer a client to a rehab facilit
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y. Which of the following information should the nurse include in the change-
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of-shift report?: The time the client received his last dose of pain med-ication
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21. A nurse on a med-surg unit is delegating client care. Which of the follow-
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ing tasks should the nurse delegate to the AP?: Using a pain rating scale to mo
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nitor a client's pain leve u u u u



22. A nurse on a med- u u u u


surg unit is making staff assignments. Which of thefollowing tasks should
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the nurse delegate to an AP?: Pouching a client's established ostomy
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23. A charge nurse is reviewing how to set up a sterile field with a newly licen
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sed nurse. Which of the following statements by the newly licensed nurse ind
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icates an understanding of the process?: "I will keep the label of thesolution bottl
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e facing up when pouring solution into the sterile cup"
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24. A nurse is providing care for 4 post-
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op clients. The nurse should first assess the client -
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: Whose pulse has been steadily increasing during the pastshift
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25. A charge nurse overhears a provider and a nurse talking about a client'sdi
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agnosis in the cafeteria. Which of the following actions should the nurse take
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first?: Remind them that client information is confidential
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26. A facility provides annual staff education regarding ethical practice. Ac
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harge nurse recognizes a need for further education when which of the foll
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owing behaviors is observed?: A nurse explains to a client's family that aDNR
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oder includes withholding comfort measures
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27. The family members of an older adult client are expressing conflict overw
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hether the client should have surgery that is recommended by the provider.The
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oldest adult child has durable POA for health care for the client.The clientis orie
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ntated to person, place, and time. Which of the following people has the legal
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authority to make this health decision?: The client u u u u u u u



28. A nurse is preparing to discharge a client who requires home oxygen. Th
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e equipment company has not yet delivered the oxygen tank. Which of the
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