FORM A, B AND C / VATI PN MED SURG
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES – SURE TO PASS
1. What is the most important vital sign to monitor after a
MI with exercise? - ANSWER ✓ pulse rate
2. What is suxamethonium? - ANSWER ✓ A
depolarizing skeletal muscle relaxant also known as
succinylcholine
3. A nurse is contributing to the plan of care for a client
who has a pressure ulcer on his heel. Which of the
following should the nurse include in the planning?
A) Keep the ulcer bed dry
,B) Clean the wound from the outer edge towards the
center
C) Provide the client a diet high in Vitamin C
D) Reposition the client at least every 4 hrs - ANSWER ✓
C) Provide the client a diet high in Vitamin C
4. A nurse at a community health clinic is caring for a
client who reports a headache and stiff neck. Which of the
following actions hsould the nurse perform first?
A) obtain a throat culture specimen
B) Perform a complete blood count
C) Check the client's temperature
D) Administer an oral analgesics - ANSWER ✓ C) Check
the client's temperature
5. A nurse is caring for a client with Alzheimer's disease
who is hospitalized for treatment of pneumonia. During
the night shift, the client is found lcimbing into the bed of
another client, who becomes upset and frightened. Which
of the following actions should the nurse take?
,A) Asisst the client to his room
B) Place the client in restraints temporarily
C) Reprimand the client for invading the other client's
privacy
D) Ask the client to apologize to the other client. -
ANSWER ✓ A) Asisst the client to his room
6. A nurse is teaching a client who is at risk for iron-
deficiency anemia about optimizing her dietary intake of
iron. The nurse should explain that which of the following
sources of iron is easiest for the body to absorb?
A) Spinach
B) Cantaloupe
C) Chicken
D) Lentils - ANSWER ✓ C) Chicken
7. A nurse is reinforcing teaching for a client about using
a metered-dose inhaler (MDI). Identify the sequence the
client should follow. (Move the steps in order) -
, ANSWER ✓ 1) Inhale deeply and then exhale
completeley
2) Place her lips firmly around the mouthpiece
3) Breathe in slowly over 2 to 3 seconds while pushing
down on the canister.
4) Hold her breath for 10 secounds
5) Exhale slowly through pursed lips
6) Wait 30 to 60 seconds between each puff.
8. A nurse is contributing to the plan of care for a client
to achieve the outcome of functional healing of a fracture.
Which of the following nursing intervention is the highest
priority to assist in meeting this outcome?
A) Maintain immobilization and alignment
B) Provide optimal nutrition and hydration
C) Promote independence in activities of daily living
D) Provide relief from pain and discomfort - ANSWER ✓
A) Maintain immobilizaton and alignment