VATI MED-SURG PRE-ASSESSMENT
CERTIFICATION EVALUATION EXAMS 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ A nurse is caring for a client who has a spinal cord injury and suspects
the client is developing autonomic dysreflexia. Which of the following
actions should the nurse take first?
A. Check the client for a fecal impaction.
B. Examine the client for areas of skin breakdown.
C. Check the client's bladder for distention.
D. Place the client in a sitting position. Answer: D. Place the client in a
sitting position.
The nurse should use the least invasive intervention first. Therefore, the
nurse should place the client in a sitting position to decrease the
manifestation of hypertension.
The nurse might have to check the client for fecal impaction, which can
precipitate autonomic dysreflexia. However, the nurse should use a less
invasive intervention first. The nurse might have to examine the client's
skin for areas of skin breakdown or pressure, which can trigger
autonomic dysreflexia. However, the nurse should use a less invasive
intervention first. The nurse might have to check the client for bladder
,distention, which can precipitate autonomic dysreflexia. However, the
nurse should use a less invasive intervention first.
◉ A nurse is teaching a newly licensed nurse about the risk factors for
dehiscence for clients who have surgical incisions. Which of the
following factors should the nurse include in the teaching? (Select all
that apply.)
A. Poor nutritional state
B. Altered mental status
C. Obesity
D. Pain medication administration
E. Wound infection. Answer: A. Poor nutritional state
C. Obesity
E. Wound infection
◉ A nurse is caring for a client who has an endotracheal tube and is
receiving mechanical ventilation. Which of the following interventions
should the nurse take to reduce the risk for ventilator-associated
pneumonia?
A. Position the head of the client's bed in the flat position.
B. Turn the client every 4 hr.
C. Rinse the client's mouth with an antimicrobial solution every 4 hr.
, D. Perform hand hygiene prior to suctioning the client's endotracheal
tube. Answer: C. Rinse the client's mouth with an antimicrobial solution
every 4 hr.
The nurse should brush the client's teeth every 8 hr and rinse the client's
mouth with an antimicrobial rinse every 2 hr to reduce the growth of
bacteria.
The nurse should elevate the head of the client's bed 30° to reduce the
risk for aspiration and pneumonia. The nurse should turn the client every
2 hr to promote lung expansion and reduce the risk for pneumonia. The
nurse should perform hand hygiene prior to suctioning the client's
endotracheal tube to reduce the risk of introducing bacteria.
◉ A nurse is providing instruction to a new nurse about caring for clients
who are receiving diuretic therapy to treat heart failure. The nurse should
explain that which of the following medications puts clients at risk for
both hyperkalemia and hyponatremia?
A. Furosemide
B. Hydrochlorothiazide
C. Metolazone
D. Spironolactone. Answer: D. Spironolactone
CERTIFICATION EVALUATION EXAMS 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ A nurse is caring for a client who has a spinal cord injury and suspects
the client is developing autonomic dysreflexia. Which of the following
actions should the nurse take first?
A. Check the client for a fecal impaction.
B. Examine the client for areas of skin breakdown.
C. Check the client's bladder for distention.
D. Place the client in a sitting position. Answer: D. Place the client in a
sitting position.
The nurse should use the least invasive intervention first. Therefore, the
nurse should place the client in a sitting position to decrease the
manifestation of hypertension.
The nurse might have to check the client for fecal impaction, which can
precipitate autonomic dysreflexia. However, the nurse should use a less
invasive intervention first. The nurse might have to examine the client's
skin for areas of skin breakdown or pressure, which can trigger
autonomic dysreflexia. However, the nurse should use a less invasive
intervention first. The nurse might have to check the client for bladder
,distention, which can precipitate autonomic dysreflexia. However, the
nurse should use a less invasive intervention first.
◉ A nurse is teaching a newly licensed nurse about the risk factors for
dehiscence for clients who have surgical incisions. Which of the
following factors should the nurse include in the teaching? (Select all
that apply.)
A. Poor nutritional state
B. Altered mental status
C. Obesity
D. Pain medication administration
E. Wound infection. Answer: A. Poor nutritional state
C. Obesity
E. Wound infection
◉ A nurse is caring for a client who has an endotracheal tube and is
receiving mechanical ventilation. Which of the following interventions
should the nurse take to reduce the risk for ventilator-associated
pneumonia?
A. Position the head of the client's bed in the flat position.
B. Turn the client every 4 hr.
C. Rinse the client's mouth with an antimicrobial solution every 4 hr.
, D. Perform hand hygiene prior to suctioning the client's endotracheal
tube. Answer: C. Rinse the client's mouth with an antimicrobial solution
every 4 hr.
The nurse should brush the client's teeth every 8 hr and rinse the client's
mouth with an antimicrobial rinse every 2 hr to reduce the growth of
bacteria.
The nurse should elevate the head of the client's bed 30° to reduce the
risk for aspiration and pneumonia. The nurse should turn the client every
2 hr to promote lung expansion and reduce the risk for pneumonia. The
nurse should perform hand hygiene prior to suctioning the client's
endotracheal tube to reduce the risk of introducing bacteria.
◉ A nurse is providing instruction to a new nurse about caring for clients
who are receiving diuretic therapy to treat heart failure. The nurse should
explain that which of the following medications puts clients at risk for
both hyperkalemia and hyponatremia?
A. Furosemide
B. Hydrochlorothiazide
C. Metolazone
D. Spironolactone. Answer: D. Spironolactone
