RN VATI Adult Med Surg 2019 EXAM QUESTIONS AND
ANSWERS
A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the following
mechanisms should the nurse identify as responsible for this acid-base imbalance? - -------CORRECT
ANSWER----Retention of carbon dioxide
A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage system.
Which of the following findings should the nurse report to the provider? - -------CORRECT ANSWER----
Constant bubbling in the water seal chamber.
A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings
should the nurse identify as a manifestation of cardiac tamponade? - -------CORRECT ANSWER----
Paradoxical pulse.
A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the following
quadrants should the nurse anticipate the client to be experiencing abdominal pain? - -------CORRECT
ANSWER----LLQ
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the
nurse expect? - -------CORRECT ANSWER----Osteoporosis
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the
nurse identify as a manifestation of left-sided HF? - -------CORRECT ANSWER----Frothy sputum
A nurse is assessing a client who has suspected appendicitis. Which of the following manifestations
should the nurse expect? SATA - -------CORRECT ANSWER----Elevated WBC
Rebound tenderness
Anorexia
A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the
following findings is an indication to the nurse that the client is experiencing an adverse effect of the
therapy? - -------CORRECT ANSWER----Skin Changes
ANSWERS
A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the following
mechanisms should the nurse identify as responsible for this acid-base imbalance? - -------CORRECT
ANSWER----Retention of carbon dioxide
A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage system.
Which of the following findings should the nurse report to the provider? - -------CORRECT ANSWER----
Constant bubbling in the water seal chamber.
A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings
should the nurse identify as a manifestation of cardiac tamponade? - -------CORRECT ANSWER----
Paradoxical pulse.
A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the following
quadrants should the nurse anticipate the client to be experiencing abdominal pain? - -------CORRECT
ANSWER----LLQ
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the
nurse expect? - -------CORRECT ANSWER----Osteoporosis
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the
nurse identify as a manifestation of left-sided HF? - -------CORRECT ANSWER----Frothy sputum
A nurse is assessing a client who has suspected appendicitis. Which of the following manifestations
should the nurse expect? SATA - -------CORRECT ANSWER----Elevated WBC
Rebound tenderness
Anorexia
A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the
following findings is an indication to the nurse that the client is experiencing an adverse effect of the
therapy? - -------CORRECT ANSWER----Skin Changes