VATI PN
Medical Surgical
(3 Version Exams Prep)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Each VERSION has 100 Medical Surgical questions
• PN/LPN focused content
• Practice-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
VATI PN Med-Surg (V1) ......................................................... 2
VATI PN Med-Surg (V2) ....................................................... 43
VATI PN Med-Surg (V3) ....................................................... 91
VATI PN Med-Surg (V1)
A nurse is preparing to discharge a client who is postoperative following a total
hip arthroplasty. Which of the following equipment should the nurse ensure that
the client has available at home prior to discharge?
Continuous passive motion device
Elevated toilet seat
Trapeze bar
Compression garment
Elevated toilet seat
A client who is postoperative following a total hip arthroplasty is at risk for dislocation of
the hip prosthesis. Limitations on hip flexion and adduction decrease the risk. The client
should avoid flexing the hip greater than 90° and should avoid using toilet seats that are
low to the ground. An elevated toilet seat should be in place in the client's home prior to
the client's discharge.
A nurse is assessing a client who has suspected appendicitis. Which of the
following manifestations should the nurse expect? (select all that apply)
Elevated WBC count
Elevated amylase level
Rebound tenderness
Ascites
Anorexia
Elevated WBC count
A client who has acute appendicitis will show a moderate elevation of the WBC count
from 10,000 to 18,000/mm3. If the WBC count is greater than 20,000/mm3, it can
,indicate a perforated appendix.
Rebound tenderness
A client who has appendicitis develops localized pain over the right lower quadrant of
the abdomen. When the area is palpated, pain occurs during release of pressure on the
client's abdomen.
Anorexia
A client who has acute appendicitis experiences nausea, vomiting, and reduced
appetite.
A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an understanding of the
teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
"I know that my diabetes developed slowly over several years."
"If I lose weight, I may be able to stop taking insulin."
"I have developed a resistance to insulin."
"I am aware that my diabetes is caused by an autoimmune disorder."
Type 1 diabetes mellitus is an autoimmune disorder that destroys pancreatic beta cells.
This autoimmune reaction is often triggered by a viral infection.
A nurse is caring for a male client who has a new prescription for cyclosporine
following a kidney transplant. Which of the following findings should the nurse
identify as an adverse effect of this therapy?
WBC count 8,000/mm3
RBC count 6 million/mm3
BUN 24 mg/dL
Potassium 3.5 mEq/L
BUN 24 mg/dL
A BUN of 24 mg/dL is above the expected reference range of 10 to 20 mg/dL, indicating
renal impairment. An adverse effect of cyclosporine is nephrotoxicity. The nurse should
monitor the client for increases in BUN and creatinine and report any elevation to the
provider. A rise in BUN could indicate transplant rejection.
A nurse in a long-term care facility is caring for a client who has dementia. Which
of the following actions should the nurse take?
Give detailed directions when addressing the client.
, Provide finger food at mealtime.
Use written signs to redirect the client.
Seat the client at a large table for meals.
Provide finger food at mealtime.
The nurse should provide the client who has dementia with fingers foods. Clients who
have dementia can have difficulty sitting still and tend to wander, which makes weight
loss and malnutrition a concern. Therefore, foods that the client can hold while
ambulating are ideal.
A nurse is caring for a client immediately following intubation with an
endotracheal (ET) tube. Which of the following methods should the nurse identify
as the most reliable for verifying placement of the ET tube?
Feel for exhaled air emerging from the endotracheal tube.
Assess for bilateral breath sounds.
Observe for symmetric chest movement.
Check for end-tidal carbon dioxide levels.
Check for end-tidal carbon dioxide levels.
According to evidence-based practice, the most reliable method for verifying ET tube
placement is checking for end-tidal carbon dioxide levels by using capnometry. A chest
x-ray is another reliable method for verifying placement.
A nurse is providing teaching for a client who has neutropenia and is receiving
chemotherapy. Which of the following client statements indicates an
understanding of the teaching? (select all that apply)
"I will avoid crowds."
"I will wash my toothbrush weekly."
"I will change my cat's litter box twice weekly."
"I will take my temperature daily."
"I will eat plenty of fresh fruits and vegetables."
"I will avoid crowds."
The client who is immunocompromised should avoid crowds while undergoing
chemotherapy to reduce the risk of infection.
"I will take my temperature daily."
Medical Surgical
(3 Version Exams Prep)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Each VERSION has 100 Medical Surgical questions
• PN/LPN focused content
• Practice-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
VATI PN Med-Surg (V1) ......................................................... 2
VATI PN Med-Surg (V2) ....................................................... 43
VATI PN Med-Surg (V3) ....................................................... 91
VATI PN Med-Surg (V1)
A nurse is preparing to discharge a client who is postoperative following a total
hip arthroplasty. Which of the following equipment should the nurse ensure that
the client has available at home prior to discharge?
Continuous passive motion device
Elevated toilet seat
Trapeze bar
Compression garment
Elevated toilet seat
A client who is postoperative following a total hip arthroplasty is at risk for dislocation of
the hip prosthesis. Limitations on hip flexion and adduction decrease the risk. The client
should avoid flexing the hip greater than 90° and should avoid using toilet seats that are
low to the ground. An elevated toilet seat should be in place in the client's home prior to
the client's discharge.
A nurse is assessing a client who has suspected appendicitis. Which of the
following manifestations should the nurse expect? (select all that apply)
Elevated WBC count
Elevated amylase level
Rebound tenderness
Ascites
Anorexia
Elevated WBC count
A client who has acute appendicitis will show a moderate elevation of the WBC count
from 10,000 to 18,000/mm3. If the WBC count is greater than 20,000/mm3, it can
,indicate a perforated appendix.
Rebound tenderness
A client who has appendicitis develops localized pain over the right lower quadrant of
the abdomen. When the area is palpated, pain occurs during release of pressure on the
client's abdomen.
Anorexia
A client who has acute appendicitis experiences nausea, vomiting, and reduced
appetite.
A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an understanding of the
teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
"I know that my diabetes developed slowly over several years."
"If I lose weight, I may be able to stop taking insulin."
"I have developed a resistance to insulin."
"I am aware that my diabetes is caused by an autoimmune disorder."
Type 1 diabetes mellitus is an autoimmune disorder that destroys pancreatic beta cells.
This autoimmune reaction is often triggered by a viral infection.
A nurse is caring for a male client who has a new prescription for cyclosporine
following a kidney transplant. Which of the following findings should the nurse
identify as an adverse effect of this therapy?
WBC count 8,000/mm3
RBC count 6 million/mm3
BUN 24 mg/dL
Potassium 3.5 mEq/L
BUN 24 mg/dL
A BUN of 24 mg/dL is above the expected reference range of 10 to 20 mg/dL, indicating
renal impairment. An adverse effect of cyclosporine is nephrotoxicity. The nurse should
monitor the client for increases in BUN and creatinine and report any elevation to the
provider. A rise in BUN could indicate transplant rejection.
A nurse in a long-term care facility is caring for a client who has dementia. Which
of the following actions should the nurse take?
Give detailed directions when addressing the client.
, Provide finger food at mealtime.
Use written signs to redirect the client.
Seat the client at a large table for meals.
Provide finger food at mealtime.
The nurse should provide the client who has dementia with fingers foods. Clients who
have dementia can have difficulty sitting still and tend to wander, which makes weight
loss and malnutrition a concern. Therefore, foods that the client can hold while
ambulating are ideal.
A nurse is caring for a client immediately following intubation with an
endotracheal (ET) tube. Which of the following methods should the nurse identify
as the most reliable for verifying placement of the ET tube?
Feel for exhaled air emerging from the endotracheal tube.
Assess for bilateral breath sounds.
Observe for symmetric chest movement.
Check for end-tidal carbon dioxide levels.
Check for end-tidal carbon dioxide levels.
According to evidence-based practice, the most reliable method for verifying ET tube
placement is checking for end-tidal carbon dioxide levels by using capnometry. A chest
x-ray is another reliable method for verifying placement.
A nurse is providing teaching for a client who has neutropenia and is receiving
chemotherapy. Which of the following client statements indicates an
understanding of the teaching? (select all that apply)
"I will avoid crowds."
"I will wash my toothbrush weekly."
"I will change my cat's litter box twice weekly."
"I will take my temperature daily."
"I will eat plenty of fresh fruits and vegetables."
"I will avoid crowds."
The client who is immunocompromised should avoid crowds while undergoing
chemotherapy to reduce the risk of infection.
"I will take my temperature daily."
