MEDSURG VATI ASSESSMENT 90 Q'S Latest 2022 Already Solved
A nurse is assisting with the care of four clients. Which of the following clients is the priority for
the nurse to see
-A client who has chest tubes and an oxygen Sat of 90%
- aclient who has peripheral edema and urinary output of 130 over 4hrs
- A client who has a permanent pacemaker with heart rate of 76/min
-a client who has pericarditis and temp. 38 c 100.4 -Ans>>- A client who has chest tubes and an
oxygen Sat of 90%
A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which
of the following findings should the nurse expect?
- Vacalizes sound
-Blinks eyes when asked
-Follows motor commands
-Nonresponsive Commands -Ans>>Nonresponsive Commands
A nurse is monitoring a client who has a pneumothorax and a chest tube in place with a closed chest
drainage system connected to low suction. For which of the following findings should the nurse notify
the charge nurse
- Fluctation of the water level in the water seal chamber
-constant bubling in the suction control chamber
- periodic bubbling in the water seal chamber
- Persistent bubbling in the water seal chamber -Ans>>- Persistent bubbling in the water seal chamber
A nurse is reinforcing teaching with a male client who has right sided hemiparesis about
preforming ADL's. Which of the following instructions should the nurse include in the teaching
-Comb your hair with the unaffected arm
-Dress your unaffected side first
choose clothing with buttons
-shave with your affected side -Ans>>Comb your hair with the unaffected arm
A nurse is collecting data from a client and auscultates intermittent high-pitched sounds during
inspiration over the lower base of the lungs. The nurse should identify this finding as which of the
following lungs sounds
- Fine crackles
-stridor
-rhonchi
-friction -Ans>>- Fine crackles
A nurse is collecting data from a client who has coronary artery disease. Which of the following
manifestations should the nurse identify as an indication that the client has angina ( SatA)
- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with rest -Ans>>- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with res
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients
should the nurse plan to see first?
- A client who has diabetes mellitus with diaphoretic -Ans>>A client who has diabetes mellitus with
diaphoretic
, A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which
of the following instructions should the nurse include?
- Examine your testicles after a warm shower
- Press each testicle inwardly with your finger
- Rinse any soap off your hands before examining your testicle
-Perform the self- examination every 2 month -Ans>>Examine your testicles after a warm shower
A nurse is collecting data from a client who has tuberculosis and started combination therapy
2months ago. Which of the following diagnostic results indicates that the client is adhering to the
medication regimen.
- A negative chest X-ray
- A negative sputum culture
-A negative tuberculin skin test
-A negative titer for cytomegalovirus -Ans>>A negative sputum culture
A nurse is collecting data from a client who has bacterial meningitis. Which of the following
findings should the nurse expect?
- Severe Headache -Ans>>Severe Headache
A nurse is reinforcing with a client who has pernicious anemia. Which of the following statements by
the client indicated an understanding of the teaching
- I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize -Ans>>I will be
able to switch to a nasal form of cyanocobalamin when my levels stabilize
A nurse is reinforcing discharge teaching with a client who has COPD and reports episodes of
dyspnea. Which of the following instructions should the nurse include?
- Used the pursed lip breathing technique -Ans>>Used the pursed lip breathing technique
A nurse is reinforcing teaching with a client who has varicose veins of the right lower extremity.
Which of the following instructions should the nurse include in the teaching
- Apply elastic support hoes before getting out of bed in the morning -Ans>>- Apply elastic support
hoes before getting out of bed in the morning
A nurse is preparing to transfer a client from a bed to chair following a total knee arthroplasty. The
client has a prescription for partial weight bearing. Which of the following actions should the nurse
take
- Flex at the hip and knees before transferring the client -Ans>>- Flex at the hip and knees before
transferring the client
A nurse is reinforcing teaching with a client who is scheduled for a thoracentesis to remove
pleural fluid. Which of the following information should the nurse include in the teaching
- You will lean forward on the over bed table for this procedure -Ans>>- You will lean forward on the
over bed table for this procedure
A nurse is reinforcing teaching with a newly licensed nurse about promoting sleep in older adult
clients who have Alzheimer's disease. Which of the following statements by the newly licensed nurse
indicated an understanding of the teaching
- I will provide the client with a light snack of cheese and crackers at bed time -Ans>>- I will provide
the client with a light snack of cheese and crackers at bed time
A nurse is reinforcing teaching with a client who is in early stage stages of COPD and wants to
use nicotine chewing gum to help him stop smoking. Which of the following recommendations should
the nurse make
- Do not eat or drink anything 15min before or after chewing the gum -Ans>>- Do not eat or drink
anything 15min before or after chewing the gum
A nurse is assisting with the care of four clients. Which of the following clients is the priority for
the nurse to see
-A client who has chest tubes and an oxygen Sat of 90%
- aclient who has peripheral edema and urinary output of 130 over 4hrs
- A client who has a permanent pacemaker with heart rate of 76/min
-a client who has pericarditis and temp. 38 c 100.4 -Ans>>- A client who has chest tubes and an
oxygen Sat of 90%
A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which
of the following findings should the nurse expect?
- Vacalizes sound
-Blinks eyes when asked
-Follows motor commands
-Nonresponsive Commands -Ans>>Nonresponsive Commands
A nurse is monitoring a client who has a pneumothorax and a chest tube in place with a closed chest
drainage system connected to low suction. For which of the following findings should the nurse notify
the charge nurse
- Fluctation of the water level in the water seal chamber
-constant bubling in the suction control chamber
- periodic bubbling in the water seal chamber
- Persistent bubbling in the water seal chamber -Ans>>- Persistent bubbling in the water seal chamber
A nurse is reinforcing teaching with a male client who has right sided hemiparesis about
preforming ADL's. Which of the following instructions should the nurse include in the teaching
-Comb your hair with the unaffected arm
-Dress your unaffected side first
choose clothing with buttons
-shave with your affected side -Ans>>Comb your hair with the unaffected arm
A nurse is collecting data from a client and auscultates intermittent high-pitched sounds during
inspiration over the lower base of the lungs. The nurse should identify this finding as which of the
following lungs sounds
- Fine crackles
-stridor
-rhonchi
-friction -Ans>>- Fine crackles
A nurse is collecting data from a client who has coronary artery disease. Which of the following
manifestations should the nurse identify as an indication that the client has angina ( SatA)
- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with rest -Ans>>- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with res
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients
should the nurse plan to see first?
- A client who has diabetes mellitus with diaphoretic -Ans>>A client who has diabetes mellitus with
diaphoretic
, A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which
of the following instructions should the nurse include?
- Examine your testicles after a warm shower
- Press each testicle inwardly with your finger
- Rinse any soap off your hands before examining your testicle
-Perform the self- examination every 2 month -Ans>>Examine your testicles after a warm shower
A nurse is collecting data from a client who has tuberculosis and started combination therapy
2months ago. Which of the following diagnostic results indicates that the client is adhering to the
medication regimen.
- A negative chest X-ray
- A negative sputum culture
-A negative tuberculin skin test
-A negative titer for cytomegalovirus -Ans>>A negative sputum culture
A nurse is collecting data from a client who has bacterial meningitis. Which of the following
findings should the nurse expect?
- Severe Headache -Ans>>Severe Headache
A nurse is reinforcing with a client who has pernicious anemia. Which of the following statements by
the client indicated an understanding of the teaching
- I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize -Ans>>I will be
able to switch to a nasal form of cyanocobalamin when my levels stabilize
A nurse is reinforcing discharge teaching with a client who has COPD and reports episodes of
dyspnea. Which of the following instructions should the nurse include?
- Used the pursed lip breathing technique -Ans>>Used the pursed lip breathing technique
A nurse is reinforcing teaching with a client who has varicose veins of the right lower extremity.
Which of the following instructions should the nurse include in the teaching
- Apply elastic support hoes before getting out of bed in the morning -Ans>>- Apply elastic support
hoes before getting out of bed in the morning
A nurse is preparing to transfer a client from a bed to chair following a total knee arthroplasty. The
client has a prescription for partial weight bearing. Which of the following actions should the nurse
take
- Flex at the hip and knees before transferring the client -Ans>>- Flex at the hip and knees before
transferring the client
A nurse is reinforcing teaching with a client who is scheduled for a thoracentesis to remove
pleural fluid. Which of the following information should the nurse include in the teaching
- You will lean forward on the over bed table for this procedure -Ans>>- You will lean forward on the
over bed table for this procedure
A nurse is reinforcing teaching with a newly licensed nurse about promoting sleep in older adult
clients who have Alzheimer's disease. Which of the following statements by the newly licensed nurse
indicated an understanding of the teaching
- I will provide the client with a light snack of cheese and crackers at bed time -Ans>>- I will provide
the client with a light snack of cheese and crackers at bed time
A nurse is reinforcing teaching with a client who is in early stage stages of COPD and wants to
use nicotine chewing gum to help him stop smoking. Which of the following recommendations should
the nurse make
- Do not eat or drink anything 15min before or after chewing the gum -Ans>>- Do not eat or drink
anything 15min before or after chewing the gum
