VATI Adult Medical Surgical Questions
and Answers Graded A+
A nurse is collecting data from a client who has acute cholecystitis. Which of the
following manifestations should the nurse expect? - ✅✅ Pain radiating to the
right shoulder.
A nurse is reinforcing teaching with a client who has a prescription for clopidogrel
following a thrombotic stroke. Which of the following information should the
nurse include in the teaching? - ✅✅ "The medication prevents clot formation."
A nurse is contributing to the plan of care for a client who is in skeletal traction.
Which of the following interventions should the nurse include? - ✅✅ Keep the
client's body centered in the bed.
A nurse is contributing to the plan of care for a client who has dysphagia following
a stroke. Which of the following actions should the nurse include in the plan of
care to prevent aspiration? - ✅✅ Keep the client upright for 30 min after a meal.
A nurse is reinforcing postoperative teaching with a client who is scheduled for
cataract surgery on his right eye. Which of the following instructions should the
nurse include? - ✅✅ "Wear a protective eye shield while sleeping."
A nurse is collecting data from a client who was admitted with a Glasgow coma
scale (GCS) of 3. Which of the following findings should the nurse expect? - ✅✅
Nonresponsive to commands.
A nurse is caring for a client who has type 1 diabetes mellitus and has undergone a
below-the-knee amputation. Which of the following is the highest priority finding?
- ✅✅ Skin flap of the residual limb is cool to the touch.
A nurse is reinforcing teaching about the prevention of sexually transmitted
infections (STIs) which a client who is sexually active. Which of the following
information should the nurse include in the teaching? - ✅✅ Inserting a
polyurethane female condom is effective for prevention of STIs.
, A nurse is administering a tap water enema to a client who has constipation. The
client reports abdominal cramping during installation of the enema. Which of the
following actions should the nurse take? - ✅✅ Slow the rate of fluid flow.
A nurse is reinforcing teaching about mammograms which an adult client who is
postmenopausal. Which of the following statements indicates to the nurse that the
client understands the teaching? - ✅✅ "I should have a mammogram every 1 to 2
years."
A nurse is collecting data from a client and osculates intermittent high-pitched
sounds during inspiration over the lower base of the lungs. The nurse should
identify this finding as which of the following lung sounds? - ✅✅ Fine crackles
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 saturation of 90%
A nurse is preparing to perform a closed irrigation of an indwelling urinary
catheter for a client who had abdominal surgery. Which of the following actions
should the nurse plan to take? - ✅✅ Stop the irrigation if resistance is felt during
fluid instillation.
A nurse is reviewing the medical record of a client who has systemic lupus
erythematous (SLE). Which of the following findings should the nurse expect? -
✅✅ Joint pain
A nurse is preparing to transfer a client from a bed to a chair following a total knee
arthroplasty. The client has a prescription for partial weight bearing. Which of the
following actions should the nurse take? - ✅✅ Position feet apart before pivoting
the client.
A nurse is reviewing principles of body mechanics which a client following a
lumbar laminectomy. Which of the following statements by the client indicates an
understanding of the teaching? - ✅✅ "I will flex at the knees and use my leg
muscles to lift an object off the floor."
A nurse is caring for a client who is preoperative and does not speak the same
language as the nurse. Which of the following actions should the nurse take? -
✅✅ Incorporate the use of pictures as a communication tool.
and Answers Graded A+
A nurse is collecting data from a client who has acute cholecystitis. Which of the
following manifestations should the nurse expect? - ✅✅ Pain radiating to the
right shoulder.
A nurse is reinforcing teaching with a client who has a prescription for clopidogrel
following a thrombotic stroke. Which of the following information should the
nurse include in the teaching? - ✅✅ "The medication prevents clot formation."
A nurse is contributing to the plan of care for a client who is in skeletal traction.
Which of the following interventions should the nurse include? - ✅✅ Keep the
client's body centered in the bed.
A nurse is contributing to the plan of care for a client who has dysphagia following
a stroke. Which of the following actions should the nurse include in the plan of
care to prevent aspiration? - ✅✅ Keep the client upright for 30 min after a meal.
A nurse is reinforcing postoperative teaching with a client who is scheduled for
cataract surgery on his right eye. Which of the following instructions should the
nurse include? - ✅✅ "Wear a protective eye shield while sleeping."
A nurse is collecting data from a client who was admitted with a Glasgow coma
scale (GCS) of 3. Which of the following findings should the nurse expect? - ✅✅
Nonresponsive to commands.
A nurse is caring for a client who has type 1 diabetes mellitus and has undergone a
below-the-knee amputation. Which of the following is the highest priority finding?
- ✅✅ Skin flap of the residual limb is cool to the touch.
A nurse is reinforcing teaching about the prevention of sexually transmitted
infections (STIs) which a client who is sexually active. Which of the following
information should the nurse include in the teaching? - ✅✅ Inserting a
polyurethane female condom is effective for prevention of STIs.
, A nurse is administering a tap water enema to a client who has constipation. The
client reports abdominal cramping during installation of the enema. Which of the
following actions should the nurse take? - ✅✅ Slow the rate of fluid flow.
A nurse is reinforcing teaching about mammograms which an adult client who is
postmenopausal. Which of the following statements indicates to the nurse that the
client understands the teaching? - ✅✅ "I should have a mammogram every 1 to 2
years."
A nurse is collecting data from a client and osculates intermittent high-pitched
sounds during inspiration over the lower base of the lungs. The nurse should
identify this finding as which of the following lung sounds? - ✅✅ Fine crackles
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 saturation of 90%
A nurse is preparing to perform a closed irrigation of an indwelling urinary
catheter for a client who had abdominal surgery. Which of the following actions
should the nurse plan to take? - ✅✅ Stop the irrigation if resistance is felt during
fluid instillation.
A nurse is reviewing the medical record of a client who has systemic lupus
erythematous (SLE). Which of the following findings should the nurse expect? -
✅✅ Joint pain
A nurse is preparing to transfer a client from a bed to a chair following a total knee
arthroplasty. The client has a prescription for partial weight bearing. Which of the
following actions should the nurse take? - ✅✅ Position feet apart before pivoting
the client.
A nurse is reviewing principles of body mechanics which a client following a
lumbar laminectomy. Which of the following statements by the client indicates an
understanding of the teaching? - ✅✅ "I will flex at the knees and use my leg
muscles to lift an object off the floor."
A nurse is caring for a client who is preoperative and does not speak the same
language as the nurse. Which of the following actions should the nurse take? -
✅✅ Incorporate the use of pictures as a communication tool.
