VATI MEDICAL SURGICAL
FINAL ASSESSMENT EXAM
A nurse is preparing to discharge a client who is postop following a hip
arthroplasty. Which of the following equipment should the nurse ensure
that the client has available at home prior to discharge?
Elevated toilet seat.
A nurse is assessing a client who has suspected appendicitis. Which of the
following manifestations should the nurse expect? SATA
Elevated WBC
Rebound
tenderness
Anorexia
A nurse is teaching a client who has a new diagnosis of type 1 DM.
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."
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?
BUN 24 mg/dL
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? SATA
"I will avoid crowds"
"I will take my temperature daily"
A nurse is providing teaching to a client who has a new prescription for
cephalexin oral suspension. Which of the following statements by the client
indicates an understanding of the teaching?
"I will keep the medication refrigerated."
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?
Retention of carbon dioxide
A nurse is providing teaching for a client who has constipation-predominant
irritable bowel syndrome (IBS-C). Which of the following statements should
the nurse include in the teaching?
"Take psyllium in the evening."
A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the nurse include
in the teaching?
"You will not be able to eat or drink after the procedure until you are
able to cough." A nurse is providing preoperative teaching to a client
who is scheduled for a radical prostatectomy. Which of the following
information should the nurse include in the teaching?
A PCA pump will be used for postop pain control.
,A nurse is providing discharge teaching about infection control at home for
a client who has TB. Which of the following statements by the client
indicates an understanding of the teaching?
"I will place my used tissues in a plastic bag."
A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
, Osteoporosis
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?
Constant bubbling in the water seal chamber.
A nurse is assessing a client who takes salmeterol to treat moderate
asthma. Which of the following findings should indicate to the nurse that
the medication has been effective?
The client's daily peak expiratory flow (PEF) measures 85% above personal
best.
A nurse is assessing a client's ECG strip and notes an irregular heart rate
of 98 pbm with no clear p waves. Which of the following cardiac
dysrhythmias should the nurse document?
A fib
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?
LLQ
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for
which of the following adverse effects?
Thinning of the skin.
A nurse is performing a risk assessment for a client. Which of the
following factors should the nurse identify as increasing the client's risk
for falls?
The client had cataracts surgery 1 day ago.
A nurse is caring for a client who is receiving vancomycin intermittent IV
bolus therapy for methicillin-resistant Staphylococcus aureus (MRSA).
Which of the following findings is an indication to the nurse that the client is
experiencing an adverse effect of the medication?
The client is becoming flushed.
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? Paradoxical pulse.
A nurse is inspecting the skin of a client who has basal cell carcinoma.
The nurse should identify which of the following lesion characteristics
on the client's skin.
A pearly, waxy nodule.
A nurse is caring for a client who is receiving a transfusion of packed RBCs.
The nurse notes that the client's blood type is AB positive an the blood
transfusing is labeled type B negative. Which of the following actions
should the nurse take?
Monitor the client for any adverse reactions?
A nurse is caring for a client who has multiple leg fractures and is 24 hr
post op following placement of skeletal traction. Which of the following
actions should the nurse take?
Inspect the pin sites at least every 8 hours.
A nurse is providing teaching to a client who has a new prescription for
warfarin. Which of the following medications should the nurse instruct the
client to avoid? SATA
, Aspirin
Naproxe
n
A nurse is caring for a client who is receiving mechanical ventilation. Which of
the following actions should the nurse implement to decrease the client's risk
for ventilator- associated pneumonia (VAP)?
Monitor for oral secretions every
2 hrs Provide oral care evert 2
hrs
Assess the client daily for readiness for extubation
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?
Frothy sputum
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?
Skin Changes
A nurse is planning care for a client who is scheduled for surgery and
has a latex allergy. Which of the following actions should the nurse
plan to take?
Place monitoring cords and tubes in a stockinette
A nurse is teaching a client about self-management of their halo fixator
device. Which of the following information should the nurse include in the
teaching?
Place a small pillow under the head while lying supine.
A nurse is monitoring a client following a lumbar laminectomy. The client has
a drain and indwelling urinary catheter. The nurse should identify which of
the following findings as an indication of a complication of the surgery?
Clear drainage on the dressings.
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the
following actions should the nurse take?
Report cloudy dialysate drainage to the provider.
A nurse is caring for a client who had a surgical repair of an abdominal
aortic aneurysm 3 days ago. The client's vital signs are: temp 38.3 degrees
celcius, HR 80 bpm, RR 16 bpm, BP 128/76 mmHg. Which of the following
actions is the nurse's priorirty?
Assess the surgical incision for signs of infection.
What natural supplement/homeopathic remedy is used to help heal burns and
wounds? Aloe vera
What is lavage?
Washing out of a body cavity, such as a colon or stomach with water or a
medicated solution
What is a peritoneal lavage?
a diagnostic test in which a catheter is inserted into peritoneal cavity and
fluid is aspirated with a syringe. It is most commonly performed to assess for
bleeding in abd cavity in clients who have experienced blunt trauma.
What are catecholamines?
adrenal hormones: dopamine, norepinephrine,
FINAL ASSESSMENT EXAM
A nurse is preparing to discharge a client who is postop following a hip
arthroplasty. Which of the following equipment should the nurse ensure
that the client has available at home prior to discharge?
Elevated toilet seat.
A nurse is assessing a client who has suspected appendicitis. Which of the
following manifestations should the nurse expect? SATA
Elevated WBC
Rebound
tenderness
Anorexia
A nurse is teaching a client who has a new diagnosis of type 1 DM.
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."
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?
BUN 24 mg/dL
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? SATA
"I will avoid crowds"
"I will take my temperature daily"
A nurse is providing teaching to a client who has a new prescription for
cephalexin oral suspension. Which of the following statements by the client
indicates an understanding of the teaching?
"I will keep the medication refrigerated."
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?
Retention of carbon dioxide
A nurse is providing teaching for a client who has constipation-predominant
irritable bowel syndrome (IBS-C). Which of the following statements should
the nurse include in the teaching?
"Take psyllium in the evening."
A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the nurse include
in the teaching?
"You will not be able to eat or drink after the procedure until you are
able to cough." A nurse is providing preoperative teaching to a client
who is scheduled for a radical prostatectomy. Which of the following
information should the nurse include in the teaching?
A PCA pump will be used for postop pain control.
,A nurse is providing discharge teaching about infection control at home for
a client who has TB. Which of the following statements by the client
indicates an understanding of the teaching?
"I will place my used tissues in a plastic bag."
A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
, Osteoporosis
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?
Constant bubbling in the water seal chamber.
A nurse is assessing a client who takes salmeterol to treat moderate
asthma. Which of the following findings should indicate to the nurse that
the medication has been effective?
The client's daily peak expiratory flow (PEF) measures 85% above personal
best.
A nurse is assessing a client's ECG strip and notes an irregular heart rate
of 98 pbm with no clear p waves. Which of the following cardiac
dysrhythmias should the nurse document?
A fib
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?
LLQ
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for
which of the following adverse effects?
Thinning of the skin.
A nurse is performing a risk assessment for a client. Which of the
following factors should the nurse identify as increasing the client's risk
for falls?
The client had cataracts surgery 1 day ago.
A nurse is caring for a client who is receiving vancomycin intermittent IV
bolus therapy for methicillin-resistant Staphylococcus aureus (MRSA).
Which of the following findings is an indication to the nurse that the client is
experiencing an adverse effect of the medication?
The client is becoming flushed.
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? Paradoxical pulse.
A nurse is inspecting the skin of a client who has basal cell carcinoma.
The nurse should identify which of the following lesion characteristics
on the client's skin.
A pearly, waxy nodule.
A nurse is caring for a client who is receiving a transfusion of packed RBCs.
The nurse notes that the client's blood type is AB positive an the blood
transfusing is labeled type B negative. Which of the following actions
should the nurse take?
Monitor the client for any adverse reactions?
A nurse is caring for a client who has multiple leg fractures and is 24 hr
post op following placement of skeletal traction. Which of the following
actions should the nurse take?
Inspect the pin sites at least every 8 hours.
A nurse is providing teaching to a client who has a new prescription for
warfarin. Which of the following medications should the nurse instruct the
client to avoid? SATA
, Aspirin
Naproxe
n
A nurse is caring for a client who is receiving mechanical ventilation. Which of
the following actions should the nurse implement to decrease the client's risk
for ventilator- associated pneumonia (VAP)?
Monitor for oral secretions every
2 hrs Provide oral care evert 2
hrs
Assess the client daily for readiness for extubation
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?
Frothy sputum
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?
Skin Changes
A nurse is planning care for a client who is scheduled for surgery and
has a latex allergy. Which of the following actions should the nurse
plan to take?
Place monitoring cords and tubes in a stockinette
A nurse is teaching a client about self-management of their halo fixator
device. Which of the following information should the nurse include in the
teaching?
Place a small pillow under the head while lying supine.
A nurse is monitoring a client following a lumbar laminectomy. The client has
a drain and indwelling urinary catheter. The nurse should identify which of
the following findings as an indication of a complication of the surgery?
Clear drainage on the dressings.
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the
following actions should the nurse take?
Report cloudy dialysate drainage to the provider.
A nurse is caring for a client who had a surgical repair of an abdominal
aortic aneurysm 3 days ago. The client's vital signs are: temp 38.3 degrees
celcius, HR 80 bpm, RR 16 bpm, BP 128/76 mmHg. Which of the following
actions is the nurse's priorirty?
Assess the surgical incision for signs of infection.
What natural supplement/homeopathic remedy is used to help heal burns and
wounds? Aloe vera
What is lavage?
Washing out of a body cavity, such as a colon or stomach with water or a
medicated solution
What is a peritoneal lavage?
a diagnostic test in which a catheter is inserted into peritoneal cavity and
fluid is aspirated with a syringe. It is most commonly performed to assess for
bleeding in abd cavity in clients who have experienced blunt trauma.
What are catecholamines?
adrenal hormones: dopamine, norepinephrine,
