ATI RN VATI ADULT MEDICAL
SURGICAL PROCTORED EXAM
2024/2025WITH NGN
AA AQue stion 90 loade d ra tionals pr ovide dAA
RN VATI Adult Medical Surgical 2019
Que stion 5 loaCLOSEded ra tionals pr ovide d
Question: 5 of 90
INCORRECT • Time Remaining: 00:28:31
• Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is providing teaching about dietary options for a client
who has cholelithiasis. Which of the following statements
should the nurse include in the teaching?
MY ANSWER"Cauliflower is a good dietary choice."
The nurse should instruct the client to avoid foods that are gas
forming, such as cauliflower and cabbage. These foods can
increase the client's abdominal discomfort.
"Increase the amount of egg yolks in your diet."
Clients who have acute cholelithiasis should consume a low-
fat diet. Foods such as egg yolks are high in fat and trigger the
, lOMoAR cPSD| 24448587
RN VATI Adult Medical Surgical 2019
CLOSE pr ovide d
release of bile from the gall bladder, which can increase the
client's abdominal discomfort.
"Select desserts such as angel-food cake."
Clients who have acute cholelithiasis will be prescribed a low-
fat diet. Desserts such as sherbet, gelatin, and angel food cake
are dessert choices that are low in fat. "Eat choice or prime
cuts of meat."
The nurse should inform the client that select cuts of meat are
lower in fat than prime or choice cuts. Select cuts are
recommended for clients who have cholelithiasis and are on a
lowfat diet.
RN VATI Adult Medical Surgical 2019
Que stion 4 loaCLOSEded ra tionals pr ovide d
Question: 4 of 90
CORRECT • Time Remaining: 00:28:24
• Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is providing discharge teaching to a client who has
COPD. Which of the following instructions should the nurse
include in the teaching?
,"Schedule controlled coughing exercises after meals."
The client should schedule controlled coughing exercises
before meals to clear mucus, which can improve dietary
intake.
MY ANSWER"Consume a diet that is high in calories."
Dyspnea decreases energy available for eating. Therefore, the
nurse should encourage the client to eat soft, high-calorie and
high-protein foods to prevent weight loss.
"Practice breath-holding."
The nurse should teach the client to use pursed-lip breathing
and avoid breath-holding, which can increase the amount of
air that is trapped in the lungs. Pursed-lip breathing decreases
the amount of stale air in the lungs and decreases dyspnea by
forcefully and slowly exhaling through pinched lips, as if to
whistle.
"Perform arm-reaching exercises."
The client should avoid activities involving the arms because
this type of activity limits the availability of the accessory
muscles essential for ventilation, which results in decreased
exercise tolerance.
RN VATI Adult Medical Surgical 2019
Que stion 3 loaCLOSEded ra tionals pr ovide d
Question: 3 of 90
CORRECT • Time Remaining: 00:28:18
• Pause Remaining: 00:05:00
PAUSE
FLAG
, lOMoAR cPSD| 24448587
RN VATI Adult Medical Surgical 2019
CLOSE pr ovide d
A nurse is assessing a client's understanding of a surgical
procedure prior to witnessing their signature on the informed
consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the
following actions should the nurse take?
Provide teaching about the surgical procedure for the client.
The responsibility of discussing the surgical procedure,
including the risks, benefits, and alternative therapies,
belongs to the provider who will be performing the
procedure. If the information the nurse gives to the client is
incorrect or incomplete, the nurse is liable and might face
legal action.
Instruct the client's spouse to sign the consent form.
Any client who is competent should sign their own surgical
consent form. A spouse or guardian can sign the form if the
client is incompetent, incapacitated, or a minor.
Read the consent form to the client using words the client will
understand.
The consent form should be read to a client who is unable to
read. However, the nurse should recognize that the consent
form does not contain all of the educational information
regarding the procedure that the provider shared with the
SURGICAL PROCTORED EXAM
2024/2025WITH NGN
AA AQue stion 90 loade d ra tionals pr ovide dAA
RN VATI Adult Medical Surgical 2019
Que stion 5 loaCLOSEded ra tionals pr ovide d
Question: 5 of 90
INCORRECT • Time Remaining: 00:28:31
• Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is providing teaching about dietary options for a client
who has cholelithiasis. Which of the following statements
should the nurse include in the teaching?
MY ANSWER"Cauliflower is a good dietary choice."
The nurse should instruct the client to avoid foods that are gas
forming, such as cauliflower and cabbage. These foods can
increase the client's abdominal discomfort.
"Increase the amount of egg yolks in your diet."
Clients who have acute cholelithiasis should consume a low-
fat diet. Foods such as egg yolks are high in fat and trigger the
, lOMoAR cPSD| 24448587
RN VATI Adult Medical Surgical 2019
CLOSE pr ovide d
release of bile from the gall bladder, which can increase the
client's abdominal discomfort.
"Select desserts such as angel-food cake."
Clients who have acute cholelithiasis will be prescribed a low-
fat diet. Desserts such as sherbet, gelatin, and angel food cake
are dessert choices that are low in fat. "Eat choice or prime
cuts of meat."
The nurse should inform the client that select cuts of meat are
lower in fat than prime or choice cuts. Select cuts are
recommended for clients who have cholelithiasis and are on a
lowfat diet.
RN VATI Adult Medical Surgical 2019
Que stion 4 loaCLOSEded ra tionals pr ovide d
Question: 4 of 90
CORRECT • Time Remaining: 00:28:24
• Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is providing discharge teaching to a client who has
COPD. Which of the following instructions should the nurse
include in the teaching?
,"Schedule controlled coughing exercises after meals."
The client should schedule controlled coughing exercises
before meals to clear mucus, which can improve dietary
intake.
MY ANSWER"Consume a diet that is high in calories."
Dyspnea decreases energy available for eating. Therefore, the
nurse should encourage the client to eat soft, high-calorie and
high-protein foods to prevent weight loss.
"Practice breath-holding."
The nurse should teach the client to use pursed-lip breathing
and avoid breath-holding, which can increase the amount of
air that is trapped in the lungs. Pursed-lip breathing decreases
the amount of stale air in the lungs and decreases dyspnea by
forcefully and slowly exhaling through pinched lips, as if to
whistle.
"Perform arm-reaching exercises."
The client should avoid activities involving the arms because
this type of activity limits the availability of the accessory
muscles essential for ventilation, which results in decreased
exercise tolerance.
RN VATI Adult Medical Surgical 2019
Que stion 3 loaCLOSEded ra tionals pr ovide d
Question: 3 of 90
CORRECT • Time Remaining: 00:28:18
• Pause Remaining: 00:05:00
PAUSE
FLAG
, lOMoAR cPSD| 24448587
RN VATI Adult Medical Surgical 2019
CLOSE pr ovide d
A nurse is assessing a client's understanding of a surgical
procedure prior to witnessing their signature on the informed
consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the
following actions should the nurse take?
Provide teaching about the surgical procedure for the client.
The responsibility of discussing the surgical procedure,
including the risks, benefits, and alternative therapies,
belongs to the provider who will be performing the
procedure. If the information the nurse gives to the client is
incorrect or incomplete, the nurse is liable and might face
legal action.
Instruct the client's spouse to sign the consent form.
Any client who is competent should sign their own surgical
consent form. A spouse or guardian can sign the form if the
client is incompetent, incapacitated, or a minor.
Read the consent form to the client using words the client will
understand.
The consent form should be read to a client who is unable to
read. However, the nurse should recognize that the consent
form does not contain all of the educational information
regarding the procedure that the provider shared with the
