VATI PN Med-Surg
1. A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings
should the nurse expect? (Select all that apply.): Poripheral edema
Hepatomegaly Abdominal distention
2. A nurse is caring for a client who has heart failure and a new prescription for furosemide. The nurse should
monitor the client for which of the following adverse effects of the medication?: Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and hearing loss. Audiometry is recommended for
clients recelving prolonged IV furosemide.
3. A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and is ready to resume
eating solid foods. Which of the following food items should the nurse recommend?: Yogurt
The nurse should recommend adding yogurt to the diet to provide probiotics and add substance to the stool, making it
more formed. A client who is recovering from diarrhea should consume a diet that is low in fiber. Taking probiotics can
also help restore the natural gastrointestinal flora.
4. A nurse is monitoring a client who has a new prescription for furosemide for peripheral edema. For which
of the following adverse effects should the nurse monitor?: Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema. Furosemide can cause excess excretion of
potassium. The nurse should monitor the client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
5. A nurse is contacting the provider of a client who has heart failure and a potassium level of 3.4 mEq/L. Which
of the following client medications should the nurse expect the provider to withhold?: Digoxin
The nurse should expect the provider to withhold digoxin when the client's potassium level is low to decrease the client's
risk of dysrhythrmias due to digoxin toxicity.
Potassium assists in displacing digoxin, because digoxin binds to potassiurm, and reduces the risk for digoxin toxicity.
6. A nurse is assisting with the care of a client who has cellulitis and is receiving IV ceftriaxone. During data
collection, the nurse notes the client is flushed and the client reports urticaria. After stopping the IV infusion,
which of the following actions should the nurse take first?: Check the client's
, VATI PN Med-Surg
respirations.
After stopping the IV infusion, the first action the nurse should take when using the airway, breathing, circulation
approach to client care is to count the client's respirations and monitor for dyspnea because a client experiencing an
allergic reaction can progress to anaphylactic shock and death.
7. A registered nurse (RN) in an acute care facility is caring for a group of clients with the assistance of a
licensed practical nurse (LPN). Which of the following tasks should the RN delegate to the LPN? (Select all that
apply.): In- serting an NG tube
Monitoring an IV infusion Administering IM
medications
8. A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which of the
following instructions should the nurse in- clude?: "Examine your testicles after a warm shower."
After exposure to warm water in a shower or bath, the scrotum relaxes and becomes easy to palpate. The testicle should
feel smooth and round, and the client should report any lumps to his provider.
9. A nurse is assisting in the planning of a health education class for a group of older adult clients. Which of the
following recommendations should the nurse include?: Obtain a pneumococcal immunization
The pneumococcal immunization should be obtained to prevent pneumonia and is generally given at or near the age of
65, One dose provides lifelong immunity
10. A nurse is preparing to administer eardrops to an adult client who has otitis media. Which of the
following actions should the nurse plan to take?: Warm the bottle by holding it in the palm for 5 min before
administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the hand or putting the bottle in a
pocket for about 5 min. Administering cold ear drops can cause the client to experience discomfort or dizziness.
11.A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for a client who has end-
stage emphysema. Which of the following instructions should the nurse include to promote client safety?:
Maintain an electrical backup system.
medical services and the electric company of the The nurse should remind the client to maintain an electrical backup
, VATI PN Med-Surg
system to ensure continuity of oxygen therapy. This
1. A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings
should the nurse expect? (Select all that apply.): Poripheral edema
Hepatomegaly Abdominal distention
2. A nurse is caring for a client who has heart failure and a new prescription for furosemide. The nurse should
monitor the client for which of the following adverse effects of the medication?: Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and hearing loss. Audiometry is recommended for
clients recelving prolonged IV furosemide.
3. A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and is ready to resume
eating solid foods. Which of the following food items should the nurse recommend?: Yogurt
The nurse should recommend adding yogurt to the diet to provide probiotics and add substance to the stool, making it
more formed. A client who is recovering from diarrhea should consume a diet that is low in fiber. Taking probiotics can
also help restore the natural gastrointestinal flora.
4. A nurse is monitoring a client who has a new prescription for furosemide for peripheral edema. For which
of the following adverse effects should the nurse monitor?: Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema. Furosemide can cause excess excretion of
potassium. The nurse should monitor the client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
5. A nurse is contacting the provider of a client who has heart failure and a potassium level of 3.4 mEq/L. Which
of the following client medications should the nurse expect the provider to withhold?: Digoxin
The nurse should expect the provider to withhold digoxin when the client's potassium level is low to decrease the client's
risk of dysrhythrmias due to digoxin toxicity.
Potassium assists in displacing digoxin, because digoxin binds to potassiurm, and reduces the risk for digoxin toxicity.
6. A nurse is assisting with the care of a client who has cellulitis and is receiving IV ceftriaxone. During data
collection, the nurse notes the client is flushed and the client reports urticaria. After stopping the IV infusion,
which of the following actions should the nurse take first?: Check the client's
, VATI PN Med-Surg
respirations.
After stopping the IV infusion, the first action the nurse should take when using the airway, breathing, circulation
approach to client care is to count the client's respirations and monitor for dyspnea because a client experiencing an
allergic reaction can progress to anaphylactic shock and death.
7. A registered nurse (RN) in an acute care facility is caring for a group of clients with the assistance of a
licensed practical nurse (LPN). Which of the following tasks should the RN delegate to the LPN? (Select all that
apply.): In- serting an NG tube
Monitoring an IV infusion Administering IM
medications
8. A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which of the
following instructions should the nurse in- clude?: "Examine your testicles after a warm shower."
After exposure to warm water in a shower or bath, the scrotum relaxes and becomes easy to palpate. The testicle should
feel smooth and round, and the client should report any lumps to his provider.
9. A nurse is assisting in the planning of a health education class for a group of older adult clients. Which of the
following recommendations should the nurse include?: Obtain a pneumococcal immunization
The pneumococcal immunization should be obtained to prevent pneumonia and is generally given at or near the age of
65, One dose provides lifelong immunity
10. A nurse is preparing to administer eardrops to an adult client who has otitis media. Which of the
following actions should the nurse plan to take?: Warm the bottle by holding it in the palm for 5 min before
administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the hand or putting the bottle in a
pocket for about 5 min. Administering cold ear drops can cause the client to experience discomfort or dizziness.
11.A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for a client who has end-
stage emphysema. Which of the following instructions should the nurse include to promote client safety?:
Maintain an electrical backup system.
medical services and the electric company of the The nurse should remind the client to maintain an electrical backup
, VATI PN Med-Surg
system to ensure continuity of oxygen therapy. This
