MED SURG VATI ASSESSMENT QUESTIONS /VERIFIED
ANSWERS /ALREADY GRADED A+
1.A nurse is preparing to discharge a client who is postoperative
following a total hip arthroplasty. Which of the following equipment
should the nurse ensure that the client has available at home prior to
discharge?
Continuous passive motion device
Elevated toilet seat
Trapeze bar
Compression garment: Elevated toilet seat
A client who is postoperative following a total hip arthroplasty is at risk
for dislocation of the hip prosthesis. Limitations on hip flexion and
adduction decrease the risk. The client should avoid flexing the hip
greater than 90° and should avoid using toilet seats that are low to the
,ground. An elevated toilet seat should be in place in the client's home
prior to the client's discharge.
2.A nurse is assessing a client who has suspected appendicitis. Which of
the following manifestations should the nurse expect? (select all that apply)
Elevated WBC count
Elevated amylase level
Rebound tenderness
Ascites
Anorexia: Elevated WBC count
A client who has acute appendicitis will show a moderate elevation of the
WBC count from 10,000 to 18,000/mm3. If the WBC count is greater than
20,000/mm3, it can indicate a perforated appendix.
Rebound tenderness
A client who has appendicitis develops localized pain over the right
lower quadrant of the abdomen. When the area is palpated, pain occurs
during release of pressure on the client's abdomen.
Anorexia
,A client who has acute appendicitis experiences nausea, vomiting, and
reduced appetite.
3.A nurse is teaching a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following statements by the client indicates an
under- standing of the teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
"I know that my diabetes developed slowly over several years."
"If I lose weight, I may be able to stop taking insulin."
"I have developed a resistance to insulin.": "I am aware that my diabetes is caused
by an autoimmune disorder."
Type 1 diabetes mellitus is an autoimmune disorder that destroys
pancreatic beta cells. This autoimmune reaction is often triggered by a
viral infection.
4.A nurse is caring for a male client who has a new prescription for cy-
closporine following a kidney transplant. Which of the following
findings should the nurse identify as an adverse effect of this therapy?
, WBC count 8,000/mm3
RBC count 6 million/mm3
BUN 24 mg/dL
Potassium 3.5 mEq/L: BUN 24 mg/dL
A BUN of 24 mg/dL is above the expected reference range of 10 to 20
mg/dL, indicating renal impairment. An adverse effect of cyclosporine is
nephrotoxicity. The nurse should monitor the client for increases in BUN
and creatinine and report any elevation to the provider. A rise in BUN
could indicate transplant rejection.
5.A nurse in a long-term care facility is caring for a client who has
dementia. Which of the following actions should the nurse take?
Give detailed directions when addressing the client.
Provide finger food at mealtime.
Use written signs to redirect the client.
Seat the client at a large table for meals.: Provide finger food at mealtime.
The nurse should provide the client who has dementia with fingers foods
Clients who have dementia can have difficulty sitting still and tend to
ANSWERS /ALREADY GRADED A+
1.A nurse is preparing to discharge a client who is postoperative
following a total hip arthroplasty. Which of the following equipment
should the nurse ensure that the client has available at home prior to
discharge?
Continuous passive motion device
Elevated toilet seat
Trapeze bar
Compression garment: Elevated toilet seat
A client who is postoperative following a total hip arthroplasty is at risk
for dislocation of the hip prosthesis. Limitations on hip flexion and
adduction decrease the risk. The client should avoid flexing the hip
greater than 90° and should avoid using toilet seats that are low to the
,ground. An elevated toilet seat should be in place in the client's home
prior to the client's discharge.
2.A nurse is assessing a client who has suspected appendicitis. Which of
the following manifestations should the nurse expect? (select all that apply)
Elevated WBC count
Elevated amylase level
Rebound tenderness
Ascites
Anorexia: Elevated WBC count
A client who has acute appendicitis will show a moderate elevation of the
WBC count from 10,000 to 18,000/mm3. If the WBC count is greater than
20,000/mm3, it can indicate a perforated appendix.
Rebound tenderness
A client who has appendicitis develops localized pain over the right
lower quadrant of the abdomen. When the area is palpated, pain occurs
during release of pressure on the client's abdomen.
Anorexia
,A client who has acute appendicitis experiences nausea, vomiting, and
reduced appetite.
3.A nurse is teaching a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following statements by the client indicates an
under- standing of the teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
"I know that my diabetes developed slowly over several years."
"If I lose weight, I may be able to stop taking insulin."
"I have developed a resistance to insulin.": "I am aware that my diabetes is caused
by an autoimmune disorder."
Type 1 diabetes mellitus is an autoimmune disorder that destroys
pancreatic beta cells. This autoimmune reaction is often triggered by a
viral infection.
4.A nurse is caring for a male client who has a new prescription for cy-
closporine following a kidney transplant. Which of the following
findings should the nurse identify as an adverse effect of this therapy?
, WBC count 8,000/mm3
RBC count 6 million/mm3
BUN 24 mg/dL
Potassium 3.5 mEq/L: BUN 24 mg/dL
A BUN of 24 mg/dL is above the expected reference range of 10 to 20
mg/dL, indicating renal impairment. An adverse effect of cyclosporine is
nephrotoxicity. The nurse should monitor the client for increases in BUN
and creatinine and report any elevation to the provider. A rise in BUN
could indicate transplant rejection.
5.A nurse in a long-term care facility is caring for a client who has
dementia. Which of the following actions should the nurse take?
Give detailed directions when addressing the client.
Provide finger food at mealtime.
Use written signs to redirect the client.
Seat the client at a large table for meals.: Provide finger food at mealtime.
The nurse should provide the client who has dementia with fingers foods
Clients who have dementia can have difficulty sitting still and tend to
