2025 VATI MEDICAL SURGICAL
FINAL
ASSESSMENT|GUARANTEED
PASS A| LATEST 2025 EXAM
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 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
FINAL
ASSESSMENT|GUARANTEED
PASS A| LATEST 2025 EXAM
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 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
