2026 VATI MEDICAL SURGICAL ACTUAL FINAL
ASSESSMENT GUARANTEED PASS/SOLVED/2026 VATI
MEDICAL SURGICAL
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 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.
ASSESSMENT GUARANTEED PASS/SOLVED/2026 VATI
MEDICAL SURGICAL
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 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.
