VATI Adult Medical Surgical [ACTUAL EXAM] LATEST
VERSION [QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
2025 GRADED A (BRAND NEW!!)
A nurse is contributing to the plan of care for a client who is in skeletal traction. Which of
the following interventions should the nurse include? - CORRECT ANSWER ✔✔✔✔✔
Keep the client's body centered in the bed.
A nurse is contributing to the plan of care for a client who has dysphagia following a
stroke. Which of the following actions should the nurse include in the plan of care to
prevent aspiration? - CORRECT ANSWER ✔✔✔✔✔ Keep the client upright for 30
min after a meal.
A nurse is reinforcing postoperative teaching with a client who is scheduled for cataract
surgery on his right eye. Which of the following instructions should the nurse include? -
CORRECT ANSWER ✔✔✔✔✔ "Wear a protective eye shield while sleeping."
A nurse is collecting data from a client who was admitted with a Glasgow coma scale
(GCS) of 3. Which of the following findings should the nurse expect? - CORRECT
ANSWER ✔✔✔✔✔ Nonresponsive to commands.
A nurse is caring for a client who has type 1 diabetes mellitus and has undergone a
below-the-knee amputation. Which of the following is the highest priority finding? -
CORRECT ANSWER ✔✔✔✔✔ Skin flap of the residual limb is cool to the touch.
A nurse is reinforcing teaching about the prevention of sexually transmitted infections
(STIs) which a client who is sexually active. Which of the following information should
the nurse include in the teaching? - CORRECT ANSWER ✔✔✔✔✔ Inserting a
polyurethane female condom is effective for prevention of STIs.
A nurse is administering a tap water enema to a client who has constipation. The client
reports abdominal cramping during installation of the enema. Which of the following
actions should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Slow the rate of fluid
flow.
A nurse is reinforcing teaching about mammograms which an adult client who is
postmenopausal. Which of the following statements indicates to the nurse that the client
understands the teaching? - CORRECT ANSWER ✔✔✔✔✔ "I should have a
mammogram every 1 to 2 years."
,A nurse is collecting data from a client and osculates intermittent high-pitched sounds
during inspiration over the lower base of the lungs. The nurse should identify this finding
as which of the following lung sounds? - CORRECT ANSWER ✔✔✔✔✔ Fine crackles
A nurse is assisting with the care of four clients. Which of the following clients is the
priority for the nurse to see? - CORRECT ANSWER ✔✔✔✔✔ A client who has chest
tubes and an oxygen saturation of 90%
A nurse is preparing to perform a closed irrigation of an indwelling urinary catheter for a
client who had abdominal surgery. Which of the following actions should the nurse plan
to take? - CORRECT ANSWER ✔✔✔✔✔ Stop the irrigation if resistance is felt during
fluid instillation.
A nurse is reviewing the medical record of a client who has systemic lupus
erythematous (SLE). Which of the following findings should the nurse expect? -
CORRECT ANSWER ✔✔✔✔✔ Joint pain
A nurse is preparing to transfer a client from a bed to a chair following a total knee
arthroplasty. The client has a prescription for partial weight bearing. Which of the
following actions should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Position
feet apart before pivoting the client.
A nurse is reviewing principles of body mechanics which a client following a lumbar
laminectomy. Which of the following statements by the client indicates an understanding
of the teaching? - CORRECT ANSWER ✔✔✔✔✔ "I will flex at the knees and use my
leg muscles to lift an object off the floor."
A nurse is caring for a client who is preoperative and does not speak the same
language as the nurse. Which of the following actions should the nurse take? -
CORRECT ANSWER ✔✔✔✔✔ Incorporate the use of pictures as a communication
tool.
A nurse is reinforcing teaching with a client who is scheduled for an
electroencephalogram (EEG). Which of the following information should the nurse
include in the teaching? - CORRECT ANSWER ✔✔✔✔✔ "Shampoo your hair the
night before the procedure."
A nurse is caring for a client who has a new diagnosis of moderate Alzheimer's disease.
Which of the following provider prescriptions should the nurse expect? - CORRECT
ANSWER ✔✔✔✔✔ Donepezil 5mg PO daily
A nurse is collecting data from a client who has left homonymous hemianopsia following
a stroke. Which of the following client findings indicates effective management of
homonymous hemianopsia? - CORRECT ANSWER ✔✔✔✔✔ Eats items from both
sides of the lunch tray.
, A nurse is reinforcing teaching bout preventing UTIs with a female client. Which of the
following statements by the client indicates an understanding of the information? -
CORRECT ANSWER ✔✔✔✔✔ "I will increase my intake of water."
A nurse is reinforcing teaching with a client about advance directives. The nurse should
identify that which of the following client responses indicates an understanding of the
teaching? - CORRECT ANSWER ✔✔✔✔✔ "If I have advance directives with a do-
not-resusciate order, I can change it later."
A nurse is reinforcing discharge teaching with a client who has a new cast. The client is
prescribed hydrocodone for the pain. The nurse should instruct the client to report
immediately which of the following findings to the provider? - CORRECT ANSWER
✔✔✔✔✔ Swelling of the affected extremity.
A nurse is caring for a client who is experiencing difficulty using utensils to eat following
a stroke. Which of the following referrals should the nurse recommend? - CORRECT
ANSWER ✔✔✔✔✔ Occupational therapist
A nurse is reinforcing teaching with a client who is experiencing neutropenia as a result
of chemotherapy. Which of the following information should the nurse include? -
CORRECT ANSWER ✔✔✔✔✔ Bathe with antimicrobial soap daily.
Take temperature daily.
Avoid gardening.
A nurse is collecting data from a client who has diabetes myelitis and a blood because
level of 61 mg/dL. Which of the findings should the nurse expect? - CORRECT
ANSWER ✔✔✔✔✔ Difficulty concentrating.
The nurse is reinforcing teaching with a client who has a history of calcium oxalate
kidney stones. Which of the following statements by the client indicates an
understanding of the instructions? - CORRECT ANSWER ✔✔✔✔✔ "I'll be sure to
eliminate peanuts from my diet."
A nurse is caring for a client who is receiving bolus enteral feedings and is prescribed
digoxin and furosemide. Which of the following actions should the nurse take? -
CORRECT ANSWER ✔✔✔✔✔ Flush the tube with water before and after each
medication.
Nurse is collecting data from a client who has a new ileostomy. Which of the following
findings about the Stoneman said the nurse report to the provider? - CORRECT
ANSWER ✔✔✔✔✔ Purple in appearance.
VERSION [QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
2025 GRADED A (BRAND NEW!!)
A nurse is contributing to the plan of care for a client who is in skeletal traction. Which of
the following interventions should the nurse include? - CORRECT ANSWER ✔✔✔✔✔
Keep the client's body centered in the bed.
A nurse is contributing to the plan of care for a client who has dysphagia following a
stroke. Which of the following actions should the nurse include in the plan of care to
prevent aspiration? - CORRECT ANSWER ✔✔✔✔✔ Keep the client upright for 30
min after a meal.
A nurse is reinforcing postoperative teaching with a client who is scheduled for cataract
surgery on his right eye. Which of the following instructions should the nurse include? -
CORRECT ANSWER ✔✔✔✔✔ "Wear a protective eye shield while sleeping."
A nurse is collecting data from a client who was admitted with a Glasgow coma scale
(GCS) of 3. Which of the following findings should the nurse expect? - CORRECT
ANSWER ✔✔✔✔✔ Nonresponsive to commands.
A nurse is caring for a client who has type 1 diabetes mellitus and has undergone a
below-the-knee amputation. Which of the following is the highest priority finding? -
CORRECT ANSWER ✔✔✔✔✔ Skin flap of the residual limb is cool to the touch.
A nurse is reinforcing teaching about the prevention of sexually transmitted infections
(STIs) which a client who is sexually active. Which of the following information should
the nurse include in the teaching? - CORRECT ANSWER ✔✔✔✔✔ Inserting a
polyurethane female condom is effective for prevention of STIs.
A nurse is administering a tap water enema to a client who has constipation. The client
reports abdominal cramping during installation of the enema. Which of the following
actions should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Slow the rate of fluid
flow.
A nurse is reinforcing teaching about mammograms which an adult client who is
postmenopausal. Which of the following statements indicates to the nurse that the client
understands the teaching? - CORRECT ANSWER ✔✔✔✔✔ "I should have a
mammogram every 1 to 2 years."
,A nurse is collecting data from a client and osculates intermittent high-pitched sounds
during inspiration over the lower base of the lungs. The nurse should identify this finding
as which of the following lung sounds? - CORRECT ANSWER ✔✔✔✔✔ Fine crackles
A nurse is assisting with the care of four clients. Which of the following clients is the
priority for the nurse to see? - CORRECT ANSWER ✔✔✔✔✔ A client who has chest
tubes and an oxygen saturation of 90%
A nurse is preparing to perform a closed irrigation of an indwelling urinary catheter for a
client who had abdominal surgery. Which of the following actions should the nurse plan
to take? - CORRECT ANSWER ✔✔✔✔✔ Stop the irrigation if resistance is felt during
fluid instillation.
A nurse is reviewing the medical record of a client who has systemic lupus
erythematous (SLE). Which of the following findings should the nurse expect? -
CORRECT ANSWER ✔✔✔✔✔ Joint pain
A nurse is preparing to transfer a client from a bed to a chair following a total knee
arthroplasty. The client has a prescription for partial weight bearing. Which of the
following actions should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Position
feet apart before pivoting the client.
A nurse is reviewing principles of body mechanics which a client following a lumbar
laminectomy. Which of the following statements by the client indicates an understanding
of the teaching? - CORRECT ANSWER ✔✔✔✔✔ "I will flex at the knees and use my
leg muscles to lift an object off the floor."
A nurse is caring for a client who is preoperative and does not speak the same
language as the nurse. Which of the following actions should the nurse take? -
CORRECT ANSWER ✔✔✔✔✔ Incorporate the use of pictures as a communication
tool.
A nurse is reinforcing teaching with a client who is scheduled for an
electroencephalogram (EEG). Which of the following information should the nurse
include in the teaching? - CORRECT ANSWER ✔✔✔✔✔ "Shampoo your hair the
night before the procedure."
A nurse is caring for a client who has a new diagnosis of moderate Alzheimer's disease.
Which of the following provider prescriptions should the nurse expect? - CORRECT
ANSWER ✔✔✔✔✔ Donepezil 5mg PO daily
A nurse is collecting data from a client who has left homonymous hemianopsia following
a stroke. Which of the following client findings indicates effective management of
homonymous hemianopsia? - CORRECT ANSWER ✔✔✔✔✔ Eats items from both
sides of the lunch tray.
, A nurse is reinforcing teaching bout preventing UTIs with a female client. Which of the
following statements by the client indicates an understanding of the information? -
CORRECT ANSWER ✔✔✔✔✔ "I will increase my intake of water."
A nurse is reinforcing teaching with a client about advance directives. The nurse should
identify that which of the following client responses indicates an understanding of the
teaching? - CORRECT ANSWER ✔✔✔✔✔ "If I have advance directives with a do-
not-resusciate order, I can change it later."
A nurse is reinforcing discharge teaching with a client who has a new cast. The client is
prescribed hydrocodone for the pain. The nurse should instruct the client to report
immediately which of the following findings to the provider? - CORRECT ANSWER
✔✔✔✔✔ Swelling of the affected extremity.
A nurse is caring for a client who is experiencing difficulty using utensils to eat following
a stroke. Which of the following referrals should the nurse recommend? - CORRECT
ANSWER ✔✔✔✔✔ Occupational therapist
A nurse is reinforcing teaching with a client who is experiencing neutropenia as a result
of chemotherapy. Which of the following information should the nurse include? -
CORRECT ANSWER ✔✔✔✔✔ Bathe with antimicrobial soap daily.
Take temperature daily.
Avoid gardening.
A nurse is collecting data from a client who has diabetes myelitis and a blood because
level of 61 mg/dL. Which of the findings should the nurse expect? - CORRECT
ANSWER ✔✔✔✔✔ Difficulty concentrating.
The nurse is reinforcing teaching with a client who has a history of calcium oxalate
kidney stones. Which of the following statements by the client indicates an
understanding of the instructions? - CORRECT ANSWER ✔✔✔✔✔ "I'll be sure to
eliminate peanuts from my diet."
A nurse is caring for a client who is receiving bolus enteral feedings and is prescribed
digoxin and furosemide. Which of the following actions should the nurse take? -
CORRECT ANSWER ✔✔✔✔✔ Flush the tube with water before and after each
medication.
Nurse is collecting data from a client who has a new ileostomy. Which of the following
findings about the Stoneman said the nurse report to the provider? - CORRECT
ANSWER ✔✔✔✔✔ Purple in appearance.
