VATI Med-Surg Post-Assessment [ACTUAL EXAM] LATEST
VERSION [QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!) WITH RATINALE
A nurse is caring for a client who has multiple sclerosis and is unable to maintain a grip
on eating utensils. Which of the following referrals should the nurse make?
A. Speech-language pathologist
B. Physical therapist
C. Registered dietitian
D. Occupational therapist - CORRECT ANSWER ✔✔✔✔✔ D. Occupational therapist
Occupational therapists assist with developing a client's fine motor skills used for
activities of daily living, such as eating, grooming, and hygiene.
A nurse is reviewing the medical record of a client who has a prescription for liraglutide.
Which of the following findings should the nurse identify as a contraindication to this
medication?
A. History of thyroid cancer
B. Concurrent use of metformin
C. Blood glucose 200 mg/dL
D. Albumin 3.8 g/dL - CORRECT ANSWER ✔✔✔✔✔ A. History of thyroid cancer
The nurse should identify a personal or family history of thyroid cancer as a
contraindication to taking liraglutide and notify the provider. Other contraindications to
receiving this medication can include type 1 diabetes mellitus, diabetic ketoacidosis,
and a history of suicidal thoughts or attempts.
A nurse is monitoring a client who has a prescription for ciprofloxacin 400 mg IV every
12 hr. Which of the following manifestations should the nurse identify as an adverse
effect of this medication?
A. Constipation
B. Anorexia
C. Fever
D. Myalgia - CORRECT ANSWER ✔✔✔✔✔ D. Myalgia
The nurse should identify that myalgia is an adverse effect of ciprofloxacin and can be
an indication that the client might be experiencing tendonitis, which could lead to tendon
rupture. Other adverse effects can include dizziness, agitation, and confusion.
, A nurse is preparing to administer a unit of fresh frozen plasma (FFP) to a client. Which
of the following actions should the nurse plan to take prior to the transfusion?
A. Initiate an IV infusion of dextrose 5% in water.
B. Ensure the FFP is compatible with the client's Rh status.
C. Confirm the plasma compatibility with another nurse.
D. Review liver function tests. - CORRECT ANSWER ✔✔✔✔✔ C. Confirm the plasma
compatibility with another nurse.
The nurse should confirm the plasma ABO compatibility with another nurse by verifying
the client's identity and comparing the bag of FFP to the medical record to prevent an
adverse reaction. The nurse should also check the expiration time on the FFP.
A nurse is preparing to administer an IV bolus medication for a client who has an
implanted port. Which of the following actions should the nurse take?
A. Check the blood return
B. Flush the catheter using a 3 mL syringe
C. Cleanse the implanted port insertion site with alcohol
D. Place the client in Trendelenburg position - CORRECT ANSWER ✔✔✔✔✔ A.
Check the blood return
Before infusing a medication through an implanted port, the nurse should check for
blood return. If there is no blood return, the medication should be withheld until patency
can be established and needle placement is confirmed.
The nurse should flush the catheter using a 10 mL syringe with 5 mL heparin 10
units/mL or 0.9% sodium chloride after each use and at least once per month. The
nurse only needs to cleanse the implanted port insertion site with dressing changes and
should use chlorhexidine gluconate solution rather than alcohol. The nurse should place
the client supine or in the Trendelenburg position when changing the administration set
or connectors of a central line to prevent air emboli.
A nurse is caring for a client who is receiving the first dose of IV ampicillin and develops
a rash and flushed skin and begins wheezing. Which of the following actions should the
nurse take first?
A. Notify the Rapid Response team
B. Stop the infusion
C. Give oxygen via nonrebreather facemask.
D. Administer epinephrine. - CORRECT ANSWER ✔✔✔✔✔ B. Stop the infusion
The first action the nurse should take when using the airway, breathing, and circulation
approach to client care is to stop the infusion. However, the nurse should keep the IV
open and infuse 0.9% sodium chloride until epinephrine is available to administer.
VERSION [QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!) WITH RATINALE
A nurse is caring for a client who has multiple sclerosis and is unable to maintain a grip
on eating utensils. Which of the following referrals should the nurse make?
A. Speech-language pathologist
B. Physical therapist
C. Registered dietitian
D. Occupational therapist - CORRECT ANSWER ✔✔✔✔✔ D. Occupational therapist
Occupational therapists assist with developing a client's fine motor skills used for
activities of daily living, such as eating, grooming, and hygiene.
A nurse is reviewing the medical record of a client who has a prescription for liraglutide.
Which of the following findings should the nurse identify as a contraindication to this
medication?
A. History of thyroid cancer
B. Concurrent use of metformin
C. Blood glucose 200 mg/dL
D. Albumin 3.8 g/dL - CORRECT ANSWER ✔✔✔✔✔ A. History of thyroid cancer
The nurse should identify a personal or family history of thyroid cancer as a
contraindication to taking liraglutide and notify the provider. Other contraindications to
receiving this medication can include type 1 diabetes mellitus, diabetic ketoacidosis,
and a history of suicidal thoughts or attempts.
A nurse is monitoring a client who has a prescription for ciprofloxacin 400 mg IV every
12 hr. Which of the following manifestations should the nurse identify as an adverse
effect of this medication?
A. Constipation
B. Anorexia
C. Fever
D. Myalgia - CORRECT ANSWER ✔✔✔✔✔ D. Myalgia
The nurse should identify that myalgia is an adverse effect of ciprofloxacin and can be
an indication that the client might be experiencing tendonitis, which could lead to tendon
rupture. Other adverse effects can include dizziness, agitation, and confusion.
, A nurse is preparing to administer a unit of fresh frozen plasma (FFP) to a client. Which
of the following actions should the nurse plan to take prior to the transfusion?
A. Initiate an IV infusion of dextrose 5% in water.
B. Ensure the FFP is compatible with the client's Rh status.
C. Confirm the plasma compatibility with another nurse.
D. Review liver function tests. - CORRECT ANSWER ✔✔✔✔✔ C. Confirm the plasma
compatibility with another nurse.
The nurse should confirm the plasma ABO compatibility with another nurse by verifying
the client's identity and comparing the bag of FFP to the medical record to prevent an
adverse reaction. The nurse should also check the expiration time on the FFP.
A nurse is preparing to administer an IV bolus medication for a client who has an
implanted port. Which of the following actions should the nurse take?
A. Check the blood return
B. Flush the catheter using a 3 mL syringe
C. Cleanse the implanted port insertion site with alcohol
D. Place the client in Trendelenburg position - CORRECT ANSWER ✔✔✔✔✔ A.
Check the blood return
Before infusing a medication through an implanted port, the nurse should check for
blood return. If there is no blood return, the medication should be withheld until patency
can be established and needle placement is confirmed.
The nurse should flush the catheter using a 10 mL syringe with 5 mL heparin 10
units/mL or 0.9% sodium chloride after each use and at least once per month. The
nurse only needs to cleanse the implanted port insertion site with dressing changes and
should use chlorhexidine gluconate solution rather than alcohol. The nurse should place
the client supine or in the Trendelenburg position when changing the administration set
or connectors of a central line to prevent air emboli.
A nurse is caring for a client who is receiving the first dose of IV ampicillin and develops
a rash and flushed skin and begins wheezing. Which of the following actions should the
nurse take first?
A. Notify the Rapid Response team
B. Stop the infusion
C. Give oxygen via nonrebreather facemask.
D. Administer epinephrine. - CORRECT ANSWER ✔✔✔✔✔ B. Stop the infusion
The first action the nurse should take when using the airway, breathing, and circulation
approach to client care is to stop the infusion. However, the nurse should keep the IV
open and infuse 0.9% sodium chloride until epinephrine is available to administer.
