PN VATI (VIRTUAL-ATI) ADULT
MEDICAL-SURGICAL EXAM
PROCTORED EXAM QUESTIONS
AND ANSWERS| PRACTICAL
NURSING CARE
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 caring for a client who has dumping syndrome
following a gastric resection. The nurse should monitor the
client for which of the following complications of dumping
syndrome?
Iron-deficiency anemia
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?
Page 1 of 23
,The client's daily peak expiratory flow (PEF) measures 85% above
personal best.
A nurse is providing teaching about health promotion activities
for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an
understanding of the teaching?
"I will check my blood sugar level before exercising."
A nurse is providing teaching to a client who has a new
prescription for warfarin. Which of the following medications
should the nurse instruct the client to avoid? (Select all that
apply.)
Naproxen
Aspirin
A nurse is assisting with the care of a client who is scheduled
for a thoracentesis. Which of the following interventions
should the nurse plan to take?
Place the client leaning forward over the bedside table for the
procedure. A nurse is providing discharge teaching about
infection control at home for a client who has tuberculosis.
Which of the following statements by the client indicates an
understanding of the teaching?
"I will cover my mouth with my hands when I have to cough."
Page 2 of 23
, A nurse is teaching a client who is scheduled to receive
radioactive iodine therapy for treatment of hyperthyroidism.
Which of the following instructions should the nurse include in
the teaching?
Use disposable utensils for meals.
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 postoperative pain control.
A nurse is caring for a client who had a surgical repair of an
abdominal aortic aneurysm 3 days ago. The client's vital signs
are: temperature 38.3° C (100.9° F), heart rate 80/min,
respirations 16/min, and blood pressure 128/76 mm Hg. Which
of the following actions is the nurse's priority?
Assess the surgical incision for signs of infection.
A nurse is providing discharge teaching to a client following a
loop electrosurgical excision procedure (LEEP) for the
treatment of cervical cancer. Which of the following statements
by the client indicates an understanding of the teaching?
"I may have mild cramping for several hours."
A nurse is assessing a group of clients. For which of the
following clients should the nurse make a referral to palliative
care?
Page 3 of 23
MEDICAL-SURGICAL EXAM
PROCTORED EXAM QUESTIONS
AND ANSWERS| PRACTICAL
NURSING CARE
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 caring for a client who has dumping syndrome
following a gastric resection. The nurse should monitor the
client for which of the following complications of dumping
syndrome?
Iron-deficiency anemia
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?
Page 1 of 23
,The client's daily peak expiratory flow (PEF) measures 85% above
personal best.
A nurse is providing teaching about health promotion activities
for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an
understanding of the teaching?
"I will check my blood sugar level before exercising."
A nurse is providing teaching to a client who has a new
prescription for warfarin. Which of the following medications
should the nurse instruct the client to avoid? (Select all that
apply.)
Naproxen
Aspirin
A nurse is assisting with the care of a client who is scheduled
for a thoracentesis. Which of the following interventions
should the nurse plan to take?
Place the client leaning forward over the bedside table for the
procedure. A nurse is providing discharge teaching about
infection control at home for a client who has tuberculosis.
Which of the following statements by the client indicates an
understanding of the teaching?
"I will cover my mouth with my hands when I have to cough."
Page 2 of 23
, A nurse is teaching a client who is scheduled to receive
radioactive iodine therapy for treatment of hyperthyroidism.
Which of the following instructions should the nurse include in
the teaching?
Use disposable utensils for meals.
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 postoperative pain control.
A nurse is caring for a client who had a surgical repair of an
abdominal aortic aneurysm 3 days ago. The client's vital signs
are: temperature 38.3° C (100.9° F), heart rate 80/min,
respirations 16/min, and blood pressure 128/76 mm Hg. Which
of the following actions is the nurse's priority?
Assess the surgical incision for signs of infection.
A nurse is providing discharge teaching to a client following a
loop electrosurgical excision procedure (LEEP) for the
treatment of cervical cancer. Which of the following statements
by the client indicates an understanding of the teaching?
"I may have mild cramping for several hours."
A nurse is assessing a group of clients. For which of the
following clients should the nurse make a referral to palliative
care?
Page 3 of 23
