MEDSURG VATI ASSESSMENT ACTUAL EXAM 2026
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse notes that a client's eyes are protruding slightly from their orbits. Which of
the following laboratory findings should the nurse expect?
Decreased calcium levels
Decreased somatotropin levels
Increased glucose levels
Increased T4 levels - ✔✔Increased T4 levels
✔✔A nurse is providing teaching to a group of clients about the prevention of coronary
artery disease. Which of the following information should the nurse include in the
teaching?
Walk 30 min daily at a comfortable pace.
Limit saturated fat intake to 10% of total daily calories.
Maintain a BMI of 30.
Consume at least 2,000 mg of sodium per day. - ✔✔Walk 30 min daily at a comfortable
pace.
✔✔A nurse is caring for a client who is 3 hr postoperative and exhibiting signs of
hypovolemia. Which. Of the following findings should the nurse identify as a
manifestation of hypovolemia?
Distended neck veins
Rapid pulse rate
Urine output 45 mL/hr
Decreased respiratory rate - ✔✔Rapid pulse rate
✔✔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 a dose of loperamide each morning."
"Increase your fluid intake to 1,000 milliliters per day."
"Take psyllium in the evening."
"Consume a diet that is low in protein." - ✔✔"Take psyllium in the evening."
✔✔A nurse is caring for a client who is intubated and receiving mechanical ventilation
for heroin toxicity. Which of the following assessments is the nurse's priority?
WBC count
Intake and output
ABGs
Blood glucose level - ✔✔ABGs
, ✔✔A nurse is assessing a client who has a new diagnosis of diabetes mellitus. The
nurse should identify that which of the following findings is a manifestation of
hyperglycemia?
Increased thirst
Decreased urine output
Dry skin
Tremors - ✔✔Increased thirst
✔✔A nurse is providing teaching for a client who is scheduled for a bronchoscopy.
Which of the following statements should the nurse include in the teaching?
a. "You will not be able to eat or drink after the procedure until you are able to cough."
b. "You will drink a contrast solution 30 minutes prior to the procedure."
c. "The purpose of this procedure is to remove excess fluid from your lungs."
d. "You will need to lie on your back for 4 to 6 hours following the procedure." - ✔✔a.
"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?
The client will be on bed rest while continuous bladder irrigation is in place.
Cold compresses will be used to manage bladder spasms.
The client will have an NG tube in place for 48 hr postoperatively.
A PCA pump will be used for postoperative pain control. - ✔✔A PCA pump will be used
for postoperative pain control.
✔✔A home health nurse is assisting a family member with planning care for a client
who has Alzheimer's disease. Which of the following instructions should the nurse
include?
Remove clutter from rooms and hallways.
Place a monthly calendar in the client's room.
Use confrontation to manage the client's behavior.
Review the daily schedule with the client every morning. - ✔✔Remove clutter from
rooms and hallways.
✔✔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 have to move out of my family's home until I am no longer contagious."
"I will place my used tissues in a plastic bag."
"I will cover my mouth with my hands when I have to cough."
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse notes that a client's eyes are protruding slightly from their orbits. Which of
the following laboratory findings should the nurse expect?
Decreased calcium levels
Decreased somatotropin levels
Increased glucose levels
Increased T4 levels - ✔✔Increased T4 levels
✔✔A nurse is providing teaching to a group of clients about the prevention of coronary
artery disease. Which of the following information should the nurse include in the
teaching?
Walk 30 min daily at a comfortable pace.
Limit saturated fat intake to 10% of total daily calories.
Maintain a BMI of 30.
Consume at least 2,000 mg of sodium per day. - ✔✔Walk 30 min daily at a comfortable
pace.
✔✔A nurse is caring for a client who is 3 hr postoperative and exhibiting signs of
hypovolemia. Which. Of the following findings should the nurse identify as a
manifestation of hypovolemia?
Distended neck veins
Rapid pulse rate
Urine output 45 mL/hr
Decreased respiratory rate - ✔✔Rapid pulse rate
✔✔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 a dose of loperamide each morning."
"Increase your fluid intake to 1,000 milliliters per day."
"Take psyllium in the evening."
"Consume a diet that is low in protein." - ✔✔"Take psyllium in the evening."
✔✔A nurse is caring for a client who is intubated and receiving mechanical ventilation
for heroin toxicity. Which of the following assessments is the nurse's priority?
WBC count
Intake and output
ABGs
Blood glucose level - ✔✔ABGs
, ✔✔A nurse is assessing a client who has a new diagnosis of diabetes mellitus. The
nurse should identify that which of the following findings is a manifestation of
hyperglycemia?
Increased thirst
Decreased urine output
Dry skin
Tremors - ✔✔Increased thirst
✔✔A nurse is providing teaching for a client who is scheduled for a bronchoscopy.
Which of the following statements should the nurse include in the teaching?
a. "You will not be able to eat or drink after the procedure until you are able to cough."
b. "You will drink a contrast solution 30 minutes prior to the procedure."
c. "The purpose of this procedure is to remove excess fluid from your lungs."
d. "You will need to lie on your back for 4 to 6 hours following the procedure." - ✔✔a.
"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?
The client will be on bed rest while continuous bladder irrigation is in place.
Cold compresses will be used to manage bladder spasms.
The client will have an NG tube in place for 48 hr postoperatively.
A PCA pump will be used for postoperative pain control. - ✔✔A PCA pump will be used
for postoperative pain control.
✔✔A home health nurse is assisting a family member with planning care for a client
who has Alzheimer's disease. Which of the following instructions should the nurse
include?
Remove clutter from rooms and hallways.
Place a monthly calendar in the client's room.
Use confrontation to manage the client's behavior.
Review the daily schedule with the client every morning. - ✔✔Remove clutter from
rooms and hallways.
✔✔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 have to move out of my family's home until I am no longer contagious."
"I will place my used tissues in a plastic bag."
"I will cover my mouth with my hands when I have to cough."
