MEDSURG VATI ASSESSMENT UPDATED EXAMS TEST
PAPER 2026 QUESTIONS AND ANSWERS SURE A+
✔✔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 assessing a client's ECG strip and notes an irregular heart rate of 98/min
with NO CLEAR P WAVES. Which of the following cardiac dysrhythmias should the
nurse document? - ✔✔ATRIAL FIBRILLATION
✔✔A nurse is caring for a client who is receiving peritoneal dialysis. Which of the
following actions should the nurse take? - ✔✔REPORT CLOUDY DIALYSATE
DRAINAGE TO THE PROVIDER
✔✔A nurse is planning preventative strategies for a client who is at risk for PRESSURE
INJURIES. Which of the following actions should the nurse include in the plan? -
✔✔APPLY MOISTURIZER TO DAMP SKIN AFTER BATHING
✔✔A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings should the nurse identify as a manifestation of TYPE 1
DIABETES? - ✔✔KETONES IN THE URINE
✔✔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 assessing a group of clients. For which of the following clients should the
nurse make a referral to palliative care? - ✔✔A CLIENT WHOSE MEDICATIONS TO
MANAGE PARKINSON'S DISEASE ARE NO LONGER EFFECTIVE
✔✔A nurse is caring for a client who has acute kidney injury and a POTASSIUM level of
6.5 mEq/L. Which of the following ECG changes should the nurse expect? -
✔✔PEAKED T WAVES
✔✔A nurse is caring for a client who is hemorrhaging and hypotensive from esophageal
variceal bleeding. Which of the following actions should the nurse take first? -
✔✔VERIFY THAT THE CLIENT HAS ADEQUATE IV ACCESS
, ✔✔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
✔✔A nurse is reviewing the health histories of a group of clients. Which of the following
findings should the nurse identify as an indication that a client is at an increased risk for
urinary tract infections (UTIs)? - ✔✔DIABETES MELLITUS
✔✔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 and the blood infusing is labeled
type B negative. Which of the following actions should the nurse take? - ✔✔MONITOR
THE CLIENT FOR ANY ADVERSE REACTIONS
✔✔A nurse is planning care for a client who had a lumbar LAMINECTOMY. Which of
the following interventions should the nurse include in the plan of care? - ✔✔TURN THE
CLIENT BY LOG ROLLING WITH A TURNING SHEET
✔✔A nurse is caring for a client who has deep-vein thrombosis and is receiving heparin
via continuous IV infusion. The client's weight is 80 kg (176.4 lb). Using the client
information provided, which of the following actions should the nurse take?
--> This question has different EXHIBITs
(1 of the exhibit: 1 table of Heparin titration guideline ) - ✔✔STOP THE HEPARIN
INFUSION FOR 1 HOUR
✔✔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 caring for a group of clients. In which of the following scenarios is the
nurse acting as a client advocate? - ✔✔The nurse refers a client who has chronic
obstructive pulmonary disease for palliative care services
✔✔A nurse is completing an admission assessment for a client who has bacterial
meningitis. Which of the following personal protective equipment should the nurse use
while caring for the client? - ✔✔SURGICAL MASK
✔✔A nurse is assessing a client for fluid volume deficit following lumbar spinal surgery.
The nurse should identify which of the following findings as an indication the client is at
risk for fluid volume deficit? - ✔✔...
✔✔A nurse is assessing a client who has a central venous catheter (CVC) with
intravenous (IV) fluids infusing. The client suddenly develops shortness of breath, and
the nurse notes that the IV tubing and needleless connector device are disconnected.
PAPER 2026 QUESTIONS AND ANSWERS SURE A+
✔✔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 assessing a client's ECG strip and notes an irregular heart rate of 98/min
with NO CLEAR P WAVES. Which of the following cardiac dysrhythmias should the
nurse document? - ✔✔ATRIAL FIBRILLATION
✔✔A nurse is caring for a client who is receiving peritoneal dialysis. Which of the
following actions should the nurse take? - ✔✔REPORT CLOUDY DIALYSATE
DRAINAGE TO THE PROVIDER
✔✔A nurse is planning preventative strategies for a client who is at risk for PRESSURE
INJURIES. Which of the following actions should the nurse include in the plan? -
✔✔APPLY MOISTURIZER TO DAMP SKIN AFTER BATHING
✔✔A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings should the nurse identify as a manifestation of TYPE 1
DIABETES? - ✔✔KETONES IN THE URINE
✔✔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 assessing a group of clients. For which of the following clients should the
nurse make a referral to palliative care? - ✔✔A CLIENT WHOSE MEDICATIONS TO
MANAGE PARKINSON'S DISEASE ARE NO LONGER EFFECTIVE
✔✔A nurse is caring for a client who has acute kidney injury and a POTASSIUM level of
6.5 mEq/L. Which of the following ECG changes should the nurse expect? -
✔✔PEAKED T WAVES
✔✔A nurse is caring for a client who is hemorrhaging and hypotensive from esophageal
variceal bleeding. Which of the following actions should the nurse take first? -
✔✔VERIFY THAT THE CLIENT HAS ADEQUATE IV ACCESS
, ✔✔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
✔✔A nurse is reviewing the health histories of a group of clients. Which of the following
findings should the nurse identify as an indication that a client is at an increased risk for
urinary tract infections (UTIs)? - ✔✔DIABETES MELLITUS
✔✔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 and the blood infusing is labeled
type B negative. Which of the following actions should the nurse take? - ✔✔MONITOR
THE CLIENT FOR ANY ADVERSE REACTIONS
✔✔A nurse is planning care for a client who had a lumbar LAMINECTOMY. Which of
the following interventions should the nurse include in the plan of care? - ✔✔TURN THE
CLIENT BY LOG ROLLING WITH A TURNING SHEET
✔✔A nurse is caring for a client who has deep-vein thrombosis and is receiving heparin
via continuous IV infusion. The client's weight is 80 kg (176.4 lb). Using the client
information provided, which of the following actions should the nurse take?
--> This question has different EXHIBITs
(1 of the exhibit: 1 table of Heparin titration guideline ) - ✔✔STOP THE HEPARIN
INFUSION FOR 1 HOUR
✔✔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 caring for a group of clients. In which of the following scenarios is the
nurse acting as a client advocate? - ✔✔The nurse refers a client who has chronic
obstructive pulmonary disease for palliative care services
✔✔A nurse is completing an admission assessment for a client who has bacterial
meningitis. Which of the following personal protective equipment should the nurse use
while caring for the client? - ✔✔SURGICAL MASK
✔✔A nurse is assessing a client for fluid volume deficit following lumbar spinal surgery.
The nurse should identify which of the following findings as an indication the client is at
risk for fluid volume deficit? - ✔✔...
✔✔A nurse is assessing a client who has a central venous catheter (CVC) with
intravenous (IV) fluids infusing. The client suddenly develops shortness of breath, and
the nurse notes that the IV tubing and needleless connector device are disconnected.
