MEDSURG VATI EXAM 2024- 2025 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS ALREADY RATED A+
WITH DETAILED RATIONALES
A nurse is caring for a client who is scheduled for a right total hip
arthroplasty. Which of the following actions should the nurse take
prior to the procedure? SATA
- Collect data from the client about any allergies
- Ask the client to state her first and last name
- Verify the client has signed the consent form is correct Correct
Answer- Collect data from the client about any allergies
- Ask the client to state her first and last name
- Verify the client has signed the consent form is correct
A nurse is reinforcing teaching with a client who has hypertension
and a prescription for Lisinopril.
Which of the following information should the nurse include in the
teaching
- Avoid drinking grape fruit juice with the medication
-Expect an photo-sensitivity to light
_ Increase potassium rich food with each meal
- Report a persistent cough Correct AnswerReport a persistent
cough
,Lisinopril is an ACE inhibitor that is used to treat
hypertension or heart failure. A persistent, dry cough is an
adverse effect of lisinopril, and the client should report the
finding to the provider. After discontinuation of the
medication, the cough should subside within 10 days.
A nurse is caring for a client who is receiving peripheral IV
therapy. The nurse notes that the IV
site is red, warm, and painful to the touch. Which of the following
actions should the nurse take?
- Discontinue the IV and apply a warm, moist compress to the site
Correct Answer- Discontinue the IV and apply a warm, moist
compress to the site
Complications of intravenous therapy involve inflammation
of the vein, phlebitis, and can include the presence of clots
or thrombophlebitis. Manifestations of these complications
include pain at the IV site, along with redness and warmth.
The nurse should stop the infusion, remove the IV, inspect
the catheter to ensure it is intact, and apply a warm, moist
compress to the area.
A nurse is caring for a client who has type1 diabetes mellitus and
has undergone a below the knee amputation. Which of the
following is the highest priority findings
- Skin flap of the residual limb is cool to the touch Correct Answer-
Skin flap of the residual limb is cool to the touch
,When using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding is that
the skin flap of the residual limb is cool to the touch. The
nurse should immediately report this finding to the provider.
The skin flap of the residual limb should be warm to the
touch, indicating adequate tissue perfusion.
A nurse is reinforcing teaching before preforming a 12 lead ECG
for a client who has angina pectoris. Which of the following
instructions should the nurse include in the teaching
- Lie still and relax for the procedure Correct Answer- Lie still and
relax for the procedure
The nurse should instruct the client to relax and remain still
during the recording of the ECG because movement and
tense muscles can interfere with the results of the ECG. An
ECG is a recording of the client's electrical activity of the
heart. The electrical activity of the heart is detected by
electrodes that are placed on the client's trunk and
extremities in specific locations.
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
- Keep the clients body centered in the bed Correct Answer- Keep
the clients body centered in the bed
, The nurse should keep the client's body centered on the bed
to maintain alignment of the body with the direction of the
pull of traction. This will ensure continued alignment of the
bone.
A nurse is collecting data from a client who reports amenorrhea
and insomnia. Which of the following data should the nurse report
to the provider. Click on exhibit
-ECG
-Temperature
- BUN
- T4 Correct Answer- T4
The client's T4 is above the expected reference range of 4 to
12 mcg/dL, which indicates hyperthyroidism. The nurse
should report this value to the provider so that treatment for
hyperthyroidism can begin.
A nurse is assisting a client who is on bed rest to preform
isometric exercises. Which of the following actions should the
nurse take
- Instruct the client to tighten and then relax muscles repeatedly
Correct Answer- Instruct the client to tighten and then relax
muscles repeatedly
The nurse should instruct the client to perform isometric
exercises by holding muscles tight for 5 seconds and then
EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS ALREADY RATED A+
WITH DETAILED RATIONALES
A nurse is caring for a client who is scheduled for a right total hip
arthroplasty. Which of the following actions should the nurse take
prior to the procedure? SATA
- Collect data from the client about any allergies
- Ask the client to state her first and last name
- Verify the client has signed the consent form is correct Correct
Answer- Collect data from the client about any allergies
- Ask the client to state her first and last name
- Verify the client has signed the consent form is correct
A nurse is reinforcing teaching with a client who has hypertension
and a prescription for Lisinopril.
Which of the following information should the nurse include in the
teaching
- Avoid drinking grape fruit juice with the medication
-Expect an photo-sensitivity to light
_ Increase potassium rich food with each meal
- Report a persistent cough Correct AnswerReport a persistent
cough
,Lisinopril is an ACE inhibitor that is used to treat
hypertension or heart failure. A persistent, dry cough is an
adverse effect of lisinopril, and the client should report the
finding to the provider. After discontinuation of the
medication, the cough should subside within 10 days.
A nurse is caring for a client who is receiving peripheral IV
therapy. The nurse notes that the IV
site is red, warm, and painful to the touch. Which of the following
actions should the nurse take?
- Discontinue the IV and apply a warm, moist compress to the site
Correct Answer- Discontinue the IV and apply a warm, moist
compress to the site
Complications of intravenous therapy involve inflammation
of the vein, phlebitis, and can include the presence of clots
or thrombophlebitis. Manifestations of these complications
include pain at the IV site, along with redness and warmth.
The nurse should stop the infusion, remove the IV, inspect
the catheter to ensure it is intact, and apply a warm, moist
compress to the area.
A nurse is caring for a client who has type1 diabetes mellitus and
has undergone a below the knee amputation. Which of the
following is the highest priority findings
- Skin flap of the residual limb is cool to the touch Correct Answer-
Skin flap of the residual limb is cool to the touch
,When using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding is that
the skin flap of the residual limb is cool to the touch. The
nurse should immediately report this finding to the provider.
The skin flap of the residual limb should be warm to the
touch, indicating adequate tissue perfusion.
A nurse is reinforcing teaching before preforming a 12 lead ECG
for a client who has angina pectoris. Which of the following
instructions should the nurse include in the teaching
- Lie still and relax for the procedure Correct Answer- Lie still and
relax for the procedure
The nurse should instruct the client to relax and remain still
during the recording of the ECG because movement and
tense muscles can interfere with the results of the ECG. An
ECG is a recording of the client's electrical activity of the
heart. The electrical activity of the heart is detected by
electrodes that are placed on the client's trunk and
extremities in specific locations.
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
- Keep the clients body centered in the bed Correct Answer- Keep
the clients body centered in the bed
, The nurse should keep the client's body centered on the bed
to maintain alignment of the body with the direction of the
pull of traction. This will ensure continued alignment of the
bone.
A nurse is collecting data from a client who reports amenorrhea
and insomnia. Which of the following data should the nurse report
to the provider. Click on exhibit
-ECG
-Temperature
- BUN
- T4 Correct Answer- T4
The client's T4 is above the expected reference range of 4 to
12 mcg/dL, which indicates hyperthyroidism. The nurse
should report this value to the provider so that treatment for
hyperthyroidism can begin.
A nurse is assisting a client who is on bed rest to preform
isometric exercises. Which of the following actions should the
nurse take
- Instruct the client to tighten and then relax muscles repeatedly
Correct Answer- Instruct the client to tighten and then relax
muscles repeatedly
The nurse should instruct the client to perform isometric
exercises by holding muscles tight for 5 seconds and then
