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MEDSURG VATI ASSESSMENT Recent Questions with Detailed Verified Answers and Correct Answers Already Graded A+

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MEDSURG VATI ASSESSMENT Recent Questions with Detailed Verified Answers and Correct Answers Already Graded A+MEDSURG VATI ASSESSMENT Recent Questions with Detailed Verified Answers and Correct Answers Already Graded A+

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MEDSURG VATI ASSESSMENT Recent Questions with
Detailed Verified Answers and Correct Answers
Already Graded A+
Quiz: A nurse is assisting with the care of four clients. Which of the

following clients is the priority for

the nurse to see



-A client who has chest tubes and an oxygen Sat of 90%

- aclient who has peripheral edema and urinary output of 130 over 4hrs

- A client who has a permanent pacemaker with heart rate of 76/min

-a client who has pericarditis and temp. 38 c 100.4

Ans: - A client who has chest tubes and an oxygen Sat of 90%


Using the airway, breathing, and circulation approach to client care, the
nurse should determine that the priority finding is the client's oxygen
saturation level, which is below the expected reference range of 95%
to 100%. Therefore, the nurse should attend to this client first.



Quiz: A nurse is collecting data from a client who was admitted with

a Glasgow Coma Scale of 3. Which

of the following findings should the nurse expect?

- Vacalizes sound

-Blinks eyes when asked

-Follows motor commands


18:36:59

,-Nonresponsive Commands

Ans: Nonresponsive Commands


A client who has a GCS of less than 8 has evidence of severe head injury
and is in a comatose state. The GCS is a standardized tool that allows
for the evaluation of a client's level of consciousness. The test is
divided into three sections that evaluate eye opening, motor response,
and verbal response. The GCS ranges from a high score of 15 (fully
alert) to a low score of 3 (fully comatose).



Quiz: A nurse is monitoring a client who has a pneumothorax and a

chest tube in place with a closed chest drainage system connected to

low suction. For which of the following findings should the nurse notify

the charge nurse



- Fluctation of the water level in the water seal chamber

-constant bubling in the suction control chamber

- periodic bubbling in the water seal chamber

- Persistent bubbling in the water seal chamber

Ans: - Persistent bubbling in the water seal chamber


Excessive and persistent bubbling in the water-seal chamber indicates an air
leak in the drainage system. The nurse should notify the charge nurse
of this finding.




Examstudy - Stuvia US

,Quiz: A nurse is reinforcing teaching with a male client who has right

sided hemiparesis about

preforming ADL's. Which of the following instructions should the nurse

include in the teaching

-Comb your hair with the unaffected arm

-Dress your unaffected side first

choose clothing with buttons

-shave with your affected side

Ans: Comb your hair with the unaffected arm


The nurse should instruct the client to brush their hair with the unaffected arm
to reduce frustration and increase independence and self-esteem.



Quiz: A nurse is collecting data from a client and auscultates

intermittent high-pitched sounds during inspiration over the lower base

of the lungs. The nurse should identify this finding as which of the

following lungs sounds



- Fine crackles

-stridor

-rhonchi

-friction

Ans: - Fine crackles



Examstudy - Stuvia US

, Fine crackles are auscultated in the base of the lungs as air moves through
airway secretions. Fine crackles are intermittent, high-pitched sounds
heard more often during inspiration.



Quiz: A nurse is collecting data from a client who has coronary

artery disease. Which of the following

manifestations should the nurse identify as an indication that the client

has angina ( SatA)

- Chest Discomfort Radiated

- Pain lasting less that 15mins

- Pain that is relieved with rest

Ans: - Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with res



Quiz: A nurse is receiving change-of-shift report for a group of clients.

Which of the following clients

should the nurse plan to see first?

- A client who has diabetes mellitus with diaphoretic

Ans: A client who has diabetes mellitus with diaphoretic


When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority action is to attend to a client who has
diabetes mellitus and is diaphoretic. Diaphoresis is a manifestation of



Examstudy - Stuvia US

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