VATI Med Surge assessment Test with Verified Solutions 2024/2025
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Course
VATI Med Surge assessment
Institution
VATI Med Surge Assessment
VATI Med Surge assessment Test with Verified Solutions 2024/2025
1. A nurse is caring for a
client who has atopic
dermatitis and a pre-
scription for triamci-
nolone ointment. The
nurse should assess
the client to monitor for
which of the following
adverse effects?
2. A nurse is assess-
...
VATI Med Surge assessment Test with Verified Solutions 2024/2025
1. A nurse is caring for a Thinning of the skin.
client who has atopic Only apply the ointment to dry patches of the skin
dermatitis and a pre- to avoid atrophy.
scription for triamci-
nolone ointment. The
nurse should assess
the client to monitor for
which of the following
adverse effects?
2. A nurse is assess- Frothy sputum
ing a client who has
left-sided heart fail- Pink-tinged frothy sputum can be an early indication
ure. Which of the fol- of pulmonary edema and can be life-threatening.
lowing findings should Therefore, the nurse should notify the provider im-
the nurse identify as mediately.
a manifestation of
left-sided heart failure?
3. A nurse is caring for Respiratory alkalosis
a client who is experi-
encing anxiety as well - The pH is alkaline (increased)
as numbness and tin- - PCO2 is decreased representing alveolar hyper-
gling of the lips and fin- ventilation & resultant respiratory alkalosis
gers.
The client's ABGs are:
pH 7.48, PCO2 30
mm Hg, HCO3- 24
mEq/L, PaO2 85 mm
Hg. Which of the follow-
ing acid-base imbal-
ances should the nurse
identify that the client
is experiencing?
4. A nurse is assessing a Osteoporosis
client who has Cush-
ing's syndrome. Which Bone become thinner as a result of mineral loss &
of the following find- nitrogen depletion.
, VATI Med Surge assessment Test with Verified Solutions 2024/2025
ings should the nurse
expect?
5. A nurse is inspecting A pearly, waxy nodule.
the skin of a client
who has basal cell - Basal cell carcinoma has a nodular lesion with
carcinoma. The nurse well defined borders & pearly or waxy appearance
should identify which resulting from overexposure to the sun. especially
of the following lesion on the face, head, and neck.
characteristics on the -A client who has melanoma has a lesion with irreg-
client's skin? ular borders and variegated colors of red, white, and
blue, most often on the upper back or lower legs.
-A client who has squamous cell carcinoma has a
firm, nodular, and crusty lesion with a ulcerated cen-
ter, resulting from sun exposure, chronic irritation,
burns, or irradiation to the skin.
6. A nurse in an emer- LOW URINE SPECFIC GRAVITY.
gency department is -A client who has hyponatremia as a result of di-
assessing a client uretic overuse has a low urine specific gravity. The
who is overusing pre- increased excretion of water alters the ratio of par-
scribed diuretics and ticulate matter, which affects the specific gravity.
has a sodium level of
127 mEq/L. Which of
the following laborato-
ry findings should the
nurse expect?
7. A home health nurse Remove clutter from rooms and hallways
is assisting a client
with planning care for - This allows the client is able to walk without the
a family member who risk of falling or tripping over objects. Later in the
has Alzheimer's dis- disease, the client can experience seizures, so clut-
ease. Which of the tered areas could be a risk to the client
following instructions
should the nurse in-
clude?
8. A nurse is caring for REFRACTORY HYPOXEMIA
a client who has de-
, VATI Med Surge assessment Test with Verified Solutions 2024/2025
veloped acute respi- - A client who has ARDS has refractory hypoxemia,
ratory distress syn- which is hypoxemia that does not improve with oxy-
drome (ARDS). Which gen therapy. Extensive pulmonary edema evident
of the following find- on a chest x-ray is a manifestation of ARDS.
ings should the nurse
identify as a manifesta-
tion of this syndrome?
9. An emergency room USE OF ASSCESSORY MUSCLES.
nurse is assessing a
client who has asthma - A client who has status asthmaticus uses acces-
and difficulty breath- sory muscles to help facilitate breathing, which is
ing. Which of the fol- a manifestation of a severe airflow obstruction. The
lowing findings should situation is life-threatening and the nurse should
indicate to the nurse intervene immediately with strong systemic bron-
that the client is ex- chodilators, epinephrine, corticosteroids, and oxy-
periencing status asth- gen.
maticus?
10. A nurse is teaching SKIN RASH.
a client who has a
new prescription for - the nurse should determine that the priority find-
PHENYTOIN to treat ing is a rash, which can have a measles-like ap-
a seizure disorder. pearance and progress to exfoliative dermatitis or
Which of the follow- Stevens-Johnson syndrome. The client should re-
ing adverse effects port this finding to the provider immediately.
should the nurse in-
struct the client to re-
port IMMEDIATELY to
the provider?
11. A nurse is monitor- CLEAR DRAINAGE OF DRESSINGS
ing a client following
a LUMBAR LAMINEC- - This is an indication of a cerebral spinal leak
TOMY. The client has
a drain and indwelling
urinary catheter. The
nurse should identify
which of the following
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