VATI PN MED SURG PROCTORED 2024 EXAM COMPLETE ACCURATE EXAM
VATI PN MED SURG
PROCTORED 2024 EXAM Using the airway, breathing, and circulation
approach to client care, the nurse should
COMPLETE ACCURATE determine that the priority finding is the client's
EXAM QUESTIONS WITH oxygen saturation level, which is below the
expected reference range of 95% to 100%.
DETAILED VERIFIED Therefore, the nurse should attend to this client
ANSWERS (100% CORRECT first.
ANSWERS) /ALREADY
GRADED A+ 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?
A client who has a GCS of less than 8 has
evidence of severe head injury and is in a
A nurse is assisting with the care of four clients. comatose state. The GCS is a standardized tool
Which of the following clients is the priority for that allows for the evaluation of a client's level
of consciousness. The test is divided into three
the nurse to see sections that evaluate eye opening, motor
response, and verbal response. The GCS ranges
from a high score of 15 (fully alert) to a low
-A client who has chest tubes and an oxygen Sat score of 3 (fully comatose).
of 90%
- aclient who has peripheral edema and urinary
A nurse is monitoring a client who has a
output of 130 over 4hrs
pneumothorax and a chest tube in place with a
- A client who has a permanent pacemaker with closed chest drainage system connected to low
heart rate of 76/min suction. For which of the following findings
should the nurse notify the charge nurse
-a client who has pericarditis and temp. 38 c
100.4 - ------CORRECT ANSWER ------ A client
who has chest tubes and an oxygen Sat of 90%
,VATI PN MED SURG PROCTORED 2024 EXAM COMPLETE ACCURATE EXAM
- Fluctation of the water level in the water seal lungs. The nurse should identify this finding as
chamber which of the following lungs sounds
-constant bubling in the suction control
chamber
- Fine crackles
- periodic bubbling in the water seal chamber
-stridor
- Persistent bubbling in the water seal chamber
-rhonchi
- ------CORRECT ANSWER ------ Persistent
bubbling in the water seal chamber -friction - ------CORRECT ANSWER ------ Fine
crackles
Excessive and persistent bubbling in the water-
seal chamber indicates an air leak in the Fine crackles are auscultated in the base of the
drainage system. The nurse should notify the lungs as air moves through airway secretions.
charge nurse of this finding. Fine crackles are intermittent, high-pitched
sounds heard more often during inspiration.
A nurse is reinforcing teaching with a male
client who has right sided hemiparesis about A nurse is collecting data from a client who has
coronary artery disease. Which of the following
preforming ADL's. Which of the following
instructions should the nurse include in the manifestations should the nurse identify as an
teaching indication that the client has angina ( SatA)
-Comb your hair with the unaffected arm - Chest Discomfort Radiated
-Dress your unaffected side first - Pain lasting less that 15mins
choose clothing with buttons - Pain that is relieved with rest - ------CORRECT
ANSWER ------ Chest Discomfort Radiated
-shave with your affected side - ------CORRECT
ANSWER -----Comb your hair with the - Pain lasting less that 15mins
unaffected arm
- Pain that is relieved with res
The nurse should instruct the client to brush
their hair with the unaffected arm to reduce A nurse is receiving change-of-shift report for a
frustration and increase independence and self- group of clients. Which of the following clients
esteem. should the nurse plan to see first?
- A client who has diabetes mellitus with
A nurse is collecting data from a client and diaphoretic - ------CORRECT ANSWER -----A client
auscultates intermittent high-pitched sounds who has diabetes mellitus with diaphoretic
during inspiration over the lower base of the
, VATI PN MED SURG PROCTORED 2024 EXAM COMPLETE ACCURATE EXAM
When using the urgent vs. nonurgent approach - A negative sputum culture
to client care, the nurse should determine that
-A negative tuberculin skin test
the priority action is to attend to a client who
has diabetes mellitus and is diaphoretic. -A negative titer for cytomegalovirus - ------
Diaphoresis is a manifestation of hypoglycemia CORRECT ANSWER -----A negative sputum
and can lead to decreased cerebral function. culture
The nurse should check the client's blood
glucose and administer a fast-acting glucose as
prescribed. Tuberculosis is an infectious disease spread
through airborne droplets. Sputum cultures are
obtained to both diagnose tuberculosis and to
A nurse is reinforcing teaching with a young determine whether the medication treatment
adult client about testicular self-examination. has been effective. After the client begins
Which antibiotic treatment for tuberculosis, a sputum
culture is obtained monthly. A negative culture
of the following instructions should the nurse
is an indication that the client is no longer
include?
infectious and the medication therapy has been
- Examine your testicles after a warm shower effective.
- Press each testicle inwardly with your finger
- Rinse any soap off your hands before A nurse is collecting data from a client who has
examining your testicle bacterial meningitis. Which of the following
-Perform the self- examination every 2 month - findings should the nurse expect?
------CORRECT ANSWER -----Examine your
- Severe Headache - ------CORRECT ANSWER -----
testicles after a warm shower
- Severe Headache
After exposure to warm water in a shower or
The nurse should expect a client who has
bath, the scrotum relaxes and becomes easy to
meningitis to have severe and persistent
palpate. The testicle should feel smooth and
headaches that worsen with movement of the
round, and the client should report any lumps
head.
to his provider.
A nurse is reinforcing with a client who has
A nurse is collecting data from a client who has
pernicious anemia. Which of the following
tuberculosis and started combination therapy
statements by the client indicated an
2months ago. Which of the following diagnostic understanding of the teaching
results indicates that the client is adhering to
- I will be able to switch to a nasal form of
the
cyanocobalamin when my levels stabilize - ------
medication regimen. CORRECT ANSWER -----I will be able to switch to
a nasal form of cyanocobalamin when my levels
- A negative chest X-ray
stabilize
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