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Custom PN VATI Medical Surgical Re-evaluation Assessment - 2024 Questions with verified correct
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Custom:PN VATI Medical SurgicalRe-evaluation Assessment
A nurse is caring for a client who just had a endoscopic procedure. Which of the
following is the monitoring priority for this client?
A) Pain
B) Nausea
✅✅-C) Gag reflex
C) Gag reflex
D) Level of consciousness -
A nurse is reinforcing discharge teaching for a client who has chronic pancreatitis.
Which of the following statements by the nurse is appropriate?
A)"You should decrease your caloric intake when abdominal pain is present."
B) "You should increase your daily protein intake."
✅✅
C) "You should increase fat intake when experiencing loose stools."
D) "You should limit alcohol intake to 2-2 drinks per week." - -B) "You should
increase your daily protein intake."
A nurse collects data on a client who returned to the unit four hr ago following a
partial colectomy. Which of the following conditions should the nurse attend to first?
A) Change the moderately saturated dressing.
B) Administer analgesic medication for incisional pain.
✅✅
C) Catheterize for a distended bladder.
D) Cough and deep breathe client. - -B) Administer analgesic medication for
incisional pain.
Rationale: Administer pain medication to establish comfort and then attend to the
other reported condition.
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a
client diagnosed with emphysema. Which of the following instructions should be
included in the teaching?
A) Resting in a supine position
B) Elevating arms while performing ADLs
✅✅-C)
C) Breathing in through the nose and out through pursed lips.
D) Increasing oxygen delivery to 5 L/min during times of distress. -
Breathing in through the nose and out through pursed lips.
,A nurse is assessing a client who is African-American and who is jaundice. Which of
the following areas are the most reliable for the nurse to inspect?
A) Palms of hands
B) Hard palate
✅✅
C) Sclera
D) Nail beds - -Hard palate
A nurse is reinforcing teaching with a client who has ulcerative colitis and requires a
low fiber diet. The nurse should instruct the client to avoid which of the following
foods?
A) Cooked carrots
B) Dried apricots
✅✅-B) Dried apricots
C) Ripe bananas
D) White rice -
A nurse is caring for a client who has a large wound that has a vacuum-assisted
closure device placed over it. Which of the following findings by the nurse indicated
healing of the wound.
A) Granulation tussue on the surface of the wound
B) Musty odor from the foam dressing upon removal
✅✅-A) Granulation tussue on
C) Sanguineous drainage in the suction device.
D) Peeling of the edges of the transparent dressing -
the surface of the wound
A nurse is caring for a toddler admitted to the hospital with acute gastroenteritis.
Which of the following findings has the highest priority?
A) Weightloss 3% of total body weight.
B) Blood glucose 150 mg/dL
✅✅
C)Potassium 2.5 mEq/L
D) Urine specific gravity 1.035 - -C)Potassium 2.5 mEq/L
A nurse is reinforcing teaching about preventing long-term complications of
retinopathy and neuropathy with an older adult client who has diabetes mellitus.
Which of the following actions is the most important for the nurse to include in the
teaching?
A) "Plan to have an eye examination once per year."
B) "Examine your feet carefully every day".
✅✅
C) "Wear closed toed shoes daily."
D) "Maintain stable blood glucose levels." - -D) "Maintain stable blood glucose
levels."
, A nurse is reinforcing teaching to the family of a client who has multiple myeloma
and is admitted to the unit with a WBC count of 2,200/mm3. Which of the following
food items brought by the family should the nurse prohibit from being given to the
client?
A) Fried chicken
B) Bagels
✅✅
C) A factory-sealed box of chocolates
D) Fresh fruit basket - -D) Fresh fruit basket
A nurse is reviewing the preadmission laboratory test results of a client who is
scheduled for a carotid endarterectomy in 3 days. Which of the following results
should the nurse resport to the provider?
A) Sodium 151 mEq/L
B) Chloride 105 mEq/L
✅✅-A) Sodium 151 mEq/L
C) Potassium 3.8 mEq/L
D) Calcium 9.6 mEq/L -
A nurse is caring for a client who has unilateral leg edema with associated pain and
a low-grade temperature. Which of the following action should the nurse take?
A) Elevate the affected leg
B) Apply cold compresses to the client's leg
✅✅-A) Elevate the affected leg
C) Place a pillow under the client's knees.
D) Massage the painful area of the leg. -
A nurse is reinforcing teaching with a class about preventing deep-vein thrombosis.
The nurse should include in the teaching that which of the following is a risk factor for
this disorder? Select all that apply.
- Dehyrdration
- Oral contraceptive use
- Hypertension
✅✅
- High calcium intake
- Immobility - --Dehydration
-Oral contraceptive
- Immobility
A nurse is caring for a client who has an acute exacerbation of ulcerative colitis. The
nurse should recognize that which of the following is the most important nursing
action for this client?
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