RN VATI Adult Medical Surgical 2019 latest updated 2022 90 q&a, Exams of Nursing

Download RN VATI Adult Medical Surgical 2019 latest updated 2022 90 q&a and more Exams Nursing in PDF only on Docsity! 3 RN VATI Adult Medical Surgical 2019 *****A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment. The nurse should assess the client to monitor for which of the following adverse effects? Thinning of the skin MY ANSWER *****Anurseisasesingaclientwhohaslef t-sidedheartfailure.Whichofthe folowingfindingshouldthenurseidentify asamanifestationofleft- sidedheartfailure? Frothysputum MY ANSWER ****Anurseiscaringforaclientwhoisexperien cinganxietyaswelasnumbnesandtingling ofthelipsandfingers.Theclient'sABGsare:pH 7.48,PCO2 30mmHg,HCO-24mEq/L, PaO2 85mmHg.Whichofthefolowingacid- baseimbalanceshouldthenurseidentifythat he clientisexperiencing? Respiratoryalkalosis MY ANSWER ****AnurseisasesingaclientwhohasCushing's yndrome.Whichofthefolowingfindings shouldthenurseexpect? Osteoporosis MY ANSWER ****Anurseisinspectingtheskinofaclientwho hasbasalcelcarcinoma.Thenurseshould identifywhichofthefolowinglesioncharact eristicsontheclient'skin? Apearly,waxynodule MY ANSWER ****Anurseisasesingaclientwhohashypocalce RN VATI Adult Medical Surgical 2019 mia.Inwhichofthefolowingareashould thenursetapontheclient'sfacetodetecthepr esenceofChvostek'sign?(Youwilfindhot spotstoselectintheartworkbelow.Selectonl ythehotspothatcorespondstoyouranswer.) Aiscorect.Thenurseshouldtaptheclient'sch ekjustinfrontoftheearandbelowthe zygomaticarch.Theclientwhohashypocalcemi awildisplayaChvostek'sign,whichisa twitchingofthefacialmuscle. RN VATI Adult Medical Surgical 2019 ****Anurseisteachingaclientwhohasan ewprescriptionforphenytointotreata seizuredisorder.Whichofthefolowin gadverseeffectshouldthenurseinstruc the clientoreportimmediatelytotheprovi der? Skinrash MY ANSWE ***Anurseismonitoringaclientfolowing alumbarlaminectomy.Theclienthasadrai n andindwelingurinarycatheter.Thenurse shouldidentifywhichofthefolowingfindi ngs asanindicationofacomplicationofthesu rgery? Cleardrainageonthedresings MY ANSWER ***Anurseisasesingaclientwhohasright- sidedheartfailure.Whichofthefolowingfind ings shouldthenurseidentifyasamanifestationo fright-sidedheartfailure? Increasedabdominalgirth MY ANSWER ***Anurseiscaringforaclientwhorecen tlyasumedtheroleofcaregiverforthei r agingparentswhohavechronicilneses. Thenurseshouldidentifythatwhichoft h e folowingstatementsbytheclientindic atesaceptanceoftherolechange? "Ichangedthefloorplanofourhometoacommodate myfather'swhelchair." RN VATI Adult Medical Surgical 2019 ****Anurseiscaringforaclientwhoisreceivi ngvancomycinintermitentIVbolustherapyf or methicilin- resistantStaphylococcusaureus(MRSA).Whi chofthefolowingfindingsisan indicationtothenursethatheclientisexper iencinganadverseeffectofthemedication? Theclientisbecomingflushed. MY ANSWER ***Anurseiscaringforamaleclientwhohasane wprescriptionforcyclosporinefolowinga kidneytransplant.Whichofthefolowingfindin gshouldthenurseidentifyasanadverseeffect ofthistherapy? BUN24MGDL RN VATI Adult Medical Surgical 2019 ***Anurseiscaringforaclientwhohasdumpings yndromefolowingagastricresection.The nurseshouldmonitortheclientforwhichofthe folowingcomplicationsofdumpingsyndrome? Iron-deficiencyanemia MY ANSWER ***Anurseisasesingaclientwhotakesalmeter oltotreatmoderateasthma.Whichofthe folowingfindingshouldindicatetothenurseth athemedicationhasbeneffective? Theclient'sdailypeakexpiratoryflow(PEF)me asures85%iabovepersonalbest. ****Anurseisprovidingteachingabouthealthp romotionactivitiesforaclientwhohasanew diagnosisoftype1diabetesmelitus.Whichoft hefolowingstatementsbytheclientindicates an understandingoftheteaching? "Iwilcheckmybloodsugarlevelbeforeexercis ing." MY ANSWER ****Anurseisprovidingteachingtoaclientwho hasanewprescriptionforwarfarin.Whichof thefolowingmedicationshouldthenurseinstr uctheclientoavoid?(Selectalthatapply.) MY ANSWER Ferousulfateisincorect.Ferousulfateisani ronsupplementandhasnoknowninteraction withwarfarin. Echinaceaisincorect.Echinaceaisasupplemen thataclientmightaketoimprovethe immunesystemandhasnoknowninteractionwith warfarin. RN VATI Adult Medical Surgical 2019 ***Anurseisasesingaclientwhohasuspecteda ppendicitis.Whichofthefolowing manifestationshouldthenurseexpect? (Selectalthatapply.) MY ANSWER ElevatedWBCcountiscorect.Aclientwhohasac uteappendicitiswilshowamoderate elevationoftheWBCcountfrom10,000to18,000 /mm3.IftheWBCcountisgreaterthan 20,000/mm3,itcanindicateaperforatedappend ix. RN VATI Adult Medical Surgical 2019 Elevatedamylaselevelisincorect.Amylasele velsincreasewithpancreatitisbutnotwithac ute appendicitis. Reboundtendernesiscorect.Aclientwhohasapp endicitisdevelopslocalizedpainoverthe rightlowerquadrantoftheabdomen.Whenthear eaispalpated,painocursduringreleaseof presureontheclient'sabdomen. Ascitesisincorect.Ascitescanbeamanifesta tionofcirhosis;however,itisnotasociated withappendicitis. Anorexiaiscorect.Aclientwhohasacuteappen dicitisexperiencesnausea,vomiting,and reducedappetite. BotomofForm ***Anurseisplanningpreventativestrate giesforaclientwhoisatriskforpresure injuries.Whichofthefolowingactionshou ldthenurseincludeintheplan? Applymoisturizertodampskinafterbathing. MY ANSWER ***Anurseiscaringforaclientwhohasanewdiag nosisoftype1diabetesmelitus.Whichof thefolowingfindingshouldthenurseidentifya samanifestationoftype1diabetes? Ketonesintheurine MY ANSWER ***Anurseiscaringforaclientwhohadasurg icalrepairofanabdominalaortic aneurysm3daysago.Theclient'svitalsign sare:temperature38.3°C(100.9°F),heart rate80/min,respirations16/min,andblood presure128/76mmHg.Whichofthe RN VATI Adult Medical Surgical 2019 folowingactionsisthenurse'spriority? Asesthesurgicalincisionforsignsofinfecti on. MY ANSWER ***Anurseisprovidingdischargeteachingt oaclientfolowingaloopelectrosurgical excisionprocedure(LE P)forthetreatmentofcervicalcancer.Whi chofthefolowing statementsbytheclientindicatesanunder standingoftheteaching? "Imayhavemildcrampingforseveralhours." RN VATI Adult Medical Surgical 2019 VerifythatheclienthasadequateIVaces. MY ANSWER ****Anurseisasesingaclientwhohasanewdi agnosisofdiabetesmelitus.Thenurse shouldidentifythatwhichofthefolowingfi ndingsisamanifestationofhyperglycemia ? Increasedthirst ***Anurseisreviewingthehealthhistories ofagroupofclients.Whichofthefolowing findingshouldthenurseidentifyasanindic ationthataclientisatanincreasedriskfo r urinarytractinfections(UTIs)? Diabetesmelitus MY ANSWER ***Anurseispreparingtodischargeaclient whoispostoperativefolowingatotalhip arthroplasty.Whichofthefolowingequipm entshouldthenurseensurethatheclientha s availableathomepriortodischarge? Elevatedtoiletseat MY ANSWER ***Anurseisasesingaclientwhohasahistoryo ftype2diabetesmelitus.Thenurseshould identifywhichofthefolowingfindingsasanind icationofamicrovascularcomplication? Retinopathy MY ANSWER Monitortheclientforanyadversereact ions. MY ANSWER RN VATI Adult Medical Surgical 2019 ***Anurseisplanningcareforaclientwhoha dalumbarlaminectomy.Whichofthe folowinginterventionshouldthenurseinc ludeintheplanofcare? Turntheclientbylogrolingwithaturningshet . MY ANSWER RN VATI Adult Medical Surgical 2019 ***Anurseisteachingaclienthowtoobtaina specimenathomeforafecalocultblood test.Whichofthefolowingactionshouldth enurseinstructheclientotakefor3days priortocolectingthespecimen? Avoideatingredmeat. MY ANSWER ***Anurseiscaringforaclientimmediatelyfol owingintubationwithanendotracheal(ET) tube.Whichofthefolowingmethodshouldthenu rseidentifyasthemostreliableforverifying placementoftheETtube? verifyingETtubereplacement ***Anursenotesthataclient'seyesarepro trudingslightlyfromtheirorbits.Whicho f thefolowinglaboratoryfindingshouldthen urseexpect? IncreasedT4 levels MY ANSWER ***Anurseispreparingateachingplanfora clientwhoistartingtoreceive hemodialysisforchronickidneydisease.W hichofthefolowinginstructionshouldthe nurseincludeintheteaching? "Increaseyourintakeofproteinto1to1.5gram sperkilogramperday." MY ANSWER ****Anurseiscaringforaclientwhohasdep- veinthrombosisandisreceivingheparinvia continuousIVinfusion.Theclient'sweightis8 0kg(176.4lb).Usingtheclientinformation provided,whichofthefolowingactionshouldt henursetake?(Clickonthe"Exhibit"buton belowforadditionalinformationaboutheclien t.Therearethreitabsthatcontainseparate RN VATI Adult Medical Surgical 2019 (Select althatapply.) MY ANSWER Excesivesomnolenceiscorect.Manifestation sofpulmonaryedemacanincludeachangein orientationormentalstatus.Aclientwhohase xcesivesomnolencemightbeexperiencing pulmonaryedema. Epistaxisisincorect.Epistaxis,oranoseble d,canbeanindicationofalowplateletcount; however,itisnotamanifestationasociatedw ithpulmonaryedema. Pink,frothysputumiscorect.Aclientwhohasp ulmonaryedemacandeveloppink,frothy sputum,whezing,andtachypnea. RN VATI Adult Medical Surgical 2019 Tachypneaiscorect.Aclientwhohaspulmonary edemacandeveloppink,frothysputum, whezing,andtachypnea. Urinaryfrequencyisincorect.Theclientwhoi sdevelopingpulmonaryedemaisretaining fluid.Oncetreatedwithdiuretics,thekidneys wilbeginexcretingsodiumandwater. BotomofForm ****Anurseisteachingaclientaboutpreven tingthetransmisionofHIV.Whichofthe folowinginformationshouldthenurseincl ude? Medicationisavailablethatwilreducetheris kforHIVtransmision. ****Anurseiscaringforaclientwhohasmult iplelegfracturesandis24hr postoperativefolowingplacementofskele taltraction.Whichofthefolowingactions shouldthenursetake? Inspecthepinsitesatleastevery8hr. ***Anurseinalong- termcarefacilityiscaringforaclientwhohas dementia.Whichofthe folowingactionshouldthenursetake? Providefingerfoodatmealtime. MY ANSWER ***Anurseiscompletinganadmisionasesm entforaclientwhohasbacterial meningitis.Whichofthefolowingperson alprotectiveequipmentshouldthenurseu s e whilecaringfortheclient? RN VATI Adult Medical Surgical 2019 Surgicalmask MY ANSWER USE ***Anurseisasesingaclientforfluidvolumedef icitfolowinglumbarspinalsurgery.The nurseshouldidentifywhichofthefolowingfind ingsasanindicationtheclientisatriskforflu id volumedeficit? Surgicaldrainoutput300mLduringan8- hrshift RN VATI Adult Medical Surgical 2019 Leftlowerquadrant ***Anurseisplanningcareforaclientwhoha salumpintheirightbreast.Whichofthe folowingfindingsincreasestheclient'sri skofdevelopingbreastcancer? Oralcontraceptivesweretakenforthelast6ye ars **Anurseisprovidingteachingforaclientw hohasconstipation- predominantiritablebowel syndrome(IBS- C).Whichofthefolowingstatementshouldth enurseincludeintheteaching? AclientwhohasIBS-Cshouldtakeabulk- forminglaxative,suchaspsylium,toincreas ethe bulkofthestool,reduceconstipation,andpro moteregularbowelmovements. ***Anurseiscaringforaclientwhoisreceiv ingmechanicalventilation.Whichofthe folowingactionshouldthenurseimplement odecreasetheclient'sriskforventilator - asociatedpneumonia(VAP)? (Selectalthatapply.) MY ANSWER Wearaprotectivegownwhensuctioningthecl ient'sairwayisincorect.Thenurseshould usestandardprecautionswhenexposuretobo dilysecretionsisposible.However,aprote ctiv e gownwilnotpreventVAPintheclient. Monitorfororalsecretionsevery2hriscorec t.Thenurseshouldmonitorfororalsecretion s atleastevery2hrtodecreasethelikelihoodo RN VATI Adult Medical Surgical 2019 fmicro- organismsmovingfromthemouthintothe respiratorytract. Provideoralcareevery2hriscorect.Thenurse shouldprovideoralcareevery2hrusing chlorhexidinerinseorsodiumchloridesoluti onwithswabbingortoothbrushing. Maintaintheclientinasupinepositionisinco rect.Thenurseshouldpositiontheclientwith theheadofthebedelevatedatleast30°topreve ntaspirationofbacteriaintotheairway. Asestheclientdailyforreadinesofextubatio niscorect.Tolowertheriskoftheclient acquiringVAP,thenurseshouldasestheclient dailyforneurologicalreadinesfor discontinuingmechanicalventilation. BotomofForm RN VATI Adult Medical Surgical 2019 ***Anurseisplanningcareforaclientwhoi sreceivingintermitentIVfluidsviaa peripheralyinsertedcentralcatheter(PI CC).Whichofthefolowinginformationshou ld thenurseincludeintheclient'splanofcar e? AsesthePICCinfusionsystemsystematicaly. MY ANSWER ***Anurseisperformingariskasesmentfor aclient.Whichofthefolowingfactors shouldthenurseidentifyasincreasingthe client'sriskforfals? Theclienthadcataractsurgery1dayago. MY ANSWER ***Anurseisprovidingteachingtoagroupo fclientsabouthepreventionofcoronary arterydisease.Whichofthefolowinginfo rmationshouldthenurseincludeinthe teaching? Walk30mindailyatacomfortablepace. MY ANSWER *****Ahomehealthnurseisinspectingaclie nt'sresidenceforelectricalhazardsaspa rt oftheagency'squalityimprovementplan.W hichofthefolowingfindingshouldthe nurseidentifyasasafetyhazard? AnIVpumpisplugedintoanoutletnearasink. MY ANSWER ***Anurseisteachingaclientaboutself- managementoftheirhalofixatordevice.Whi ch ofthefolowinginformationshouldthenurs RN VATI Adult Medical Surgical 2019 concentrationmask. MY ANSWER ***Anurseiscaringforaclientwhohasa prescriptionforlactatedRinger'sby continuousIVinfusiontoreplaceoutpu tfromanNGtube.Whichofthefolowin g findingshouldindicatetothenursethat histherapyiseffective? Urinespecificgravity1.020 MY ANSWER MY ANSWER ***Anurseiscaringforaclientwhois3hrpos toperativeandexhibitingsignsof hypovolemia.Whichofthefolowingfindings houldthenurseidentifyasamanifestation ofhypovolemia? RN VATI Adult Medical Surgical 2019 Rapidpulserate MY ANSWER ***Anurseisplanningcareforaclientwhoha stuberculosis.Whichofthefolowing precautionshouldthenurseimplementfort hisclient? Airborneprecautions MY ANSWER ****AnurseisanalyzingtheABGresultsofac lientwhoisinrespiratoryacidosis. Whichofthefolowingmechanismshouldthen urseidentifyasresponsibleforthisacid - baseimbalan ce? Retentionof carbondioxi de MY ANSWER ***Anurseispreparingtoadministerpropr anololtoseveralclients.Forwhichofthe folowingclientshouldthenurseclarifyth eprescriptionwiththeproviderbefore administration? Aclientwhohasahistoryofasthma MY ANSWER ***Anurseisprovidingteachingforaclient whohasneutropeniaandisreceiving chemotherapy.Whichofthefolowingclient statementsindicatesanunderstandingoft he teaching?(Selectalthatapply.) MY ANSWER "Iwilavoidcrowds"iscorect.Theclientwhois immunocompromisedshouldavoidcrowds whileundergoingchemotherapytoreducetheri skofinfection. RN VATI Adult Medical Surgical 2019 "Iwilwashmytoothbrushwekly"isincorect.Th eclientwhoisimmunocompromised shouldwashtheirtoothbrushdailyinthedishw asherorinseitinableachsolutiontoprevent bacterialgrowth. "Iwilchangemycat'slitterboxtwicewekly"is incorect.Theclientwhois immunocompromisedshouldhavesomeoneelsech angetheliterboxtoavoidinfections. "Iwiltakemytemperaturedaily"iscorect.The clientwhoisimmunocompromisedshould takedailytemperaturereadingsandreportane levatedtemperaturetotheprovider. "Iwileatplentyofreshfruitsandvegetables" isincorect.Theclientwhois immunocompromisedshouldavoidfoodsourcesth atcontainbacteria,suchasfreshfruitsand vegetables,undercookedmeat,fish,andegs. BotomofForm