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 *****A inurse iis icaring ifor ia iclient iwho ihas iatopic idermatitis iand ia iprescription ifor itriamcinolone iointment. iThe inurse ishould iassess ithe iclient ito imonitor ifor iwhich iof ithe ifollowing iadverse ieffects? Thinning iof ithe iskin MY iANSWER *****Anurseisasesingaclientwhohasleft-sidedheartfailure.Whichofthe folowingfindingshouldthenurseidentifyasamanifestationofleft-sidedheartfailure? Frothysputum MY ANSWER ****Anurseiscaringforaclientwhoisexperiencinganxietyaswelasnumbnesandtingling iofthelipsandfingers.Theclient'sABGsare:pH7.48,PCO2 i30mmHg,HCO-24mEq/L, iPaO2 i85mmHg.Whichofthefolowingacid- baseimbalanceshouldthenurseidentifythathe iclientisexperiencing? Respiratoryalkalosis MY ANSWER ****AnurseisasesingaclientwhohasCushing'syndrome.Whichofthefolowingfindings ishouldthenurseexpect? Osteoporosis MY ANSWER ****Anurseisinspectingtheskinofaclientwhohasbasalcelcarcinoma.Thenurseshould i dentifywhichofthefolowinglesioncharacteristicsontheclient'skin? Apearly,waxynodule MY ANSWER ****Anurseisasesingaclientwhohashypocalcemia.Inwhichofthefolowingareashould ithenursetapontheclient'sfacetodetecthepresenceofChvostek'sign?(Youwilfindhot ispotstoselectintheartworkbelow.Selectonlythehotspothatcorespondstoyouranswer.) Aiscorect.Thenurseshouldtaptheclient'schekjustinfrontoftheearandbelowthe izygomaticarch.TheclientwhohashypocalcemiawildisplayaChvostek'sign,whichisa itwitchingofthefacialmuscle. Bisincorect.Thenurseshouldapplyupwardpresureathesupraorbitalridge,belowthe ieyebrow,toasesfortendernesandinflammationofthefrontalsinuses. Cisincorect.Thenurseshouldpalpatethejawandmastoidmuscleofaclientwhohas itemporomandibularjointdysfunction.Thiscanbecausedbymisalignedteth,arthritis,or igrindingoftheteth.Withpalpation,thenursemightfelaclick,pop,orgratingsensationwhen itheclientopensorclosesthejaw. BotomofForm ****Anurseinanemergencydepartmentisasesingaclientwhoisoverusing iprescribeddiureticsandhasasodiumlevelof127mEq/L.Whichofthefolowing ilaboratoryfindingshouldthenurseexpect? Lowurinespecificgravity MY ANSWER ***Ahomehealthnurseisasistingaclientwithplanningcareforafamilymemberwhohas iAlzheimer'sdisease.Whichofthefolowinginstructionshouldthenurseinclude? Reviewthedailyschedulewiththeclienteverymorning. ***Anurseiscaringforaclientwhohasdevelopedacuterespiratorydistressyndrome(ARDS). iWhichofthefolowingfindingshouldthenurseidentifyasamanifestationofthisyndrome? Refractoryhypoxemia MY ANSWER ***Anemergencyroomnurseisasesingaclientwhohasasthmaanddifficultybreathing. iWhichofthefolowingfindingshouldindicatetothenursethatheclientisexperiencingstatu s iasthmaticus? Useofacesorymuscles MY ANSWER MY ANSWER Placetheclientleaningforwardoverthebedsidetablefortheprocedure. ***Anurseisprovidingdischargeteachingaboutinfectioncontrolathomeforaclient iwhohastuberculosis.Whichofthefolowingstatementsbytheclientindicatesan iunderstandingoftheteaching? "Iwilplacemyusedtisuesinaplasticbag." MY ANSWER ***Anurseisteachingaclientwhoischeduledtoreceiveradioactiveiodinetherapyfor itreatmentofhyperthyroidism.Whichofthefolowinginstructionshouldthenurse i ncludeintheteaching? Usedisposableutensilsformeals. ****Anurseisprovidingpreoperativeteachingtoaclientwhoischeduledforaradical iprostatectomy.Whichofthefolowinginformationshouldthenurseincludeintheteaching ? APCApumpwilbeusedforpostoperativepaincontrol. MY ANSWER Anurseisasesingaclient'sECGstripandnotesaniregularheartrateof98/minwithnoclear iPwaves.Whichofthefolowingcardiacdysrhythmiashouldthenursedocument? ***Anurseiscaringforaclientwhoisreceivingperitonealdialysis.Whichofthefolowing iactionshouldthenursetake? Reportcloudydialysatedrainagetotheprovider. ***Anurseisasesingaclientwhohasuspectedappendicitis.Whichofthefolowing imanifestationshouldthenurseexpect?(Selectalthatapply.) MY ANSWER ElevatedWBCcountiscorect.Aclientwhohasacuteappendicitiswilshowamoderate ielevationoftheWBCcountfrom10,000to18,000/mm3.IftheWBCcountisgreaterthan i20,000/mm3,itcanindicateaperforatedappendix. Elevatedamylaselevelisincorect.Amylaselevelsincreasewithpancreatitisbutnotwithacute iappendicitis. Reboundtendernesiscorect.Aclientwhohasappendicitisdevelopslocalizedpainoverthe irightlowerquadrantoftheabdomen.Whentheareaispalpated,painocursduringreleaseof ipresureontheclient'sabdomen. Ascitesisincorect.Ascitescanbeamanifestationofcirhosis;however,itisnotasociated iwithappendicitis. Anorexiaiscorect.Aclientwhohasacuteappendicitisexperiencesnausea,vomiting,and ireducedappetite. BotomofForm ***Anurseisplanningpreventativestrategiesforaclientwhoisatriskforpresure i njuries.Whichofthefolowingactionshouldthenurseincludeintheplan? Applymoisturizertodampskinafterbathing. MY ANSWER ***Anurseiscaringforaclientwhohasanewdiagnosisoftype1diabetesmelitus.Whichof ithefolowingfindingshouldthenurseidentifyasamanifestationoftype1diabetes? Ketonesintheurine MY ANSWER ***Anurseiscaringforaclientwhohadasurgicalrepairofanabdominalaortic ianeurysm3daysago.Theclient'svitalsignsare:temperature38.3°C(100.9°F),heart irate80/min,respirations16/min,andbloodpresure128/76mmHg.Whichofthe folowingactionsisthenurse'spriority? Asesthesurgicalincisionforsignsofinfection. MY ANSWER ***Anurseisprovidingdischargeteachingtoaclientfolowingaloopelectrosurgical iexcisionprocedure(LE iP)forthetreatmentofcervicalcancer.Whichofthefolowing istatementsbytheclientindicatesanunderstandingoftheteaching? "Imayhavemildcrampingforseveralhours." *** MY ANSWER ***Anurseisasesingagroupofclients.Forwhichofthefolowingclientshouldthenurse imakeareferaltopaliativecare? AclientwhosemedicationstomanageParkinson'sdiseasearenolongerefective MY ANSWER ***Anurseisprovidingteachingtoaclientwhohasanewprescriptionforcephalexinoral isuspension.Whichofthefolowingstatementsbytheclientindicatesanunderstandingofthe iteaching? "Iwilkepthemedicationrefrigerated." MY ANSWER ***Anurseiscaringforaclientwhohasacutekidneyinjuryandapotasiumlevelof6.5 imEq/L.WhichofthefolowingECGchangeshouldthenurseexpect?WRONG PeakedTwaves Question56loadedrationalsprovided Anurseiscaringforaclientwhohadabdominalsurgery.Theclientelsthenursethat i"somethinggaveway."Thenurseremovesthedresingandsesthewoundhaseviscerated. iIdentifythecorectsequenceofstepsthenurseshouldfolow.(Movethestepsintotheboxonthe iright,placingthemintheselectedorderofperformance.Usealthesteps.) TopofForm • PlacetheclientinalowFowler'spositionwiththeknesbent. • Covertheclient'swoundwithasterilesaline-soakeddresing. • Notifythesurgeonabouthefinding. • Preparetheclientfortransfertosurgery. Basedonevidence-basedpractice,thenurseshouldimmediatelycontacthesurgeonandnotify ithemofthewoundevisceration.Thenurseshouldthencovertheclient’swoundwithasterile isalinesoakeddresingtoprotectitfrominfection.Thenurseshouldthenplacetheclientinalow iFowler'spositionwiththeirknesbentandthenpreparetheclientobetransferedtosurgery. iBotomofForm ****Anurseiscaringforaclientwhoishemorhagingandhypotensivefromesophageal ivaricealbleding.Whichofthefolowingactionshouldthenursetakefirst? ***Anurseisasesingaclientwhohasanewdiagnosisofpericarditis.Whichofthe ifolowingfindingshouldthenurseidentifyasamanifestationofcardiactamponade? Atrialfibrilation MY ANSWER ***Anurseisasesingaclientwhoisundergoingradiationtherapyforbreastcancer. iWhichofthefolowingfindingsisanindicationtothenursethatheclientisexperiencin g ianadverseefectofthetherapy? Skinchanges MY ANSWER ****Anurseispreparingtoadministerenoxaparin0.75mg/kgsubcutaneouslytoaclient iwhoweighs154lb.Theamountavailableisenoxaparin60mg/0.6mL.HowmanymL ishouldthenurseadminister?(Roundtheanswertothenearestenth.Usealeadingzeroif iitapplies.Donotuseatrailingzero.) 0.5ml ***Anurseiscaringforagroupofclients.Inwhichofthefolowingscenariosisthe inurseactingasaclientadvocate? Thenurserefersaclientwhohaschronicobstructivepulmonarydiseaseforpaliativecare iservices. MY ANSWER MY ANSWER ***Anurseisasesingaclientwhorecentlyhadamyocardialinfarction.Whichofthe ifolowingfindingsindicatesthatheclientmightbedevelopingpulmonaryedema?(Select ialthatapply.) Excesivesomnolenceiscorect.Manifestationsofpulmonaryedemacanincludeachangein iorientationormentalstatus.Aclientwhohasexcesivesomnolencemightbeexperiencing ipulmonaryedema. Epistaxisisincorect.Epistaxis,oranosebled,canbeanindicationofalowplateletcount; ihowever,itisnotamanifestationasociatedwithpulmonaryedema. Pink,frothysputum iscorect.Aclientwhohaspulmonaryedemacandeveloppink,frothy isputum,whezing,andtachypnea. Tachypneaiscorect.Aclientwhohaspulmonaryedemacandeveloppink,frothysputum, iwhezing,andtachypnea. Urinaryfrequencyisincorect.Theclientwhoisdevelopingpulmonaryedemaisretaining ifluid.Oncetreatedwithdiuretics,thekidneyswilbeginexcretingsodiumandwater. BotomofForm ****AnurseisteachingaclientaboutpreventingthetransmisionofHIV.Whichofthe ifolowinginformationshouldthenurseinclude? MedicationisavailablethatwilreducetheriskforHIVtransmision. ****Anurseiscaringforaclientwhohasmultiplelegfracturesandis24hr ipostoperativefolowingplacementofskeletaltraction.Whichofthefolowingactions ishouldthenursetake? Inspecthepinsitesatleastevery8hr. ***Anurseinalong-termcarefacilityiscaringforaclientwhohasdementia.Whichofthe ifolowingactionshouldthenursetake? Providefingerfoodatmealtime. MY ANSWER ***Anurseiscompletinganadmisionasesmentforaclientwhohasbacterial imeningitis.Whichofthefolowingpersonalprotectiveequipmentshouldthenurseus e iwhilecaringfortheclient? Surgicalmask MY ANSWER USE ***Anurseisasesingaclientforfluidvolumedeficitfolowinglumbarspinalsurgery.The inurseshouldidentifywhichofthefolowingfindingsasanindicationtheclientisatriskforfluid ivolumedeficit? Surgicaldrainoutput300mLduringan8-hrshift MY ANSWER BotomofForm ***Anurseisasesingaclientwhohasacentralvenouscatheter(CVC)with i ntravenous(IV)fluidsinfusing.Theclientsuddenlydevelopshortnesofbreath,andthe inursenotesthatheIVtubingandnedlelesconnectordevicearedisconnected.Which iofthefolowingactionshouldthenursetakefirst? ClosethepinchclampontheCVC. MY ANSWER ***Anurseisplanningcareforaclientwhoischeduledforsurgeryandhasalatex ialergy.Whichofthefolowingactionshouldthenurseplantotake? Placemonitoringcordsandtubesinastockinete. MY ****Anurseisprovidingpreoperativeteachingaboutstoolconsistencytoaclientwho iwilundergoacolectomywiththeplacementofanileostomy.Whichofthefolowing i nformationaboutstoolconsistencyshouldthenurseincludeintheteaching? Thestoolwilhaveahighvolumeofliquid. MY ANSWER ***Anurseisprovidingteachingtoaclientwhohasanewprescriptionforlevothyroxine itotreathypothyroidism.Whichofthefolowingstatementsbytheclientindicatesan iunderstandingoftheteaching? "Ifmyheartstartsracing,myprovidermightnedtoadjustmydosage." MY ANSWER ***Anurseisasesingaclientwhohasanexacerbationofdiverticulardisease.Inwhichofthe ifolowingquadrantshouldthenurseanticipatetheclientobeexperiencingabdominalpain? folowingareashouldthenurseasesforthepresenceofavenousulcer?(Youwilfind ihotspotstoselectintheartworkbelow.Selectonlythehotspothatcorespondstoyour ianswer.) Aiscorect.Thenurseshouldasesthemedialmaleolus(ankle)ofaclientwhohaschronic ivenousinsufficiencyforthepresenceofavenousulcer.Theankleisthemostcommonareafora ivenousulcer.Aclientwhohasvenousinsufficiencycanexhibitskindiscolorationandedemaas iwelasalargeorsuperficialulcerwithiregularbordersathesiteofthemedialorlateral maleolusthatwepsexudate.Apulseispalpableinthisareaandtheclientypicalyexperiences iamoderatelevelofpainathesite. Bisincorect.Thenurseshouldasesthetipofthetoeandbetwenthetoesofaclientwhohas iarterialinsufficiencyforthepresenceofanarterialulcer.Aclientwhohasanarterialulcercan iexhibitcyanosisintheextremity,cooltemperaturetothetouch,andweakorabsentpulses. Cisincorect.Thenurseshouldasesthebalofthefootofaclientwhohasdiabetesmelitus. iAclientwhohasadiabeticulcercanexhibitwoundsorulcersontheplantarorotherpresure iareasofthefet.Thesewoundsaredepwithpale,evenedges,andlitlegranulationinthe iwoundbed. BotomofForm ***Anurseinanemergencydepartmentiscaringforaclientwhoisconfused,hasa itemperatureof40°C(104°F),aBPof74/52mmHg,andadiagnosisofexertionalheat istroke.Whichofthefolowingactionshouldthenursetakefirst? Administeroxygenusingahigh-concentrationmask. MY ANSWER ***AnurseiscaringforaclientwhohasaprescriptionforlactatedRinger'sby icontinuousIVinfusiontoreplaceoutputfromanNGtube.Whichofthefolowin g ifindingshouldindicatetothenursethathistherapyisefective? Urinespecificgravity1.020 MY ANSWER MY ANSWER ***Anurseiscaringforaclientwhois3hrpostoperativeandexhibitingsignsof ihypovolemia.Whichofthefolowingfindingshouldthenurseidentifyasamanifestation iofhypovolemia? Rapidpulserate MY ANSWER ***Anurseisplanningcareforaclientwhohastuberculosis.Whichofthefolowing iprecautionshouldthenurseimplementforthisclient? Airborneprecautions MY ANSWER ****AnurseisanalyzingtheABGresultsofaclientwhoisinrespiratoryacidosis. iWhichofthefolowingmechanismshouldthenurseidentifyasresponsibleforthisacid - ibaseimbalance? Retentionofcarbondioxide MY ANSWER ***Anurseispreparingtoadministerpropranololtoseveralclients.Forwhichofthe ifolowingclientshouldthenurseclarifytheprescriptionwiththeproviderbefore iadministration? Aclientwhohasahistoryofasthma MY ANSWER ***Anurseisprovidingteachingforaclientwhohasneutropeniaandisreceiving ichemotherapy.Whichofthefolowingclientstatementsindicatesanunderstandingofthe iteaching?(Selectalthatapply.) " MY ANSWER i Iwilavoidcrowds"iscorect.Theclientwhoisimmunocompromisedshouldavoidcrowds iwhileundergoingchemotherapytoreducetheriskofinfection. "Iwilwashmytoothbrushwekly"isincorect.Theclientwhoisimmunocompromised ishouldwashtheirtoothbrushdailyinthedishwasherorinseitinableachsolutiontoprevent ibacterialgrowth. "Iwilchangemycat'sliterboxtwicewekly"isincorect.Theclientwhois i mmunocompromisedshouldhavesomeoneelsechangetheliterboxtoavoidinfections. "Iwiltakemytemperaturedaily"iscorect.Theclientwhoisimmunocompromisedshould itakedailytemperaturereadingsandreportanelevatedtemperaturetotheprovider. "Iwileatplentyofreshfruitsandvegetables"isincorect.Theclientwhois i mmunocompromisedshouldavoidfoodsourcesthatcontainbacteria,suchasfreshfruitsand ivegetables,undercookedmeat,fish,andegs. BotomofForm ****Anurseisasesingaclientwhohasachestubeconnectedtoaclosedwater-seal idrainagesystem.Whichofthefolowingfindingshouldthenursereportotheprovider? Constantbubblinginthewatersealchamber ****AnurseiscaringforaclientwhohasasmalbowelobstructionandanNGtubeinplace. iWhichofthefolowingactionshouldthenursetake? Maintainlowintermitentsuction. MY ANSWER ****Anurseisteachingaclientwhohasanewdiagnosisoftype1diabetesmelitus. iWhichofthefolowingstatementsbytheclientindicatesanunderstandingofthe iteaching? "Iamawarethatmydiabetesiscausedbyanautoimmunedisorder." ***Anurseismonitoringaclientwhohasatraumaticbraininjury.Whichofthe ifolowingfindingshouldthenurseidentifyasamanifestationofCushing'striad? Increaseinbloodpresurefrom130/80mmHgto180/100mmHg MY ANSWER ***Anurseispreparingtoadministerpotasiumchloride10mEqIVover1hrtoaclient. iAvailableispotasiumchloride10mEqin100mLof0.9% isodiumchloride.Thenurse ishouldsetheinfusionpumptodeliverhowmanymL/hr?(Roundtheanswertothe inearestwholenumber.Usealeadingzeroifitapplies.Donotuseatrailingzero.) i i100? CLOSE Q Q uestion5loadedrationalsprovi u ded estion:5of90 INCORRECT FLAG • TimeRemaining:00:28:31 • PauseRemaining:00:05:00 PAUSE Anurseisprovidingteachingaboutdietaryoptionsforaclientwhohascholelithiasis.Whichof ithefolowingstatementshouldthenurseincludeintheteaching?