RN VATI Adult Medical Surgical 2019 Exam Latest Updated 2024 With  Complete Solutions

RN VATI Adult Medical Surgical 2019 Exam Latest Updated 2024 With 
Complete Solutions

A nurse is assessing a client who has hypocalcemia. In which of the following 
areas should the nurse tap on the client's face to detect the presence of 
Chvostek's sign? (You will find hot spots to select in the artwork below. Select only 
the hot spot that corresponds to your answer.) - A is correct. The nurse should 
tap the client's cheek just in front of the ear and below the zygomatic arch. The 
client who has hypocalcemia will display a Chvostek's sign, which is a twitching of 
the facial muscle.
A nurse in an emergency department is assessing a client who is overusing 
prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following 
laboratory findings should the nurse expect? - Low urine specific gravity
A home health nurse is assisting a client with planning care for a family member 
who has Alzheimer's disease. Which of the following instructions should the nurse 
include? - Review the daily schedule with the client every morning.
A nurse is caring for a client who has developed acute respiratory distress 
syndrome (ARDS). Which of the following findings should the nurse identify as a 
manifestation of this syndrome? - Refractory hypoxemia
An emergency room nurse is assessing a client who has asthma and difficulty 
breathing. Which of the following findings should indicate to the nurse that the 
client is experiencing status asthmaticus? - Flat neck veins
A nurse is teaching a client who has a new prescription for phenytoin to treat a 
seizure disorder. Which of the following adverse effects should the nurse instruct 
the client to report immediately to the provider? - Skin rash
A nurse is monitoring a client following a lumbar laminectomy. The client has a 
drain and indwelling urinary catheter. The nurse should identify which of the 
following findings as an indication of a complication of the surgery? - Clear 
drainage on the dressings
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? - Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair 
growth, especially on the facial area.
Thinning of the skin
assessing a client who has left-sided heart failure. Which of the following findings 
should the nurse identify as a manifestation of left-sided heart failure? - Frothy 
sputum
A nurse in a long-term care facility is caring for a client who has dementia. Which 
of the following actions should the nurse take? - Provide finger food at mealtime.
A nurse is completing an admission assessment for a client who has bacterial 
meningitis. Which of the following personal protective equipment should the nurse 
use while caring for the client? - Surgical mask
A nurse is assessing a client for fluid volume deficit following lumbar spinal 
surgery. The nurse should identify which of the following findings as an indication 
the client is at risk for fluid volume deficit? - Surgical drain output 300 mL during 
an 8-hr shift
A nurse is assessing a client who has a central venous catheter (CVC) with 
intravenous (IV) fluids infusing. The client suddenly develops shortness of breath, 
and the nurse notes that the IV tubing and needleless connector device are 
disconnected. Which of the following actions should the nurse take first? - Close 
the pinch clamp on the CVC.
A nurse is planning care for a client who is scheduled for surgery and has a latex 
allergy. Which of the following actions should the nurse plan to take? - Place 
monitoring cords and tubes in a stockinette.
A nurse is providing preoperative teaching about stool consistency to a client who 
will undergo a colectomy with the placement of an ileostomy. Which of the 
following information about stool consistency should the nurse include in the 
teaching? - The stool will have a high volume of liquid.
A nurse is providing teaching to a client who has a new prescription for 
levothyroxine to treat hypothyroidism. Which of the following statements by the 
client indicates an understanding of the teaching? - "If my heart starts racing, my 
provider might need to adjust my dosage."
A nurse is assessing a client who has an exacerbation of diverticular disease. In 
which of the following quadrants should the nurse anticipate the client to be 
experiencing abdominal pain? - Left lower quadrant
A nurse is caring for a client who is experiencing anxiety as well as numbness and 
tingling of the lipsandfingers.Theclient'sABGsare:pH7.48,PCO2 30mmHg,HCO3-
24mEq/L,PaO2 85mm Hg. Which of the following acid-base imbalances should the 
nurse identify that the client is experiencing? - Respiratory alkalosis
A nurse is assessing a client who has Cushing's syndrome. Which of the following 
findings should the nurse expect? - Osteoporosis