RN VATI STUDY GUIDE 2026
COMPREHENSIVE QUESTIONS AND
ANSWERS
◉A nurse is caring for a client who has dumping. Syndrome
following a gastric resection. The nurse should monitor the client for
which of the following complications of dumping syndrome?
Weight gain
Iron-deficiency anemia
Hypercalcemia
Reduced heart rate. Answer: Iron-deficiency anemia
The nurse should monitor the client for manifestations of anemia,
such as pallor, tachycardia, and fatigue. Rapid emptying of the
stomach contents into the intestine can lead to reduced absorption
of iron in the duodenum, causing iron-deficiency anemia.
◉A nurse is providing discharge teaching about infection control at
home for a client who has tuberculosis. Which of the following
statements by the client indicates an understanding of the teaching?
,"I will have to move out of my family's home until I am no longer
contagious."
"I will place my used tissues in a plastic bag."
"I will cover my mouth with my hands when I have to cough."
"I will not go in public areas until I am cured.". Answer: "I will place
my used tissues in a plastic bag."
The sputum of a client who has tuberculosis is considered infectious
until there are three consecutive sputum samples that test negative
for Mycobacterium tuberculosis. Tissues that are soiled with the
client's sputum should be placed in a plastic bag and sealed to avoid
spreading the infection.
◉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?.
Answer: Thinning of the skin.
Only apply the ointment to dry patches of the skin to avoid atrophy.
◉Topical Glucocorticoids Side effects. Answer: Tiamcinolone
- Hypopigmentation
- Excessive hair growth (hypertrichosis)
- Thinning of the skin
,◉A nurse is 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?. Answer: Frothy sputum
Pink-tinged frothy sputum can be an early indication of pulmonary
edema and can be life-threatening. Therefore, the nurse should
notify the provider immediately.
◉Left Sided Heart Failure. Answer: - Frothy sputum
- Dyspnea
- Wheezing
Treatment:
Fluid restriction & diuretics to decrease preload & pulmonary
congestion
◉Right heart sided failure. Answer: - Dependent edma
- Jugular distention
- Weight gain
◉A nurse is caring for a client who is experiencing anxiety as well as
numbness and tingling of the lips and fingers.
The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L,
PaO2 85 mm Hg. Which of the following acid-base imbalances
, should the nurse identify that the client is experiencing?. Answer:
Respiratory alkalosis
- The pH is alkaline
- PCO2 is low representing alveolar hyperventilation & respiratory
alkalosis
◉A nurse is assessing a client who has Cushing's syndrome. Which
of the following findings should the nurse expect?. Answer:
Osteoporosis
Bone become thinner as a result of mineral loss & nitrogen
depletion.
◉A nurse is inspecting the skin of a client who has basal cell
carcinoma. The nurse should identify which of the following lesion
characteristics on the client's skin?. Answer: A pearly, waxy nodule.
- Basal cell carcinoma has a nodular lesion with well defined borders
& pearly or waxy apperance from ocerexposure to the sun.
◉Melanoma. Answer: Irregular border and varigated colored lesions
of red, white, blue.
- Most often on the upper back or lower legs
COMPREHENSIVE QUESTIONS AND
ANSWERS
◉A nurse is caring for a client who has dumping. Syndrome
following a gastric resection. The nurse should monitor the client for
which of the following complications of dumping syndrome?
Weight gain
Iron-deficiency anemia
Hypercalcemia
Reduced heart rate. Answer: Iron-deficiency anemia
The nurse should monitor the client for manifestations of anemia,
such as pallor, tachycardia, and fatigue. Rapid emptying of the
stomach contents into the intestine can lead to reduced absorption
of iron in the duodenum, causing iron-deficiency anemia.
◉A nurse is providing discharge teaching about infection control at
home for a client who has tuberculosis. Which of the following
statements by the client indicates an understanding of the teaching?
,"I will have to move out of my family's home until I am no longer
contagious."
"I will place my used tissues in a plastic bag."
"I will cover my mouth with my hands when I have to cough."
"I will not go in public areas until I am cured.". Answer: "I will place
my used tissues in a plastic bag."
The sputum of a client who has tuberculosis is considered infectious
until there are three consecutive sputum samples that test negative
for Mycobacterium tuberculosis. Tissues that are soiled with the
client's sputum should be placed in a plastic bag and sealed to avoid
spreading the infection.
◉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?.
Answer: Thinning of the skin.
Only apply the ointment to dry patches of the skin to avoid atrophy.
◉Topical Glucocorticoids Side effects. Answer: Tiamcinolone
- Hypopigmentation
- Excessive hair growth (hypertrichosis)
- Thinning of the skin
,◉A nurse is 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?. Answer: Frothy sputum
Pink-tinged frothy sputum can be an early indication of pulmonary
edema and can be life-threatening. Therefore, the nurse should
notify the provider immediately.
◉Left Sided Heart Failure. Answer: - Frothy sputum
- Dyspnea
- Wheezing
Treatment:
Fluid restriction & diuretics to decrease preload & pulmonary
congestion
◉Right heart sided failure. Answer: - Dependent edma
- Jugular distention
- Weight gain
◉A nurse is caring for a client who is experiencing anxiety as well as
numbness and tingling of the lips and fingers.
The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L,
PaO2 85 mm Hg. Which of the following acid-base imbalances
, should the nurse identify that the client is experiencing?. Answer:
Respiratory alkalosis
- The pH is alkaline
- PCO2 is low representing alveolar hyperventilation & respiratory
alkalosis
◉A nurse is assessing a client who has Cushing's syndrome. Which
of the following findings should the nurse expect?. Answer:
Osteoporosis
Bone become thinner as a result of mineral loss & nitrogen
depletion.
◉A nurse is inspecting the skin of a client who has basal cell
carcinoma. The nurse should identify which of the following lesion
characteristics on the client's skin?. Answer: A pearly, waxy nodule.
- Basal cell carcinoma has a nodular lesion with well defined borders
& pearly or waxy apperance from ocerexposure to the sun.
◉Melanoma. Answer: Irregular border and varigated colored lesions
of red, white, blue.
- Most often on the upper back or lower legs
