VATI RN med surg proctored EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

ATI EXAM vc




Exam Solution vc




VATI Proctored final assessment 1 Cartes 2026 A+ GRA
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DE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
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WERS (CB89B) vc




QUESTION 1 vc




Management of Varicella vc vc




ANSWER

Rash starts in trunk and spreads to face/extremities. Macule<papule<vesicles< crust over. scabs in abou
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t 1 week. Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes, tepid baths, trim nail
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s, mittens for scratching, and change linens daily) OR: Acyclovir w/in 48hrs Notify MDH of com diseases
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. AIRBORNE/Contact
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QUESTION 2 vc




Consent guidelines vc




ANSWER

Written consent required for< Invasive precedures Emancipated adult can consent for themselves. Nurs
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e must witness signature and ensure they understand. if no understand contact provider.
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QUESTION 3 vc




Cystic Fibrosis nutritional info
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ANSWER

High in protein/cals 3 meals/day +snacks ^fluids Pancreatic enzymes in 30 min of eating meal/snack Vi
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t supps: multi, A,D, E, K lax for constipation ^salt during hot weather(dehydration)
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QUESTION 4 vc




hypopituitarism treatment vc




ANSWER

,hormone replacement therapy: corticosteroids thyroxine sex steroids human GH (Somatropin)
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QUESTION 5 vc




PICC care vc




ANSWER

-dressing change every 7 days unless wet, soiled, loose; -flush using 10 mL syringe after infusions; -
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change injection caps every 72 hrs; -
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assess infusion system systemically starting w/insertion site, observing for signs of infection, working u
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pward, following tubing to make sure all connections are secure
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QUESTION 6 vc




PICC insertion vc




ANSWER

- Use up to 12 months -basilic/cephalic vein finger breadth ^/below antecubital -
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used for admin of blood, long-term chemo, ABX, and TPN -Confirm placement with xray -
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Transparent dressing for visualization Q 7 days vc vc vc vc vc vc




QUESTION 7 vc




PICC education vc




ANSWER

-Transparent dressing (visualization) Q 7 days - vc vc vc vc vc vc



do not immerse in water. cover to prevent water exposure - no blood draws on arm with picc
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QUESTION 8 vc




PICC FLUSHING vc




ANSWER

Use a 10 mL syringe for flushing the PICC line. Do not apply force if resistance is met. Flush with 10 mL
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0.9% sodium chloride before, between, and after medications. * Flush with 20 mL 0.9% sodium chloride
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after drawing blood.* Flush with 5 mL heparin (10 units/mL) when the PICC is not actively in use. The f
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requency of the flush depends on the type of PICC
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QUESTION 9 vc




Diabetes insipidus manifestations vc vc




ANSWER

, Risks: head injury, tumor, surgery, pituitary disruption, infx, Lithium use. S/S: Polydipsia (5-
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20 L/24 hours) polyuria (excess urination) tachycardia hypotension dry skin tachypnea Weak pulses At
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axia Feel dehydrated so they keep drinking and peeing - no ADH to hold on to pee.
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QUESTION 10 vc




Diabetes insipidus LABS vc vc




ANSWER

-Dilute urine (low gravity-<1.005 and osmolality-<200 mosm/l) -decrease pH/Na/K -Hypernatremia -
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Hyperuricemia Vasopressin challenge: -If symptoms resolve with desmopressin = neurogenic -
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If symptoms do not resolve = nephrogenic -MRI of pituitary (if neurogenic)
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QUESTION 11 vc




D/C teaching for cheiloplasty (fix cleft lip/palate)
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ANSWER

Lip- position child on back/upright/side to maintain repair -elbow restraints -
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H2O or hydrogen peroxide to clean incision - aspirate secretion to prevent Pulm comp Palate -
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change position frequently -IV fluids -NPO 4hr; only liquids for 3-4 days< soft diet -
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avoid anything in mouth
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QUESTION 12 vc




Edema parameters vc




ANSWER

press over bony prominence 5 seconds 1+ trace, rapid return 2+ mild, 10-
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15 sec 3+ mod, prolong 4+ severe
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QUESTION 13 vc




Management of tinea pedis (athlete foot) vc vc vc vc vc




ANSWER

Topical antifungal sitz soak light socks ventilated shoes Clotrimazole/ciclopirox 2x/day 2-4 weeks
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QUESTION 14 vc




pulmonary function tests (PFTs) vc vc vc




ANSWER