VATI RN COMPREHENSIVE PREDICTOR
REMEDIATION 2 LATEST VERSIONS GRADED A 2023
/DOWNLOAD
EXAM COVERAGE
1. Medical-Surgical Nursing: Management of Care and Safety
2. Pharmacology: Safe Administration and Parenteral Therapies
3. Maternal-Newborn Nursing: Antepartum, Intrapartum, and Postpartum
4. Pediatric Nursing: Growth, Development, and Acute Care
5. Mental Health Nursing: Therapeutic Communication and Crisis Intervention
6. Leadership and Management: Prioritization, Delegation, and Ethics
7. Fluid, Electrolyte, and Acid-Base Balance
8. Evidence-Based Practice and Informatics
9. Health Promotion and Disease Prevention
10. Physiological Adaptation: Complex Health Alterations
1. A nurse is caring for a client who is 4 hours postoperative following a thyroidectomy and notes
the client has developed laryngeal stridor and frequent swallowing. What is the priority nursing
action?
A. Administer a nebulized bronchodilator.
B. Alert the surgical team and prepare for emergency intubation.
, C. Position the client in a high-Fowler’s position and provide cool mist.
D. Check the dressing for evidence of hemorrhage.
CORRECT ANSWER : B
Rationale: Laryngeal stridor and frequent swallowing are classic signs of postoperative
hematoma formation causing airway obstruction. This is a medical emergency requiring
immediate intervention to secure the airway; waiting to assess further or applying non-invasive
measures could lead to respiratory arrest.
2. A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral
resection of the prostate (TURP). The nurse notes that the drainage has stopped and the client is
complaining of severe bladder spasms. What should the nurse do first?
A. Administer an antispasmodic medication.
B. Irrigate the catheter with 50 mL of sterile normal saline.
C. Increase the rate of the irrigation fluid.
D. Notify the surgeon immediately.
CORRECT ANSWER : B
Rationale: The cessation of drainage combined with bladder spasms indicates a catheter
obstruction, likely due to a blood clot. The nurse should first attempt to clear the obstruction
manually with sterile irrigation before notifying the surgeon or adjusting other parameters.
3. A nurse is caring for a client who is in labor and the fetal heart rate (FHR) monitor displays
recurrent variable decelerations. Which nursing action is indicated?
A. Increase the oxytocin infusion rate.
B. Reposition the client to a side-lying position.
C. Prepare the client for an immediate cesarean section.
D. Apply a scalp electrode.
CORRECT ANSWER : B
Rationale: Variable decelerations are typically caused by umbilical cord compression.
Repositioning the client is the most effective first-line intervention to relieve pressure on the cord
and restore fetal perfusion. Increasing oxytocin would worsen the stress, and a C-section is
premature without further evaluation.
,4. A nurse is reviewing lab results for a client with acute pancreatitis. Which finding is consistent
with this diagnosis and requires nursing attention?
A. Decreased serum amylase.
B. Hypocalcemia.
C. Elevated serum albumin.
D. Hyperkalemia.
CORRECT ANSWER : B
Rationale: Pancreatitis often leads to hypocalcemia due to fat necrosis, where calcium binds to
free fatty acids in the retroperitoneum. Hypocalcemia is a serious complication that requires
close monitoring for signs of tetany, such as a positive Trousseau’s or Chvostek’s sign.
5. A nurse is preparing to administer phenytoin via an intermittent IV bolus. Which action is
essential to ensure safe administration?
A. Dilute the medication in dextrose 5% in water.
B. Administer via a dedicated line or flush with 0.9% normal saline.
C. Infuse at a rate of 50 mg/min.
D. Monitor for respiratory depression for 2 hours post-infusion.
CORRECT ANSWER : B
Rationale: Phenytoin is incompatible with most intravenous solutions, including dextrose, which
causes precipitation. It must be administered through a dedicated line or flushed before and
after with 0.9% normal saline to prevent crystallization.
6. A community health nurse is triaging clients after a mass casualty incident. Which client should
be tagged with a "Red" (immediate) tag?
A. A client with an open fracture of the tibia.
B. A client with a tension pneumothorax.
C. A client with a minor laceration and a concussion.
D. A client with extensive second-degree burns.
CORRECT ANSWER : B
, Rationale: A tension pneumothorax is a life-threatening, time-sensitive injury requiring
immediate decompression to prevent cardiovascular collapse. Clients with open fractures or
minor lacerations are lower priority, and burn victims often have more time before stabilization
becomes critical compared to respiratory failure.
7. A nurse is caring for a client with a history of schizophrenia who is taking clozapine. Which
finding warrants immediate discontinuation of the medication?
A. Weight gain of 5 lbs in one month.
B. An absolute neutrophil count (ANC) of 800/mm³.
C. Mild sedation.
D. Increased salivation.
CORRECT ANSWER : B
Rationale: Clozapine carries a black box warning for agranulocytosis. An ANC below
1,000/mm³ indicates significant neutropenia, requiring the immediate cessation of the
medication to prevent fatal infection. Weight gain and sedation are common side effects that do
not require drug discontinuation.
8. A nurse is caring for a client with hyperkalemia who is receiving an infusion of regular insulin
and dextrose. What is the purpose of this intervention?
A. To treat potential hypoglycemia from metabolic stress.
B. To facilitate the movement of potassium into the intracellular space.
C. To prevent the development of diabetic ketoacidosis.
D. To increase the renal excretion of potassium.
CORRECT ANSWER : B
Rationale: Insulin stimulates the sodium-potassium pump, moving potassium from the
extracellular space into the cells, thus lowering serum potassium levels. Dextrose is
administered concurrently to prevent iatrogenic hypoglycemia resulting from the insulin
infusion.
9. A nurse is evaluating a client who has a chest tube. The nurse notes that the fluid in the water
seal chamber fluctuates with the client's respirations. What is the correct interpretation of this
finding?
A. There is an air leak in the system.
REMEDIATION 2 LATEST VERSIONS GRADED A 2023
/DOWNLOAD
EXAM COVERAGE
1. Medical-Surgical Nursing: Management of Care and Safety
2. Pharmacology: Safe Administration and Parenteral Therapies
3. Maternal-Newborn Nursing: Antepartum, Intrapartum, and Postpartum
4. Pediatric Nursing: Growth, Development, and Acute Care
5. Mental Health Nursing: Therapeutic Communication and Crisis Intervention
6. Leadership and Management: Prioritization, Delegation, and Ethics
7. Fluid, Electrolyte, and Acid-Base Balance
8. Evidence-Based Practice and Informatics
9. Health Promotion and Disease Prevention
10. Physiological Adaptation: Complex Health Alterations
1. A nurse is caring for a client who is 4 hours postoperative following a thyroidectomy and notes
the client has developed laryngeal stridor and frequent swallowing. What is the priority nursing
action?
A. Administer a nebulized bronchodilator.
B. Alert the surgical team and prepare for emergency intubation.
, C. Position the client in a high-Fowler’s position and provide cool mist.
D. Check the dressing for evidence of hemorrhage.
CORRECT ANSWER : B
Rationale: Laryngeal stridor and frequent swallowing are classic signs of postoperative
hematoma formation causing airway obstruction. This is a medical emergency requiring
immediate intervention to secure the airway; waiting to assess further or applying non-invasive
measures could lead to respiratory arrest.
2. A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral
resection of the prostate (TURP). The nurse notes that the drainage has stopped and the client is
complaining of severe bladder spasms. What should the nurse do first?
A. Administer an antispasmodic medication.
B. Irrigate the catheter with 50 mL of sterile normal saline.
C. Increase the rate of the irrigation fluid.
D. Notify the surgeon immediately.
CORRECT ANSWER : B
Rationale: The cessation of drainage combined with bladder spasms indicates a catheter
obstruction, likely due to a blood clot. The nurse should first attempt to clear the obstruction
manually with sterile irrigation before notifying the surgeon or adjusting other parameters.
3. A nurse is caring for a client who is in labor and the fetal heart rate (FHR) monitor displays
recurrent variable decelerations. Which nursing action is indicated?
A. Increase the oxytocin infusion rate.
B. Reposition the client to a side-lying position.
C. Prepare the client for an immediate cesarean section.
D. Apply a scalp electrode.
CORRECT ANSWER : B
Rationale: Variable decelerations are typically caused by umbilical cord compression.
Repositioning the client is the most effective first-line intervention to relieve pressure on the cord
and restore fetal perfusion. Increasing oxytocin would worsen the stress, and a C-section is
premature without further evaluation.
,4. A nurse is reviewing lab results for a client with acute pancreatitis. Which finding is consistent
with this diagnosis and requires nursing attention?
A. Decreased serum amylase.
B. Hypocalcemia.
C. Elevated serum albumin.
D. Hyperkalemia.
CORRECT ANSWER : B
Rationale: Pancreatitis often leads to hypocalcemia due to fat necrosis, where calcium binds to
free fatty acids in the retroperitoneum. Hypocalcemia is a serious complication that requires
close monitoring for signs of tetany, such as a positive Trousseau’s or Chvostek’s sign.
5. A nurse is preparing to administer phenytoin via an intermittent IV bolus. Which action is
essential to ensure safe administration?
A. Dilute the medication in dextrose 5% in water.
B. Administer via a dedicated line or flush with 0.9% normal saline.
C. Infuse at a rate of 50 mg/min.
D. Monitor for respiratory depression for 2 hours post-infusion.
CORRECT ANSWER : B
Rationale: Phenytoin is incompatible with most intravenous solutions, including dextrose, which
causes precipitation. It must be administered through a dedicated line or flushed before and
after with 0.9% normal saline to prevent crystallization.
6. A community health nurse is triaging clients after a mass casualty incident. Which client should
be tagged with a "Red" (immediate) tag?
A. A client with an open fracture of the tibia.
B. A client with a tension pneumothorax.
C. A client with a minor laceration and a concussion.
D. A client with extensive second-degree burns.
CORRECT ANSWER : B
, Rationale: A tension pneumothorax is a life-threatening, time-sensitive injury requiring
immediate decompression to prevent cardiovascular collapse. Clients with open fractures or
minor lacerations are lower priority, and burn victims often have more time before stabilization
becomes critical compared to respiratory failure.
7. A nurse is caring for a client with a history of schizophrenia who is taking clozapine. Which
finding warrants immediate discontinuation of the medication?
A. Weight gain of 5 lbs in one month.
B. An absolute neutrophil count (ANC) of 800/mm³.
C. Mild sedation.
D. Increased salivation.
CORRECT ANSWER : B
Rationale: Clozapine carries a black box warning for agranulocytosis. An ANC below
1,000/mm³ indicates significant neutropenia, requiring the immediate cessation of the
medication to prevent fatal infection. Weight gain and sedation are common side effects that do
not require drug discontinuation.
8. A nurse is caring for a client with hyperkalemia who is receiving an infusion of regular insulin
and dextrose. What is the purpose of this intervention?
A. To treat potential hypoglycemia from metabolic stress.
B. To facilitate the movement of potassium into the intracellular space.
C. To prevent the development of diabetic ketoacidosis.
D. To increase the renal excretion of potassium.
CORRECT ANSWER : B
Rationale: Insulin stimulates the sodium-potassium pump, moving potassium from the
extracellular space into the cells, thus lowering serum potassium levels. Dextrose is
administered concurrently to prevent iatrogenic hypoglycemia resulting from the insulin
infusion.
9. A nurse is evaluating a client who has a chest tube. The nurse notes that the fluid in the water
seal chamber fluctuates with the client's respirations. What is the correct interpretation of this
finding?
A. There is an air leak in the system.
