Question: (VRE) RN VATI Comprehensive Predictor
A nurse manager is teaching newly licensed nurses about vancomycin-resistant enterococci (VRE) infection.
Which of the following information should be included?
A. VRE is transmitted through the air by coughing and sneezing.
B. VRE infection requires health care workers to wear an N95 respirator.
C. VRE infection is treated with vancomycin antibiotics.
✓ D. VRE is a common cause of health care-associated infections.
✓ Correct Answer: D
VRE is indeed a common healthcare-associated infection (HAI), especially in ICUs and immunocompromised clients. VRE is
transmitted by CONTACT — requires gown and gloves (contact precautions), not N95. VRE is RESISTANT to vancomycin by
definition; alternative agents (linezolid, daptomycin) are used instead.
,Question: (Brachytherapy) RN VATI Comprehensive Predictor
A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical
cancer. Which of the following actions should the nurse take?
A. Keep the client's door open as much as possible.
B. Instruct the client to keep a 3 ft distance from visitors.
✓ C. Maintain the client on bed rest for 72 hr.
D. Wear a dosimeter badge while caring for the client.
✓ Correct Answer: C
For sealed internal radiation (brachytherapy), the client must remain on strict bed rest to prevent implant dislodgement. The door
should remain CLOSED. Visitors should keep 6 feet of distance (not 3 ft) and limit visit time. The nurse should wear a dosimeter
AND lead shielding. Bed rest to prevent displacement is the most critical nursing action.
,Question: (Bronchoscopy Hot Spot) RN VATI Comprehensive Predictor
A nurse is caring for a client who is recovering from a bronchoscopy. Select the area the nurse should assess
before giving the client ice chips or fluids.
✓ A. Throat — assess return of gag reflex
B. Head
C. Chest/lungs
D. Abdomen
✓ Correct Answer: A
After bronchoscopy, a topical anesthetic is applied to the throat. The nurse MUST confirm the gag reflex has returned before
offering any oral intake to prevent aspiration. The gag reflex is typically absent for 2-4 hours post-procedure. The throat/laryngeal
area (hot spot A) is the correct assessment site.
, Practice Q1 RN VATI Comprehensive Predictor
A nurse is caring for a client with chronic kidney disease (CKD). Which laboratory value requires the most
immediate intervention?
A. Serum creatinine 3.2 mg/dL
✓ B. Serum potassium 6.8 mEq/L
C. BUN 45 mg/dL
D. Hemoglobin 9 g/dL
✓ Correct Answer: B
A potassium of 6.8 mEq/L is critically elevated and poses immediate risk of fatal cardiac arrhythmias. Elevated creatinine and BUN
are expected in CKD. Mild anemia (Hgb 9) is common but not immediately life-threatening.
A nurse manager is teaching newly licensed nurses about vancomycin-resistant enterococci (VRE) infection.
Which of the following information should be included?
A. VRE is transmitted through the air by coughing and sneezing.
B. VRE infection requires health care workers to wear an N95 respirator.
C. VRE infection is treated with vancomycin antibiotics.
✓ D. VRE is a common cause of health care-associated infections.
✓ Correct Answer: D
VRE is indeed a common healthcare-associated infection (HAI), especially in ICUs and immunocompromised clients. VRE is
transmitted by CONTACT — requires gown and gloves (contact precautions), not N95. VRE is RESISTANT to vancomycin by
definition; alternative agents (linezolid, daptomycin) are used instead.
,Question: (Brachytherapy) RN VATI Comprehensive Predictor
A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical
cancer. Which of the following actions should the nurse take?
A. Keep the client's door open as much as possible.
B. Instruct the client to keep a 3 ft distance from visitors.
✓ C. Maintain the client on bed rest for 72 hr.
D. Wear a dosimeter badge while caring for the client.
✓ Correct Answer: C
For sealed internal radiation (brachytherapy), the client must remain on strict bed rest to prevent implant dislodgement. The door
should remain CLOSED. Visitors should keep 6 feet of distance (not 3 ft) and limit visit time. The nurse should wear a dosimeter
AND lead shielding. Bed rest to prevent displacement is the most critical nursing action.
,Question: (Bronchoscopy Hot Spot) RN VATI Comprehensive Predictor
A nurse is caring for a client who is recovering from a bronchoscopy. Select the area the nurse should assess
before giving the client ice chips or fluids.
✓ A. Throat — assess return of gag reflex
B. Head
C. Chest/lungs
D. Abdomen
✓ Correct Answer: A
After bronchoscopy, a topical anesthetic is applied to the throat. The nurse MUST confirm the gag reflex has returned before
offering any oral intake to prevent aspiration. The gag reflex is typically absent for 2-4 hours post-procedure. The throat/laryngeal
area (hot spot A) is the correct assessment site.
, Practice Q1 RN VATI Comprehensive Predictor
A nurse is caring for a client with chronic kidney disease (CKD). Which laboratory value requires the most
immediate intervention?
A. Serum creatinine 3.2 mg/dL
✓ B. Serum potassium 6.8 mEq/L
C. BUN 45 mg/dL
D. Hemoglobin 9 g/dL
✓ Correct Answer: B
A potassium of 6.8 mEq/L is critically elevated and poses immediate risk of fatal cardiac arrhythmias. Elevated creatinine and BUN
are expected in CKD. Mild anemia (Hgb 9) is common but not immediately life-threatening.
