RN VATI COMPREHENSIVE EXAM
STUDY GUIDE QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A nurse is delegating tasks to an Assistive Personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Evaluating the effectiveness of a client’s new blood pressure medication
B. Providing discharge teaching to a client who had a laparoscopic cholecystectomy
C. Performing the initial admission assessment for a client arriving from the ER
D. Assisting a client who is 2 days postoperative to ambulate in the hallway
Answer: D
Conceptual Explanation: RNs are responsible for assessment, teaching, and evaluation.
Assisting a stable client with ambulation is a task within the scope of practice for an AP.
2. A nurse is caring for a client who is receiving a continuous intravenous infusion of
magnesium sulfate for preeclampsia. Which of the following findings should the nurse
identify as a sign of magnesium toxicity?
A. Hyperreflexive deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
,C. Urine output of 40 mL per hour
D. Blood pressure of 150/95 mmHg
Answer: B
Conceptual Explanation: Signs of magnesium toxicity include respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urine output (less than 30
mL/hr).
3. A nurse is monitoring a client who has a prescription for lithium carbonate for bipolar
disorder. Which of the following findings should the nurse report to the provider as an early
sign of lithium toxicity?
A. Coarse hand tremors
B. Increased appetite
C. Urinary retention
D. Weight gain of 2 lbs
Answer: A
Conceptual Explanation: Coarse hand tremors, persistent gastrointestinal upset, and
mental confusion are early signs of lithium toxicity. Fine tremors are a common side effect,
but coarse tremors indicate toxicity.
, 4. A nurse is caring for a child who has epiglottitis. Which of the following actions should the
nurse take first?
A. Obtain a throat culture to identify the causative organism
B. Initiate an IV line for antibiotic administration
C. Prepare for emergency endotracheal intubation
D. Apply a warm compress to the child’s neck
Answer: C
Conceptual Explanation: Epiglottitis is a medical emergency that can lead to airway
obstruction. Airway maintenance is the priority. Throat cultures are contraindicated
because they can trigger laryngospasm.
5. A nurse is assessing a client who has hyperthyroidism (Grave’s disease). Which of the
following findings should the nurse expect?
A. Exophthalmos
B. Cold intolerance
C. Bradycardia
D. Weight gain
Answer: A
Conceptual Explanation: Exophthalmos (bulging eyes) is a classic sign of Grave’s disease
due to edema in the extraocular muscles and increased fatty tissue behind the eyes.
STUDY GUIDE QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A nurse is delegating tasks to an Assistive Personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Evaluating the effectiveness of a client’s new blood pressure medication
B. Providing discharge teaching to a client who had a laparoscopic cholecystectomy
C. Performing the initial admission assessment for a client arriving from the ER
D. Assisting a client who is 2 days postoperative to ambulate in the hallway
Answer: D
Conceptual Explanation: RNs are responsible for assessment, teaching, and evaluation.
Assisting a stable client with ambulation is a task within the scope of practice for an AP.
2. A nurse is caring for a client who is receiving a continuous intravenous infusion of
magnesium sulfate for preeclampsia. Which of the following findings should the nurse
identify as a sign of magnesium toxicity?
A. Hyperreflexive deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
,C. Urine output of 40 mL per hour
D. Blood pressure of 150/95 mmHg
Answer: B
Conceptual Explanation: Signs of magnesium toxicity include respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urine output (less than 30
mL/hr).
3. A nurse is monitoring a client who has a prescription for lithium carbonate for bipolar
disorder. Which of the following findings should the nurse report to the provider as an early
sign of lithium toxicity?
A. Coarse hand tremors
B. Increased appetite
C. Urinary retention
D. Weight gain of 2 lbs
Answer: A
Conceptual Explanation: Coarse hand tremors, persistent gastrointestinal upset, and
mental confusion are early signs of lithium toxicity. Fine tremors are a common side effect,
but coarse tremors indicate toxicity.
, 4. A nurse is caring for a child who has epiglottitis. Which of the following actions should the
nurse take first?
A. Obtain a throat culture to identify the causative organism
B. Initiate an IV line for antibiotic administration
C. Prepare for emergency endotracheal intubation
D. Apply a warm compress to the child’s neck
Answer: C
Conceptual Explanation: Epiglottitis is a medical emergency that can lead to airway
obstruction. Airway maintenance is the priority. Throat cultures are contraindicated
because they can trigger laryngospasm.
5. A nurse is assessing a client who has hyperthyroidism (Grave’s disease). Which of the
following findings should the nurse expect?
A. Exophthalmos
B. Cold intolerance
C. Bradycardia
D. Weight gain
Answer: A
Conceptual Explanation: Exophthalmos (bulging eyes) is a classic sign of Grave’s disease
due to edema in the extraocular muscles and increased fatty tissue behind the eyes.
