RN VATI COMPREHENSIVE FINAL
EXAM QUESTIONS AND VERIFIED
ANSWERS | 100% CORRECT | GRADE A+
1. A nurse is assessing a client who has a diagnosis of schizophrenia and is taking clozapine.
Which of the following findings should the nurse identify as a priority?
A. Weight gain of 2.2 kg (4.8 lb) in one month
B. Dry mouth and blurred vision
C. Temperature of 38.9°C (102°F)
D. Report of orthostatic hypotension
Answer: C
Conceptual Explanation: A high temperature can indicate agranulocytosis or neuroleptic
malignant syndrome, both of which are life-threatening adverse effects of clozapine.
Immediate intervention is required.
2. A nurse in the emergency department is triaging four clients. Which of the following clients
should the nurse recommend for treatment first?
A. A client who reports epigastric pain and diaphoresis
B. A client who has a 2-cm laceration to the forearm
C. A client who has a temperature of 39.1°C (102.4°F) and a productive cough
,D. A client who has a closed fracture of the right tibia
Answer: A
Conceptual Explanation: Epigastric pain and diaphoresis are clinical manifestations of a
myocardial infarction. Following the ABC framework, this client is the highest priority.
3. A nurse is caring for a client who is at 32 weeks of gestation and has a prescription for
magnesium sulfate IV. Which of the following findings should the nurse report to the
provider?
A. Deep tendon reflexes 2+
B. Urine output 20 mL/hr
C. Respiratory rate 14/min
D. Serum magnesium level 6 mEq/L
Answer: B
Conceptual Explanation: Urine output less than 30 mL/hr is a sign of magnesium toxicity
as the medication is excreted by the kidneys. Other signs include decreased DTRs and
respiratory depression.
4. A nurse is planning care for a client who is post-operative following a total hip arthroplasty.
Which of the following interventions should the nurse include?
A. Position a pillow between the client’s legs when turning
B. Maintain the client’s hip in a flexed position of 100 degrees
, C. Instruct the client to cross their legs when sitting
D. Place the client in a high-Fowler’s position for meals
Answer: A
Conceptual Explanation: An abduction pillow or regular pillows should be placed
between the legs to prevent adduction, which could lead to hip dislocation.
5. A nurse is reviewing the laboratory results for a client who has Addison’s disease. Which of
the following results should the nurse expect?
A. Sodium 148 mEq/L
B. Glucose 120 mg/dL
C. Potassium 5.4 mEq/L
D. Calcium 8.5 mg/dL
Answer: C
Conceptual Explanation: Addison’s disease involves adrenal insufficiency, leading to
hyponatremia, hyperkalemia, and hypoglycemia.
6. A nurse is teaching a client who has a new prescription for lithium carbonate. Which of the
following statements by the client indicates an understanding of the teaching?
A. I will drink 2 to 3 liters of fluid each day
B. I will limit my salt intake to 1 gram per day
C. I will take this medication on an empty stomach
EXAM QUESTIONS AND VERIFIED
ANSWERS | 100% CORRECT | GRADE A+
1. A nurse is assessing a client who has a diagnosis of schizophrenia and is taking clozapine.
Which of the following findings should the nurse identify as a priority?
A. Weight gain of 2.2 kg (4.8 lb) in one month
B. Dry mouth and blurred vision
C. Temperature of 38.9°C (102°F)
D. Report of orthostatic hypotension
Answer: C
Conceptual Explanation: A high temperature can indicate agranulocytosis or neuroleptic
malignant syndrome, both of which are life-threatening adverse effects of clozapine.
Immediate intervention is required.
2. A nurse in the emergency department is triaging four clients. Which of the following clients
should the nurse recommend for treatment first?
A. A client who reports epigastric pain and diaphoresis
B. A client who has a 2-cm laceration to the forearm
C. A client who has a temperature of 39.1°C (102.4°F) and a productive cough
,D. A client who has a closed fracture of the right tibia
Answer: A
Conceptual Explanation: Epigastric pain and diaphoresis are clinical manifestations of a
myocardial infarction. Following the ABC framework, this client is the highest priority.
3. A nurse is caring for a client who is at 32 weeks of gestation and has a prescription for
magnesium sulfate IV. Which of the following findings should the nurse report to the
provider?
A. Deep tendon reflexes 2+
B. Urine output 20 mL/hr
C. Respiratory rate 14/min
D. Serum magnesium level 6 mEq/L
Answer: B
Conceptual Explanation: Urine output less than 30 mL/hr is a sign of magnesium toxicity
as the medication is excreted by the kidneys. Other signs include decreased DTRs and
respiratory depression.
4. A nurse is planning care for a client who is post-operative following a total hip arthroplasty.
Which of the following interventions should the nurse include?
A. Position a pillow between the client’s legs when turning
B. Maintain the client’s hip in a flexed position of 100 degrees
, C. Instruct the client to cross their legs when sitting
D. Place the client in a high-Fowler’s position for meals
Answer: A
Conceptual Explanation: An abduction pillow or regular pillows should be placed
between the legs to prevent adduction, which could lead to hip dislocation.
5. A nurse is reviewing the laboratory results for a client who has Addison’s disease. Which of
the following results should the nurse expect?
A. Sodium 148 mEq/L
B. Glucose 120 mg/dL
C. Potassium 5.4 mEq/L
D. Calcium 8.5 mg/dL
Answer: C
Conceptual Explanation: Addison’s disease involves adrenal insufficiency, leading to
hyponatremia, hyperkalemia, and hypoglycemia.
6. A nurse is teaching a client who has a new prescription for lithium carbonate. Which of the
following statements by the client indicates an understanding of the teaching?
A. I will drink 2 to 3 liters of fluid each day
B. I will limit my salt intake to 1 gram per day
C. I will take this medication on an empty stomach
