RN VATI COMPREHENSIVE PREDICTOR REVIEW QUESTION SET
WITH ACCURATE ANSWERS
◉ A nurse is checking laboratory results for a client. Which of the following laboratory findings
indicates hypervolemia?
A. Serum calcium 10 mg/dL
B. Urine specific gravity 1.001 (1.003-1.030)
C. Serum sodium 138 mEq/L
D. Urine pH 6
Answer: B. Urine specific gravity 1.001 (1.003-1.030)
◉ A nurse is teaching the guardian of an infant who has developmental dysplasia of the hip about a
Pavlik harness. Which of the following instructions should the nurse include?
,A. Adjust the straps on the harness once per week
B. Use only ultra-thin diapers applied over the straps
C. Maintain the child in a prone position while the harness is in place
D. Gently massage the skin under the straps once per day
Answer: D. Gently massage the skin under the straps once per day
◉ A nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should
recognize that the teaching has been effective when the client states,
A. My stoma size will stay the same, even after it has healed
B. My stoma will drain liquid fluid continuously
C. I will change my pouch system every 2 weeks
D. I will ensure that my medications are enteric coated
Answer: B. My stoma will drain liquid fluid continuously
◉ A nurse is planning care for a client who is postoperative following creation of an arteriovenous
fistula in the left arm. Which of the following actions should the nurse include in the plan?
,A. Auscultate the client's left arm for a bruit every 4 hr
B. Compare blood pressure in both arms every 2 hr
C. Instruct the client to keep the left arm in a dependent position
D. Encourage the client to restrict movement of the left arm
Answer: A. Auscultate the client's left arm for a bruit every 4 hr
◉ A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to
administering the first dose, which of the following laboratory values should the nurse evaluate?
A. Arterial blood gases
B. Total cholesterol
C. Thyroid hormones
D. Hemoglobin
Answer: C. Thyroid hormones
◉ A nurse is caring for an infant who is being treated for dehydration. Which of the following findings
indicates the treatment is effective?
, A. Flat anterior fontanel
B. Oliguria
C. Oral intake of 4 oz every 3 hr
D. Capillary refill 4 seconds
Answer: A. Flat anterior fontanel
◉ A nurse is receiving report on four clients. Which of the following clients should the nurse assess
first?
A. A client who has an ileal conduit and mucus in the pouch
B. A client who has an arteriovenous fistula that vibrates when palpated
C. A client who had a transurethral resection of the prostate with red-tinged urine in the bag
D. A client who has chronic kidney disease with cloudy dialysate outflow
Answer: D. A client who has chronic kidney disease with cloudy dialysate outflow
◉ A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following
findings requires interventions by the nurse?
WITH ACCURATE ANSWERS
◉ A nurse is checking laboratory results for a client. Which of the following laboratory findings
indicates hypervolemia?
A. Serum calcium 10 mg/dL
B. Urine specific gravity 1.001 (1.003-1.030)
C. Serum sodium 138 mEq/L
D. Urine pH 6
Answer: B. Urine specific gravity 1.001 (1.003-1.030)
◉ A nurse is teaching the guardian of an infant who has developmental dysplasia of the hip about a
Pavlik harness. Which of the following instructions should the nurse include?
,A. Adjust the straps on the harness once per week
B. Use only ultra-thin diapers applied over the straps
C. Maintain the child in a prone position while the harness is in place
D. Gently massage the skin under the straps once per day
Answer: D. Gently massage the skin under the straps once per day
◉ A nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should
recognize that the teaching has been effective when the client states,
A. My stoma size will stay the same, even after it has healed
B. My stoma will drain liquid fluid continuously
C. I will change my pouch system every 2 weeks
D. I will ensure that my medications are enteric coated
Answer: B. My stoma will drain liquid fluid continuously
◉ A nurse is planning care for a client who is postoperative following creation of an arteriovenous
fistula in the left arm. Which of the following actions should the nurse include in the plan?
,A. Auscultate the client's left arm for a bruit every 4 hr
B. Compare blood pressure in both arms every 2 hr
C. Instruct the client to keep the left arm in a dependent position
D. Encourage the client to restrict movement of the left arm
Answer: A. Auscultate the client's left arm for a bruit every 4 hr
◉ A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to
administering the first dose, which of the following laboratory values should the nurse evaluate?
A. Arterial blood gases
B. Total cholesterol
C. Thyroid hormones
D. Hemoglobin
Answer: C. Thyroid hormones
◉ A nurse is caring for an infant who is being treated for dehydration. Which of the following findings
indicates the treatment is effective?
, A. Flat anterior fontanel
B. Oliguria
C. Oral intake of 4 oz every 3 hr
D. Capillary refill 4 seconds
Answer: A. Flat anterior fontanel
◉ A nurse is receiving report on four clients. Which of the following clients should the nurse assess
first?
A. A client who has an ileal conduit and mucus in the pouch
B. A client who has an arteriovenous fistula that vibrates when palpated
C. A client who had a transurethral resection of the prostate with red-tinged urine in the bag
D. A client who has chronic kidney disease with cloudy dialysate outflow
Answer: D. A client who has chronic kidney disease with cloudy dialysate outflow
◉ A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following
findings requires interventions by the nurse?
