VATI Fundamentals Pre-Assessment Exam (Latest Update
) | Review Questions and Verified Answers |
100% Correct | Grade A
A nurse is developing a plan of care for a client who is postoperative. Which of the
following interventions should the nurse include in the plan of prevent pulmonary
complications?
A. Perform ROM exercises
B. Place suction equipment at the bedside
C. Encourage the use of an incentive spirometer
D. Administer an expectorant
- ANS -C. Encourage the use of an incentive spirometer.
Incentive spirometry expands the lungs and promotes gas exchange after surgery
which can help prevent pulmonary complications.
A. This is not indicated to prevent pulmonary complications, but early ambulation
is helpful to promote lung expansion and remove secretions.
B. Suction equipment should be readily available if needed, but its presence does
not prevent pulmonary complications.
D. Administering an expectorant is not indicated to prevent pulmonary
complications, but the nurse should encourage the client to cough and deep
breathe.
A nurse is providing teaching to a client who has a new colostomy. Which of the
following information should the nurse include in the teaching?
A. "You can expect fecal output within 24 hours."
B. "You will need to increase your dietary intake of raw vegetables."
C. "You can expect the stoma to be purplish in color for the first week."
D. "You may experience a small amount of bleeding around the stoma."
- ANS -D. "You may experience a small amount of bleeding around the stoma."
A small amount of bleeding around the stoma and its stem can occur. However,
the client should report an increase in bleeding to the surgeon.
A. The client should expect fecal output from the colostomy stoma in 2 to 3 days.
,B. Many raw vegetables, such as onions, cucumbers, mushrooms, broccoli,
cabbage, and cauliflower, increase gas and odor. The client should limit or avoid
consuming these foods.
C. A stoma that deepens in color to a purplish hue can indicate ischemia. The
client should report this finding to the surgeon.
A nurse is teaching a client who reports insomnia about promoting rest and sleep.
Which of the following statements should the nurse identify as an indication that
the client understands the instructions?
A. "I will walk briskly for 30 minutes before bedtime."
B. "I will no longer have a glass of wine before bedtime."
C. "I will have a cup of hot cocoa immediately before bedtime."
D. "I will do my muscle relaxation techniques each afternoon."
- ANS -B. "I will no longer have a glass of wine before bedtime."
The client should limit or avoid alcohol consumption in the late afternoon and
evening. Alcohol can act as a diuretic and cause the client to wake during sleeping
hours to urinate. Alcohol also interrupts the sleep cycle and can make it difficult
to stay asleep or return to sleep after awakening.
A. The client should avoid exercising right before bedtime because this can
stimulate him rather than relax him. If the client wants to exercise in the evening,
it should be at least 2 to 3 hr before bedtime, so that the body has time to cool
down and maintain a state of fatigue that promotes relaxation.
C. The client should limit or avoid caffeine consumption before bedtime. Caffeine
can act as a diuretic and cause the client to wake during sleeping hours to urinate.
D. Muscle relaxation helps release tension. Stress can make the client have
difficulty falling asleep, awaken periodically during the sleep cycle, and sleep too
much without adequately resting. The client should perform relaxation exercises
at bedtime to promote sleep.
A nurse is providing teaching for a client who is preparing for a below the knee
amputation. Which of the following statements is true regarding the
postoperative placement of prosthesis?
A. "You will do special exercises in advance of getting your prosthesis."
B. "You will be fitted for your prosthesis at the time of surgery."
C. "A special pressure dressing will remain on to cushion your prosthesis."
D. "The prosthesis will be adjustable depending on what shoe you are wearing."
, - ANS -A. "You will do special exercises in advance of getting your prosthesis."
The physical therapist will teach muscle strengthening exercises to prepare the
client for prosthesis use.
B. Some clients are fitted at the time of surgery with a prosthesis, but it is
temporary. Most clients are fitted for their prosthesis after the residual limb has
healed.
C. Special dressings or devices are used to shape and shrink the residual limb to fit
the prosthesis but they do not remain on after the limb has healed.
D. The client should bring a pair of shoes to the fitting so measurements can be
made and the length adjusted to that heel height, but the prosthesis will then be
permanently structured and not adjustable.
A nurse is teaching a newly hired group of assistive personnel (AP) about
infection-control measures on the unit. It is crucial for the nurse to remind the
APs that which of the following is the most effective way to prevent the spread of
pathogens during client care?
A. Properly disposing of contained equipment
B. Discarding used syringes in appropriate containers
C. Changing soiled linens daily for clients who have draining wounds
D. Performing hand hygiene frequently and consistently
- ANS -D. Performing hand hygiene frequently and consistently
The greatest risk to all clients and staff on the unit is infection from cross
contamination; therefore, the priority action is hand hygiene. It is one of the most
important and effective ways to prevent pathogen transmission. It applies to
every health care setting and is a consistent imperative during client care.
A. Some clients and staff are at risk for infection from improper disposal of
contaminated equipment; however, another action is the priority.
B. Some clients and staff are at risk for infection from improper discarding of used
syringes; however, another action is the priority.
C. Some clients and staff are at risk for infection from soiled linens; however,
another action is the priority.
A nurse is teaching a group of teenage clients about the use of condoms for the
prevention of sexually transmitted infections (STIs). Which of the following
statements should the nurse include in the teaching?
) | Review Questions and Verified Answers |
100% Correct | Grade A
A nurse is developing a plan of care for a client who is postoperative. Which of the
following interventions should the nurse include in the plan of prevent pulmonary
complications?
A. Perform ROM exercises
B. Place suction equipment at the bedside
C. Encourage the use of an incentive spirometer
D. Administer an expectorant
- ANS -C. Encourage the use of an incentive spirometer.
Incentive spirometry expands the lungs and promotes gas exchange after surgery
which can help prevent pulmonary complications.
A. This is not indicated to prevent pulmonary complications, but early ambulation
is helpful to promote lung expansion and remove secretions.
B. Suction equipment should be readily available if needed, but its presence does
not prevent pulmonary complications.
D. Administering an expectorant is not indicated to prevent pulmonary
complications, but the nurse should encourage the client to cough and deep
breathe.
A nurse is providing teaching to a client who has a new colostomy. Which of the
following information should the nurse include in the teaching?
A. "You can expect fecal output within 24 hours."
B. "You will need to increase your dietary intake of raw vegetables."
C. "You can expect the stoma to be purplish in color for the first week."
D. "You may experience a small amount of bleeding around the stoma."
- ANS -D. "You may experience a small amount of bleeding around the stoma."
A small amount of bleeding around the stoma and its stem can occur. However,
the client should report an increase in bleeding to the surgeon.
A. The client should expect fecal output from the colostomy stoma in 2 to 3 days.
,B. Many raw vegetables, such as onions, cucumbers, mushrooms, broccoli,
cabbage, and cauliflower, increase gas and odor. The client should limit or avoid
consuming these foods.
C. A stoma that deepens in color to a purplish hue can indicate ischemia. The
client should report this finding to the surgeon.
A nurse is teaching a client who reports insomnia about promoting rest and sleep.
Which of the following statements should the nurse identify as an indication that
the client understands the instructions?
A. "I will walk briskly for 30 minutes before bedtime."
B. "I will no longer have a glass of wine before bedtime."
C. "I will have a cup of hot cocoa immediately before bedtime."
D. "I will do my muscle relaxation techniques each afternoon."
- ANS -B. "I will no longer have a glass of wine before bedtime."
The client should limit or avoid alcohol consumption in the late afternoon and
evening. Alcohol can act as a diuretic and cause the client to wake during sleeping
hours to urinate. Alcohol also interrupts the sleep cycle and can make it difficult
to stay asleep or return to sleep after awakening.
A. The client should avoid exercising right before bedtime because this can
stimulate him rather than relax him. If the client wants to exercise in the evening,
it should be at least 2 to 3 hr before bedtime, so that the body has time to cool
down and maintain a state of fatigue that promotes relaxation.
C. The client should limit or avoid caffeine consumption before bedtime. Caffeine
can act as a diuretic and cause the client to wake during sleeping hours to urinate.
D. Muscle relaxation helps release tension. Stress can make the client have
difficulty falling asleep, awaken periodically during the sleep cycle, and sleep too
much without adequately resting. The client should perform relaxation exercises
at bedtime to promote sleep.
A nurse is providing teaching for a client who is preparing for a below the knee
amputation. Which of the following statements is true regarding the
postoperative placement of prosthesis?
A. "You will do special exercises in advance of getting your prosthesis."
B. "You will be fitted for your prosthesis at the time of surgery."
C. "A special pressure dressing will remain on to cushion your prosthesis."
D. "The prosthesis will be adjustable depending on what shoe you are wearing."
, - ANS -A. "You will do special exercises in advance of getting your prosthesis."
The physical therapist will teach muscle strengthening exercises to prepare the
client for prosthesis use.
B. Some clients are fitted at the time of surgery with a prosthesis, but it is
temporary. Most clients are fitted for their prosthesis after the residual limb has
healed.
C. Special dressings or devices are used to shape and shrink the residual limb to fit
the prosthesis but they do not remain on after the limb has healed.
D. The client should bring a pair of shoes to the fitting so measurements can be
made and the length adjusted to that heel height, but the prosthesis will then be
permanently structured and not adjustable.
A nurse is teaching a newly hired group of assistive personnel (AP) about
infection-control measures on the unit. It is crucial for the nurse to remind the
APs that which of the following is the most effective way to prevent the spread of
pathogens during client care?
A. Properly disposing of contained equipment
B. Discarding used syringes in appropriate containers
C. Changing soiled linens daily for clients who have draining wounds
D. Performing hand hygiene frequently and consistently
- ANS -D. Performing hand hygiene frequently and consistently
The greatest risk to all clients and staff on the unit is infection from cross
contamination; therefore, the priority action is hand hygiene. It is one of the most
important and effective ways to prevent pathogen transmission. It applies to
every health care setting and is a consistent imperative during client care.
A. Some clients and staff are at risk for infection from improper disposal of
contaminated equipment; however, another action is the priority.
B. Some clients and staff are at risk for infection from improper discarding of used
syringes; however, another action is the priority.
C. Some clients and staff are at risk for infection from soiled linens; however,
another action is the priority.
A nurse is teaching a group of teenage clients about the use of condoms for the
prevention of sexually transmitted infections (STIs). Which of the following
statements should the nurse include in the teaching?
