VATI RN Comprehensive
Predictor Exam Questions With
Correct Answers
.Aortic stenosis - Answer-A narrowing of the aortic valve ●INFANTS: Faint pulses, hypotension, tachycardia,
poor feeding tolerance ●CHILDREN: Intolerance to exercise, dizziness, chest pain, possible ejection murmur
.Care of the Body - Answer-Provide care with respect and compassion while attending to the desires of the
client and family per their cultural, religious, and social practices. Check the client's religion and make attempts
to comply. Recognize that the provider certifies death by pronouncing the time and documenting therapies
used, and actions taken prior to the death. Elevate the client's head to prevent facial discoloration by raising
the head of the bed and placing a pillow under the head and shoulders. Do this as soon as possible after the
client's death.
.Clients who have atrial fibrillation of unknown duration must receive adequate - Answer-anticoagulation for 4
to 6 weeks prior to cardioversion therapy to prevent dislodgment of thrombi into the bloodstream.
.Coarctation of the aorta (20.3) - Answer-A narrowing of the lumen of the aorta, usually at or near the ductus
arteriosus, that results in obstruction of blood flow from the ventricle ●Elevated blood pressure in the arms
●Bounding pulses in the upper extremities ●Decreased blood pressure in the lower extremities ●Cool skin of
lower extremities ●Weak or absent femoral pulses ●Heart failure in infants ●Dizziness, headaches, fainting,
or nosebleeds in older children
.Communicating with clients who have limited English proficiency - Answer-Use gestures to increase
understanding, recalling the client's nonverbal communication values. ●Speak slowly at normal volume,
avoiding abbreviations and slang. Use layman's terminology. ●Determine client understanding throughout the
conversation. Smiling and nodding can be demonstrations of respect, not understanding. ●Use printed
materials suited to the client's level of understanding.
, .CULTURAL APPROPRIATENESS - Answer-means that nurses apply their knowledge of a client's culture to their
care delivery.
.CULTURAL IMPOSITION - Answer-is similar to ethnocentrism and occurs when a nurse imposes the rules of
their culture onto another person. This is sometimes referred to a cultural blindness.
.Cultural Sensitivity - Answer-means that nurses are knowledgeable about the cultures prevalent in their area
of practice.
.CULTURALLY COMPETENCE - Answer-means that nurses understand and address the entire cultural context of
each client within the realm of the care they deliver. Competence is developed over a lifetime as the nurse
continues to attain knowledge and develop cultural skill through varied client encounters.
.Defects that increase pulmonary blood flow - Answer-Ventricular septal defect (VSD) (20.1) Atrial septal defect
(ASD), Patent ductus arteriosus (PDA),
.Defects that increase pulmonary blood flow Atrial septal defect (ASD) - Answer-A hole in the septum between
the right and left atria that results in increased pulmonary blood flow (left-to-right shunt) ●Loud, harsh
murmur with a fixed split second heart sound ●Heart failure ●Asymptomatic (possibly)
.Defects that increase pulmonary blood flow Patent ductus arteriosus (PDA) - Answer-A condition in which the
normal fetal circulation conduit between the pulmonary artery and the aorta fails to close and results in
increased pulmonary blood flow (left-to-right shunt) ●Systolic murmur (machine hum) ●Wide pulse pressure
●Bounding pulses ●Asymptomatic (possibly) ●Heart failure ●Rales
.Defects that increase pulmonary blood flow Ventricular septal defect (VSD) - Answer-_______ A hole in the
septum between the right and left ventricle that results in increased pulmonary blood flow (left-to-right shunt)
●Loud, harsh murmur auscultated at the left sternal border ●Heart failure ●Many VSDs close spontaneously
early in life.
.Dietary for renal failure - Answer-It is always important to assess daily weights, I &O, and ensuring fluid
restrictions are followed in the event that one is in place. Constipation may also need to be watched for as fluid
restriction can increase this problem. Protein restrictions need to be in place as this will help slow the
Predictor Exam Questions With
Correct Answers
.Aortic stenosis - Answer-A narrowing of the aortic valve ●INFANTS: Faint pulses, hypotension, tachycardia,
poor feeding tolerance ●CHILDREN: Intolerance to exercise, dizziness, chest pain, possible ejection murmur
.Care of the Body - Answer-Provide care with respect and compassion while attending to the desires of the
client and family per their cultural, religious, and social practices. Check the client's religion and make attempts
to comply. Recognize that the provider certifies death by pronouncing the time and documenting therapies
used, and actions taken prior to the death. Elevate the client's head to prevent facial discoloration by raising
the head of the bed and placing a pillow under the head and shoulders. Do this as soon as possible after the
client's death.
.Clients who have atrial fibrillation of unknown duration must receive adequate - Answer-anticoagulation for 4
to 6 weeks prior to cardioversion therapy to prevent dislodgment of thrombi into the bloodstream.
.Coarctation of the aorta (20.3) - Answer-A narrowing of the lumen of the aorta, usually at or near the ductus
arteriosus, that results in obstruction of blood flow from the ventricle ●Elevated blood pressure in the arms
●Bounding pulses in the upper extremities ●Decreased blood pressure in the lower extremities ●Cool skin of
lower extremities ●Weak or absent femoral pulses ●Heart failure in infants ●Dizziness, headaches, fainting,
or nosebleeds in older children
.Communicating with clients who have limited English proficiency - Answer-Use gestures to increase
understanding, recalling the client's nonverbal communication values. ●Speak slowly at normal volume,
avoiding abbreviations and slang. Use layman's terminology. ●Determine client understanding throughout the
conversation. Smiling and nodding can be demonstrations of respect, not understanding. ●Use printed
materials suited to the client's level of understanding.
, .CULTURAL APPROPRIATENESS - Answer-means that nurses apply their knowledge of a client's culture to their
care delivery.
.CULTURAL IMPOSITION - Answer-is similar to ethnocentrism and occurs when a nurse imposes the rules of
their culture onto another person. This is sometimes referred to a cultural blindness.
.Cultural Sensitivity - Answer-means that nurses are knowledgeable about the cultures prevalent in their area
of practice.
.CULTURALLY COMPETENCE - Answer-means that nurses understand and address the entire cultural context of
each client within the realm of the care they deliver. Competence is developed over a lifetime as the nurse
continues to attain knowledge and develop cultural skill through varied client encounters.
.Defects that increase pulmonary blood flow - Answer-Ventricular septal defect (VSD) (20.1) Atrial septal defect
(ASD), Patent ductus arteriosus (PDA),
.Defects that increase pulmonary blood flow Atrial septal defect (ASD) - Answer-A hole in the septum between
the right and left atria that results in increased pulmonary blood flow (left-to-right shunt) ●Loud, harsh
murmur with a fixed split second heart sound ●Heart failure ●Asymptomatic (possibly)
.Defects that increase pulmonary blood flow Patent ductus arteriosus (PDA) - Answer-A condition in which the
normal fetal circulation conduit between the pulmonary artery and the aorta fails to close and results in
increased pulmonary blood flow (left-to-right shunt) ●Systolic murmur (machine hum) ●Wide pulse pressure
●Bounding pulses ●Asymptomatic (possibly) ●Heart failure ●Rales
.Defects that increase pulmonary blood flow Ventricular septal defect (VSD) - Answer-_______ A hole in the
septum between the right and left ventricle that results in increased pulmonary blood flow (left-to-right shunt)
●Loud, harsh murmur auscultated at the left sternal border ●Heart failure ●Many VSDs close spontaneously
early in life.
.Dietary for renal failure - Answer-It is always important to assess daily weights, I &O, and ensuring fluid
restrictions are followed in the event that one is in place. Constipation may also need to be watched for as fluid
restriction can increase this problem. Protein restrictions need to be in place as this will help slow the
