VATI LEADERSHIP EXAM QUESTIONS WITH CORRECT
ANSWERS 2025.
1) A nurse is preparing a client who speaks limited English for surgery. What is the most
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_appropriate nursing action in obtaining informed consent from this client? -- Answer
_ _ _ _ _ _ _ _ _ _ _ _
✔✔ Seek the assistance of a nurse on the floor who is fluent in the client's language
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(nurse is responsible for ensuring client understands information regarding
_ _ _ _ _ _ _ _ _
procedure)
2) What is the focus of the agency for Healthcare Research and Quality? -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
To improve quality of health care services for all populations, including low-income
_ _ _ _ _ _ _ _ _ _ _ _
groups and minorities _ _
3) What is the focus of the National Institutes of Health? -- Answer ✔✔ Biomedical
_ _ _ _ _ _ _ _ _ _ _ _ _ _
research to improve the prevention, diagnosis, and treatment of specific diseases
_ _ _ _ _ _ _ _ _ _
4) A nurse is caring for a school-age child who is taking valproic acid. The nurse should
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
expect the provider to order what test? -- Answer ✔✔ Serum enzyme levels b/c
_ _ _ _ _ _ _ _ _ _ _ _ _ _
valproic acid can cause hepatic toxicity
_ _ _ _ _
5) What should the nurse instruct a client when preparing for a thoracentesis? --
_ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Avoid coughing during procedure and lie still to avoid puncturing the
_ _ _ _ _ _ _ _ _ _ _ _ _
pleura
6) What is pleurisy (pleuritis)? -- Answer ✔✔ inflammation of the pleura
_ _ _ _ _ _ _ _ _ _
7) What is ginger tea used for in pregnant women? -- Answer ✔✔ Decreasing episodes
_ _ _ _ _ _ _ _ _ _ _ _ _ _
of nausea
_
,8) A nurse is preparing to administer an IM injection to a client who is obese. What
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
action should the nurse take? -- Answer ✔✔ Use the ventrogluteal site because it has
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
a thick area of muscle
_ _ _ _
9) What does a sudden relief of pain in a client scheduled for an appendectomy indicate?
_ _ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔ Peritonitis from a ruptured appendix
_ _ _ _ _ _ _ _
10) A nurse is teaching about adverse effects to a client starting captopril. What adverse
_ _ _ _ _ _ _ _ _ _ _ _ _ _
effect should be reported to provider? -- Answer ✔✔ Cough, develops d/t buildup of
_ _ _ _ _ _ _ _ _ _ _ _ _ _
bradykinin in lungs _ _
11) A nurse is caring for a client who has a Mg level of 2.7 mEq/L. What intervention
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
should the nurse do? -- Answer ✔✔ Initiate continuous cardiac monitoring b/c client
_ _ _ _ _ _ _ _ _ _ _ _ _
is hypermagnesemia and at risk for cardiac dysrhythmias
_ _ _ _ _ _ _
12) What type of thyroidism are tremors a manifestation of? -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _
Hyperthyroidism
13) What is dry, coarse hair a manifestation of? -- Answer ✔✔ hypothyroidism
_ _ _ _ _ _ _ _ _ _ _
14) What is periorbital edema a manifestation of? -- Answer ✔✔ hypothyroidism
_ _ _ _ _ _ _ _ _ _
15) A nurse is planning care for a client who has RA and has moderate-severe pain in
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
multiple joints. What actions should the nurse take? -- Answer ✔✔ -Take frequent
_ _ _ _ _ _ _ _ _ _ _ _ _
rest periods throughout day (while also exercising regularly to maintain muscle
_ _ _ _ _ _ _ _ _ _ _
strength, joint function, and ROM) _ _ _ _
-Use ice to reduce inflammation and pain
_ _ _ _ _ _
16) What is the expected reference range for urine osmolality? -- Answer ✔✔ 50-1200
_ _ _ _ _ _ _ _ _ _ _ _ _
mOsm/kg
17) A nurse is preparing to teach about dietary management to a client who has Crohn's
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
disease and an enteroenteric fistula. What nutrient should the nurse tell the client to
_ _ _ _ _ _ _ _ _ _ _ _ _ _
decrease in diet? -- Answer ✔✔ Fiber. To help reduce diarrhea and inflammation
_ _ _ _ _ _ _ _ _ _ _ _
, 18) What are rhonchi? -- Answer ✔✔ Dry, low-pitched, snore-like noises produced in
_ _ _ _ _ _ _ _ _ _ _ _
the throat or bronchial tube d/t a partial obstruction such as by secretions
_ _ _ _ _ _ _ _ _ _ _ _
19) What is thrombophlebitis? -- Answer ✔✔ inflammation of a vein with clot formation.
_ _ _ _ _ _ _ _ _ _ _ _ _
Common complication of immobility often showing up in calf
_ _ _ _ _ _ _ _
20) Dilated pupils are a manifestation of what type of withdrawal? -- Answer ✔✔ Opioid
_ _ _ _ _ _ _ _ _ _ _ _ _ _
withdrawal
21) Is it possible for you to get rheumatic fever twice? -- Answer ✔✔ Yes, so
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
prophylactic treatment with monthly IM injections of benzathine penicillin G or daily
_ _ _ _ _ _ _ _ _ _ _ _
oral doses of penicillin or sulfadiazine will be needed
_ _ _ _ _ _ _ _
22) A nurse is caring for a client who is prescribed lithium (Eskalith). What clinical finding
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
should be immediately reported to the provider? -- Answer ✔✔ Slurred speech (can
_ _ _ _ _ _ _ _ _ _ _ _ _
precipitate seizures or coma) _ _ _
23) What characterizes antisocial personality disorder? -- Answer ✔✔ Reckless disregard
_ _ _ _ _ _ _ _ _
_ for self and others, impulsivity, deceitfulness, lack of remorse, consistent
_ _ _ _ _ _ _ _ _ _
irresponsibility
24) What is the Romberg test? -- Answer ✔✔ Tests the client's equilibrium, client stands
_ _ _ _ _ _ _ _ _ _ _ _ _ _
with feet together and arms at sides eyes open and then closed. Client should be able
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
to maintain the position for 20 secs with minimal or no swaying
_ _ _ _ _ _ _ _ _ _ _
25) What does paradoxical chest movement indicate? -- Answer ✔✔ flail chest
_ _ _ _ _ _ _ _ _ _
26) When should an ileostomy pouch be emptied? -- Answer ✔✔ When it is 1/3 to 1/2
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
full to prevent stool leakage and skin irritation
_ _ _ _ _ _ _
27) What does an albumin level of 2.8 indicate? -- Answer ✔✔ malnutrition and need for
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
nutritional supplementation (albumin level below 3.5 g/dL) _ _ _ _ _ _
28) What is the expected reference range for albumin? -- Answer ✔✔ 3.5-5 g/dL
_ _ _ _ _ _ _ _ _ _ _ _
ANSWERS 2025.
1) A nurse is preparing a client who speaks limited English for surgery. What is the most
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_appropriate nursing action in obtaining informed consent from this client? -- Answer
_ _ _ _ _ _ _ _ _ _ _ _
✔✔ Seek the assistance of a nurse on the floor who is fluent in the client's language
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(nurse is responsible for ensuring client understands information regarding
_ _ _ _ _ _ _ _ _
procedure)
2) What is the focus of the agency for Healthcare Research and Quality? -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
To improve quality of health care services for all populations, including low-income
_ _ _ _ _ _ _ _ _ _ _ _
groups and minorities _ _
3) What is the focus of the National Institutes of Health? -- Answer ✔✔ Biomedical
_ _ _ _ _ _ _ _ _ _ _ _ _ _
research to improve the prevention, diagnosis, and treatment of specific diseases
_ _ _ _ _ _ _ _ _ _
4) A nurse is caring for a school-age child who is taking valproic acid. The nurse should
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
expect the provider to order what test? -- Answer ✔✔ Serum enzyme levels b/c
_ _ _ _ _ _ _ _ _ _ _ _ _ _
valproic acid can cause hepatic toxicity
_ _ _ _ _
5) What should the nurse instruct a client when preparing for a thoracentesis? --
_ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Avoid coughing during procedure and lie still to avoid puncturing the
_ _ _ _ _ _ _ _ _ _ _ _ _
pleura
6) What is pleurisy (pleuritis)? -- Answer ✔✔ inflammation of the pleura
_ _ _ _ _ _ _ _ _ _
7) What is ginger tea used for in pregnant women? -- Answer ✔✔ Decreasing episodes
_ _ _ _ _ _ _ _ _ _ _ _ _ _
of nausea
_
,8) A nurse is preparing to administer an IM injection to a client who is obese. What
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
action should the nurse take? -- Answer ✔✔ Use the ventrogluteal site because it has
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
a thick area of muscle
_ _ _ _
9) What does a sudden relief of pain in a client scheduled for an appendectomy indicate?
_ _ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔ Peritonitis from a ruptured appendix
_ _ _ _ _ _ _ _
10) A nurse is teaching about adverse effects to a client starting captopril. What adverse
_ _ _ _ _ _ _ _ _ _ _ _ _ _
effect should be reported to provider? -- Answer ✔✔ Cough, develops d/t buildup of
_ _ _ _ _ _ _ _ _ _ _ _ _ _
bradykinin in lungs _ _
11) A nurse is caring for a client who has a Mg level of 2.7 mEq/L. What intervention
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
should the nurse do? -- Answer ✔✔ Initiate continuous cardiac monitoring b/c client
_ _ _ _ _ _ _ _ _ _ _ _ _
is hypermagnesemia and at risk for cardiac dysrhythmias
_ _ _ _ _ _ _
12) What type of thyroidism are tremors a manifestation of? -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _
Hyperthyroidism
13) What is dry, coarse hair a manifestation of? -- Answer ✔✔ hypothyroidism
_ _ _ _ _ _ _ _ _ _ _
14) What is periorbital edema a manifestation of? -- Answer ✔✔ hypothyroidism
_ _ _ _ _ _ _ _ _ _
15) A nurse is planning care for a client who has RA and has moderate-severe pain in
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
multiple joints. What actions should the nurse take? -- Answer ✔✔ -Take frequent
_ _ _ _ _ _ _ _ _ _ _ _ _
rest periods throughout day (while also exercising regularly to maintain muscle
_ _ _ _ _ _ _ _ _ _ _
strength, joint function, and ROM) _ _ _ _
-Use ice to reduce inflammation and pain
_ _ _ _ _ _
16) What is the expected reference range for urine osmolality? -- Answer ✔✔ 50-1200
_ _ _ _ _ _ _ _ _ _ _ _ _
mOsm/kg
17) A nurse is preparing to teach about dietary management to a client who has Crohn's
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
disease and an enteroenteric fistula. What nutrient should the nurse tell the client to
_ _ _ _ _ _ _ _ _ _ _ _ _ _
decrease in diet? -- Answer ✔✔ Fiber. To help reduce diarrhea and inflammation
_ _ _ _ _ _ _ _ _ _ _ _
, 18) What are rhonchi? -- Answer ✔✔ Dry, low-pitched, snore-like noises produced in
_ _ _ _ _ _ _ _ _ _ _ _
the throat or bronchial tube d/t a partial obstruction such as by secretions
_ _ _ _ _ _ _ _ _ _ _ _
19) What is thrombophlebitis? -- Answer ✔✔ inflammation of a vein with clot formation.
_ _ _ _ _ _ _ _ _ _ _ _ _
Common complication of immobility often showing up in calf
_ _ _ _ _ _ _ _
20) Dilated pupils are a manifestation of what type of withdrawal? -- Answer ✔✔ Opioid
_ _ _ _ _ _ _ _ _ _ _ _ _ _
withdrawal
21) Is it possible for you to get rheumatic fever twice? -- Answer ✔✔ Yes, so
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
prophylactic treatment with monthly IM injections of benzathine penicillin G or daily
_ _ _ _ _ _ _ _ _ _ _ _
oral doses of penicillin or sulfadiazine will be needed
_ _ _ _ _ _ _ _
22) A nurse is caring for a client who is prescribed lithium (Eskalith). What clinical finding
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
should be immediately reported to the provider? -- Answer ✔✔ Slurred speech (can
_ _ _ _ _ _ _ _ _ _ _ _ _
precipitate seizures or coma) _ _ _
23) What characterizes antisocial personality disorder? -- Answer ✔✔ Reckless disregard
_ _ _ _ _ _ _ _ _
_ for self and others, impulsivity, deceitfulness, lack of remorse, consistent
_ _ _ _ _ _ _ _ _ _
irresponsibility
24) What is the Romberg test? -- Answer ✔✔ Tests the client's equilibrium, client stands
_ _ _ _ _ _ _ _ _ _ _ _ _ _
with feet together and arms at sides eyes open and then closed. Client should be able
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
to maintain the position for 20 secs with minimal or no swaying
_ _ _ _ _ _ _ _ _ _ _
25) What does paradoxical chest movement indicate? -- Answer ✔✔ flail chest
_ _ _ _ _ _ _ _ _ _
26) When should an ileostomy pouch be emptied? -- Answer ✔✔ When it is 1/3 to 1/2
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
full to prevent stool leakage and skin irritation
_ _ _ _ _ _ _
27) What does an albumin level of 2.8 indicate? -- Answer ✔✔ malnutrition and need for
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
nutritional supplementation (albumin level below 3.5 g/dL) _ _ _ _ _ _
28) What is the expected reference range for albumin? -- Answer ✔✔ 3.5-5 g/dL
_ _ _ _ _ _ _ _ _ _ _ _
