VATI: Fundamentals - Pre-Assessment Exam Questions &
Answers.
1. A nurse is caring the nurse include in the teaching?
for a client who A. Eat plenty of fresh fruits and vegeta-
has returned to bles
the
unit following a
sur- gical
procedure. The
client's oxygen
satu- ration is
85%. Which of
the following ac-
tions should the
nurse take first ?
A. Administer O2
at 2L/min
B. Administer
pre- scribed
analgesic med
C. Encourage
cough- ing and
deep breath- ing
D. Raise the head
of the bed
2. A nurse is
provid- ing
teaching to a
client who has
neu- tropenia.
Which of the
following infor-
mation should
, VATI: Fundamentals - Pre-Assessment Exam Questions &
Answers.
D. Raise the head of the bed
Elevating the head of the bed
uses gravity to reduce pressure
on the di- aphragm from the
abdominal organs and allows for
increased expansion of the
lungs. The head and neck can be B. Avoid crowds
extended, which promotes a The nurse should inform the client to avoid crowds due to his
patent airway. This is the first suppressed immune system.
action the nurse should take and
is the least invasive. A. The nurse should inform a client who is neutropenic to avoid
fresh fruits and vegetables due to the bacteria they can carry.
A. The nurse should assess C. The nurse should instruct the client to avoid gardening
the client further and due bacteria contained in the soil.
implement less invasive D. A client who is neutropenic can experience a 1° increase from
interventions before his baseline temperature, even in the presence of infection.
applying oxygen at 2 L/min. Therefore, the nurse should recommend the client take his
B. Pain management promotes temperature at least once daily.
increased participation by the
client in cough- ing and deep
breathing, frequent position
changes and use of the
incentive spirometer, but this is
not the first action the nurse
should take.
C. Coughing and deep
breathing promotes lung
expansion and prevents
respiratory infection, but these
actions are not ettective
immediately in in- creasing
oxygen saturation.
, VATI: Fundamentals - Pre-Assessment Exam Questions &
Answers.
B. Avoid crowds
C. Perform mild
exer- cise, such as
garden- ing
D.Take
temperatures
weekly
B. Erythema
3. A nurse is
Erythema is an indication that the client has experienced a
assess- ing a superficial burn
client follow-
ing the application of with damage limited to the epidermis. Other manifestations
include edema,
an aquathermia pain, and increased sensitivity to heat.
pad. Which of the
follow- ing is the A. Blistering is an indication of a superficial partial thickness burn,
first indi- cation involving injury to the upper third of the dermis. These injuries also
to the nurse that are pink and moist, blanch to pressure and are very painful.
the client is ex- C. Eschar is seen in clients who have a full thickness wound
periencing a involving the
superfi-
cial burn injury to the epidermis and dermis. This is dead tissue that must be removed
for healing
application site? to occur
A. Blistering D. A thermal injury that is not painful can be classified as a deep full-
B. Erythema thickness burn which extends into muscle, bone, or tendons.
C. Eschar
D. Absence of
pain
4. A nurse in a long-tern Remove the clients from the room.
care facility room and
enters the day
, VATI: Fundamentals - Pre-Assessment Exam Questions &
Answers.
A tivate the fire alarm.
c Close the door.
finds the window cur- Extinguish the fire.
tains on fire. Clients
are panicking and In the event of a fire, it is helpful to recall the mnemonic RACE to
the room is filling prioritize the actions to take: R - Rescue and remove the clients, A -
with smoke. Activate the alarm, C
Indicate the - Confine the fire, and E - Extinguish the fire. The nurse's priority
emergency ac- action is to remove the clients from the room. The nurse should
then sound the fire
Answers.
1. A nurse is caring the nurse include in the teaching?
for a client who A. Eat plenty of fresh fruits and vegeta-
has returned to bles
the
unit following a
sur- gical
procedure. The
client's oxygen
satu- ration is
85%. Which of
the following ac-
tions should the
nurse take first ?
A. Administer O2
at 2L/min
B. Administer
pre- scribed
analgesic med
C. Encourage
cough- ing and
deep breath- ing
D. Raise the head
of the bed
2. A nurse is
provid- ing
teaching to a
client who has
neu- tropenia.
Which of the
following infor-
mation should
, VATI: Fundamentals - Pre-Assessment Exam Questions &
Answers.
D. Raise the head of the bed
Elevating the head of the bed
uses gravity to reduce pressure
on the di- aphragm from the
abdominal organs and allows for
increased expansion of the
lungs. The head and neck can be B. Avoid crowds
extended, which promotes a The nurse should inform the client to avoid crowds due to his
patent airway. This is the first suppressed immune system.
action the nurse should take and
is the least invasive. A. The nurse should inform a client who is neutropenic to avoid
fresh fruits and vegetables due to the bacteria they can carry.
A. The nurse should assess C. The nurse should instruct the client to avoid gardening
the client further and due bacteria contained in the soil.
implement less invasive D. A client who is neutropenic can experience a 1° increase from
interventions before his baseline temperature, even in the presence of infection.
applying oxygen at 2 L/min. Therefore, the nurse should recommend the client take his
B. Pain management promotes temperature at least once daily.
increased participation by the
client in cough- ing and deep
breathing, frequent position
changes and use of the
incentive spirometer, but this is
not the first action the nurse
should take.
C. Coughing and deep
breathing promotes lung
expansion and prevents
respiratory infection, but these
actions are not ettective
immediately in in- creasing
oxygen saturation.
, VATI: Fundamentals - Pre-Assessment Exam Questions &
Answers.
B. Avoid crowds
C. Perform mild
exer- cise, such as
garden- ing
D.Take
temperatures
weekly
B. Erythema
3. A nurse is
Erythema is an indication that the client has experienced a
assess- ing a superficial burn
client follow-
ing the application of with damage limited to the epidermis. Other manifestations
include edema,
an aquathermia pain, and increased sensitivity to heat.
pad. Which of the
follow- ing is the A. Blistering is an indication of a superficial partial thickness burn,
first indi- cation involving injury to the upper third of the dermis. These injuries also
to the nurse that are pink and moist, blanch to pressure and are very painful.
the client is ex- C. Eschar is seen in clients who have a full thickness wound
periencing a involving the
superfi-
cial burn injury to the epidermis and dermis. This is dead tissue that must be removed
for healing
application site? to occur
A. Blistering D. A thermal injury that is not painful can be classified as a deep full-
B. Erythema thickness burn which extends into muscle, bone, or tendons.
C. Eschar
D. Absence of
pain
4. A nurse in a long-tern Remove the clients from the room.
care facility room and
enters the day
, VATI: Fundamentals - Pre-Assessment Exam Questions &
Answers.
A tivate the fire alarm.
c Close the door.
finds the window cur- Extinguish the fire.
tains on fire. Clients
are panicking and In the event of a fire, it is helpful to recall the mnemonic RACE to
the room is filling prioritize the actions to take: R - Rescue and remove the clients, A -
with smoke. Activate the alarm, C
Indicate the - Confine the fire, and E - Extinguish the fire. The nurse's priority
emergency ac- action is to remove the clients from the room. The nurse should
then sound the fire
