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,1.RN VATI Comprehensive Predictor Form A
Q1
A patient is scheduled for surgery and asks why they must fast
before anesthesia. The nurse’s best response is:
A. “Fasting helps prevent nausea.”
B. “Fasting reduces the risk of aspiration during anesthesia.”
C. “Fasting prevents low blood sugar during surgery.”
D. “Fasting is not necessary; it’s hospital policy.”
Answer: B
Rationale:
• Fasting reduces risk of aspiration by ensuring the stomach
is empty before anesthesia.
• Nausea prevention is secondary.
• Blood sugar management is monitored separately.
• It is not arbitrary policy.
Q2
A nurse is caring for a client with a new ileostomy. Which
statement by the client indicates a need for further teaching?
,A. “I will empty the pouch when it is 1/3 to 1/2 full.”
B. “I should clean the skin around the stoma gently with water.”
C. “I will avoid all fruits and vegetables.”
D. “I need to measure my daily output.”
Answer: C
Rationale:
• Clients do not need to avoid all fruits/vegetables;
balanced diet is encouraged.
• Correct stoma care includes emptying 1/3–1/2 full, gentle
skin cleaning, and monitoring output.
Q3
Which assessment finding is most concerning in a client receiving
morphine IV?
A. Pain score 7/10
B. Respiratory rate 8/min
C. Nausea
D. Constipation
Answer: B
Rationale:
• Respiratory depression (RR <10) is a life-threatening side
effect of opioids.
• Pain score, nausea, constipation are common but less
urgent.
, Q4
A client with diabetes mellitus asks why they need a foot
examination every visit. The best explanation is:
A. “Foot exams prevent infections and ulcers.”
B. “Foot exams help detect neuropathy early.”
C. “Foot exams prevent gangrene.”
D. All of the above
Answer: D
Rationale:
• Diabetic neuropathy and vascular complications increase
risk of ulcers, infection, and gangrene.
• Regular foot exams allow early detection and prevention.
Q5
Which lab value indicates that a client is at risk for bleeding while
taking warfarin?
A. INR 1.0
B. INR 2.5
C. INR 4.5
D. INR 3.0