RN VATI UPDATED SCRIPT 2026 PRACTICE
SOLUTIONS GRADED A+
● A nurse is performing an admission assessment for a client who
appears withdrawn and fearful. Which of the following actions should
the nurse take first? Answer: Inform the client that this admission is
confidential.
-According to evidence-based practice, the nurse should first inform the
client about confidentiality during the orientation phase of the nurse
client relationship. This action establishes trust between the client and
the nurse, which in turn decreases the client's anxiety level.
● A nurse is caring for an adolescent client who has anorexia nervosa.
The client states, "Have I done any permanent damage to my body?"
Which of the following responses should the nurse make? Answer:
You're afraid you have caused physical injury to yourself?
-Repeating the main idea of what the client has said, which will allow
for clarification of any misunderstanding on the part of the client or the
nurse.
● A nurse is caring for a client following a fire that destroyed her home
and killed one of her children. The client is crying and does not make
,eye contact with the nurse. Which of the following questions should the
nurse ask first? Answer: Have you thought of harming yourself?
-The greatest risk to this client is self harm due to the loss of her child
and home, therefore, the first question the nurse should ask a client who
is having a personal crisis is to determine if the client has suicidal
ideation. If so, the nurse should take action to protect the client from self
harm.
● A nurse is checking laboratory values for a hospitalized young adult
client who has bipolar disorder and is taking lithium. Which of the
following values is the priority for the nurse to report to the provider?
Answer: Serum creatinine 2.1 mg/dL
-Reference range of 0.5-1.2 mg/dL.
The greatest risk to this client is decreased kidney function, which can
cause an increase in the client's lithium level; therefore, this value is the
priority for the nurse to report to the provider. The clients lithium dosage
might need to be modified based on this lab value. The cause of
increased serum creatinine include dehydration as well as renal
disorders. Lithium is contraindicated for clients who have severe renal
disease, cardiac disease, or severe dehydration.
● A nurse is providing information to a client who is seeking voluntary
admission to a mental health facility. Which of the following
information should the nurse include? Answer: You will still need to
give informed consent for treatment after admission.
,-A client who seeks voluntary admission to a mental health facility has
the same rights as clients receiving any other kind of health care. The
client will still need to give informed consent for treatment and
therapies, such as electroconvulsive therapy.
● A nurse is developing a plan of care for an adolescent client who has
conduct disorder. Which of the following interventions should the nurse
include in the plan? Answer: Initiate a behavioral contract with the
client.
-A client who has conduct disorder can demonstrate patterns of behavior
that are aggressive, disrespectful of others rights, and can lead to injury
of others. A behavioral contract helps to develop trust between the client
and the nurse and emphasizes the client's responsibility to commit to
work on changes in behavior.
● A hospice nurse is talking with the family of a client who recently died
from cancer following a series of chemotherapy treatment. One of the
adult children is angry with the provider and blames the provider for
their father's death. Which of the following defense mechanisms is the
family member using? Answer: Displacement
-When this family member uses displacement, they are transferring their
feelings of anger to the provider so they do not have to cope with their
own feelings of sadness and loss.
, ● A nurse in an acute care facility is providing teaching for the adult
child of an older adult client who is admitted with a urinary tract
infection and delirium. The client has been living independently at
home. Which of the following statements by the adult child
demonstrates the teaching has been effective? Answer: I expect that my
father will no longer be confused when he is discharged.
● A nurse is caring for a client who is experiencing a manic episode.
Which of the following actions should the nurse take first? Answer:
Encourage the client to rest each hour.
-The greatest risk to this client is injury from exhaustion due to the
manic phase, therefore, the priority action the nurse should take is to
encourage the client to rest for 3-5mins every hour.
● A nurse is leading a medication education group for several clients. A
client who is sometimes violent becomes angry and begins yelling at
others in the group. Which of the following actions should the nurse
take? SATA Answer: Move others away from the client.
Offer the client a PRN dose of lorazepam.
Ask the client open ended questions about the behavior.
-A large personal space should be maintained around the client who is
angry. If the client's behavior continues to escalate, the nurse should
move others away from the client for their safety.
SOLUTIONS GRADED A+
● A nurse is performing an admission assessment for a client who
appears withdrawn and fearful. Which of the following actions should
the nurse take first? Answer: Inform the client that this admission is
confidential.
-According to evidence-based practice, the nurse should first inform the
client about confidentiality during the orientation phase of the nurse
client relationship. This action establishes trust between the client and
the nurse, which in turn decreases the client's anxiety level.
● A nurse is caring for an adolescent client who has anorexia nervosa.
The client states, "Have I done any permanent damage to my body?"
Which of the following responses should the nurse make? Answer:
You're afraid you have caused physical injury to yourself?
-Repeating the main idea of what the client has said, which will allow
for clarification of any misunderstanding on the part of the client or the
nurse.
● A nurse is caring for a client following a fire that destroyed her home
and killed one of her children. The client is crying and does not make
,eye contact with the nurse. Which of the following questions should the
nurse ask first? Answer: Have you thought of harming yourself?
-The greatest risk to this client is self harm due to the loss of her child
and home, therefore, the first question the nurse should ask a client who
is having a personal crisis is to determine if the client has suicidal
ideation. If so, the nurse should take action to protect the client from self
harm.
● A nurse is checking laboratory values for a hospitalized young adult
client who has bipolar disorder and is taking lithium. Which of the
following values is the priority for the nurse to report to the provider?
Answer: Serum creatinine 2.1 mg/dL
-Reference range of 0.5-1.2 mg/dL.
The greatest risk to this client is decreased kidney function, which can
cause an increase in the client's lithium level; therefore, this value is the
priority for the nurse to report to the provider. The clients lithium dosage
might need to be modified based on this lab value. The cause of
increased serum creatinine include dehydration as well as renal
disorders. Lithium is contraindicated for clients who have severe renal
disease, cardiac disease, or severe dehydration.
● A nurse is providing information to a client who is seeking voluntary
admission to a mental health facility. Which of the following
information should the nurse include? Answer: You will still need to
give informed consent for treatment after admission.
,-A client who seeks voluntary admission to a mental health facility has
the same rights as clients receiving any other kind of health care. The
client will still need to give informed consent for treatment and
therapies, such as electroconvulsive therapy.
● A nurse is developing a plan of care for an adolescent client who has
conduct disorder. Which of the following interventions should the nurse
include in the plan? Answer: Initiate a behavioral contract with the
client.
-A client who has conduct disorder can demonstrate patterns of behavior
that are aggressive, disrespectful of others rights, and can lead to injury
of others. A behavioral contract helps to develop trust between the client
and the nurse and emphasizes the client's responsibility to commit to
work on changes in behavior.
● A hospice nurse is talking with the family of a client who recently died
from cancer following a series of chemotherapy treatment. One of the
adult children is angry with the provider and blames the provider for
their father's death. Which of the following defense mechanisms is the
family member using? Answer: Displacement
-When this family member uses displacement, they are transferring their
feelings of anger to the provider so they do not have to cope with their
own feelings of sadness and loss.
, ● A nurse in an acute care facility is providing teaching for the adult
child of an older adult client who is admitted with a urinary tract
infection and delirium. The client has been living independently at
home. Which of the following statements by the adult child
demonstrates the teaching has been effective? Answer: I expect that my
father will no longer be confused when he is discharged.
● A nurse is caring for a client who is experiencing a manic episode.
Which of the following actions should the nurse take first? Answer:
Encourage the client to rest each hour.
-The greatest risk to this client is injury from exhaustion due to the
manic phase, therefore, the priority action the nurse should take is to
encourage the client to rest for 3-5mins every hour.
● A nurse is leading a medication education group for several clients. A
client who is sometimes violent becomes angry and begins yelling at
others in the group. Which of the following actions should the nurse
take? SATA Answer: Move others away from the client.
Offer the client a PRN dose of lorazepam.
Ask the client open ended questions about the behavior.
-A large personal space should be maintained around the client who is
angry. If the client's behavior continues to escalate, the nurse should
move others away from the client for their safety.
