RN VATI Fundamentals Assessment QUESTIONS AND
ANSWERS LATEST VERSION 2023/2024, EXAMS FOR
NURSING
A54nurse54is54preparing54to54mix54short-acting54and54intermediate-
acting54insulin54in54one54syringe54to54administer54to54a54client54who54has54type54154d
iabetes54mellitus.54Identify54the54sequence54the54nurse54should54follow.-
CORRECT54ANSWERS54541:54Draw54up54the54volume54of54insulin54from54the54interme
diate-acting54insulin54vial.54
2:54Inject54the54volume54of54air54equal54to54the54amount54of54insulin54to54withdraw54
from54the54intermediate-acting54insulin54vial.
3:54Inject54the54volume54of54air54equal54to54the54insulin54dose54form54the54short-
acting54insulin54vial
4:54Withdraw54the54prescribed54amount54of54insulin54form54the54short-
acting54insulin54vial.
5:54Withdraw54the54prescribed54amount54of54insulin54form54the54intermediate-
acting54insulin54vial.
To54mix54insulin54from54two54vials54in54the54same54syringe,54the54nurse54should54first
54draw54up54a54volume54of54air54equal54to54the54volume54of54insulin54from54the54inte
rmediate-
acting54insulin54vial.54The54nurse54should54then54inject54the54volume54of54air54equal5
4to54the54amount54of54insulin54to54withdraw54from54the54intermediate-
acting54insulin54vial,54making54sure54the54needle54does54not54touch54the54insulin.54N
ext,54the54nurse54should54inject54the54volume54of54air54equal54to54the54insulin54dose5
4from54the54short-
,acting54insulin54vial.54Then,54the54nurse54should54withdraw54the54prescribed54amou
nt54of54insulin54from54the54short-
acting54insulin54vial.54Lastly,54the54nurse54should54withdraw54the54prescribed54amou
nt54of54insulin54from54the54intermediate-
acting54insulin54vial.54The54insulins54are54now54mixed54and54ready54to54administer.
A54nurse54is54assessing54a54client54who54wears54partial54dentures54and54reports54mo
uth54pain.54Which54of54the54following54actions54should54the54nurse54take?-
CORRECT54ANSWERS5454Advise54the54client54to54rinse54their54mouth54and54dentures
54after54each54meal.
The54nurse54should54advise54the54client54to54rinse54their54mouth54and54dentures54af
ter54each54meal54to54remove54food54and54particles54and54to54promote54healing54of54
gums54and54oral54mucosa.
The54nurse54should54instruct54the54client54to54rinse54their54mouth54four54times54eac
h54day54with54mild54rinses,54such54as54normal54saline54or54sodium54bicarbonate54sol
ution.54The54nurse54should54inform54the54client54that54mouthwashes54containing54al
cohol54dry54the54oral54mucosa54and54can54irritate54tissue.
The54nurse54should54instruct54the54client54to54brush54their54remaining54teeth54with54
a54soft54toothbrush54at54least54twice54each54day54to54reduce54the54risk54for54gum54a
brasions.
The54nurse54should54avoid54using54lemon-
glycerin54sponges54because54they54can54cause54erosion54of54the54client's54tooth54en
amel,54dry54the54mucous54membranes,54and54increase54the54client's54current54disco
mfort.
A54nurse54is54planning54care54for54a54client54who54has54dysphagia54and54is54at54risk54f
or54aspiration.54Which54of54the54following54referrals54should54the54nurse54make?-
CORRECT54ANSWERS5454Speech-language54pathologist
, The54nurse54should54recommend54a54referral54for54a54client54who54has54dysphagia54t
o54a54speech-
language54pathologist.54Clients54who54have54dysphagia54have54difficulty54swallowin
g54and54are54at54risk54for54aspiration.54The54speech-
language54pathologist54can54perform54a54swallow54study54to54determine54the54exte
nt54of54the54client's54dysphagia54and54work54with54the54client54to54develop54new54s
wallowing54techniques.
A54nurse54is54planning54teaching54for54a54client54who54has54a54new54diagnosis54of54ty
pe54254diabetes54mellitus.54Which54of54the54following54actions54should54the54nurse54
take54prior54to54performing54the54teaching?54(select54all54that54apply)-
CORRECT54ANSWERS5454-54Establish54the54client's54learning54needs
-54Determine54the54client's54literacy54level
-54Evaluate54the54client's54readiness54for54learning
-54Identify54the54client's54learning54style
A54nurse54is54preparing54to54notify54the54provider54about54a54change54in54a54client's5
4status.54Which54of54the54following54information54should54the54nurse54plan54to54incl
ude54in54the54"background"54portion54of54the54SBAR54communication54tool?-
CORRECT54ANSWERS5454Previous54treatments
The54nurse54should54include54previous54treatments54in54the54"background"54portio
n54of54the54SBAR54communication54tool.54Other54information54the54nurse54should54i
nclude54in54the54"background"54portion54is54the54client's54admission54history,54diag
nosis,54pertinent54medical54history,54and54code54status.54The54nurse54should54includ
e54physical54findings54in54the54"assessment"54portion54of54the54SBAR54communicati
on54tool.54The54nurse54should54include54questions54regarding54client54care54in54the54
ANSWERS LATEST VERSION 2023/2024, EXAMS FOR
NURSING
A54nurse54is54preparing54to54mix54short-acting54and54intermediate-
acting54insulin54in54one54syringe54to54administer54to54a54client54who54has54type54154d
iabetes54mellitus.54Identify54the54sequence54the54nurse54should54follow.-
CORRECT54ANSWERS54541:54Draw54up54the54volume54of54insulin54from54the54interme
diate-acting54insulin54vial.54
2:54Inject54the54volume54of54air54equal54to54the54amount54of54insulin54to54withdraw54
from54the54intermediate-acting54insulin54vial.
3:54Inject54the54volume54of54air54equal54to54the54insulin54dose54form54the54short-
acting54insulin54vial
4:54Withdraw54the54prescribed54amount54of54insulin54form54the54short-
acting54insulin54vial.
5:54Withdraw54the54prescribed54amount54of54insulin54form54the54intermediate-
acting54insulin54vial.
To54mix54insulin54from54two54vials54in54the54same54syringe,54the54nurse54should54first
54draw54up54a54volume54of54air54equal54to54the54volume54of54insulin54from54the54inte
rmediate-
acting54insulin54vial.54The54nurse54should54then54inject54the54volume54of54air54equal5
4to54the54amount54of54insulin54to54withdraw54from54the54intermediate-
acting54insulin54vial,54making54sure54the54needle54does54not54touch54the54insulin.54N
ext,54the54nurse54should54inject54the54volume54of54air54equal54to54the54insulin54dose5
4from54the54short-
,acting54insulin54vial.54Then,54the54nurse54should54withdraw54the54prescribed54amou
nt54of54insulin54from54the54short-
acting54insulin54vial.54Lastly,54the54nurse54should54withdraw54the54prescribed54amou
nt54of54insulin54from54the54intermediate-
acting54insulin54vial.54The54insulins54are54now54mixed54and54ready54to54administer.
A54nurse54is54assessing54a54client54who54wears54partial54dentures54and54reports54mo
uth54pain.54Which54of54the54following54actions54should54the54nurse54take?-
CORRECT54ANSWERS5454Advise54the54client54to54rinse54their54mouth54and54dentures
54after54each54meal.
The54nurse54should54advise54the54client54to54rinse54their54mouth54and54dentures54af
ter54each54meal54to54remove54food54and54particles54and54to54promote54healing54of54
gums54and54oral54mucosa.
The54nurse54should54instruct54the54client54to54rinse54their54mouth54four54times54eac
h54day54with54mild54rinses,54such54as54normal54saline54or54sodium54bicarbonate54sol
ution.54The54nurse54should54inform54the54client54that54mouthwashes54containing54al
cohol54dry54the54oral54mucosa54and54can54irritate54tissue.
The54nurse54should54instruct54the54client54to54brush54their54remaining54teeth54with54
a54soft54toothbrush54at54least54twice54each54day54to54reduce54the54risk54for54gum54a
brasions.
The54nurse54should54avoid54using54lemon-
glycerin54sponges54because54they54can54cause54erosion54of54the54client's54tooth54en
amel,54dry54the54mucous54membranes,54and54increase54the54client's54current54disco
mfort.
A54nurse54is54planning54care54for54a54client54who54has54dysphagia54and54is54at54risk54f
or54aspiration.54Which54of54the54following54referrals54should54the54nurse54make?-
CORRECT54ANSWERS5454Speech-language54pathologist
, The54nurse54should54recommend54a54referral54for54a54client54who54has54dysphagia54t
o54a54speech-
language54pathologist.54Clients54who54have54dysphagia54have54difficulty54swallowin
g54and54are54at54risk54for54aspiration.54The54speech-
language54pathologist54can54perform54a54swallow54study54to54determine54the54exte
nt54of54the54client's54dysphagia54and54work54with54the54client54to54develop54new54s
wallowing54techniques.
A54nurse54is54planning54teaching54for54a54client54who54has54a54new54diagnosis54of54ty
pe54254diabetes54mellitus.54Which54of54the54following54actions54should54the54nurse54
take54prior54to54performing54the54teaching?54(select54all54that54apply)-
CORRECT54ANSWERS5454-54Establish54the54client's54learning54needs
-54Determine54the54client's54literacy54level
-54Evaluate54the54client's54readiness54for54learning
-54Identify54the54client's54learning54style
A54nurse54is54preparing54to54notify54the54provider54about54a54change54in54a54client's5
4status.54Which54of54the54following54information54should54the54nurse54plan54to54incl
ude54in54the54"background"54portion54of54the54SBAR54communication54tool?-
CORRECT54ANSWERS5454Previous54treatments
The54nurse54should54include54previous54treatments54in54the54"background"54portio
n54of54the54SBAR54communication54tool.54Other54information54the54nurse54should54i
nclude54in54the54"background"54portion54is54the54client's54admission54history,54diag
nosis,54pertinent54medical54history,54and54code54status.54The54nurse54should54includ
e54physical54findings54in54the54"assessment"54portion54of54the54SBAR54communicati
on54tool.54The54nurse54should54include54questions54regarding54client54care54in54the54