RN VATI Comprehensive VATI NGN Exam 1
Predictor 2025, VATI Test Bank, RN Predictor
Exam Questions, Next Gen NCLEX VATI, VATI
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– Correctly Answers Questions with Rationales
A client being seen in the clinic complains of fatigue and weakness. Laboratory studies are performed
because the primary health care provider suspects iron-deficiency anemia. After reviewing the
laboratory results, which finding indicative of this type of anemia does the nurse expect to note?.
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An increased RBC count
An increased hematocrit level
An increased hemoglobin level
Microcytic red blood cells (RBCs) –
Correct Answer :Microcytic red blood cells (RBCs)
Rationale:
The nurse expects to note a low RBC count and microcytic (small) RBCs. In iron-deficiency anemia,
laboratory testing will reveal low hemoglobin and hematocrit levels. In iron-deficiency anemia, iron
stores are depleted first, followed by hemoglobin stores.
Alendronate is prescribed for a client with postmenopausal osteoporosis. The nurse provides
information on the medication to the client. When does the nurse tell the client to take the
alendronate?
At bedtime
With orange juice, to enhance absorption at night
Every morning before breakfast, with a full glass of water
Every morning after breakfast, after which the client should lie down for 30 minutes –
Correct Answer :Every morning before breakfast, with a full glass of water
Rationale:
Alendronate should be taken in the morning before breakfast with a full glass of water and on an
empty stomach to maximize its bioavailability. It is a medication used to treat postmenopausal
osteoporesis, glucocorticoid-induced osteoporosis, and Paget's disease of bone. Proper
administration is necessary to maximize bioavailability and minimize the risk of esophagitis. No food,
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including orange juice or coffee, should be consumed for at least 30 minutes after alendronate is
taken. To minimize the risk of esophagitis, the client should take the medication with a full glass of
water and remain upright (seated or standing) for at least 30 minutes. Therefore taking the
medication at bedtime, with orange juice to help with absorption, and every morning after breakfast,
followed by a 30-minute period of lying down, are all incorrect.
Calcium carbonate is prescribed for a client with mild hypocalcemia. What food does the nurse instruct
the client to avoid consuming while taking this medication?
Fish
Milk
Spinach
Watermelon –
Correct Answer :Spinach
Rationale:
The nurse instructs the client to avoid consuming spinach while taking calcium carbonate. Oral calcium
salts are used to treat mild hypocalcemia and to supplement dietary calcium. The client is instructed to
take oral calcium with a large glass of water with or after a meal to promote absorption. The client is
also instructed to avoid taking calcium with foods that can suppress calcium absorption. Such foods
include not only spinach, but Swiss chard, beets, bran, and whole-wheat cereals. The client does not
need to avoid fish, milk, or watermelon.
An emergency department nurse is caring for a client in hypovolemic shock, a result of external
hemorrhage caused by a gunshot wound. Which nursing interventions should the nurse take? Select
all that apply.
Maintaining the client in a high Fowler's position
Checking the client's vital signs every hour until stable
Ensuring that direct pressure is applied to the external hemorrhage site
Ensuring a patent airway and supplying oxygen to the client as prescribed
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Inserting an intravenous (IV) catheter and administering fluids as prescribed
Ensuring that the call bell is in place for the client's use when the nurse is out of the room –
Correct Answer :Ensuring that direct pressure is applied to the external hemorrhage site
Ensuring a patent airway and supplying oxygen to the client as prescribed
Inserting an intravenous (IV) catheter and administering fluids as prescribed
Rationale:
When caring for a client in hypovolemic shock, the nurse must first ensure a patent airway and supply
oxygen to the client. Direct pressure must be applied to the site of external bleeding. The nurse would
also insert an IV catheter if one is not already present and administer fluids as prescribed. The nurse
would elevate the client's feet, keeping his or her head flat or elevated to a 30-degree angle. The nurse
would take the client's vital signs every 5 minutes until they were stable. The nurse would not leave
the client alone.
A child with a diagnosis of Wilms' tumor is being admitted to the pediatric unit. The nurse prepares the
room for the child and places a sign at the child's bedside. What does this sign tell staff to avoid?
Palpating the abdomen
Taking temperatures rectally
Turning the child to the right side
Measuring blood pressure in the right arm –
Correct Answer :Palpating the abdomen
Rationale:
The nurse would place a sign at the child's bedside warning against palpation of the child's abdomen.
Wilms' tumor, or nephroblastoma, is the most common renal tumor in children. Arising from the renal
parenchyma of the kidney, this tumor grows very rapidly. It may be unilateral and localized or bilateral
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