RN VATI COMPREHENSIVE PREDICTOR
TEST BANK 2026 COMPREHENSIVE
SET WITH CORRECT ANSWERS Graded
A+
A charge nurse is observing a newly licensed RN irrigate a patient's ear,
which is impacted with cerumen. Which of the following actions requires
the charge RN to intervene?
Visualizing the eardrum before irrigating
Instilling 50 mL of fluid with each irrigation
Using firm, continuous pressure while irrigating
Warming the irrigation fluid to at least 37C (98F)
Answer: Instilling 50 mL of fluid with each irrigation
Rationale: When irrigating a patient's ear the RN should use no more than
5-10 mL of irrigating fluid at a time to decrease the chance of stimulating
the vestibular nerve of the inner ear, which would result in N&V or
dizziness.
, A nurse is assessing a patient who has a psychotic d/o and a new script for
haloperidol. The patient is pacing in the hallway and states, "I can't seem to
sit still." Which of the following extrapyramidal side effects is the patient
likely experiencing?
Dystonia
Parkinsonism
Tardive dyskinesia
Akathisia
Answer: Akathisia
Rationale: Akathisia is an extrapyramidal adverse effect characterized by
the client's report of a sense of inner restlessness and by observable
behaviors such as pacing, rocking forward and backward in a chair, and
constant foot tapping.
, A nurse is caring for a patient who has bronchitis and a prescription for a
mucolytic agent. Which of the following findings should the RN identify as
an AE of this type of mediaction?
Fluid overload
Bronchospasm
Electrolyte imbalance
Tachycardia
Answer: Bronchospasm
Rationale: Mucolytic agents such as a hypertonic saline solution or
acetylcysteine can irritate the airways, resulting in bronchospasm while
producing a cough and thinning mucus secretions.
, A nurse is providing a discharge teaching for a patient who has a new
prescription for metoprolol. Which of the following instructions should the
nurse include? (SATA)
"Do not stop taking this medication."
"Take the medication right before bedtime."
"Take the medication with an antacid."
"Take the medication at the same time each day."
"You will know the medication is working when your heart rate increases."
Answer:
"Do not stop taking this medication."
"Take the medication at the same time each day."
Rationale: Metoprolol, a beta-blocker used for hypertension and angina,
should not be stopped abruptly to prevent rebound tachycardia and
hypertension. It should be taken at the same time each day to maintain
consistent blood levels.
TEST BANK 2026 COMPREHENSIVE
SET WITH CORRECT ANSWERS Graded
A+
A charge nurse is observing a newly licensed RN irrigate a patient's ear,
which is impacted with cerumen. Which of the following actions requires
the charge RN to intervene?
Visualizing the eardrum before irrigating
Instilling 50 mL of fluid with each irrigation
Using firm, continuous pressure while irrigating
Warming the irrigation fluid to at least 37C (98F)
Answer: Instilling 50 mL of fluid with each irrigation
Rationale: When irrigating a patient's ear the RN should use no more than
5-10 mL of irrigating fluid at a time to decrease the chance of stimulating
the vestibular nerve of the inner ear, which would result in N&V or
dizziness.
, A nurse is assessing a patient who has a psychotic d/o and a new script for
haloperidol. The patient is pacing in the hallway and states, "I can't seem to
sit still." Which of the following extrapyramidal side effects is the patient
likely experiencing?
Dystonia
Parkinsonism
Tardive dyskinesia
Akathisia
Answer: Akathisia
Rationale: Akathisia is an extrapyramidal adverse effect characterized by
the client's report of a sense of inner restlessness and by observable
behaviors such as pacing, rocking forward and backward in a chair, and
constant foot tapping.
, A nurse is caring for a patient who has bronchitis and a prescription for a
mucolytic agent. Which of the following findings should the RN identify as
an AE of this type of mediaction?
Fluid overload
Bronchospasm
Electrolyte imbalance
Tachycardia
Answer: Bronchospasm
Rationale: Mucolytic agents such as a hypertonic saline solution or
acetylcysteine can irritate the airways, resulting in bronchospasm while
producing a cough and thinning mucus secretions.
, A nurse is providing a discharge teaching for a patient who has a new
prescription for metoprolol. Which of the following instructions should the
nurse include? (SATA)
"Do not stop taking this medication."
"Take the medication right before bedtime."
"Take the medication with an antacid."
"Take the medication at the same time each day."
"You will know the medication is working when your heart rate increases."
Answer:
"Do not stop taking this medication."
"Take the medication at the same time each day."
Rationale: Metoprolol, a beta-blocker used for hypertension and angina,
should not be stopped abruptly to prevent rebound tachycardia and
hypertension. It should be taken at the same time each day to maintain
consistent blood levels.
