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Exam (elaborations)

VATI TEST EXAM QUESTIONS AND ANSWERS

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VATI TEST EXAM QUESTIONS AND ANSWERS

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VATI TEST EXAM QUESTIONS
AND ANSWERS

,
, lOMoARcPSD|8661262




VATI RN Comprehensive Predictor
1. A community health nurse is evaluating eligibility for
home assistance for a client who is quadriplegic. Which
of the following actions should the nurse perform first?
a. Determine the client's living situation.
b. Problem solved with the client.
c. Offer community resources to the client.
d. Assist the client with decision-making.
2. A nurse is discussing care with a newly licensed nurse for a
client who practices Orthodox Judaism. Which of the
following meals suggestions by the newly licensed nurse
indicates a need for further teaching?
a. Chicken breast and boiled potatoes.
b. Carrot sticks and cottage cheese.
c. Grilled cheese an
Apple sauce. d. Roast
beef and ice cream.
3. A nurse is preparing to auscultate a client apical pulse at the
point of maximal impulse (PMI). the nurse should place the
diaphragm of the stethoscope at which of the following
locations
a. Within the angle of Louis.
b. 5th intercostal space at the left midclavicular line.
c. Second intercostal space to the right of the sternum.
d. Over the xyphoid process.
4. A nurse is caring for a client who is receiving a blood
transfusion at 125 mL/hour and develops a hemolytic
reaction. Which of the following actions should the nurse
perform?
a. Infuse 0.9% sodium chloride IV.
b. Administer an anti-pyretic.
c. Decrease the infusion rate to 75 mL/hour.
d. Place the client in a left lateral position
5. A nurse is planning care for a client who is prescribed a
cane for ambulation. Which of the following nursing
actions should the nurse include in the plan of care?
a. Remind the client to place the cane on the unaffected
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side.
b. Adjust the length of the cane to equal the distance from
the client's iliac crest to the floor.
c. Remove the rubber tip from the cane to enhance
ambulation.
d. Place the King safely in the closet during naps and at
bedtime.
6. Nurse is caring for a client who had a partial laryngectomy
and is receiving continuous enteral feedings at 65 mL/hour
through a gastrostomy tube. Which of the following
findings requires immediate intervention by the nurse?
a. The gastric residual volume is 250 mL
following two hours of infusion. b. The client is
lying in a supine position.
c. The infusion pump for administering continuous feeding
is turned off.
d. Interior feeding bag and tubing are not dated.
7. A nurse is caring for a group of clients which of the following
tasks is appropriate for the nurse to delegate to the assistive
personnel (AP)? (Select all that apply.)
a. change addressing for a client who has a
stage three decubitus ulcer. b. Measure I&O
for a client who is receiving peritoneal
dialysis.
c. Transfer client from bed to chair with mechanical lift.
d. Provide postmortem care on a client who experienced
cardiac arrest.
e. Obtain a signed consent for a client for a screening
colonoscopy.




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