RN VATI Fundamentals 2019 Assessment
1. A nurse is preparing to mix short-acting and intermediate-acting insulin
in one syringe to administer to a client who has type 1 diabetes mellitus.
Identify the sequence the nurse should follow ANS: 1: Draw up the
volume of insulin from the intermediate-acting insulin vial.
2: Inject the volume of air equal to the amount of insulin to
withdraw from the intermediate-acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-
acting insulin vial 4: Withdraw the prescribed amount of insulin form
the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-
acting insulin vial.
2. A nurse is assessing a client who wears partial dentures and reports
mouth pain. Which of the following actions should the nurse take ANS:
Advise the client to rinse their mouth and dentures after each meal.
3. A nurse is planning care for a client who has dysphagia and is at risk
for aspiration. Which of the following referrals should the nurse make
1/
,ANS: - Speech-language pathologist
4. thoracentesis post procedure ANS: Position the client on the
unaffected side.The nurse should position the client on the unaffected
side to help facilitate expansion of the affected lung.
Maintain the head of the bed at 45°.MY ANSWERSome facility
protocols recom- mend that the nurse should raise the head of the
bed to 30° for at least 30 min to facilitate expansion of the affected
lung and ease of breathing.
Measure the client's abdominal girth at the level of the umbilicus.The
nurse should measure the client's abdominal girth following an
abdominal paracentesis, rather than a thoracentesis.
Leave the puncture site open to air.The nurse should apply a small,
sterile dressing over the puncture site.
5. A nurse is planning teaching for a client who has a new diagnosis of
type 2 diabetes mellitus. Which of the following actions should the nurse
take prior to performing the teaching? (select all that apply): - Establish
the client's learning needs
- Determine the client's literacy level
2/
, - Evaluate the client's readiness for learning
- Identify the client's learning style
6. A nurse is preparing to notify the provider about a change in a client's
status. Which of the following information should the nurse plan to
include in the "background" portion of the SBAR communication tool
ANS: Previous treatments
7.A nurse is providing discharge teaching to a client who has a new
prescrip- tion for home oxygen therapy utilizing a compressed oxygen
system. Which of the following statements by the client indicates an
understanding of the teaching ANS: "I will store oxygen tanks in an
upright position"
8. A nurse is caring for a client who has terminal cancer. The client begins
to cry and says, "I am afraid of dying." Which of the following responses
should the nurse make ANS: "It must me a very difficult time for you."
9. A nurse is assessing a client's coping skills. Which of the following
should the nurse identify as an internal stressor ANS: Fear of medical
test results
3/
1. A nurse is preparing to mix short-acting and intermediate-acting insulin
in one syringe to administer to a client who has type 1 diabetes mellitus.
Identify the sequence the nurse should follow ANS: 1: Draw up the
volume of insulin from the intermediate-acting insulin vial.
2: Inject the volume of air equal to the amount of insulin to
withdraw from the intermediate-acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-
acting insulin vial 4: Withdraw the prescribed amount of insulin form
the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-
acting insulin vial.
2. A nurse is assessing a client who wears partial dentures and reports
mouth pain. Which of the following actions should the nurse take ANS:
Advise the client to rinse their mouth and dentures after each meal.
3. A nurse is planning care for a client who has dysphagia and is at risk
for aspiration. Which of the following referrals should the nurse make
1/
,ANS: - Speech-language pathologist
4. thoracentesis post procedure ANS: Position the client on the
unaffected side.The nurse should position the client on the unaffected
side to help facilitate expansion of the affected lung.
Maintain the head of the bed at 45°.MY ANSWERSome facility
protocols recom- mend that the nurse should raise the head of the
bed to 30° for at least 30 min to facilitate expansion of the affected
lung and ease of breathing.
Measure the client's abdominal girth at the level of the umbilicus.The
nurse should measure the client's abdominal girth following an
abdominal paracentesis, rather than a thoracentesis.
Leave the puncture site open to air.The nurse should apply a small,
sterile dressing over the puncture site.
5. A nurse is planning teaching for a client who has a new diagnosis of
type 2 diabetes mellitus. Which of the following actions should the nurse
take prior to performing the teaching? (select all that apply): - Establish
the client's learning needs
- Determine the client's literacy level
2/
, - Evaluate the client's readiness for learning
- Identify the client's learning style
6. A nurse is preparing to notify the provider about a change in a client's
status. Which of the following information should the nurse plan to
include in the "background" portion of the SBAR communication tool
ANS: Previous treatments
7.A nurse is providing discharge teaching to a client who has a new
prescrip- tion for home oxygen therapy utilizing a compressed oxygen
system. Which of the following statements by the client indicates an
understanding of the teaching ANS: "I will store oxygen tanks in an
upright position"
8. A nurse is caring for a client who has terminal cancer. The client begins
to cry and says, "I am afraid of dying." Which of the following responses
should the nurse make ANS: "It must me a very difficult time for you."
9. A nurse is assessing a client's coping skills. Which of the following
should the nurse identify as an internal stressor ANS: Fear of medical
test results
3/
