RN VATI Fundamentals Assessment Questions and Answers Scored A+ 2023

RN VATI Fundamentals Assessment Questions and Answers Scored A+ 2023 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. 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. To mix insulin from two vials in the same syringe, the nurse should first draw up a volume of air equal to the volume of insulin from the intermediate-acting insulin vial. The nurse should then inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial, making sure the needle does not touch the insulin. Next, the nurse should inject the volume of air equal to the insulin dose from the short-acting insulin vial. Then, the nurse should withdraw the prescribed amount of insulin from the short-acting insulin vial. Lastly, the nurse should withdraw the prescribed amount of insulin from the intermediate-acting insulin vial. The insulins are now mixed and ready to administer. A nurse is assessing a client who wears partial dentures and reports mouth pain. Which of the following actions should the nurse take? Advise the client to rinse their mouth and dentures after each meal. The nurse should advise the client to rinse their mouth and dentures after each meal to remove food and particles and to promote healing of gums and oral mucosa. The nurse should instruct the client to rinse their mouth four times each day with mild rinses, such as normal saline or sodium bicarbonate solution. The nurse should inform the client that mouthwashes containing alcohol dry the oral mucosa and can irritate tissue. The nurse should instruct the client to brush their remaining teeth with a soft toothbrush at least twice each day to reduce the risk for gum abrasions. The nurse should avoid using lemon-glycerin sponges because they can cause erosion of the client's tooth enamel, dry the mucous membranes, and increase the client's current discomfort. 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? Speech-language pathologist The nurse should recommend a referral for a client who has dysphagia to a speech-language pathologist. Clients who have dysphagia have difficulty swallowing and are at risk for aspiration. The speech-language pathologist can perform a swallow study to determine the extent of the client's dysphagia and work with the client to develop new swallowing techniques. 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 - Evaluate the client's readiness for learning - Identify the client's learning style 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? Previous treatments The nurse should include previous treatments in the "background" portion of the SBAR communication tool. Other information the nurse should include in the "background" portion is the client's admission history, diagnosis, pertinent medical history, and code status. The nurse should include physical findings in the "assessment" portion of the SBAR communication tool. The nurse should include questions regarding client care in the "recommendation" portion of the SBAR communication tool. The nurse should include the client's present condition in the "situation" portion of the SBAR communication tool. A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy utilizing a compressed oxygen system. Which of the following statements by the client indicates an understanding of the teaching? "I will store oxygen tanks in an upright position" This statement by the client indicates an understanding of the teaching. The nurse should instruct the client to store oxygen tanks in an upright position in a holder to prevent damage to the tank and injury to the client and the client's family. The nurse should instruct the client to check the oxygen equipment at least once daily to determine if it is set to the prescribed oxygen rate. The nurse should instruct the client to place the oxygen equipment 2.4 m (8 ft) from a heat source to prevent injury from accidental combustion. 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? "It must me a very difficult time for you." The nurse is using the therapeutic communication technique of verbalizing the implied. This technique puts into words what the client has said indirectly and creates a more positive nurse-client relationship. A nurse is assessing a client's coping skills. Which of the following should the nurse identify as an internal stressor? Fear of medical test results Fear of medical test results is an internal stressor that originates within the body and mind of a client. Internal stressors are pressures that the client places upon themselves and are often the most common causes of stress. These stressors often force clients to deal with conflicting inner values and interactions with others. When a client manages internal stressors, it enhances their ability to deal with external stressors. A nurse is performing postmortem care for an older client who had just died. Which of the following actions should the nurse take? Identify the client using 2 identifiers The nurse should identify the deceased client using two identifiers, such as name and birth date, or name and account number, and then compare the identifiers to the information in the client's medical records A nurse has administered 5 mL of medication to a client via NG tube. Then used 30 mL of water to flush the tue both before and after the instillation. the nurse should document which of the following amounts as liquid intake for the client? 65 mL A client who has an NG tube can receive numerous liquid medications, plus water to flush the tube before and after medications. Over a 24-hr period, these liquids can amount to a significant intake. The nurse should document them on the intake and output record. A value of 65 mL accounts for 5 mL of medication and two 30-mL flushes. A nurse is performing a family assessment for a client who has recently developed paraplegia following a stroke. Which of the following actions should the nurse take first? Determine how the client views the concept of family According to evidence-based practice, the nurse should first determine how the client views the concept of a family. This will influence the nurse's decision on how or whether to move forward in including the family into the client's plan of care. A nurse is caring for a client who reports having insomnia due to increased stress. Which of the following actions should the nurse take first? Determine the source of the client's stress The first action the nurse should take when using the nursing process is to assess or determine what is causing the client to experience increased stress. The nurse should instruct the client to eliminate distracting noise, such as television, a clock chiming, or a phone that can disrupt sleep. However, there is another action the nurse should take first. A nurse is caring for a client who had a stroke and is immobile. Which of the following actions should the nurse take to maintain the client's skin integrity? Use an alcohol-free barrier product The nurse should apply an alcohol-free barrier film to keep the client's skin dry and protect it from the collection of moisture. This action will help to maintain the integrity of the client's skin. A nurse receives a telephone prescription form the provider, who states, "four milligrams of morphine diluted with 5 milliliters of sterile water intravenous each morning at nine o'clock before client dressing changes." Which of the following entries by the nurse indicates correct transcription of the prescription? MSO4 4 mg IV bolus daily before dressing changes and dilute with 5 cc of water Morphine 4 mg IV bolus daily at 0900 before dressing changes, dilute medication with 5 mL of sterile water Morphine 4 mg IV bolus Q.D. before dressing changes and dilute with 5 cc of sterile water MSO4 4 mg IV bolus daily @ 9 AM, dilute with 5 mL of sterile water Morphine 4 mg IV bolus daily at 0900 before dressing change, dilute medication with 5 mL of sterile water This entry by the nurse indicates correct transcription of the prescription. This transcription contains acceptable abbreviations according to The Joint Commission and includes complete information from the provider. A nurse in a long-term care facility is planning to use therapeutic touch for a group of selected clients who have chronic pain. The nurse should identify that the use of therapeutic touch is CONTRADICTED for which of the following patients? A client who has chronic back pain and a history of physical maltreatment Therapeutic touch consists of using the nurse's hands to harmonize energy fields and to facilitate relief of pain or anxiety, such as for a client who has chronic back pain. The nurse can touch the client with their palms or move the palms near, but not touching the client's body. Prior physical maltreatment and some mental health disorders are contraindications for therapeutic touch, because touch or near touch could cause severe anxiety. A nurse is preparing to delegate task for multiple clients at the beginning of the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? Assist a client with ambulation When delegating client care activities to an AP, the delegating nurse should follow the five rights of delegation, which include right task, right circumstance, right person, right direction, and right evaluation. Assisting a client with ambulation is within the range of function of an AP. A home health nurse is making an initial assessment visit to an older client who has type 1 diabetes mellitus. Which of the following statements should the nurse make to evaluate the client's ability to measure blood glucose accurately? "Please use your glucometer and show me the results." Asking for a return demonstration is an effective way to assess a client's ability to complete a psychomotor activity. The nurse should carefully observe the client using the glucometer to validate the client's understanding of the procedure and evaluate whether or not the method is accurate. A nurse is caring for a client who has an ankle sprain and a prescription for an aquathermia pad. Which of the following actions should the nurse take? Cover the pad with a pillowcase before application. The nurse should cover the aquathermia pad with a thin towel or pillowcase before use because applying the pad directly to the skin could cause a burn injury. Monitor condition of skin every 5 minutes during application, and question patient regarding sensation of burning. Remove pad after 20 min.