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 1Draw up the volume of
insulinfrom 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
Advisethe 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?
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
expansionof 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) ANS - Establish the
client'slearning needs
- Determine the client's literacy level
,- 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
, 10. A nurse is performing postmortem care for an older client who had just
died. Which of the following actions should the nurse take? ANS Identify the
clientusing two identifiers
11. 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? ANS 65 mL
12. 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? ANS Determine how the client views the concept of
family
13. A nurse is caring for a client who reports having insomnia due to in-
creased stress. Which of the following actions should the nurse take first?-
ANS Determine the source of the client's stress
14. 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? ANS Use an alcohol-free barrier product
15. A nurse receives a telephone prescription form the provider, who states,
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 1Draw up the volume of
insulinfrom 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
Advisethe 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?
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
expansionof 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) ANS - Establish the
client'slearning needs
- Determine the client's literacy level
,- 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
, 10. A nurse is performing postmortem care for an older client who had just
died. Which of the following actions should the nurse take? ANS Identify the
clientusing two identifiers
11. 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? ANS 65 mL
12. 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? ANS Determine how the client views the concept of
family
13. A nurse is caring for a client who reports having insomnia due to in-
creased stress. Which of the following actions should the nurse take first?-
ANS Determine the source of the client's stress
14. 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? ANS Use an alcohol-free barrier product
15. A nurse receives a telephone prescription form the provider, who states,
