VATI PN Comprehensive Practice Exam
With Mutiple Choice Questions And
Answers.
A nurse is collecting data from a client who is in severe pain. Which of the following
questions should the nurse ask first?
A. How have you managed pain in the past?
B. Does anything make your pain worse?
C. Where is your pain located
D. Is the pain preventing you from performing any activities? - ANSWER Where is your
pain located?
When using the urgent vs. Non-urgent approach to collect data from a client who
is having acute and severe pain, the nurse should first ask the client about
location, severity, and quality to identify appropriate nursing interventions for
pain relief. The nurse should collect more detailed data about the client's pain
experiences after administering pain med, when the clients pain level is tolerable.
A nurse is reinforcing discharge teaching about car seat safety with the guardian of a
newborn. Which of the following statements indicates an understanding of the teaching?
A. I will secure the care seat in the car by using the seatbelt.
B. While traveling, I should use a blanket underneath my baby for padding.
C. When my baby is able to hold their head upright, I can turn the seat forward-facing.
D. I can place the car seat in the front passenger seat as long as there is a working
airbag. - ANSWER I will secure the car seat by using the seatbelt.
The nurse should instruct the guardian to secure the car seat by using the
seatbelt.
,A nurse is reinforcing teaching with a client who is bottle feeding their full-term newborn
with formula. Which of the following instructions should the nurse include in the
teaching?
A. Feeding the newborn at least every 3 to 4 hours.
B. Refrigerate formula that remains in the bottle.
C. Wake the newborn if she falls asleep during a feeding.
D. Prop the bottle with a folded towel for middle of the night feedings. - ANSWER Feed
the newborn at least every 3 to 4 hours.
Although it is unnecessary to be rigid about feeding times. 6 to 8 feedings every
24 hours should support a full-term newborn's needs adequately. Fewer feedings
in the initial weeks could delay the establishment of an adequate weight gain
pattern.
A nurse is collecting data from a male who is scheduled for a left inguinal herniorrhaphy.
Which of the following findings is the priority for the nurse to report to the provider?
A. An inguinal bulge when coughing.
B. Decreased bowel sounds
C. Swelling of the left groin area
D. Tenderness in the scrotum - ANSWER Decreased bowel sounds.
The greatest risk to this bowel necrosis or perforation due to bowel obstruction
or strangulation. This is a surgical emergency. Therefore decreased bowel
sounds are the priority finding to report to the provider.
A nurse is reinforcing teaching with a client about taking warfarin to treat atrial
fibrillation. Which of the following statements by the client indicates an understanding of
the teaching?
A. If I need to floss my teeth, I can use wax-coated floss twice a day.
,B. I'll take ibuprofen if I get a headache.
C. I'll use a safety razor to shave each day.
D. If I forget to take a dose, I can take it later on the same day. - ANSWER If I forget to
take a dose, I can take it later on the same day.
A nurse in a long-term care facility is reviewing information about health care associated
infections with a newly licensed nurse. Which of the following information should the
nurse include?
A. Older adults are resistant to pathogens that cause infection.
B. Use alcohol-based antiseptic hand cleansers after caring for a client with Clostridium
difficile.
C. Prolonged use of corticosteroid is a risk factor for infection.
D. Blood pressure cuffs can be a source of endogenous infections. - ANSWER
Prolonged use of corticosteroids is a risk factor for infection.
Prolonged use of corticosteroids places the client at risk for a health care
associated infection.
A nurse is collecting data from a client who has type 2 diabetes mellitus and is
concerned about weight gain during pregnancy. Which of the following responses
should the nurse make?
A. Your weight gain should be the same as for someone without diabetes.
B. Weight gain should be 2 pounds during the first trimester and 2 pounds per week
thereafter.
C. Weight reduction during pregnancy is often necessary for clients who have diabetes.
D. Your weight gain should average between 10 and 15 pounds. - ANSWER Your
weight gain should be the same as for someone without diabetes.
A client who is pregnant and has diabetes mellitus should gain the same amount
of weight as a client without diabetes mellitus.
, A nurse is caring for a female client who has an indwelling urinary catheter. Which of
the following actions should the nurse take?
A. Cleanse the catheter at the insertion site with an alcohol wipe daily.
B. Gently irrigate the catheter and bladder once per shift.
C. Wipe the drainage port with an antiseptic after emptying urine from the bag.
D. Ensure the urinary catheter bag is maintained at the level of insertion. - ANSWER
Wipe the drainage port with an antiseptic after emptying urine from the bag.
To prevent the spread of infection when emptying the drainage bag, the nurse
should cleanse the client’s drainage port with an antiseptic wipe to remove any
residual urine prior to securing the spout back in place.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect?
A. Bradycardia
B. Decreased respiratory rate
C. Pink mucous membranes
D. Difficulty concentrating - ANSWER Difficulty concentrating.
In clients who have iron deficiency anemia, body cells do not receive the required
oxygen because there's less hemoglobin for binding. The nurse should recognize
that impaired oxygenation of brain tissue can lead to dizziness and difficulty
concentrating.
A nurse manager is preparing to complete a performance analysis for a group of
assistive personnel (AP). The manager asks a staff nurse for feedback on each AP's
abilities. Which of the following actions should the staff nurse take?
A. Limit comments to information about each AP's performance in the last month.
B. Focus the feedback on the strengths of each AP.
With Mutiple Choice Questions And
Answers.
A nurse is collecting data from a client who is in severe pain. Which of the following
questions should the nurse ask first?
A. How have you managed pain in the past?
B. Does anything make your pain worse?
C. Where is your pain located
D. Is the pain preventing you from performing any activities? - ANSWER Where is your
pain located?
When using the urgent vs. Non-urgent approach to collect data from a client who
is having acute and severe pain, the nurse should first ask the client about
location, severity, and quality to identify appropriate nursing interventions for
pain relief. The nurse should collect more detailed data about the client's pain
experiences after administering pain med, when the clients pain level is tolerable.
A nurse is reinforcing discharge teaching about car seat safety with the guardian of a
newborn. Which of the following statements indicates an understanding of the teaching?
A. I will secure the care seat in the car by using the seatbelt.
B. While traveling, I should use a blanket underneath my baby for padding.
C. When my baby is able to hold their head upright, I can turn the seat forward-facing.
D. I can place the car seat in the front passenger seat as long as there is a working
airbag. - ANSWER I will secure the car seat by using the seatbelt.
The nurse should instruct the guardian to secure the car seat by using the
seatbelt.
,A nurse is reinforcing teaching with a client who is bottle feeding their full-term newborn
with formula. Which of the following instructions should the nurse include in the
teaching?
A. Feeding the newborn at least every 3 to 4 hours.
B. Refrigerate formula that remains in the bottle.
C. Wake the newborn if she falls asleep during a feeding.
D. Prop the bottle with a folded towel for middle of the night feedings. - ANSWER Feed
the newborn at least every 3 to 4 hours.
Although it is unnecessary to be rigid about feeding times. 6 to 8 feedings every
24 hours should support a full-term newborn's needs adequately. Fewer feedings
in the initial weeks could delay the establishment of an adequate weight gain
pattern.
A nurse is collecting data from a male who is scheduled for a left inguinal herniorrhaphy.
Which of the following findings is the priority for the nurse to report to the provider?
A. An inguinal bulge when coughing.
B. Decreased bowel sounds
C. Swelling of the left groin area
D. Tenderness in the scrotum - ANSWER Decreased bowel sounds.
The greatest risk to this bowel necrosis or perforation due to bowel obstruction
or strangulation. This is a surgical emergency. Therefore decreased bowel
sounds are the priority finding to report to the provider.
A nurse is reinforcing teaching with a client about taking warfarin to treat atrial
fibrillation. Which of the following statements by the client indicates an understanding of
the teaching?
A. If I need to floss my teeth, I can use wax-coated floss twice a day.
,B. I'll take ibuprofen if I get a headache.
C. I'll use a safety razor to shave each day.
D. If I forget to take a dose, I can take it later on the same day. - ANSWER If I forget to
take a dose, I can take it later on the same day.
A nurse in a long-term care facility is reviewing information about health care associated
infections with a newly licensed nurse. Which of the following information should the
nurse include?
A. Older adults are resistant to pathogens that cause infection.
B. Use alcohol-based antiseptic hand cleansers after caring for a client with Clostridium
difficile.
C. Prolonged use of corticosteroid is a risk factor for infection.
D. Blood pressure cuffs can be a source of endogenous infections. - ANSWER
Prolonged use of corticosteroids is a risk factor for infection.
Prolonged use of corticosteroids places the client at risk for a health care
associated infection.
A nurse is collecting data from a client who has type 2 diabetes mellitus and is
concerned about weight gain during pregnancy. Which of the following responses
should the nurse make?
A. Your weight gain should be the same as for someone without diabetes.
B. Weight gain should be 2 pounds during the first trimester and 2 pounds per week
thereafter.
C. Weight reduction during pregnancy is often necessary for clients who have diabetes.
D. Your weight gain should average between 10 and 15 pounds. - ANSWER Your
weight gain should be the same as for someone without diabetes.
A client who is pregnant and has diabetes mellitus should gain the same amount
of weight as a client without diabetes mellitus.
, A nurse is caring for a female client who has an indwelling urinary catheter. Which of
the following actions should the nurse take?
A. Cleanse the catheter at the insertion site with an alcohol wipe daily.
B. Gently irrigate the catheter and bladder once per shift.
C. Wipe the drainage port with an antiseptic after emptying urine from the bag.
D. Ensure the urinary catheter bag is maintained at the level of insertion. - ANSWER
Wipe the drainage port with an antiseptic after emptying urine from the bag.
To prevent the spread of infection when emptying the drainage bag, the nurse
should cleanse the client’s drainage port with an antiseptic wipe to remove any
residual urine prior to securing the spout back in place.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect?
A. Bradycardia
B. Decreased respiratory rate
C. Pink mucous membranes
D. Difficulty concentrating - ANSWER Difficulty concentrating.
In clients who have iron deficiency anemia, body cells do not receive the required
oxygen because there's less hemoglobin for binding. The nurse should recognize
that impaired oxygenation of brain tissue can lead to dizziness and difficulty
concentrating.
A nurse manager is preparing to complete a performance analysis for a group of
assistive personnel (AP). The manager asks a staff nurse for feedback on each AP's
abilities. Which of the following actions should the staff nurse take?
A. Limit comments to information about each AP's performance in the last month.
B. Focus the feedback on the strengths of each AP.
