VATI Fundamentals Pre-Assessment
Exam (Latest Update ) |
Review Questions and Verified
Answers | 100% Correct | Grade A
Question:
A nurse is preparing to administer the hepatitis B vaccine to a client. Which
of the following techniques should the nurse use to locate the deltoid muscle?
A. Locate the center of the arm between the elbow and the shoulder.
B. Find the center of the anterior aspect of the thigh.
C. Locate the middle third of the anterior thigh between the greater
trochanter of the femur and the lateral femoral condyle.
D. Place one finger across the acromion process and measure 3 fingerbreadths
below to the midpoint and center of the lateral aspect of the upper arm.
Answer:
Place one finger across the acromion process and measure 3 fingerbreadths
below to the midpoint and center of the lateral aspect of the upper arm.
This identifies the deltoid muscle, into which the nurse should inject the
vaccine.
,Question:
A nurse is preparing to discontinue a client's indwelling urinary catheter.
Which of the following actions should the nurse take first?
A. Deflate the catheter balloon using a sterile syringe.
B. Measure and document the urine in the drainage bag.
C. Remove the tape or device securing the catheter to the client's thigh.
D. Position the client supine.
Answer:
Position the client supine.
The first action the nurse should take using the nursing process is to place the
client in a supine position. This permits adequate
Question:
A nurse is providing teaching to a client who has neutropenia. Which of the
following information should the nurse include in the teaching?
A. Eat plenty of fresh fruits and vegetables.
B. Avoid crowds.
C. Perform mild exercise, such as gardening.
D. Take temperature weekly.
Answer:
Avoid crowds.
The nurse should inform the client to avoid crowds due to his suppressed
immune system.
, Question:
A nurse is filling out an incident report after finding a client lying on the floor.
Which of the following information should the nurse include?
A. "The client attempted to climb over the side rails and fell."
B. "The client was lying on the floor next to his bed."
C. "The client was restless and trying to get out of bed all evening."
D. "The presence of a bed alarm could have prevented the client from falling."
Answer:
"The client was lying on the floor next to his bed."
In an incident report, the nurse should only document what she actually
witnessed, along with the date, time, place, and any other actual facts about
the incident.
Question:
A nurse on a medical unit is caring for a client who suddenly becomes
confused and drowsy. Additional data includes pulse 100/min, respiratory rate
24/min, BP 132/76 mmHg, and temperature 36.8 C (98.2 F). Which of the
following actions should the nurse perform?
A. Complete a neurological check.
B. Administer the prescribed PRN antihypertensive medication.
C. Increase the client's fluid intake.
D. Hold the client's evening dose of digoxin.
Answer:
Complete a neurological check.
Exam (Latest Update ) |
Review Questions and Verified
Answers | 100% Correct | Grade A
Question:
A nurse is preparing to administer the hepatitis B vaccine to a client. Which
of the following techniques should the nurse use to locate the deltoid muscle?
A. Locate the center of the arm between the elbow and the shoulder.
B. Find the center of the anterior aspect of the thigh.
C. Locate the middle third of the anterior thigh between the greater
trochanter of the femur and the lateral femoral condyle.
D. Place one finger across the acromion process and measure 3 fingerbreadths
below to the midpoint and center of the lateral aspect of the upper arm.
Answer:
Place one finger across the acromion process and measure 3 fingerbreadths
below to the midpoint and center of the lateral aspect of the upper arm.
This identifies the deltoid muscle, into which the nurse should inject the
vaccine.
,Question:
A nurse is preparing to discontinue a client's indwelling urinary catheter.
Which of the following actions should the nurse take first?
A. Deflate the catheter balloon using a sterile syringe.
B. Measure and document the urine in the drainage bag.
C. Remove the tape or device securing the catheter to the client's thigh.
D. Position the client supine.
Answer:
Position the client supine.
The first action the nurse should take using the nursing process is to place the
client in a supine position. This permits adequate
Question:
A nurse is providing teaching to a client who has neutropenia. Which of the
following information should the nurse include in the teaching?
A. Eat plenty of fresh fruits and vegetables.
B. Avoid crowds.
C. Perform mild exercise, such as gardening.
D. Take temperature weekly.
Answer:
Avoid crowds.
The nurse should inform the client to avoid crowds due to his suppressed
immune system.
, Question:
A nurse is filling out an incident report after finding a client lying on the floor.
Which of the following information should the nurse include?
A. "The client attempted to climb over the side rails and fell."
B. "The client was lying on the floor next to his bed."
C. "The client was restless and trying to get out of bed all evening."
D. "The presence of a bed alarm could have prevented the client from falling."
Answer:
"The client was lying on the floor next to his bed."
In an incident report, the nurse should only document what she actually
witnessed, along with the date, time, place, and any other actual facts about
the incident.
Question:
A nurse on a medical unit is caring for a client who suddenly becomes
confused and drowsy. Additional data includes pulse 100/min, respiratory rate
24/min, BP 132/76 mmHg, and temperature 36.8 C (98.2 F). Which of the
following actions should the nurse perform?
A. Complete a neurological check.
B. Administer the prescribed PRN antihypertensive medication.
C. Increase the client's fluid intake.
D. Hold the client's evening dose of digoxin.
Answer:
Complete a neurological check.
