RN VATI Comprehensive Predictor Form A, B, & C, Exam,
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RN VATI Comprehensive Predictor Form A……… Pg 02
RN VATI Comprehensive Predictor Form B & C… Pg 106
RN VATI Comprehensive Predictor Form A, B, & C Exam
,RN VATI Comprehensive Predictor Form A
105 + 1
1.
A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery
suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration.
Which of the following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
Answer: Prepare the client for a cesarean section
Rationale: Vaginal examinations and rupture of membranes are contraindicated with
complete placenta previa due to risk of hemorrhage. The placenta completely covers the
cervical os, so cesarean delivery is required to ensure maternal and fetal safety. Pain
management and other care follow once the client is stabilized for surgery.
2.
A nurse enters a client's room and finds the client lying on the floor in a puddle of water.
Which of the following statements should the nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed down
B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table
Answer: Client found lying on the floor near the bedside table
,Rationale: Documentation in an incident report should be factual, objective, and free of
interpretation or blame. The nurse should only record what was observed directly, not
assumptions about causes or opinions of others. This ensures accuracy for quality and legal
review.
3.
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical
unit. Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a
Herrington rod
Answer: A 10-year-old client who has pneumonia and is receiving respiratory treatments
Rationale: A float nurse from the medical unit is most familiar with caring for clients with
respiratory conditions like pneumonia. Clients receiving chemotherapy or cardiac surgery
require specialized pediatric or oncology experience. Assigning appropriate patients promotes
safe, competent care.
4.
A nurse is preparing to administer vancomycin to a client who has an infected wound. The
nurse should plan to monitor for which of the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
, C. Hypercalcemia
D. Hypertension
Answer: Ototoxicity
Rationale: Vancomycin can cause ototoxicity, particularly with high serum levels or
prolonged use. The nurse should monitor for tinnitus and hearing loss. Nephrotoxicity is
another major risk. Hepatic injury and calcium imbalance are not associated with this
medication.
5.
A nurse is assessing an infant who has water intoxication. Which of the following findings
should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
Answer: Generalized edema
Rationale: Water intoxication leads to excess extracellular fluid and hyponatremia, resulting
in swelling and edema. Urine becomes dilute, not concentrated, and hematocrit falls due to
hemodilution. Early detection prevents complications like seizures and electrolyte imbalance.
6.
A home health nurse is conducting an initial home visit for a client who has terminal breast
cancer. The client has two school-age children and a limited support system. Which of the
following is the priority nursing action?
A. Inform the client of available community resources