RN VATI Fundamentals Assessment questions with
verified answers
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✔✔ -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?
Ans✔✔ -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?
Ans✔✔ -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) Ans✔✔ --
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?
Ans✔✔ -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? Ans✔✔ -"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? Ans✔✔ -"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.
verified answers
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✔✔ -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?
Ans✔✔ -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?
Ans✔✔ -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) Ans✔✔ --
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?
Ans✔✔ -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? Ans✔✔ -"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? Ans✔✔ -"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.
