VATI Fundamentals Post-Assessment Quiz Exam Questions
AND Correct Answers
A charge nurse observes a nurse administer intermittent tube
feedings via an NG tube to a client. Which of the following
actions should prompt the charge nurse to intervene?
A. The nurse initiates the feeding after aspirating 50 mL of
gastric residual.
B. The nurse irrigates the NG tube with tap water after
feeding.
C. The nurse administers the feeding through a syringe barrel
by gravity.
D. The nurse allows the client to rest in a supine position
during feeding. - ✔✔D. The nurse allows the client to rest in a
supine position during feeding.
The nurse should elevate the head of the bed to a minimum
of 30° to prevent aspiration from reflux during feedings.
A. The nurse should withhold the feeding if the residual
exceeds 100 mL or the amount specified by facility policy. It
is generally safe to proceed after finding 50 mL of gastric
residual.
B. It is appropriate to flush the tubing with 50 to 100 mL of
water after feedings to prevent clogging. The stomach is not
sterile, so tap water is acceptable.
C. After removing the plunger, the nurse should pour the
formula into a 60-mL syringe and allow it to flow by gravity.
The nurse can adjust the flow by raising or lowering the
syringe.
,A nurse in a long-tern care facility enters the day room and
finds the window curtains on fire. Clients are panicking and
the room is filling with smoke. Indicate the emergency
actions the nurse must take.
Activate the fire alarm.
Extinguish the fire.
Close the door.
Remove the clients from the room. - ✔✔Remove the clients
from the room.
Activate the fire alarm.
Close the door.
Extinguish the fire.
In the event of a fire, it is helpful to recall the mnemonic
RACE to prioritize the actions to take: R - Rescue and remove
the clients, A - Activate the alarm, C - Confine the fire, and E
- Extinguish the fire. The nurse's priority action is to remove
the clients from the room. The nurse should then sound the
fire alarm and close the door to confine the fire. Finally and
if possible, the nurse should extinguish the fire.
A nurse in a provider's office returns a telephone call by the
end of the day, as promised, to a client who is worried about
the outcome of a laboratory test. The nurse is demonstrating
which of the following ethical principles?
, A. Autonomy
B. Justice
C. Fidelity
D. Nonmaleficence - ✔✔C. Fidelity
The nurse demonstrates the ethical principle of fidelity by
keeping a promise.
A. The nurse demonstrates the ethical principle autonomy
when supporting the client's right to make decisions about
care.
B. The nurse demonstrates the ethical principle of justice
when treating everyone fairly.
D. The nurse demonstrates the ethical principle of
nonmaleficence when action is taken to prevent harm to the
client.
A nurse is assessing a client following the application of an
aquathermia pad. Which of the following is the first indication
to the nurse that the client is experiencing a superficial burn
injury to the application site?
A. Blistering
B. Erythema
C. Eschar
D. Absence of pain - ✔✔B. Erythema
Erythema is an indication that the client has experienced a
superficial burn with damage limited to the epidermis. Other
AND Correct Answers
A charge nurse observes a nurse administer intermittent tube
feedings via an NG tube to a client. Which of the following
actions should prompt the charge nurse to intervene?
A. The nurse initiates the feeding after aspirating 50 mL of
gastric residual.
B. The nurse irrigates the NG tube with tap water after
feeding.
C. The nurse administers the feeding through a syringe barrel
by gravity.
D. The nurse allows the client to rest in a supine position
during feeding. - ✔✔D. The nurse allows the client to rest in a
supine position during feeding.
The nurse should elevate the head of the bed to a minimum
of 30° to prevent aspiration from reflux during feedings.
A. The nurse should withhold the feeding if the residual
exceeds 100 mL or the amount specified by facility policy. It
is generally safe to proceed after finding 50 mL of gastric
residual.
B. It is appropriate to flush the tubing with 50 to 100 mL of
water after feedings to prevent clogging. The stomach is not
sterile, so tap water is acceptable.
C. After removing the plunger, the nurse should pour the
formula into a 60-mL syringe and allow it to flow by gravity.
The nurse can adjust the flow by raising or lowering the
syringe.
,A nurse in a long-tern care facility enters the day room and
finds the window curtains on fire. Clients are panicking and
the room is filling with smoke. Indicate the emergency
actions the nurse must take.
Activate the fire alarm.
Extinguish the fire.
Close the door.
Remove the clients from the room. - ✔✔Remove the clients
from the room.
Activate the fire alarm.
Close the door.
Extinguish the fire.
In the event of a fire, it is helpful to recall the mnemonic
RACE to prioritize the actions to take: R - Rescue and remove
the clients, A - Activate the alarm, C - Confine the fire, and E
- Extinguish the fire. The nurse's priority action is to remove
the clients from the room. The nurse should then sound the
fire alarm and close the door to confine the fire. Finally and
if possible, the nurse should extinguish the fire.
A nurse in a provider's office returns a telephone call by the
end of the day, as promised, to a client who is worried about
the outcome of a laboratory test. The nurse is demonstrating
which of the following ethical principles?
, A. Autonomy
B. Justice
C. Fidelity
D. Nonmaleficence - ✔✔C. Fidelity
The nurse demonstrates the ethical principle of fidelity by
keeping a promise.
A. The nurse demonstrates the ethical principle autonomy
when supporting the client's right to make decisions about
care.
B. The nurse demonstrates the ethical principle of justice
when treating everyone fairly.
D. The nurse demonstrates the ethical principle of
nonmaleficence when action is taken to prevent harm to the
client.
A nurse is assessing a client following the application of an
aquathermia pad. Which of the following is the first indication
to the nurse that the client is experiencing a superficial burn
injury to the application site?
A. Blistering
B. Erythema
C. Eschar
D. Absence of pain - ✔✔B. Erythema
Erythema is an indication that the client has experienced a
superficial burn with damage limited to the epidermis. Other
