RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_di6dos
1. A nurse is preparing 1: Draw up the volume of insulin from the intermediate-acting insulin
to mix short-acting and vial.
intermediate-acting in-
sulin in one syringe to 2: Inject the volume of air equal to the amount of insulin to withdraw
administer to a client from the intermediate-acting insulin vial.
who has type 1 diabetes
3: Inject the volume of air equal to the insulin dose form the short-acting
mellitus. Identify the se-
insulin vial
quence the nurse should
follow.
4: Withdraw the prescribed amount of insulin form the short-acting
insulin vial.
5: Withdraw the prescribed amount of insulin form the intermedi-
ate-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.
2. A nurse is assessing a Advise the client to rinse their mouth and dentures after each meal.
client who wears par-
tial dentures and reports The nurse should advise the client to rinse their mouth and dentures
mouth pain. Which of the after each meal to remove food and particles and to promote healing
following actions should of gums and oral mucosa.
the nurse take? The nurse should instruct the client to rinse their mouth four times each
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_di6dos
day with mild rinses, such as normal saline or sodium bicarbonate so-
lution. 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 mem-
branes, and increase the client's current discomfort.
3. A nurse is planning care Speech-language pathologist
for a client who has dys-
phagia and is at risk The nurse should recommend a referral for a client who has dysphagia
for aspiration. Which of to a speech-language pathologist. Clients who have dysphagia have
the following referrals difficulty swallowing and are at risk for aspiration. The speech-language
should the nurse make? 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.
4. A nurse is planning - Establish the client's learning needs
teaching for a client who
has a new diagnosis of - Determine the client's literacy level
type 2 diabetes mellitus.
- Evaluate the client's readiness for learning
Which of the following
actions should the nurse
- Identify the client's learning style
take prior to performing
the teaching? (select all
that apply)
5. A nurse is preparing to Previous treatments
notify the provider about
a change in a client's sta- The nurse should include previous treatments in the "background"
tus. Which of the follow- portion of the SBAR communication tool. Other information the nurse
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_di6dos
ing information should should include in the "background" portion is the client's admission
the nurse plan to include history, diagnosis, pertinent medical history, and code status. The nurse
in the "background" por- should include physical findings in the "assessment" portion of the
tion of the SBAR commu- SBAR communication tool. The nurse should include questions regard-
nication tool? ing client care in the "recommendation" portion of the SBAR commu-
nication tool. The nurse should include the client's present condition in
the "situation" portion of the SBAR communication tool.
6. A nurse is providing dis- "I will store oxygen tanks in an upright position"
charge teaching to a
client who has a new pre- This statement by the client indicates an understanding of the teaching.
scription for home oxy- The nurse should instruct the client to store oxygen tanks in an upright
gen therapy utilizing a position in a holder to prevent damage to the tank and injury to the
compressed oxygen sys- client and the client's family. The nurse should instruct the client to check
tem. Which of the fol- the oxygen equipment at least once daily to determine if it is set to the
lowing statements by the prescribed oxygen rate. The nurse should instruct the client to place
client indicates an under- the oxygen equipment 2.4 m (8 ft) from a heat source to prevent injury
standing of the teach- from accidental combustion.
ing?
7. A nurse is caring for a "It must me a very difficult time for you."
client who has terminal
cancer. The client begins The nurse is using the therapeutic communication technique of verbal-
to cry and says, "I am izing the implied. This technique puts into words what the client has
afraid of dying." Which of said indirectly and creates a more positive nurse-client relationship.
the following responses
should the nurse make?
8. A nurse is assessing Fear of medical test results
a client's coping skills.
Which of the following Fear of medical test results is an internal stressor that originates within
the body and mind of a client. Internal stressors are pressures that the
client places upon themselves and are often the most common causes
Study online at https://quizlet.com/_di6dos
1. A nurse is preparing 1: Draw up the volume of insulin from the intermediate-acting insulin
to mix short-acting and vial.
intermediate-acting in-
sulin in one syringe to 2: Inject the volume of air equal to the amount of insulin to withdraw
administer to a client from the intermediate-acting insulin vial.
who has type 1 diabetes
3: Inject the volume of air equal to the insulin dose form the short-acting
mellitus. Identify the se-
insulin vial
quence the nurse should
follow.
4: Withdraw the prescribed amount of insulin form the short-acting
insulin vial.
5: Withdraw the prescribed amount of insulin form the intermedi-
ate-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.
2. A nurse is assessing a Advise the client to rinse their mouth and dentures after each meal.
client who wears par-
tial dentures and reports The nurse should advise the client to rinse their mouth and dentures
mouth pain. Which of the after each meal to remove food and particles and to promote healing
following actions should of gums and oral mucosa.
the nurse take? The nurse should instruct the client to rinse their mouth four times each
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_di6dos
day with mild rinses, such as normal saline or sodium bicarbonate so-
lution. 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 mem-
branes, and increase the client's current discomfort.
3. A nurse is planning care Speech-language pathologist
for a client who has dys-
phagia and is at risk The nurse should recommend a referral for a client who has dysphagia
for aspiration. Which of to a speech-language pathologist. Clients who have dysphagia have
the following referrals difficulty swallowing and are at risk for aspiration. The speech-language
should the nurse make? 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.
4. A nurse is planning - Establish the client's learning needs
teaching for a client who
has a new diagnosis of - Determine the client's literacy level
type 2 diabetes mellitus.
- Evaluate the client's readiness for learning
Which of the following
actions should the nurse
- Identify the client's learning style
take prior to performing
the teaching? (select all
that apply)
5. A nurse is preparing to Previous treatments
notify the provider about
a change in a client's sta- The nurse should include previous treatments in the "background"
tus. Which of the follow- portion of the SBAR communication tool. Other information the nurse
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_di6dos
ing information should should include in the "background" portion is the client's admission
the nurse plan to include history, diagnosis, pertinent medical history, and code status. The nurse
in the "background" por- should include physical findings in the "assessment" portion of the
tion of the SBAR commu- SBAR communication tool. The nurse should include questions regard-
nication tool? ing client care in the "recommendation" portion of the SBAR commu-
nication tool. The nurse should include the client's present condition in
the "situation" portion of the SBAR communication tool.
6. A nurse is providing dis- "I will store oxygen tanks in an upright position"
charge teaching to a
client who has a new pre- This statement by the client indicates an understanding of the teaching.
scription for home oxy- The nurse should instruct the client to store oxygen tanks in an upright
gen therapy utilizing a position in a holder to prevent damage to the tank and injury to the
compressed oxygen sys- client and the client's family. The nurse should instruct the client to check
tem. Which of the fol- the oxygen equipment at least once daily to determine if it is set to the
lowing statements by the prescribed oxygen rate. The nurse should instruct the client to place
client indicates an under- the oxygen equipment 2.4 m (8 ft) from a heat source to prevent injury
standing of the teach- from accidental combustion.
ing?
7. A nurse is caring for a "It must me a very difficult time for you."
client who has terminal
cancer. The client begins The nurse is using the therapeutic communication technique of verbal-
to cry and says, "I am izing the implied. This technique puts into words what the client has
afraid of dying." Which of said indirectly and creates a more positive nurse-client relationship.
the following responses
should the nurse make?
8. A nurse is assessing Fear of medical test results
a client's coping skills.
Which of the following Fear of medical test results is an internal stressor that originates within
the body and mind of a client. Internal stressors are pressures that the
client places upon themselves and are often the most common causes
