VATI RN med surg proctored EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

ATI EXAM
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Exam Solution
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VATI Proctored final assessment 1 Cartes 2026 A+ GRA
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DE ASSURED COMPLETE SOLUTIONS AND VERIFIED AN
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SWERS (F2925) ms




QUESTION 1 ms




Management of Varicella ms ms




ANSWER

Rash starts in trunk and spreads to face/extremities. Macule<papule<vesicles< crust over. scabs in a
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bout 1 week. Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes, tepid baths, t
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rim nails, mittens for scratching, and change linens daily) OR: Acyclovir w/in 48hrs Notify MDH of c
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om diseases. AIRBORNE/Contact
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QUESTION 2 ms




Consent guidelines ms




ANSWER

Written consent required for< Invasive precedures Emancipated adult can consent for themselves. N
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urse must witness signature and ensure they understand. if no understand contact provider.
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QUESTION 3 ms




Cystic Fibrosis nutritional info
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ANSWER

High in protein/cals 3 meals/day +snacks ^fluids Pancreatic enzymes in 30 min of eating meal/snac
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k Vit supps: multi, A,D, E, K lax for constipation ^salt during hot weather(dehydration)
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QUESTION 4 ms




hypopituitarism treatment ms




ANSWER

,hormone replacement therapy: corticosteroids thyroxine sex steroids human GH (Somatropin)
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QUESTION 5 ms




PICC care ms




ANSWER

-dressing change every 7 days unless wet, soiled, loose; -flush using 10 mL syringe after infusions; -
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change injection caps every 72 hrs; -
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assess infusion system systemically starting w/insertion site, observing for signs of infection, workin
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g upward, following tubing to make sure all connections are secure
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QUESTION 6 ms




PICC insertion ms




ANSWER

- Use up to 12 months -basilic/cephalic vein finger breadth ^/below antecubital -
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used for admin of blood, long-term chemo, ABX, and TPN -Confirm placement with xray -
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Transparent dressing for visualization Q 7 daysms ms ms ms ms ms




QUESTION 7 ms




PICC education ms




ANSWER

-Transparent dressing (visualization) Q 7 days -ms ms ms ms ms ms



do not immerse in water. cover to prevent water exposure - no blood draws on arm with picc
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QUESTION 8 ms




PICC FLUSHING ms




ANSWER

Use a 10 mL syringe for flushing the PICC line. Do not apply force if resistance is met. Flush with 1
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0 mL 0.9% sodium chloride before, between, and after medications. * Flush with 20 mL 0.9% sodiu
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m chloride after drawing blood.* Flush with 5 mL heparin (10 units/mL) when the PICC is not activ
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ely in use. The frequency of the flush depends on the type of PICC
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QUESTION 9 ms




Diabetes insipidus manifestations ms ms




ANSWER

, Risks: head injury, tumor, surgery, pituitary disruption, infx, Lithium use. S/S: Polydipsia (5-
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20 L/24 hours) polyuria (excess urination) tachycardia hypotension dry skin tachypnea Weak pulses
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Ataxia Feel dehydrated so they keep drinking and peeing - no ADH to hold on to pee.
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QUESTION 10 ms




Diabetes insipidus LABS ms ms




ANSWER

-Dilute urine (low gravity-<1.005 and osmolality-<200 mosm/l) -decrease pH/Na/K -Hypernatremia -
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Hyperuricemia Vasopressin challenge: -If symptoms resolve with desmopressin = neurogenic -
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If symptoms do not resolve = nephrogenic -MRI of pituitary (if neurogenic)
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QUESTION 11 ms




D/C teaching for cheiloplasty (fix cleft lip/palate)
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ANSWER

Lip- position child on back/upright/side to maintain repair -elbow restraints -
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H2O or hydrogen peroxide to clean incision - aspirate secretion to prevent Pulm comp Palate -
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change position frequently -IV fluids -NPO 4hr; only liquids for 3-4 days< soft diet -
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avoid anything in mouth
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QUESTION 12 ms




Edema parameters ms




ANSWER

press over bony prominence 5 seconds 1+ trace, rapid return 2+ mild, 10-
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15 sec 3+ mod, prolong 4+ severe
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QUESTION 13 ms




Management of tinea pedis (athlete foot) ms ms ms ms ms




ANSWER

Topical antifungal sitz soak light socks ventilated shoes Clotrimazole/ciclopirox 2x/day 2-4 weeks
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QUESTION 14 ms




pulmonary function tests (PFTs) ms ms ms




ANSWER