VITA CERTIFICATION EXAM – NEWEST 2026
ACTUAL EXAM (V1) COMPLETE 50 REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
Each question includes:
- The question stems
- 4 answer choices (A-D)
- The correct answer
- A detailed rationale explaining why the correct answer is right and why the
others are wrong.
---
1. A nurse is preparing to administer an enteral feeding via a nasogastric tube.
Which action should the nurse take first to verify correct placement of the tube
before initiating the feeding?
- A) Auscultate over the epigastric area while injecting 30 mL of air.
- B) Aspirate gastric contents and check the pH.
- C) Obtain an order for an abdominal x-ray.
,- D) Measure the length of the external portion of the tube.
---
2. A client with heart failure is prescribed furosemide (Lasix) 40 mg IV push. Which
assessment finding indicates that the medication is having the desired therapeutic
effect?
- A) Serum potassium level increases from 3.8 to 4.2 mEq/L.
- B) Blood pressure decreases from 150/90 to 130/80 mmHg.
- C) Urine output increases from 30 mL/hr to 75 mL/hr.
- D) Peripheral edema progresses from +1 to +3.
---
3. A nurse is caring for a client who is 2 days post-operative following abdominal
surgery. The client reports feeling a sudden "popping" sensation at the incision
site, and the nurse notes wound dehiscence. What should the nurse do first?
- A) Apply an abdominal binder tightly over the wound.
- B) Place the client in a low Fowler's position with knees bent.
- C) Cover the wound with sterile saline-soaked dressings.
- D) Document the findings and notify the healthcare provider.
---
,4. A nurse is teaching a client with type 1 diabetes mellitus about the signs of
hypoglycemia. Which of the following should the nurse include in the teaching?
(Select all that apply)
- A) Polydipsia
- B) Diaphoresis
- C) Polyuria
- D) Tremors
- E) Confusion
---
5. The nurse is assessing a client who has just been admitted with pneumonia.
The client has an oxygen saturation of 88% on room air, a respiratory rate of 28
breaths/min, and audible crackles in the lung bases. Which of the following
prescribed interventions should the nurse initiate first?
- A) Administer oral acetaminophen for fever.
- B) Obtain a sputum culture specimen.
- C) Apply supplemental oxygen at 2 L/min via nasal cannula.
- D) Encourage the client to cough and deep breathe.
---
6. A nurse is preparing to administer 500 mL of 0.9% Normal Saline to an adult
client over 4 hours. The IV tubing has a drop factor of 15 gtt/mL. The nurse should
set the IV pump to deliver how many mL/hr? (Round to the nearest whole
number)
- A) 31 mL/hr
, - B) 83 mL/hr
- C) 125 mL/hr
- D) 150 mL/hr
---
7. A client is receiving a continuous tube feeding at 60 mL/hr. The nurse checks
the gastric residual volume (GRV) and obtains 250 mL. What is the priority nursing
action?
- A) Discard the residual and continue the feeding at the same rate.
- B) Reinstill the residual, stop the feeding, and notify the provider.
- C) Reinstill the residual and continue the feeding at a slower rate.
- D) Discard the residual, hold the feeding for 1 hour, and then resume.
---
8. A nurse is performing a sterile dressing change for a client with a central line.
Which action by the nurse breaks sterile technique and would require a new
sterile field?
- A) Placing the sterile drape on the bedside table, which is above the waist.
- B) Opening the sterile kit away from the body, keeping the flap open.
- C) Pouring sterile normal saline into a sterile bowl that is inside the sterile field.
- D) Reaching over the sterile field to pick up a dropped sterile gauze pad.
---
ACTUAL EXAM (V1) COMPLETE 50 REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
Each question includes:
- The question stems
- 4 answer choices (A-D)
- The correct answer
- A detailed rationale explaining why the correct answer is right and why the
others are wrong.
---
1. A nurse is preparing to administer an enteral feeding via a nasogastric tube.
Which action should the nurse take first to verify correct placement of the tube
before initiating the feeding?
- A) Auscultate over the epigastric area while injecting 30 mL of air.
- B) Aspirate gastric contents and check the pH.
- C) Obtain an order for an abdominal x-ray.
,- D) Measure the length of the external portion of the tube.
---
2. A client with heart failure is prescribed furosemide (Lasix) 40 mg IV push. Which
assessment finding indicates that the medication is having the desired therapeutic
effect?
- A) Serum potassium level increases from 3.8 to 4.2 mEq/L.
- B) Blood pressure decreases from 150/90 to 130/80 mmHg.
- C) Urine output increases from 30 mL/hr to 75 mL/hr.
- D) Peripheral edema progresses from +1 to +3.
---
3. A nurse is caring for a client who is 2 days post-operative following abdominal
surgery. The client reports feeling a sudden "popping" sensation at the incision
site, and the nurse notes wound dehiscence. What should the nurse do first?
- A) Apply an abdominal binder tightly over the wound.
- B) Place the client in a low Fowler's position with knees bent.
- C) Cover the wound with sterile saline-soaked dressings.
- D) Document the findings and notify the healthcare provider.
---
,4. A nurse is teaching a client with type 1 diabetes mellitus about the signs of
hypoglycemia. Which of the following should the nurse include in the teaching?
(Select all that apply)
- A) Polydipsia
- B) Diaphoresis
- C) Polyuria
- D) Tremors
- E) Confusion
---
5. The nurse is assessing a client who has just been admitted with pneumonia.
The client has an oxygen saturation of 88% on room air, a respiratory rate of 28
breaths/min, and audible crackles in the lung bases. Which of the following
prescribed interventions should the nurse initiate first?
- A) Administer oral acetaminophen for fever.
- B) Obtain a sputum culture specimen.
- C) Apply supplemental oxygen at 2 L/min via nasal cannula.
- D) Encourage the client to cough and deep breathe.
---
6. A nurse is preparing to administer 500 mL of 0.9% Normal Saline to an adult
client over 4 hours. The IV tubing has a drop factor of 15 gtt/mL. The nurse should
set the IV pump to deliver how many mL/hr? (Round to the nearest whole
number)
- A) 31 mL/hr
, - B) 83 mL/hr
- C) 125 mL/hr
- D) 150 mL/hr
---
7. A client is receiving a continuous tube feeding at 60 mL/hr. The nurse checks
the gastric residual volume (GRV) and obtains 250 mL. What is the priority nursing
action?
- A) Discard the residual and continue the feeding at the same rate.
- B) Reinstill the residual, stop the feeding, and notify the provider.
- C) Reinstill the residual and continue the feeding at a slower rate.
- D) Discard the residual, hold the feeding for 1 hour, and then resume.
---
8. A nurse is performing a sterile dressing change for a client with a central line.
Which action by the nurse breaks sterile technique and would require a new
sterile field?
- A) Placing the sterile drape on the bedside table, which is above the waist.
- B) Opening the sterile kit away from the body, keeping the flap open.
- C) Pouring sterile normal saline into a sterile bowl that is inside the sterile field.
- D) Reaching over the sterile field to pick up a dropped sterile gauze pad.
---
