VATI: FUNDAMENTALS - PRE-
ASSESSMENT EXAM WITH CORRECT
ANSWERS 2025
A nurse is caring for a client who has returned to the unit following a surgical
The client's oxygen saturation is 85%. Which of the following actions
procedure.
should
take the nurse
first
A. Administer O2 at
?
2L/min
B. Administer prescribed analgesic
C. Encourage coughing and deep
med
breathing
D. Raise the head of the bed - Correct answers - D. Raise the head
Elevating
of the bedthe head of the bed uses gravity to reduce pressure on the
diaphragm
the abdominalfromorgans and allows for increased expansion of the lungs. The
head can
neck and be extended, which promotes a patent airway. This is the first
action the
should takenurse
and is the least
invasive.
A. The nurse should assess the client further and implement less invasive
before applying oxygen at 2
interventions
L/min.
B. Pain management promotes increased participation by the client in
coughing
deep breathing,
and frequent position changes and use of the incentive
spirometer,
is butaction
not the first this the nurse
should
C. Coughing
take. and deep breathing promotes lung expansion and prevents
respiratory
infection, but these actions are not effective immediately in
increasing oxygen
saturatio
n.
A nurse is providing teaching to a client who has neutropenia. Which of
the followingshould the nurse include in the
information
A. Eat plenty of fresh fruits and
teaching?
vegetables
B. Avoid
C. Perform mild exercise, such as
crowds
gardening
D. Take temperatures weekly - Correct answers - B. Avoid
The nurse should inform the client to avoid crowds due to his
crowds
suppressed immune
syste
m.
A. The nurse should inform a client who is neutropenic to avoid fresh
fruits and due to the bacteria they can
vegetables
carry.
C. The nurse should instruct the client to avoid gardening due bacteria
soil
contained in the
.
, D. A client who is neutropenic can experience a 1° increase from
his baseline even in the presence of infection. Therefore, the nurse should
temperature,
recommend
the client take his temperature at least
once daily.
A nurse is assessing a client following the application of an aquathermia
pad.following
the Which ofis the first indication to the nurse that the client is experiencing
a superficial
burn injury to the application
A.
site?
Blistering
B.
C.
Erythema
Eschar
D. Absence of pain - Correct answers - B.
Erythema is an indication that the client has experienced a superficial burn
with damage
limited to the epidermis. Other manifestations include edema, pain,
and increased
sensitivity to
heat.
A. Blistering is an indication of a superficial partial thickness burn, involving
injury
upper to theof the dermis. These injuries also are pink and moist, blanch to
third
are very and
pressure
painful.
C. Eschar is seen in clients who have a full thickness wound involving the
and dermis. This is dead tissue that must be removed for
epidermis
healing
D. to occur
A thermal injury that is not painful can be classified as a deep full-
thickness
which extends
burn into muscle, bone, or
tendons.
A nurse in a long-tern care facility enters the day room and finds the window
curtains
fire. on are panicking and the room is filling with smoke. Indicate the
Clients
actions the nurse must
emergency
take.
Activate the fire
alarm.
Extinguish the
Close the
fire.
door.
Remove the clients from the room. - Correct answers - Remove the
clients from the
room
.Activate the fire
Close the
alarm.
door.
Extinguish the
fire.
In the event of a fire, it is helpful to recall the mnemonic RACE to prioritize
the actions
take: R - Rescue
to and remove the clients, A - Activate the alarm, C -
Confine
and the fire, the fire. The nurse's priority action is to remove the
E - Extinguish
room.
clientsThefrom nurse
the should then sound the fire alarm and close the door to
confineand
Finally the iffire.
possible, the nurse should extinguish
the fire.
A nurse is developing a plan of care for a client who is postoperative.
following
Which of the interventions should the nurse include in the plan of prevent
pulmonary
complication
A. Perform ROM
s?
exercises
ASSESSMENT EXAM WITH CORRECT
ANSWERS 2025
A nurse is caring for a client who has returned to the unit following a surgical
The client's oxygen saturation is 85%. Which of the following actions
procedure.
should
take the nurse
first
A. Administer O2 at
?
2L/min
B. Administer prescribed analgesic
C. Encourage coughing and deep
med
breathing
D. Raise the head of the bed - Correct answers - D. Raise the head
Elevating
of the bedthe head of the bed uses gravity to reduce pressure on the
diaphragm
the abdominalfromorgans and allows for increased expansion of the lungs. The
head can
neck and be extended, which promotes a patent airway. This is the first
action the
should takenurse
and is the least
invasive.
A. The nurse should assess the client further and implement less invasive
before applying oxygen at 2
interventions
L/min.
B. Pain management promotes increased participation by the client in
coughing
deep breathing,
and frequent position changes and use of the incentive
spirometer,
is butaction
not the first this the nurse
should
C. Coughing
take. and deep breathing promotes lung expansion and prevents
respiratory
infection, but these actions are not effective immediately in
increasing oxygen
saturatio
n.
A nurse is providing teaching to a client who has neutropenia. Which of
the followingshould the nurse include in the
information
A. Eat plenty of fresh fruits and
teaching?
vegetables
B. Avoid
C. Perform mild exercise, such as
crowds
gardening
D. Take temperatures weekly - Correct answers - B. Avoid
The nurse should inform the client to avoid crowds due to his
crowds
suppressed immune
syste
m.
A. The nurse should inform a client who is neutropenic to avoid fresh
fruits and due to the bacteria they can
vegetables
carry.
C. The nurse should instruct the client to avoid gardening due bacteria
soil
contained in the
.
, D. A client who is neutropenic can experience a 1° increase from
his baseline even in the presence of infection. Therefore, the nurse should
temperature,
recommend
the client take his temperature at least
once daily.
A nurse is assessing a client following the application of an aquathermia
pad.following
the Which ofis the first indication to the nurse that the client is experiencing
a superficial
burn injury to the application
A.
site?
Blistering
B.
C.
Erythema
Eschar
D. Absence of pain - Correct answers - B.
Erythema is an indication that the client has experienced a superficial burn
with damage
limited to the epidermis. Other manifestations include edema, pain,
and increased
sensitivity to
heat.
A. Blistering is an indication of a superficial partial thickness burn, involving
injury
upper to theof the dermis. These injuries also are pink and moist, blanch to
third
are very and
pressure
painful.
C. Eschar is seen in clients who have a full thickness wound involving the
and dermis. This is dead tissue that must be removed for
epidermis
healing
D. to occur
A thermal injury that is not painful can be classified as a deep full-
thickness
which extends
burn into muscle, bone, or
tendons.
A nurse in a long-tern care facility enters the day room and finds the window
curtains
fire. on are panicking and the room is filling with smoke. Indicate the
Clients
actions the nurse must
emergency
take.
Activate the fire
alarm.
Extinguish the
Close the
fire.
door.
Remove the clients from the room. - Correct answers - Remove the
clients from the
room
.Activate the fire
Close the
alarm.
door.
Extinguish the
fire.
In the event of a fire, it is helpful to recall the mnemonic RACE to prioritize
the actions
take: R - Rescue
to and remove the clients, A - Activate the alarm, C -
Confine
and the fire, the fire. The nurse's priority action is to remove the
E - Extinguish
room.
clientsThefrom nurse
the should then sound the fire alarm and close the door to
confineand
Finally the iffire.
possible, the nurse should extinguish
the fire.
A nurse is developing a plan of care for a client who is postoperative.
following
Which of the interventions should the nurse include in the plan of prevent
pulmonary
complication
A. Perform ROM
s?
exercises
