VATI PROCTORED FINAL ASSESSMENT
EXAM WITH CORRECT ANSWERS 2025
Management of Varicella ( Correct answers ) Rash starts in trunk and
spreads to
face/
Macule<papule<vesicles< crust
extremities.
over.
scabs in about 1
Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes,
week.
tepidnails,
trim baths,
mittens for scratching, and change linens
daily) OR:w/in
Acyclovir
48hrs
Notify MDH of com
diseases.
AIRBORNE/
Contact
Consent guidelines ( Correct answers ) Written consent required
for< Invasive
precedure
s
Emancipated adult can consent for
themselves.
Nurse must witness signature and ensure they understand. if no
understand contact
provide
r.
Cystic Fibrosis nutritional info ( Correct answers ) High in
3 meals/day
protein/cals
+snacks
^flui
Pancreatic enzymes in 30 min of eating
ds
meal/snack
Vit supps: multi, A,D,
E, Kfor
lax
constipation
^salt during hot
weather(dehydration)
hypopituitarism treatment ( Correct answers ) hormone
replacement therapy:
corticosteroi
ds
thyroxin
sex
e
steroids
human GH
(Somatropin)
PICC care ( Correct answers ) -dressing change every 7 days unless wet,
soiled,using
-flush loose;10 mL syringe after
infusions;
-change injection caps every 72
-assess infusion system systemically starting w/insertion site, observing
hrs;
for signs of
infection, working upward, following tubing to make sure all connections
are secure
, PICC insertion ( Correct answers ) - Use up to 12
-basilic/cephalic vein finger breadth ^/below
months
antecubital
-used for admin of blood, long-term chemo, ABX,
-Confirm
and TPN placement with
xray
-Transparent dressing for visualization Q 7
days
PICC education ( Correct answers ) -Transparent dressing (visualization)
Q 7 not
-do daysimmerse in water. cover to prevent water
exposure
- no blood draws on arm with
picc
PICC FLUSHING ( Correct answers ) Use a 10 mL syringe for flushing the
PICC
Do not
line.
apply force if resistance is
met.
Flush with 10 mL 0.9% sodium chloride
before,
between, and after
medications.
* Flush with 20 mL 0.9% sodium
drawing
chloride after
blood.*
Flush with 5 mL heparin (10 units/mL)
whenisthe
PICC not actively in use. The frequency of
the flush on the type of
depends
PICC
Diabetes insipidus manifestations ( Correct answers ) Risks: head
injury, tumor,
surgery, pituitary disruption, infx,
Lithium
S/S: use. (5-20 L/24
Polydipsia
polyuria (excess
hours)
urination)
tachycardi
hypotensio
a
n
dry
tachypne
skin
a
Weak
Ataxi
pulses
a
Feel dehydrated so they keep drinking and peeing - no ADH to hold
on to pee.
Diabetes insipidus LABS ( Correct answers ) -Dilute urine (low gravity-
<1.005 and
osmolality-<200
mosm/l)
-decrease
pH/Na/K
-
-Hypernatremi
Hyperuricemi
a
a
Vasopressin
challenge:
-If symptoms resolve with desmopressin =
-If symptoms do not resolve =
neurogenic
nephrogenic
EXAM WITH CORRECT ANSWERS 2025
Management of Varicella ( Correct answers ) Rash starts in trunk and
spreads to
face/
Macule<papule<vesicles< crust
extremities.
over.
scabs in about 1
Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes,
week.
tepidnails,
trim baths,
mittens for scratching, and change linens
daily) OR:w/in
Acyclovir
48hrs
Notify MDH of com
diseases.
AIRBORNE/
Contact
Consent guidelines ( Correct answers ) Written consent required
for< Invasive
precedure
s
Emancipated adult can consent for
themselves.
Nurse must witness signature and ensure they understand. if no
understand contact
provide
r.
Cystic Fibrosis nutritional info ( Correct answers ) High in
3 meals/day
protein/cals
+snacks
^flui
Pancreatic enzymes in 30 min of eating
ds
meal/snack
Vit supps: multi, A,D,
E, Kfor
lax
constipation
^salt during hot
weather(dehydration)
hypopituitarism treatment ( Correct answers ) hormone
replacement therapy:
corticosteroi
ds
thyroxin
sex
e
steroids
human GH
(Somatropin)
PICC care ( Correct answers ) -dressing change every 7 days unless wet,
soiled,using
-flush loose;10 mL syringe after
infusions;
-change injection caps every 72
-assess infusion system systemically starting w/insertion site, observing
hrs;
for signs of
infection, working upward, following tubing to make sure all connections
are secure
, PICC insertion ( Correct answers ) - Use up to 12
-basilic/cephalic vein finger breadth ^/below
months
antecubital
-used for admin of blood, long-term chemo, ABX,
-Confirm
and TPN placement with
xray
-Transparent dressing for visualization Q 7
days
PICC education ( Correct answers ) -Transparent dressing (visualization)
Q 7 not
-do daysimmerse in water. cover to prevent water
exposure
- no blood draws on arm with
picc
PICC FLUSHING ( Correct answers ) Use a 10 mL syringe for flushing the
PICC
Do not
line.
apply force if resistance is
met.
Flush with 10 mL 0.9% sodium chloride
before,
between, and after
medications.
* Flush with 20 mL 0.9% sodium
drawing
chloride after
blood.*
Flush with 5 mL heparin (10 units/mL)
whenisthe
PICC not actively in use. The frequency of
the flush on the type of
depends
PICC
Diabetes insipidus manifestations ( Correct answers ) Risks: head
injury, tumor,
surgery, pituitary disruption, infx,
Lithium
S/S: use. (5-20 L/24
Polydipsia
polyuria (excess
hours)
urination)
tachycardi
hypotensio
a
n
dry
tachypne
skin
a
Weak
Ataxi
pulses
a
Feel dehydrated so they keep drinking and peeing - no ADH to hold
on to pee.
Diabetes insipidus LABS ( Correct answers ) -Dilute urine (low gravity-
<1.005 and
osmolality-<200
mosm/l)
-decrease
pH/Na/K
-
-Hypernatremi
Hyperuricemi
a
a
Vasopressin
challenge:
-If symptoms resolve with desmopressin =
-If symptoms do not resolve =
neurogenic
nephrogenic
