VATI FUNDAMENTALS PROCTORED
EXAM 2025 EXAM 2 VERSIONS
COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED
ANSWERS /A+ STUDY MATERIAL
VERSION A
A nurse is teaching a client to manage stress by using
progressive relaxation techniques. Which of the following
statements by the client indicates an understanding of the
teaching?
"I'll compare the sensations I feel when I tense my muscles
to what I feel when I relax them."
Progressive relaxation involves tensing and relaxing
specific muscles, moving progressively through the body's
muscle groups. The key is to distinguish sensations during
tension from those during relaxation. Stretching can be
used with yoga and is not a form of progressive muscle
relaxation. This form of relaxation is using imagery
through visualization and is not a form of progressive
1
,muscle relaxation. Deep breathing is required to reach a
relaxed state.
A home health nurse is teaching about oral care to the
family of a client who is in a coma. Which of the following
task should the nurse instruct the family to perform first?
Place the client in a side-lying position
The greatest risk to this client is injury from aspiration.
Therefore, the first action the nurse should instruct the
family to perform is to place the client in a side-lying
position. If the client should not be placed in a side-lying
position, then the nurse should instruct the family to turn
the client's head to the side to allow fluid to run out of the
client's mouth.
A nurse is creating a plan of care for a client who requires
suture removal. Which of the following actions should the
nurse plan to take?
Cut the sutures as close to the skin as possible.
The nurse should cut the sutures as close to the skin as
possible, away from the knot. The exposed part of the
suture contains bacteria, so cutting close to the skin
prevents bacteria from entering the clean wound,
2
,decreasing the risk for infection.
A nurse is evaluating preoperative teaching with a client
who is to undergo surgery with general anesthesia. Which
of the following statements by the client indicates an
understanding of the teaching?
"I should remove nail polish from my fingers before
surgery."
3
, The nurse should instruct the client to remove nail polish
for accurate pulse oximetry monitoring and for a clear
view of the nail beds when assessing capillary refill.
A nurse is moving a client up in bed with assistance of
another nurse. Which of the following actions should the
nurse take?
Positions the client's arms across their chest.
The nurse should position the client's arms across their
chest to minimize friction during movement and prevent
injury.
RN in a rehab unit is assessing a group of clients who have
a TBI. The RN should identify that which of the following
clients requires a priority referral?
A client who consistently coughs after drinking liquids
The greatest risk to this client is injury from aspiration.
Therefore, this is the client the nurse should address first.
The priority referral the nurse should make is to a speech-
language pathologist because a client who coughs after
drinking liquids is at risk for aspiration. Manifestations of
dysphagia include changes in voice tone, coughing,
delayed swallowing, pocketing of food, and occasional
silent aspiration, which can occur if a client is experiencing
a decrease in sensation.
4
EXAM 2025 EXAM 2 VERSIONS
COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED
ANSWERS /A+ STUDY MATERIAL
VERSION A
A nurse is teaching a client to manage stress by using
progressive relaxation techniques. Which of the following
statements by the client indicates an understanding of the
teaching?
"I'll compare the sensations I feel when I tense my muscles
to what I feel when I relax them."
Progressive relaxation involves tensing and relaxing
specific muscles, moving progressively through the body's
muscle groups. The key is to distinguish sensations during
tension from those during relaxation. Stretching can be
used with yoga and is not a form of progressive muscle
relaxation. This form of relaxation is using imagery
through visualization and is not a form of progressive
1
,muscle relaxation. Deep breathing is required to reach a
relaxed state.
A home health nurse is teaching about oral care to the
family of a client who is in a coma. Which of the following
task should the nurse instruct the family to perform first?
Place the client in a side-lying position
The greatest risk to this client is injury from aspiration.
Therefore, the first action the nurse should instruct the
family to perform is to place the client in a side-lying
position. If the client should not be placed in a side-lying
position, then the nurse should instruct the family to turn
the client's head to the side to allow fluid to run out of the
client's mouth.
A nurse is creating a plan of care for a client who requires
suture removal. Which of the following actions should the
nurse plan to take?
Cut the sutures as close to the skin as possible.
The nurse should cut the sutures as close to the skin as
possible, away from the knot. The exposed part of the
suture contains bacteria, so cutting close to the skin
prevents bacteria from entering the clean wound,
2
,decreasing the risk for infection.
A nurse is evaluating preoperative teaching with a client
who is to undergo surgery with general anesthesia. Which
of the following statements by the client indicates an
understanding of the teaching?
"I should remove nail polish from my fingers before
surgery."
3
, The nurse should instruct the client to remove nail polish
for accurate pulse oximetry monitoring and for a clear
view of the nail beds when assessing capillary refill.
A nurse is moving a client up in bed with assistance of
another nurse. Which of the following actions should the
nurse take?
Positions the client's arms across their chest.
The nurse should position the client's arms across their
chest to minimize friction during movement and prevent
injury.
RN in a rehab unit is assessing a group of clients who have
a TBI. The RN should identify that which of the following
clients requires a priority referral?
A client who consistently coughs after drinking liquids
The greatest risk to this client is injury from aspiration.
Therefore, this is the client the nurse should address first.
The priority referral the nurse should make is to a speech-
language pathologist because a client who coughs after
drinking liquids is at risk for aspiration. Manifestations of
dysphagia include changes in voice tone, coughing,
delayed swallowing, pocketing of food, and occasional
silent aspiration, which can occur if a client is experiencing
a decrease in sensation.
4
