VATI RN COMPREHENSIVE PREDICTOR
REMEDIATION 2024-2025 ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS WITH RATIONALES /A+ GRADE
ASSURED
**A nurse in a providers office is caring for four clients. Which of the following should the nurse see first.
A client who is at 38 weeks gestation and reports urgency and frequency of urination
A client who is at 37 weeks gestation and reports edema of the ankles
A client who is at 36 weeks gestation and reports painless vaginal bleeding
A client who is at 34 weeks gestation and reports abundant amounts of odorless vaginal mucus
**A nurse is reinforcing teaching for a client who has a new prescription for lithium carbonate (Lithobid). Which
of the following instructions should the nurse include?
Eliminate all foods containing tyramine
Drink 2 to 3 liter of fluid each day
Take lithium carbonate on an empty stomach
Reduce your daily sodium intake to 1,000 mg
**A nurse in a provider’s office is reinforcing teaching with a client who is receiving peritoneal dialysis via a
newly inserted catheter. For which of the following should the nurse instruct the client to contact the provider?
Bloody peritoneal fluid
Clear peritoneal fluid
Cloudy peritoneal fluid
Straw-colored peritoneal fluid
**A child is brought to the clinic by his parents with injuries inconsistent with the reported cause. A nurse
suspects physical abuse. Which of the following actions should the nurse take?
,Interview the child with the parents in the room
Ask the provider to talk to the child and parents
Make a note in the chart to check the child during the next visit
Report the suspected abuse to the appropriate agency
**A nurse is reviewing discharge instructions with a client who has undergone a lumbar laminectomy. Which of
the following should the nurse include?
Use a soft mattress for sleeping
Practice bending from the waist several times daily
Sit in a straight backed chair
Wear shoes with a slightly raised heel to promote body alignment
**A nurse is reinforcing teaching with a client about cancer prevention, the nurse should instruct that frequent
consumption of which of the following foods increases the risk of cancer? Tuna
Lamb
Chicken
Turkey
** A nurse is reinforcing teaching to a client who is scheduled for a lumbar puncture. Which of the following
should the nurse include in the teaching? Nausea is common adverse effect after this procedure
You should increase your fluid intake after this procedure
You will be instructed to remain in an upright position for the first 4 hours after the procedure The provider will
apply a pressure bandage to the puncture site
**A newborn is scheduled to have a heel stick for blood glucose testing every 4hr. The newborn’s blood
glucose on admission was less than 40 mg/dL. Which of to the following additional clinical
manifestations should the nurse observe for in this newborn? Jitteriness
Bradycardia
Inconsolability
Insomnia
**A nurse is contributing to the plan of care for a client who has a prescription for range of motion exercise
of the shoulder. To promote shoulder hyperextension, which of the following exercises should the nurse
recommend?
,Move his arm behind his body with his elbow straight
Move his arm in a full circle
Raise his arm out to the side and reach it above his head with his palm facing away from his head Raise his arm
from his side straight forward and then up above his head.
**A nurse is receiving change-of-shit report for four clients. Which of the following clients should the nurse
attend to first?
A client who requests to be moved to a room closer to the nurse’s station
A client who is postoperative and had received morphine twice during the last 8hrs
A client whose urinary output was 100 mL for the past 12hr
A client who insists on speaking with the provider prior to discharge
**A nurse is reinforcing teaching regarding home safety to a client who has diabetes mellitus and is being
discharged after an admission for hepatitis B. Which of the following client statements indicates an
understanding of the teaching?
I will recap my used syringes and throw them away in a plastic bag
I will take Tylenol for aches and pains
I will use my own eating utensils and dishes at home
Houseguest will need to wear masks when they come to visit me
**A nurse in a long-term care facility is transcribing new prescriptions for four clients. Which of the following
prescription is accurately transcribed by the nurse?
Alprazolam (Xanax) 0.5 mg PO QHS for sleep
Regular insulin (Humulin R) 10 U SC at 0800
Docusate sodium (Colace) 250 mg PO QOD
Potassium chloride (Micro-K) 20mEq PO every morning
**A nurse is caring for a client who has altered mental status and has become increasing belligerent. Which
of the following medications prescriptions, if written for this client, should the nurse question?
Haloperidol (Haldol)
Lorazepam (Ativan)
Zolpidem (Ambien)
Alprazolam (Xanax)
, **A nurse is caring for a client who is experiencing acute kidney failure. The nurse should monitor the client for
which of the following acid-base imbalances?
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis
**A nurse in an urgent care clinic is collecting data from four clients. Which of the following clients should the
nurse recommend for treatment first?
A client who has a fever and abdominal pain in the upper aspect of the right lower quadrant
A client who has shortness of breath after taking a dose of amoxicillin (Amoxil)
A client who has hemoptysis and has taken medication for tuberculosis (TB) for 2 months
A client who has a purple stoma following an open colon resection with a colostomy 2 weeks ago.
**A nurse on a medical unit is preforming an audit on his client assisgnment. For which of the following should
the client have a separate signed informed consent form.
Chest radiography
Echocardiogram
Indwelling urinary catheter
Lumbar puncture
** A nurse in an acute care hospital is planning to discharge an adult client who is
immunocompromised. Which of the following immunizations should the nurse plan to administer
before discharge.
Measles, mumps, and rubella (MMR) immunization
Pneumococcal polysaccharide (PPSV) immunization
Varicella immunization
Herpes zoster immunization
** A nurse is reinforcing teaching to a client regarding care of her newborn. The nurse determines that the
teaching is effective when the client points to which part of the newborn’s head and states it will take 12 to
18 months for the soft stop to close.
(top of the head near face)
**A parent of a 3yr old child tells the nurse that he cannot get his child to sit at the table to eat a full meal. Which
of the following responses by the nurse is appropriate?
Provide the child with foods of the same texture rather than a variety of unfamiliar foods
REMEDIATION 2024-2025 ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS WITH RATIONALES /A+ GRADE
ASSURED
**A nurse in a providers office is caring for four clients. Which of the following should the nurse see first.
A client who is at 38 weeks gestation and reports urgency and frequency of urination
A client who is at 37 weeks gestation and reports edema of the ankles
A client who is at 36 weeks gestation and reports painless vaginal bleeding
A client who is at 34 weeks gestation and reports abundant amounts of odorless vaginal mucus
**A nurse is reinforcing teaching for a client who has a new prescription for lithium carbonate (Lithobid). Which
of the following instructions should the nurse include?
Eliminate all foods containing tyramine
Drink 2 to 3 liter of fluid each day
Take lithium carbonate on an empty stomach
Reduce your daily sodium intake to 1,000 mg
**A nurse in a provider’s office is reinforcing teaching with a client who is receiving peritoneal dialysis via a
newly inserted catheter. For which of the following should the nurse instruct the client to contact the provider?
Bloody peritoneal fluid
Clear peritoneal fluid
Cloudy peritoneal fluid
Straw-colored peritoneal fluid
**A child is brought to the clinic by his parents with injuries inconsistent with the reported cause. A nurse
suspects physical abuse. Which of the following actions should the nurse take?
,Interview the child with the parents in the room
Ask the provider to talk to the child and parents
Make a note in the chart to check the child during the next visit
Report the suspected abuse to the appropriate agency
**A nurse is reviewing discharge instructions with a client who has undergone a lumbar laminectomy. Which of
the following should the nurse include?
Use a soft mattress for sleeping
Practice bending from the waist several times daily
Sit in a straight backed chair
Wear shoes with a slightly raised heel to promote body alignment
**A nurse is reinforcing teaching with a client about cancer prevention, the nurse should instruct that frequent
consumption of which of the following foods increases the risk of cancer? Tuna
Lamb
Chicken
Turkey
** A nurse is reinforcing teaching to a client who is scheduled for a lumbar puncture. Which of the following
should the nurse include in the teaching? Nausea is common adverse effect after this procedure
You should increase your fluid intake after this procedure
You will be instructed to remain in an upright position for the first 4 hours after the procedure The provider will
apply a pressure bandage to the puncture site
**A newborn is scheduled to have a heel stick for blood glucose testing every 4hr. The newborn’s blood
glucose on admission was less than 40 mg/dL. Which of to the following additional clinical
manifestations should the nurse observe for in this newborn? Jitteriness
Bradycardia
Inconsolability
Insomnia
**A nurse is contributing to the plan of care for a client who has a prescription for range of motion exercise
of the shoulder. To promote shoulder hyperextension, which of the following exercises should the nurse
recommend?
,Move his arm behind his body with his elbow straight
Move his arm in a full circle
Raise his arm out to the side and reach it above his head with his palm facing away from his head Raise his arm
from his side straight forward and then up above his head.
**A nurse is receiving change-of-shit report for four clients. Which of the following clients should the nurse
attend to first?
A client who requests to be moved to a room closer to the nurse’s station
A client who is postoperative and had received morphine twice during the last 8hrs
A client whose urinary output was 100 mL for the past 12hr
A client who insists on speaking with the provider prior to discharge
**A nurse is reinforcing teaching regarding home safety to a client who has diabetes mellitus and is being
discharged after an admission for hepatitis B. Which of the following client statements indicates an
understanding of the teaching?
I will recap my used syringes and throw them away in a plastic bag
I will take Tylenol for aches and pains
I will use my own eating utensils and dishes at home
Houseguest will need to wear masks when they come to visit me
**A nurse in a long-term care facility is transcribing new prescriptions for four clients. Which of the following
prescription is accurately transcribed by the nurse?
Alprazolam (Xanax) 0.5 mg PO QHS for sleep
Regular insulin (Humulin R) 10 U SC at 0800
Docusate sodium (Colace) 250 mg PO QOD
Potassium chloride (Micro-K) 20mEq PO every morning
**A nurse is caring for a client who has altered mental status and has become increasing belligerent. Which
of the following medications prescriptions, if written for this client, should the nurse question?
Haloperidol (Haldol)
Lorazepam (Ativan)
Zolpidem (Ambien)
Alprazolam (Xanax)
, **A nurse is caring for a client who is experiencing acute kidney failure. The nurse should monitor the client for
which of the following acid-base imbalances?
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis
**A nurse in an urgent care clinic is collecting data from four clients. Which of the following clients should the
nurse recommend for treatment first?
A client who has a fever and abdominal pain in the upper aspect of the right lower quadrant
A client who has shortness of breath after taking a dose of amoxicillin (Amoxil)
A client who has hemoptysis and has taken medication for tuberculosis (TB) for 2 months
A client who has a purple stoma following an open colon resection with a colostomy 2 weeks ago.
**A nurse on a medical unit is preforming an audit on his client assisgnment. For which of the following should
the client have a separate signed informed consent form.
Chest radiography
Echocardiogram
Indwelling urinary catheter
Lumbar puncture
** A nurse in an acute care hospital is planning to discharge an adult client who is
immunocompromised. Which of the following immunizations should the nurse plan to administer
before discharge.
Measles, mumps, and rubella (MMR) immunization
Pneumococcal polysaccharide (PPSV) immunization
Varicella immunization
Herpes zoster immunization
** A nurse is reinforcing teaching to a client regarding care of her newborn. The nurse determines that the
teaching is effective when the client points to which part of the newborn’s head and states it will take 12 to
18 months for the soft stop to close.
(top of the head near face)
**A parent of a 3yr old child tells the nurse that he cannot get his child to sit at the table to eat a full meal. Which
of the following responses by the nurse is appropriate?
Provide the child with foods of the same texture rather than a variety of unfamiliar foods
