REAL VATI PART 1 EXAM
STUDY GUIDE AND EXAM PREP
SOLUTIONS WITH Q&A 2026/2027 LATEST
A nurse is planning care for a child who has increased intracranial pressure with a
decrease in level of consciousness. Which of the following interventions should the
nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs - ✔✔✔ANSWER>>>>. Maintain the
head at a midline position
A nurse is assessing a client who has delirium due to a febrile illness. Which of the
following findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia - ✔✔✔ANSWER>>>>A. Hallucinations
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy
tube. The nurse should identify that which of the following findings indicates fluid
overload?
A. Diminished bowel sounds
1|Page
,B. Bradycardia
C. Hypotension
D. Bounding pulses - ✔✔✔ANSWER>>>>Bounding pulses
A nurse is caring for a client following an open colectomy. Which of the following
findings places the client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain - ✔✔✔ANSWER>>>>Hyperemesis
A home health nurse is reviewing treatment goals with a client who has diabetes
mellitus. The nurse should evaluate which of the following laboratory tests to
determine effective long-term management of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c (Glycosylated hemoglobin)
C. Fasting blood glucose test
D. Urinalysis for ketones - ✔✔✔ANSWER>>>>HbA1c (Glycosylated
hemoglobin)
A nurse is caring for a client who has neutropenia due to human immunodeficiency
virus (HIV). Which of the following precautions should the nurse take while caring
for this client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope - ✔✔✔ANSWER>>>>Use a dedicated stethoscope
,A nurse is caring for a client who reports difficulty falling asleep at night. Which of
the following actions should the nurse take?
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the client is awake
D. Advise the client to leave the television in the room on when trying to fall asleep
- ✔✔✔ANSWER>>>>Schedule routine care tasks during hours when the client
is awake
A nurse is planning care for a newborn who has hyperbilirubinemia and is to
receive phototherapy. Which of the following interventions should the nurse
include?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
D. Place the newborn 45 cm (18 in) from the light source - CORRECT
ANSWER>>>>Place the newborn 45 cm (18 in) from the light source
A nurse is planning care for a client who has schizophrenia and is having difficulty
expressing their feelings. Which of the following referrals should the nurse make?
A. Art therapist
B. Speech-language pathologist
C. Social worker
D. Recreational therapist - ✔✔✔ANSWER>>>>Art therapist
A nurse is caring for a client who has heart failure and has started taking a loop
diuretic. Which of the following findings indicates the client is experiencing an
adverse effect of the medication?
, A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention - ✔✔✔ANSWER>>>>Decreased reflexes
A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hr and
develops a hemolytic reaction. Which of the following actions should the nurse
perform?
A. Infuse 0.9% sodium chloride IV
B. Administer an antipyretic
C. Decrease the infusion rate to 75 mL/hr
D. Place the client in a left lateral position - ✔✔✔ANSWER>>>>infuse 0 .9%
sodium chloride IV (unless says first , then stop)
A nurse is assessing a client's cardiovascular system. Identify where the nurse
should place the diaphragm of the stethoscope to best hear the closing of the aortic
heart valve. (Selectable areas or Hot Spots" can be found by moving your cursor
over the artwork until the cursor changes appearance, usually into a hand. Click
only on the Hot Spot that corresponds to your answer - CORRECT
ANSWER>>>>option A
A client who has a diagnosis of complete placenta previa is admitted to the labor
and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
STUDY GUIDE AND EXAM PREP
SOLUTIONS WITH Q&A 2026/2027 LATEST
A nurse is planning care for a child who has increased intracranial pressure with a
decrease in level of consciousness. Which of the following interventions should the
nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs - ✔✔✔ANSWER>>>>. Maintain the
head at a midline position
A nurse is assessing a client who has delirium due to a febrile illness. Which of the
following findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia - ✔✔✔ANSWER>>>>A. Hallucinations
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy
tube. The nurse should identify that which of the following findings indicates fluid
overload?
A. Diminished bowel sounds
1|Page
,B. Bradycardia
C. Hypotension
D. Bounding pulses - ✔✔✔ANSWER>>>>Bounding pulses
A nurse is caring for a client following an open colectomy. Which of the following
findings places the client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain - ✔✔✔ANSWER>>>>Hyperemesis
A home health nurse is reviewing treatment goals with a client who has diabetes
mellitus. The nurse should evaluate which of the following laboratory tests to
determine effective long-term management of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c (Glycosylated hemoglobin)
C. Fasting blood glucose test
D. Urinalysis for ketones - ✔✔✔ANSWER>>>>HbA1c (Glycosylated
hemoglobin)
A nurse is caring for a client who has neutropenia due to human immunodeficiency
virus (HIV). Which of the following precautions should the nurse take while caring
for this client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope - ✔✔✔ANSWER>>>>Use a dedicated stethoscope
,A nurse is caring for a client who reports difficulty falling asleep at night. Which of
the following actions should the nurse take?
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the client is awake
D. Advise the client to leave the television in the room on when trying to fall asleep
- ✔✔✔ANSWER>>>>Schedule routine care tasks during hours when the client
is awake
A nurse is planning care for a newborn who has hyperbilirubinemia and is to
receive phototherapy. Which of the following interventions should the nurse
include?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
D. Place the newborn 45 cm (18 in) from the light source - CORRECT
ANSWER>>>>Place the newborn 45 cm (18 in) from the light source
A nurse is planning care for a client who has schizophrenia and is having difficulty
expressing their feelings. Which of the following referrals should the nurse make?
A. Art therapist
B. Speech-language pathologist
C. Social worker
D. Recreational therapist - ✔✔✔ANSWER>>>>Art therapist
A nurse is caring for a client who has heart failure and has started taking a loop
diuretic. Which of the following findings indicates the client is experiencing an
adverse effect of the medication?
, A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention - ✔✔✔ANSWER>>>>Decreased reflexes
A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hr and
develops a hemolytic reaction. Which of the following actions should the nurse
perform?
A. Infuse 0.9% sodium chloride IV
B. Administer an antipyretic
C. Decrease the infusion rate to 75 mL/hr
D. Place the client in a left lateral position - ✔✔✔ANSWER>>>>infuse 0 .9%
sodium chloride IV (unless says first , then stop)
A nurse is assessing a client's cardiovascular system. Identify where the nurse
should place the diaphragm of the stethoscope to best hear the closing of the aortic
heart valve. (Selectable areas or Hot Spots" can be found by moving your cursor
over the artwork until the cursor changes appearance, usually into a hand. Click
only on the Hot Spot that corresponds to your answer - CORRECT
ANSWER>>>>option A
A client who has a diagnosis of complete placenta previa is admitted to the labor
and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
