VATI RN COMPREHENSIVE PREDICTOR EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
TB is often treated - ✔✔✔ Correct Answer > in the home setting.
Airborne precautions are not needed in the home setting
because family members have already been exposed. Exposed
family members should be tested for TB. Continue medication
therapy for its full duration of 6 to 12 months, even up to 2 years
for multidrug‑resistant TB. Failure to take the medications can
lead to a resistant strain of TB. Continue with follow‑up care for 1
full year. Sputum samples are needed every 2 to 4 weeks to
monitor therapy effectiveness. Clients are no longer considered
infectious after three consecutive negative sputum cultures, and
can resume work and social interactions. Practice proper hand
hygiene. Cover mouth and nose when coughing or sneezing.
Contaminated tissues should be disposed of in plastic bags.
While TB is active, wear a mask when in public places or in
contact with crowds.
Defects that increase pulmonary blood flow Ventricular septal
defect (VSD) - ✔✔✔ Correct Answer > _______ A hole in the septum
between the right and left ventricle that results in increased
pulmonary blood flow (left‑to‑right shunt) ●Loud, harsh murmur
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auscultated at the left sternal border ●Heart failure ●Many VSDs
close spontaneously early in life.
Private rooms - ✔✔✔ Correct Answer > are required for clients who
have an infectious disease that requires airborne precautions, or
clients who require a protective environment._______ _____ are
preferred for clients who are on droplet and contact precautions.
These clients can cohort if no _______ ______ are available and if
all of the following are true. ●The clients have the same active
infection with the same micro-organisms. ●The clients remain at
least 3 feet away from each other. ●The clients have no other
existing infection. ______ _______ is also preferred for the
following clients. ●Client who are agitated ●Client who have
dementia and a history of wandering ●Clients who require a quiet
environment (those at risk for increased intracranial pressure
[stroke, traumatic brain injury]) ●Clients who are at risk for
sensory overload (those who are having pain, are acutely ill, have
invasive tubes [nasogastric, IVs, endotracheal], or have reduced
cognitive function [head injury]) ●Clients who require privacy
(those who are near death)
Prior to delegating client care, consider the following. - ✔✔✔ Correct
Answer > Predictability of outcome ●Will the completion of the task
have a predictable outcome? ●Is it a routine treatment? ●Is it a
new treatment? Potential for harm ●Is there a chance that
something negative can happen to the client (risk for bleeding,
risk for aspiration)? ●Is the client unstable? Complexity of care
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●Are complex tasks required as a part of the client's care? ●Is
the delegatee legally able to perform the task and do they have
the skills necessary? Need for problem solving and innovation
●Is nursing judgment required while performing the task? ●Does
it require nursing assessment skills? Level of interaction with
the client ●Is there a need to provide psychosocial support or
education during the performance of the task?
Examples of tasks nurses can delegate to practical nurses and
assistive personnel - ✔✔✔ Correct Answer > TO PN Monitoring findings
(as input to the RN's ongoing assessment)Reinforcing client
teaching from a standard care planPerforming tracheostomy
careSuctioningChecking NG tube patencyAdministering enteral
feedingsInserting a urinary catheterAdministering medication
(excluding IV medication in some states). TO AP Activities of daily
living (ADLs) Bathing Grooming Dressing Toileting Ambulating
Feeding (without swallowing precautions). Positioning Routine
tasks. Bed making. Specimen collection Intake and output Vital
signs (for stable clients).
Right direction/communication (five rights of delegations) - ✔✔✔
Correct Answer > Data that needs to be collected ●Method and
timeline for reporting, including when to report
concerns/findings ●Specific task(s) to be performed; client-
specific instructions ●Expected results, timelines, and
expectations for follow-up communication