RN VATI CERTIFICATION EVALUATION 2026
EXAM QUESTIONS AND SOLUTIONS
◉ Phenytoin side effects.
Answer: - Skin Rash
- Bleeding gums
- Increased facial hair
- Constipation
◉ A nurse is monitoring a client following a LUMBAR
LAMINECTOMY. The client has a drain and indwelling urinary
catheter. The nurse should identify which of the following findings
as an indication of a COMPLICATION of the surgery?.
Answer: CLEAR DRAINAGE OF DRESSINGS
- This is an indication of a cerebral spinal leak
◉ lumbar laminectomy postoperative.
Answer: - Slight elevation in temperature
- No more than 125 mL of drainage in 4 hours
- Decreased bowel sounds due to anesthesia
- Monitor for paralytic ileus
,◉ A nurse is assessing a client who has RIGHT-SIDED HEART
FAILURE. Which of the following findings should the nurse identify
as a manifestation of RIGHT- SIDED HEART FAILURE?.
Answer: INCREASED ABDOMINAL GIRTH
◉ A nurse is caring for a client who recently assumed the role of
caregiver for their aging parents who have chronic illnesses. The
nurse should identify that which of the following statements by the
client indicates ACCEPTANCE of the role change?.
Answer: " I changed the floor plan of our homes to accommodate my
father's wheelchair. "
◉ A nurse is caring for a client who is receiving VANCOMYCIN
intermittent IV bolus therapy for METHICILLIN-RESISTANT
STAPHYLOCOCCUS AUREUS. Which of the following findings is an
indication to the nurse that the client is experiencing an ADVERSE
EFFECT of the medication?.
Answer: THE CLIENT IS BECOMING FLUSHED.
- Flushing is a manifestation of an infusion reaction to vancomycin
that also causes a rash on the face and upper body, called red man
syndrome.
◉ Red man sydrome.
,Answer: Results from infusing vancomycin too rapidly.
The nurse should infuse the medication over at least 60 min.
- Hypotension
- Tachycardia
- Ototoxcity
- Renal failure
- Flushing
◉ A nurse is caring for a male client who has a new prescription for
CYCLOSPORINE following a kidney transplant. Which of the
following findings should the nurse identify as an adverse effect of
this therapy?.
Answer: BUN 24 mg/dL.
- A BUN of 24 mg/dL is above the expected reference range of 10 to
20 mg/dL, indicating renal impairment. An adverse effect of
cyclosporine is nephrotoxicity
◉ WBC normal range.
Answer: 5,000-10,000
◉ RBC count normal range.
Answer: 4.7-6.1 million
, ◉ Potassium normal range.
Answer: 3.5-5.0
◉ A nurse is caring for a client who has DUMPING SYNDROME
following a gastric resection. The nurse should monitor the client for
which of the following complications of DUMPING SYNDROME?.
Answer: IRON DEFICIENCY ANEMIA.
- The nurse should monitor the client for manifestations of anemia,
such as pallor, tachycardia, and fatigue.
Rapid emptying of the stomach contents into the intestine can lead
to reduced absorption of iron in the duodenum, causing iron-
deficiency anemia.
◉ A nurse is assessing a client who takes SALMETEROL to treat
moderate asthma. Which of the following findings should indicate to
the nurse that the medication has been effective?.
Answer: THE CLIENT'S FORCED EXPIRATORY VOLUME IS
DECRESED AFTER TREATMENT WITH MEDICATION.
- Forced expiratory volume measures the amount of air the client
exhales during 1 second and is part of pulmonary function testing.
Effective use of a bronchodilator should increase the client's forced
expiratory volume
EXAM QUESTIONS AND SOLUTIONS
◉ Phenytoin side effects.
Answer: - Skin Rash
- Bleeding gums
- Increased facial hair
- Constipation
◉ A nurse is monitoring a client following a LUMBAR
LAMINECTOMY. The client has a drain and indwelling urinary
catheter. The nurse should identify which of the following findings
as an indication of a COMPLICATION of the surgery?.
Answer: CLEAR DRAINAGE OF DRESSINGS
- This is an indication of a cerebral spinal leak
◉ lumbar laminectomy postoperative.
Answer: - Slight elevation in temperature
- No more than 125 mL of drainage in 4 hours
- Decreased bowel sounds due to anesthesia
- Monitor for paralytic ileus
,◉ A nurse is assessing a client who has RIGHT-SIDED HEART
FAILURE. Which of the following findings should the nurse identify
as a manifestation of RIGHT- SIDED HEART FAILURE?.
Answer: INCREASED ABDOMINAL GIRTH
◉ A nurse is caring for a client who recently assumed the role of
caregiver for their aging parents who have chronic illnesses. The
nurse should identify that which of the following statements by the
client indicates ACCEPTANCE of the role change?.
Answer: " I changed the floor plan of our homes to accommodate my
father's wheelchair. "
◉ A nurse is caring for a client who is receiving VANCOMYCIN
intermittent IV bolus therapy for METHICILLIN-RESISTANT
STAPHYLOCOCCUS AUREUS. Which of the following findings is an
indication to the nurse that the client is experiencing an ADVERSE
EFFECT of the medication?.
Answer: THE CLIENT IS BECOMING FLUSHED.
- Flushing is a manifestation of an infusion reaction to vancomycin
that also causes a rash on the face and upper body, called red man
syndrome.
◉ Red man sydrome.
,Answer: Results from infusing vancomycin too rapidly.
The nurse should infuse the medication over at least 60 min.
- Hypotension
- Tachycardia
- Ototoxcity
- Renal failure
- Flushing
◉ A nurse is caring for a male client who has a new prescription for
CYCLOSPORINE following a kidney transplant. Which of the
following findings should the nurse identify as an adverse effect of
this therapy?.
Answer: BUN 24 mg/dL.
- A BUN of 24 mg/dL is above the expected reference range of 10 to
20 mg/dL, indicating renal impairment. An adverse effect of
cyclosporine is nephrotoxicity
◉ WBC normal range.
Answer: 5,000-10,000
◉ RBC count normal range.
Answer: 4.7-6.1 million
, ◉ Potassium normal range.
Answer: 3.5-5.0
◉ A nurse is caring for a client who has DUMPING SYNDROME
following a gastric resection. The nurse should monitor the client for
which of the following complications of DUMPING SYNDROME?.
Answer: IRON DEFICIENCY ANEMIA.
- The nurse should monitor the client for manifestations of anemia,
such as pallor, tachycardia, and fatigue.
Rapid emptying of the stomach contents into the intestine can lead
to reduced absorption of iron in the duodenum, causing iron-
deficiency anemia.
◉ A nurse is assessing a client who takes SALMETEROL to treat
moderate asthma. Which of the following findings should indicate to
the nurse that the medication has been effective?.
Answer: THE CLIENT'S FORCED EXPIRATORY VOLUME IS
DECRESED AFTER TREATMENT WITH MEDICATION.
- Forced expiratory volume measures the amount of air the client
exhales during 1 second and is part of pulmonary function testing.
Effective use of a bronchodilator should increase the client's forced
expiratory volume
