ATI EXAM zm
Exam Solution zm
VATI: Fundamentals Pre Assessment 2026 A+ GRADE A
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SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm
RS (D2097) zm
QUESTION 1 zm
A nurse is assessing a client following the application of an aquathermia pad. Which o
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f the following is the first indication to the nurse that the client is experiencing a sup
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erficial burn injury to the application site?
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A. Blistering
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B. Erythema
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C. Escharzm
D. Absence of pain
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ANSWER
B. Erythema Erythema is an indication that the client has experienced a superficial burn with damag
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e limited to the epidermis. Other manifestations include edema, pain, and increased sensitivity to he
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at.
A. Blistering is an indication of a superficial partial thickness burn, involving injury to the upper thir
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d of the dermis. These injuries also are pink and moist, blanch to pressure and are very painful.
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C. Eschar is seen in clients who have a full thickness wound involving the epidermis and dermis. Th
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is is dead tissue that must be removed for healing to occur
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D. A thermal injury that is not painful can be classified as a deep full-
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thickness burn which extends into muscle, bone, or tendons.
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QUESTION 2 zm
A nurse in a long-
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tern care facility enters the day room and finds the window curtains on fire. Clients a
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re panicking and the room is filling with smoke. Indicate the emergency actions the n
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urse must take. Activate the fire alarm. Extinguish the fire. Close the door. Remove th
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e clients from the room.
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ANSWER
Remove the clients from the room. Activate the fire alarm. Close the door. Extinguish the fire. In the
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event of a fire, it is helpful to recall the mnemonic RACE to prioritize the actions to take: R -
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, Rescue and remove the clients, A - Activate the alarm, C - Confine the fire, and E -
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Extinguish the fire. The nurse's priority action is to remove the clients from the room. The nurse s
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hould then sound the fire alarm and close the door to confine the fire. Finally and if possible, the n
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urse should extinguish the fire.
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QUESTION 3 zm
A nurse is developing a plan of care for a client who is postoperative. Which of the fol
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lowing interventions should the nurse include in the plan of prevent pulmonary comp
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lications?
A. Perform ROM exercises
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B. Place suction equipment at the bedside
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C. Encourage the use of an incentive spirometer
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D. Administer an expectorant
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ANSWER
C. Encourage the use of an incentive spirometer. Incentive spirometry expands the lungs and promot
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es gas exchange after surgery which can help prevent pulmonary complications.
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A. This is not indicated to prevent pulmonary complications, but early ambulation is helpful to prom
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ote lung expansion and remove secretions.
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B. Suction equipment should be readily available if needed, but its presence does not prevent pulmo
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nary complications.
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D. Administering an expectorant is not indicated to prevent pulmonary complications, but the nurse
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should encourage the client to cough and deep breathe.
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QUESTION 4 zm
A nurse is preparing to discontinue a client's indwelling urinary catheter. Which of th
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e following actions should the nurse take first?
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A. Deflate the catheter balloon using a sterile syringe
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B. Measure and document the urine in the drainage bag
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C. Remove the tape or device securing the catheter to the client's thigh
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D. Position the client supine
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ANSWER
D. Position the client supine The first action the nurse should take using the nursing process is to p
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lace the client in a supine position. This permits adequate visualization and assessment of the perin
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eal area and promotes client comfort and relaxation. A., B.,
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C. This is an appropriate action, but not the first action the nurse should take.
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QUESTION 5 zm
A nurse is teaching a client who has cholecystitis about required dietary modifications
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. The nurse should include which of the following foods as appropriate for the client's
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mdiet?
A. Creamed chicken
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Exam Solution zm
VATI: Fundamentals Pre Assessment 2026 A+ GRADE A
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SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm
RS (D2097) zm
QUESTION 1 zm
A nurse is assessing a client following the application of an aquathermia pad. Which o
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
f the following is the first indication to the nurse that the client is experiencing a sup
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erficial burn injury to the application site?
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A. Blistering
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B. Erythema
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C. Escharzm
D. Absence of pain
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ANSWER
B. Erythema Erythema is an indication that the client has experienced a superficial burn with damag
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e limited to the epidermis. Other manifestations include edema, pain, and increased sensitivity to he
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at.
A. Blistering is an indication of a superficial partial thickness burn, involving injury to the upper thir
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d of the dermis. These injuries also are pink and moist, blanch to pressure and are very painful.
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C. Eschar is seen in clients who have a full thickness wound involving the epidermis and dermis. Th
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is is dead tissue that must be removed for healing to occur
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D. A thermal injury that is not painful can be classified as a deep full-
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thickness burn which extends into muscle, bone, or tendons.
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QUESTION 2 zm
A nurse in a long-
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tern care facility enters the day room and finds the window curtains on fire. Clients a
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re panicking and the room is filling with smoke. Indicate the emergency actions the n
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
urse must take. Activate the fire alarm. Extinguish the fire. Close the door. Remove th
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e clients from the room.
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ANSWER
Remove the clients from the room. Activate the fire alarm. Close the door. Extinguish the fire. In the
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event of a fire, it is helpful to recall the mnemonic RACE to prioritize the actions to take: R -
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, Rescue and remove the clients, A - Activate the alarm, C - Confine the fire, and E -
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Extinguish the fire. The nurse's priority action is to remove the clients from the room. The nurse s
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hould then sound the fire alarm and close the door to confine the fire. Finally and if possible, the n
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urse should extinguish the fire.
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QUESTION 3 zm
A nurse is developing a plan of care for a client who is postoperative. Which of the fol
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lowing interventions should the nurse include in the plan of prevent pulmonary comp
zm zm zm zm zm zm zm zm zm zm zm zm
lications?
A. Perform ROM exercises
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B. Place suction equipment at the bedside
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C. Encourage the use of an incentive spirometer
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D. Administer an expectorant
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ANSWER
C. Encourage the use of an incentive spirometer. Incentive spirometry expands the lungs and promot
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es gas exchange after surgery which can help prevent pulmonary complications.
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A. This is not indicated to prevent pulmonary complications, but early ambulation is helpful to prom
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ote lung expansion and remove secretions.
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B. Suction equipment should be readily available if needed, but its presence does not prevent pulmo
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nary complications.
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D. Administering an expectorant is not indicated to prevent pulmonary complications, but the nurse
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should encourage the client to cough and deep breathe.
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QUESTION 4 zm
A nurse is preparing to discontinue a client's indwelling urinary catheter. Which of th
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e following actions should the nurse take first?
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A. Deflate the catheter balloon using a sterile syringe
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B. Measure and document the urine in the drainage bag
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C. Remove the tape or device securing the catheter to the client's thigh
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D. Position the client supine
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ANSWER
D. Position the client supine The first action the nurse should take using the nursing process is to p
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
lace the client in a supine position. This permits adequate visualization and assessment of the perin
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eal area and promotes client comfort and relaxation. A., B.,
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C. This is an appropriate action, but not the first action the nurse should take.
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QUESTION 5 zm
A nurse is teaching a client who has cholecystitis about required dietary modifications
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. The nurse should include which of the following foods as appropriate for the client's
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mdiet?
A. Creamed chicken
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