VATI-EXIT RN COMPREHENSIVE
PREDICTOR -2019 QUESTIONS and
answers with rationales.
**1. A nurse is caring for a client who is taking alprazolam. Which of the
following prescriptions should the nurse clarify with the provider?**
- **Options:**
- A. Digoxin
- B. Lorazepam
- C. Atomoxetine
- D. Ceftriaxone
- **Answer:** B. Lorazepam
- **Rationale:** Alprazolam (Xanax) is a benzodiazepine. Administering
it with another benzodiazepine like lorazepam (Ativan) increases the
risk of severe central nervous system depression, respiratory
depression, and overdose. The nurse should clarify this combination
with the provider. Atomoxetine is a non-stimulant ADHD medication,
and the other options are not CNS depressants with the same
synergistic risk.
**2. A nurse is assessing a client who is postoperative following
abdominal surgery. The client states, "I feel like my incision ripped
open." The nurse notes dehiscence of the incision. Which of the
following actions should the nurse take?**
- **Options:**
, - A. Extend the client’s legs above heart level.
- B. Place the client in low Fowler’s position.
- C. Instruct the client to perform the Valsalva maneuver.
- D. Apply a dry gauze dressing to the incision.
- **Answer:** B. Place the client in low Fowler’s position.
- **Rationale:** For wound dehiscence (separation of wound edges),
the immediate priority is to reduce tension on the suture line. Placing
the client in low Fowler's position with knees bent helps to relax the
abdominal muscles and reduce intra-abdominal pressure. The nurse
should then cover the wound with sterile saline-soaked gauze and
notify the provider. The Valsalva maneuver would increase pressure
and worsen the condition.
**3. A nurse is caring for a client who is receiving radiation therapy
through a sealed implant. Which of the following actions should the
nurse take?**
- **Answer:** Wear a lead apron when providing care for the client.
- **Rationale:** Clients with sealed implants (brachytherapy) emit
radiation. To minimize exposure, the nurse should follow the principles
of time, distance, and shielding. This includes wearing a lead apron to
shield the body from radiation while in the client's room. The nurse
should also limit the time spent in the room and maintain as much
distance as possible.
**4. A nurse is caring for a client who reports difficulty falling asleep at
night. Which of the following actions should the nurse take?**
PREDICTOR -2019 QUESTIONS and
answers with rationales.
**1. A nurse is caring for a client who is taking alprazolam. Which of the
following prescriptions should the nurse clarify with the provider?**
- **Options:**
- A. Digoxin
- B. Lorazepam
- C. Atomoxetine
- D. Ceftriaxone
- **Answer:** B. Lorazepam
- **Rationale:** Alprazolam (Xanax) is a benzodiazepine. Administering
it with another benzodiazepine like lorazepam (Ativan) increases the
risk of severe central nervous system depression, respiratory
depression, and overdose. The nurse should clarify this combination
with the provider. Atomoxetine is a non-stimulant ADHD medication,
and the other options are not CNS depressants with the same
synergistic risk.
**2. A nurse is assessing a client who is postoperative following
abdominal surgery. The client states, "I feel like my incision ripped
open." The nurse notes dehiscence of the incision. Which of the
following actions should the nurse take?**
- **Options:**
, - A. Extend the client’s legs above heart level.
- B. Place the client in low Fowler’s position.
- C. Instruct the client to perform the Valsalva maneuver.
- D. Apply a dry gauze dressing to the incision.
- **Answer:** B. Place the client in low Fowler’s position.
- **Rationale:** For wound dehiscence (separation of wound edges),
the immediate priority is to reduce tension on the suture line. Placing
the client in low Fowler's position with knees bent helps to relax the
abdominal muscles and reduce intra-abdominal pressure. The nurse
should then cover the wound with sterile saline-soaked gauze and
notify the provider. The Valsalva maneuver would increase pressure
and worsen the condition.
**3. A nurse is caring for a client who is receiving radiation therapy
through a sealed implant. Which of the following actions should the
nurse take?**
- **Answer:** Wear a lead apron when providing care for the client.
- **Rationale:** Clients with sealed implants (brachytherapy) emit
radiation. To minimize exposure, the nurse should follow the principles
of time, distance, and shielding. This includes wearing a lead apron to
shield the body from radiation while in the client's room. The nurse
should also limit the time spent in the room and maintain as much
distance as possible.
**4. A nurse is caring for a client who reports difficulty falling asleep at
night. Which of the following actions should the nurse take?**
