VATI Proctored final assessment 1 Study Guide (Latest
Update 2023-24) RATED A+
Management of Varicella - Correct Answers ✅Rash starts in trunk and spreads
to face/extremities.
Macule<papule<vesicles< crust over.
scabs in about 1 week.
Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes, tepid
baths, trim nails, mittens for scratching, and change linens daily) OR:
Acyclovir w/in 48hrs
Notify MDH of com diseases.
AIRBORNE/Contact
Consent guidelines - Correct Answers ✅Written consent required for< Invasive
precedures
Emancipated adult can consent for themselves.
Nurse must witness signature and ensure they understand. if no understand
contact provider.
Cystic Fibrosis nutritional info - Correct Answers ✅High in protein/cals
3 meals/day +snacks
^fluids
Pancreatic enzymes in 30 min of eating meal/snack
Vit supps: multi, A,D, E, K
lax for constipation
^salt during hot weather(dehydration)
P a g e 1 | 19
,hypopituitarism treatment - Correct Answers ✅hormone replacement therapy:
corticosteroids
thyroxine
sex steroids
human GH (Somatropin)
PICC care - Correct Answers ✅-dressing change every 7 days unless wet, soiled,
loose;
-flush using 10 mL syringe after infusions;
-change injection caps every 72 hrs;
-assess infusion system systemically starting w/insertion site, observing for signs
of infection, working upward, following tubing to make sure all connections are
secure
PICC insertion - Correct Answers ✅- Use up to 12 months
-basilic/cephalic vein finger breadth ^/below antecubital
-used for admin of blood, long-term chemo, ABX, and TPN
-Confirm placement with xray
-Transparent dressing for visualization Q 7 days
PICC education - Correct Answers ✅-Transparent dressing (visualization) Q 7
days
-do not immerse in water. cover to prevent water exposure
- no blood draws on arm with picc
P a g e 2 | 19
, PICC FLUSHING - Correct Answers ✅Use a 10 mL syringe for flushing the PICC
line. Do not apply force if resistance is met.
Flush with 10 mL 0.9% sodium chloride before,
between, and after medications.
* Flush with 20 mL 0.9% sodium chloride after
drawing blood.*
Flush with 5 mL heparin (10 units/mL) when the
PICC is not actively in use. The frequency of the flush
depends on the type of PICC
Diabetes insipidus manifestations - Correct Answers ✅Risks: head injury, tumor,
surgery, pituitary disruption, infx, Lithium use.
S/S: Polydipsia (5-20 L/24 hours)
polyuria (excess urination)
tachycardia
hypotension
dry skin
tachypnea
Weak pulses
Ataxia
Feel dehydrated so they keep drinking and peeing - no ADH to hold on to pee.
P a g e 3 | 19
Update 2023-24) RATED A+
Management of Varicella - Correct Answers ✅Rash starts in trunk and spreads
to face/extremities.
Macule<papule<vesicles< crust over.
scabs in about 1 week.
Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes, tepid
baths, trim nails, mittens for scratching, and change linens daily) OR:
Acyclovir w/in 48hrs
Notify MDH of com diseases.
AIRBORNE/Contact
Consent guidelines - Correct Answers ✅Written consent required for< Invasive
precedures
Emancipated adult can consent for themselves.
Nurse must witness signature and ensure they understand. if no understand
contact provider.
Cystic Fibrosis nutritional info - Correct Answers ✅High in protein/cals
3 meals/day +snacks
^fluids
Pancreatic enzymes in 30 min of eating meal/snack
Vit supps: multi, A,D, E, K
lax for constipation
^salt during hot weather(dehydration)
P a g e 1 | 19
,hypopituitarism treatment - Correct Answers ✅hormone replacement therapy:
corticosteroids
thyroxine
sex steroids
human GH (Somatropin)
PICC care - Correct Answers ✅-dressing change every 7 days unless wet, soiled,
loose;
-flush using 10 mL syringe after infusions;
-change injection caps every 72 hrs;
-assess infusion system systemically starting w/insertion site, observing for signs
of infection, working upward, following tubing to make sure all connections are
secure
PICC insertion - Correct Answers ✅- Use up to 12 months
-basilic/cephalic vein finger breadth ^/below antecubital
-used for admin of blood, long-term chemo, ABX, and TPN
-Confirm placement with xray
-Transparent dressing for visualization Q 7 days
PICC education - Correct Answers ✅-Transparent dressing (visualization) Q 7
days
-do not immerse in water. cover to prevent water exposure
- no blood draws on arm with picc
P a g e 2 | 19
, PICC FLUSHING - Correct Answers ✅Use a 10 mL syringe for flushing the PICC
line. Do not apply force if resistance is met.
Flush with 10 mL 0.9% sodium chloride before,
between, and after medications.
* Flush with 20 mL 0.9% sodium chloride after
drawing blood.*
Flush with 5 mL heparin (10 units/mL) when the
PICC is not actively in use. The frequency of the flush
depends on the type of PICC
Diabetes insipidus manifestations - Correct Answers ✅Risks: head injury, tumor,
surgery, pituitary disruption, infx, Lithium use.
S/S: Polydipsia (5-20 L/24 hours)
polyuria (excess urination)
tachycardia
hypotension
dry skin
tachypnea
Weak pulses
Ataxia
Feel dehydrated so they keep drinking and peeing - no ADH to hold on to pee.
P a g e 3 | 19
