RN VATI COMPREHENSIVE PREDICTOR 2024 REAL EXAM 180
QUESTIONS AND CORRECT ANSWERS/ VATI RN
COMPREHENSIVE PREDICTOR 2024
• A nurse on a mental health unit is admitting a client who has posttraumatic stress
disorder.Which of the following findings should the nurse expect?
• Talks continuously about the event
• Preoccupied with having a serious illness
• Has difficulty concentrating on a task
• Experiences frequent grandiose thoughts
• A nurse is administering a scheduled medication to a client. The client reports that
the medication appears different than what they take home. Which of the following
responsesshould the nurse make?
• "Did the doctor discuss with you that there was a change in this medication? "
• "Do you know why this medication is being prescribed for you?"
• "I will call the pharmacist now to check on this medication "
• "I recommend that you take this medication as prescribed"
• A nurse is assessing a client who is in skeletal traction for a fractured left tibia. The
nurseshould Identify that which the following findings indicates altered tissue
perfusion of the affected extremity?
• Purulent drainage at the site
• Faint pedal pulse of left leg
• Pain with movement of the left great toe
• Warm skin temperature distal to pin site
• A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of
thefollowing statements by the client indicates an understanding of the teaching?
• "I will decrease my daily protein intake to 15 grams per day"
• "I will use ibuprofen as needed to control abdominal pain"
• "I will take sucralfate with meals three times per"
• "I will avoid food and beverages that contain caffeine"
• A nurse is caring for a client who is in the advanced stage of amyotrophic lateral
sclerosis(ALS). Which of the following referrals is the nurse's priority?
• Occupational therapist
• Social worker
• Speech-language pathologist
,• Psychologist
• A nurse administers digoxin 0.125 mg PO to an adult client. For which of the
followingfindings should the nurse notify the provider?
• Constipation for 2 days
• Potassium level 4.2 mEq/L
• Digoxin level 1 ng/mL ** normal levels 0.5- 2.0
• Apical pulse 58/ min
• A nurse is updating the plan of care for a client who has an exacerbation of psoriasis.
Whichof the following interventions should the nurse include in the plan?
• Discontinue ultraviolet light therapy if lesions become itchy
• Cover lesions with an occlusive dressing after applying a corticosteroid.
• Scrub external lesions with a pumice stone
• Instruct the client to add rubbing alcohol to bath water
• A nurse is verifying a record of informed consent for a client who scheduled for
surgery.Which of the following actions should the nurse take?
• Provide Information on the informed consent form about the benefits of the surgery
• Confirm the client's signature is authentic
• Inform the client about the condition that requires treatment
• Explain the procedure to the client before verifying informed consent.???
• A nurse is caring for a client who requests the creation of a living will. Which of
thefollowing actions should the nurse take?
• Schedule a meeting between the hospital ethics committee and client
• Determine the client's preferences about postmortem care
• Evaluate the client's understanding of life sustaining measures
• Request a conference with the client's family
• A nurse in an emergency department caring for a toddler who has burns following a
housefire. Which of the following actions should the nurse take first?
• Administer antibiotics prophylactically to prevent sepsis.
• Determine the location and depth of the burns.
• Calculate fluid replacement based on vital signs and urinary output.
• Check the mouth for soot and smoky breath. ABC’S
• A nurse is caring for an older adult client who has prescriptions for multiple
medications.Which of the following factors should the nurse identify as an age-related
change that increases the risk for adverse effects from medications?
,• Prolonged medication half-life
• Increased medication elimination
• Decreased medication sensitivity
• Rapid gastric emptying
• A nurse is caring for a client who is in a seclusion room following violent behavior.
The client continues to display aggressive behavior. Which of the following actions
should thenurse take?
• Express sympathy for the client's situation.
• Confront the client about this behavior.
• Speak assertively to the client.
• Stand within 30 cm (1 fu of the client when speaking with them.
• A nurse is reviewing the medical record of a client who is requesting combination
oral contraceptives. Which of the following conditions in the client's history is a
contraindicationto the use of combination oral contraceptives?
• Hypocalcemia
• Diverticulosis
• Hyperthyroidism
• Thrombophlebitis
• A nurse is creating a plan of care for a female client who has recurrent urinary
tractinfections. Which of the following interventions should the nurse include in
the plan?
• Wear loose-fitting underwear.
• Take a bubble bath after intercourse
• Drink four 240 mL (8 oz) glasses of water each day
• Void every to 6 hr during the day. NO
• A nurse is consulting a pharmacological reference about medication compatibility prior
toadministering warfarin to a client. Which of the following medications should the nurse
identify as being incompatible with warfarin?
• Magnesium hydroxide
• Naproxen NSAID’S
• Lisinopril
• Propranolol
• A nurse in an emergency department is caring for a client following a motor-vehicle
crash. The client's Glasgow coma scale rating is 15. Which of the following findings should
the nurseexpect?
, • The withdraws from pain.
• The client is oriented times three.
• The dent is unable to obey commands non.
• The client opens eyes to sound.
• A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal
bleeding. The nurse speaks a different language than the client. The client's partner and
10-year-old child are accompanying her. Which of the following actions should the nurse
take togather the client’s admission data?
• Request a female interpreter through the facility
• Ask nursing student who speaks the same language as the client to translate
• Allow the client’s partner to translate
• Have the client’s child translate
• A nurse is planning care for a client who is recovering from an acute myocardial
infarctionthat occurred 3 days ago. Which of the following interventions should the nurse
Include?
• Perform an ECG every 12hr.
• Place the client in a supine position while resting.
• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation.
• A nurse in the infectious disease division of the local health department is caring for
a client. Which of the following infections should the nurse identify should be reported to
thehealth department?
• Clostridium difficile
• Human papilloma virus
• Herpes simplex virus
• Chlamydia trachomatis
• A nurse is administering an intradermal injection for allergy testing to a client. Into
which of the following sites should the nurse inject the medication? (You will find hot spots
to selectin the artwork below. Select only the hot spot that corresponds to your answer
QUESTIONS AND CORRECT ANSWERS/ VATI RN
COMPREHENSIVE PREDICTOR 2024
• A nurse on a mental health unit is admitting a client who has posttraumatic stress
disorder.Which of the following findings should the nurse expect?
• Talks continuously about the event
• Preoccupied with having a serious illness
• Has difficulty concentrating on a task
• Experiences frequent grandiose thoughts
• A nurse is administering a scheduled medication to a client. The client reports that
the medication appears different than what they take home. Which of the following
responsesshould the nurse make?
• "Did the doctor discuss with you that there was a change in this medication? "
• "Do you know why this medication is being prescribed for you?"
• "I will call the pharmacist now to check on this medication "
• "I recommend that you take this medication as prescribed"
• A nurse is assessing a client who is in skeletal traction for a fractured left tibia. The
nurseshould Identify that which the following findings indicates altered tissue
perfusion of the affected extremity?
• Purulent drainage at the site
• Faint pedal pulse of left leg
• Pain with movement of the left great toe
• Warm skin temperature distal to pin site
• A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of
thefollowing statements by the client indicates an understanding of the teaching?
• "I will decrease my daily protein intake to 15 grams per day"
• "I will use ibuprofen as needed to control abdominal pain"
• "I will take sucralfate with meals three times per"
• "I will avoid food and beverages that contain caffeine"
• A nurse is caring for a client who is in the advanced stage of amyotrophic lateral
sclerosis(ALS). Which of the following referrals is the nurse's priority?
• Occupational therapist
• Social worker
• Speech-language pathologist
,• Psychologist
• A nurse administers digoxin 0.125 mg PO to an adult client. For which of the
followingfindings should the nurse notify the provider?
• Constipation for 2 days
• Potassium level 4.2 mEq/L
• Digoxin level 1 ng/mL ** normal levels 0.5- 2.0
• Apical pulse 58/ min
• A nurse is updating the plan of care for a client who has an exacerbation of psoriasis.
Whichof the following interventions should the nurse include in the plan?
• Discontinue ultraviolet light therapy if lesions become itchy
• Cover lesions with an occlusive dressing after applying a corticosteroid.
• Scrub external lesions with a pumice stone
• Instruct the client to add rubbing alcohol to bath water
• A nurse is verifying a record of informed consent for a client who scheduled for
surgery.Which of the following actions should the nurse take?
• Provide Information on the informed consent form about the benefits of the surgery
• Confirm the client's signature is authentic
• Inform the client about the condition that requires treatment
• Explain the procedure to the client before verifying informed consent.???
• A nurse is caring for a client who requests the creation of a living will. Which of
thefollowing actions should the nurse take?
• Schedule a meeting between the hospital ethics committee and client
• Determine the client's preferences about postmortem care
• Evaluate the client's understanding of life sustaining measures
• Request a conference with the client's family
• A nurse in an emergency department caring for a toddler who has burns following a
housefire. Which of the following actions should the nurse take first?
• Administer antibiotics prophylactically to prevent sepsis.
• Determine the location and depth of the burns.
• Calculate fluid replacement based on vital signs and urinary output.
• Check the mouth for soot and smoky breath. ABC’S
• A nurse is caring for an older adult client who has prescriptions for multiple
medications.Which of the following factors should the nurse identify as an age-related
change that increases the risk for adverse effects from medications?
,• Prolonged medication half-life
• Increased medication elimination
• Decreased medication sensitivity
• Rapid gastric emptying
• A nurse is caring for a client who is in a seclusion room following violent behavior.
The client continues to display aggressive behavior. Which of the following actions
should thenurse take?
• Express sympathy for the client's situation.
• Confront the client about this behavior.
• Speak assertively to the client.
• Stand within 30 cm (1 fu of the client when speaking with them.
• A nurse is reviewing the medical record of a client who is requesting combination
oral contraceptives. Which of the following conditions in the client's history is a
contraindicationto the use of combination oral contraceptives?
• Hypocalcemia
• Diverticulosis
• Hyperthyroidism
• Thrombophlebitis
• A nurse is creating a plan of care for a female client who has recurrent urinary
tractinfections. Which of the following interventions should the nurse include in
the plan?
• Wear loose-fitting underwear.
• Take a bubble bath after intercourse
• Drink four 240 mL (8 oz) glasses of water each day
• Void every to 6 hr during the day. NO
• A nurse is consulting a pharmacological reference about medication compatibility prior
toadministering warfarin to a client. Which of the following medications should the nurse
identify as being incompatible with warfarin?
• Magnesium hydroxide
• Naproxen NSAID’S
• Lisinopril
• Propranolol
• A nurse in an emergency department is caring for a client following a motor-vehicle
crash. The client's Glasgow coma scale rating is 15. Which of the following findings should
the nurseexpect?
, • The withdraws from pain.
• The client is oriented times three.
• The dent is unable to obey commands non.
• The client opens eyes to sound.
• A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal
bleeding. The nurse speaks a different language than the client. The client's partner and
10-year-old child are accompanying her. Which of the following actions should the nurse
take togather the client’s admission data?
• Request a female interpreter through the facility
• Ask nursing student who speaks the same language as the client to translate
• Allow the client’s partner to translate
• Have the client’s child translate
• A nurse is planning care for a client who is recovering from an acute myocardial
infarctionthat occurred 3 days ago. Which of the following interventions should the nurse
Include?
• Perform an ECG every 12hr.
• Place the client in a supine position while resting.
• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation.
• A nurse in the infectious disease division of the local health department is caring for
a client. Which of the following infections should the nurse identify should be reported to
thehealth department?
• Clostridium difficile
• Human papilloma virus
• Herpes simplex virus
• Chlamydia trachomatis
• A nurse is administering an intradermal injection for allergy testing to a client. Into
which of the following sites should the nurse inject the medication? (You will find hot spots
to selectin the artwork below. Select only the hot spot that corresponds to your answer
