2023/2024 WIT QUESTIONS AND CORRECT
ANSWERS/VATI RN FUNDAMENTALS
ASSESSMENT EXAM LATEST
A nurse is preparing to mix short-acting and intermediate-acting insulin in one
syringe to administer to a client who has type 1 diabetes mellitus. Identify the
sequence the nurse should follow.
1: Draw up the volume of insulin from the intermediate-acting insulin vial.
2: Inject the volume of air equal to the amount of insulin to withdraw from the
intermediate-acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-acting insulin
vial
4: Withdraw the prescribed amount of insulin form the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-acting insulin
vial.
To mix insulin from two vials in the same syringe, the nurse should first draw up a
volume of air equal to the volume of insulin from the intermediate-acting insulin
vial. The nurse should then inject the volume of air equal to the amount of insulin
to withdraw from the intermediate-acting insulin vial, making sure the needle does
not touch the insulin. Next, the nurse should inject the volume of air equal to the
insulin dose from the short-acting insulin vial. Then, the nurse should withdraw the
prescribed amount of insulin from the short-acting insulin vial. Lastly, the nurse
should withdraw the prescribed amount of insulin from the intermediate-acting
insulin vial. The insulins are now mixed and ready to administer.
A nurse is assessing a client who wears partial dentures and reports mouth
pain. Which of the following actions should the nurse take?
Provide the client with an alcohol-based mouthwash.
,Instruct the client to brush their remaining teeth with a firm toothbrush.
Advise the client to rinse their mouth and dentures after each meal.
Swab the client's mouth with lemon-glycerin sponges at bedtime.
Advise the client to rinse their mouth and dentures after each meal.
The nurse should advise the client to rinse their mouth and dentures after each
meal to remove food and particles and to promote healing of gums and oral
mucosa.
The nurse should instruct the client to rinse their mouth four times each day with
mild rinses, such as normal saline or sodium bicarbonate solution. The nurse
should inform the client that mouthwashes containing alcohol dry the oral mucosa
and can irritate tissue.
The nurse should instruct the client to brush their remaining teeth with a soft
toothbrush at least twice each day to reduce the risk for gum abrasions.
The nurse should avoid using lemon-glycerin sponges because they can cause
erosion of the client's tooth enamel, dry the mucous membranes, and increase the
client's current discomfort.
A nurse is planning care for a client who has dysphagia and is at risk for aspiration.
Which of the following referrals should the nurse make?
Speech-language pathologist
The nurse should recommend a referral for a client who has dysphagia to a speech-
language pathologist. Clients who have dysphagia have difficulty swallowing and
are at risk for aspiration. The speech-language pathologist can perform a swallow
study to determine the extent of the client's dysphagia and work with the client to
develop new swallowing techniques.
A nurse is planning teaching for a client who has a new diagnosis of type 2
diabetes mellitus. Which of the following actions should the nurse take prior to
performing the teaching? (select all that apply)
- Establish the client's learning needs
- Determine the client's literacy level
, - Evaluate the client's readiness for learning
- Identify the client's learning style
Establish the client's learning needs is correct. Prior to planning any teaching
session, the nurse should perform a comprehensive assessment of the client's
learning needs. This assessment incorporates information from the client's history
and physical assessment, current health problems, understanding of and adherence
to the prescribed treatment plan, and support system. Determine the client's literacy
level is correct. Knowing the client's literacy level is an important factor in
communicating with the client and in delivering audiovisual presentations and
written materials. If the client cannot understand the information the nurse
presents, they will not learn. Evaluate the client's readiness for learning is correct.
The nurse should determine the client's physical readiness (pain control), emotional
readiness (acceptance of diagnosis), and cognitive readiness (appropriate level of
consciousness). Identify the client's learning style is correct. The best way to learn
varies from client to client. Some people learn best by watching a demonstration,
while others thrive in a group setting, and others prefer to read information on their
own. In a group setting, the nurse should use a variety of styles to accommodate
most learners.
A nurse is preparing to notify the provider about a change in a client's status.
Which of the following information should the nurse plan to include in the
"background" portion of the SBAR communication tool?
Client's present condition
Questions for the provider regarding client care
Physical findings
Previous treatments
Previous treatments
The nurse should include previous treatments in the "background" portion of the
SBAR communication tool. Other information the nurse should include in the
"background" portion is the client's admission history, diagnosis, pertinent medical
history, and code status. The nurse should include physical findings in the