VATI PN FUNDAMENTALS 2019 FORM A&
B PN FUNDAMENTALS VATI 2019 EXAM
FORM A&B EACH FORM WITH 70
QUESTIONS AND CORRECT ANSWERSA
ALREADY GRADED A+.
A nurse is collecting data from a client who has an elevated
temperature with no sweating. Which of the following findings is
an indication of hypernatremia?
➖ Thirst
➖ Muscle twitching
➖ Headache
➖ Abdominal cramps - ANSWER >>>>Thirst.
Rationale:
Thirst, combined with an elevated temperature and a lack of
sweating, can be an indication of hypernatremia.
A nurse is caring for a client who reports difficulty sleeping due to
the noise on the nursing unit. Which of the following actions
should the nurse take to reduce environmental noise?
➖ Close the door to the client's room.
➖ Turn off the alarms and beeps on monitoring equipment.
➖ Conduct change-of-shift report outside the client's door.
➖ Keep the television on low in the client's room. - ANSWER
>>>>Close the door to the client's room.
Rationale:
, The nurse should close the door to the client's room whenever
possible to reduce environmental noise.
A nurse is reinforcing teaching about health promotion with a
client. Which of the following actions should the nurse take first to
promote effective learning?
➖ Identify areas of concern.
➖ Prioritize learning objectives.
➖ Demonstrate psychomotor skills.
➖ Observe nonverbal communication. - ANSWER >>>>Identify
areas of concern.
Rationale:
The first action the nurse should take when using the nursing
process is to collect data from the client. Identifying and
understanding the client's concerns prior to reinforcing teaching
promotes effective learning.
A home health nurse is assisting with the plan of care for a client.
Which of the following should the nurse include during the
orientation phase of the helping relationship?
➖ Review current client data.
➖ Assist to meet client goals.
➖ Review shared memories of interactions with client.
➖ Clarify the role of this individual nurse. - ANSWER >>>>Clarify
the role of this individual nurse.
Rationale:
The nurse should plan to establish a warm, caring relationship
while clarifying the role of each participant, which occurs during
the orientation phase of the relationship.
,A nurse is preparing to assist with the admission of a client who
has pneumonia. Which of the following observations about the
client's room requires immediate attention?
➖ The wall BP gauge is missing.
➖ The room has no IV infusion pump.
➖ The examination light above the bed does not work.
➖ The wheel locks on the bed are malfunctioning. - ANSWER
>>>>The wheel locks on the bed are malfunctioning.
Rationale:
The greatest risk to this client is injury from a fall when getting into
or out of a bed that is unstable due to malfunctioning locks.
Therefore, the priority is to report and replace the bed before
admitting the client to the room.
A nurse is reinforcing teaching about health promotion with an
older adult client. Which of the following instructions to the client
is an example of secondary prevention?
➖ Participate in screenings for tuberculosis.
➖ Follow dietary recommendations to reduce the risk for
osteoporosis.
➖ Limit alcohol intake to one drink per day.
➖ Perform yoga exercises three times per week. - ANSWER
>>>>Participate in screenings for tuberculosis.
Rationale:
The nurse should encourage the client to participate in screenings
for tuberculosis, a secondary prevention measure. Secondary
prevention measures focus on diagnosis and early intervention.
, A licensed practical nurse (LPN) is receiving change-of-shift
report for a client who had a stroke. For which of the following
tasks should the nurse request assistance from a registered nurse
(RN)?
➖ Administering a cleansing enema
➖ Staging a pressure ulcer
➖ Inserting an indwelling urinary catheter
➖ Performing passive range-of-motion exercises - ANSWER
>>>>Staging a pressure ulcer.
Rationale:
An LPN can collect data for the client and report findings to an
RN. However, staging a pressure ulcer requires advance
knowledge and skill, and is outside the scope of practice of an
LPN. An RN should assess the stage of a complex wound, such
as a pressure ulcer, and provide primary client teaching about
pressure ulcer prevention and care.
A nurse is reinforcing teaching about home safety with a client
who is at risk for falls. Which of the following client statements
indicates an understanding of the teaching?
➖ "I will keep my floors well waxed."
➖ "I will take my shoes off when I come back into the house."
➖ "I will secure all of my electrical cords to the baseboard."
➖ "I will place area rugs on my tile floors." - ANSWER >>>>"I will
secure all of my electrical cords to the baseboard."
Rationale:
Securing cords along the baseboards with electrical tape
minimizes the tripping hazard for clients who are at risk for falls.
B PN FUNDAMENTALS VATI 2019 EXAM
FORM A&B EACH FORM WITH 70
QUESTIONS AND CORRECT ANSWERSA
ALREADY GRADED A+.
A nurse is collecting data from a client who has an elevated
temperature with no sweating. Which of the following findings is
an indication of hypernatremia?
➖ Thirst
➖ Muscle twitching
➖ Headache
➖ Abdominal cramps - ANSWER >>>>Thirst.
Rationale:
Thirst, combined with an elevated temperature and a lack of
sweating, can be an indication of hypernatremia.
A nurse is caring for a client who reports difficulty sleeping due to
the noise on the nursing unit. Which of the following actions
should the nurse take to reduce environmental noise?
➖ Close the door to the client's room.
➖ Turn off the alarms and beeps on monitoring equipment.
➖ Conduct change-of-shift report outside the client's door.
➖ Keep the television on low in the client's room. - ANSWER
>>>>Close the door to the client's room.
Rationale:
, The nurse should close the door to the client's room whenever
possible to reduce environmental noise.
A nurse is reinforcing teaching about health promotion with a
client. Which of the following actions should the nurse take first to
promote effective learning?
➖ Identify areas of concern.
➖ Prioritize learning objectives.
➖ Demonstrate psychomotor skills.
➖ Observe nonverbal communication. - ANSWER >>>>Identify
areas of concern.
Rationale:
The first action the nurse should take when using the nursing
process is to collect data from the client. Identifying and
understanding the client's concerns prior to reinforcing teaching
promotes effective learning.
A home health nurse is assisting with the plan of care for a client.
Which of the following should the nurse include during the
orientation phase of the helping relationship?
➖ Review current client data.
➖ Assist to meet client goals.
➖ Review shared memories of interactions with client.
➖ Clarify the role of this individual nurse. - ANSWER >>>>Clarify
the role of this individual nurse.
Rationale:
The nurse should plan to establish a warm, caring relationship
while clarifying the role of each participant, which occurs during
the orientation phase of the relationship.
,A nurse is preparing to assist with the admission of a client who
has pneumonia. Which of the following observations about the
client's room requires immediate attention?
➖ The wall BP gauge is missing.
➖ The room has no IV infusion pump.
➖ The examination light above the bed does not work.
➖ The wheel locks on the bed are malfunctioning. - ANSWER
>>>>The wheel locks on the bed are malfunctioning.
Rationale:
The greatest risk to this client is injury from a fall when getting into
or out of a bed that is unstable due to malfunctioning locks.
Therefore, the priority is to report and replace the bed before
admitting the client to the room.
A nurse is reinforcing teaching about health promotion with an
older adult client. Which of the following instructions to the client
is an example of secondary prevention?
➖ Participate in screenings for tuberculosis.
➖ Follow dietary recommendations to reduce the risk for
osteoporosis.
➖ Limit alcohol intake to one drink per day.
➖ Perform yoga exercises three times per week. - ANSWER
>>>>Participate in screenings for tuberculosis.
Rationale:
The nurse should encourage the client to participate in screenings
for tuberculosis, a secondary prevention measure. Secondary
prevention measures focus on diagnosis and early intervention.
, A licensed practical nurse (LPN) is receiving change-of-shift
report for a client who had a stroke. For which of the following
tasks should the nurse request assistance from a registered nurse
(RN)?
➖ Administering a cleansing enema
➖ Staging a pressure ulcer
➖ Inserting an indwelling urinary catheter
➖ Performing passive range-of-motion exercises - ANSWER
>>>>Staging a pressure ulcer.
Rationale:
An LPN can collect data for the client and report findings to an
RN. However, staging a pressure ulcer requires advance
knowledge and skill, and is outside the scope of practice of an
LPN. An RN should assess the stage of a complex wound, such
as a pressure ulcer, and provide primary client teaching about
pressure ulcer prevention and care.
A nurse is reinforcing teaching about home safety with a client
who is at risk for falls. Which of the following client statements
indicates an understanding of the teaching?
➖ "I will keep my floors well waxed."
➖ "I will take my shoes off when I come back into the house."
➖ "I will secure all of my electrical cords to the baseboard."
➖ "I will place area rugs on my tile floors." - ANSWER >>>>"I will
secure all of my electrical cords to the baseboard."
Rationale:
Securing cords along the baseboards with electrical tape
minimizes the tripping hazard for clients who are at risk for falls.
