VATI COMPREHENSIVE A EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS
178. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign to the
float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement
of a Herrington rod - ANSWER -A 10-year-old client who has pneumonia and is
receiving respiratory treatments
179. A nurse is preparing to administer vancomycin to a client who has an
infected wound. The nurse should plan to monitor for which of the following
adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension - ANSWER -Ototoxicity
180. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit - ANSWER -Thready pulse
1. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer. The client has two school-age children and a limited
support system. Which of the following is the priority nursing action?
A. Inform the client of available community resources
,B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis - ANSWER -Inform
the client of available community resources
2. A nurse in an emergency department is assessing a client who has a nasal
fracture. Which of the following findings should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - ANSWER -Clear fluid drainage from the nares
3. A nurse in an urgent care clinic is collecting admission history from a client
who is at 16 weeks of gestation and has bacterial vaginosis. The nurse should
recognize that which of the following clinical findings are associated with this
infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - ANSWER -Profuse milky white discharge
4. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug - ANSWER -This
technique decreases the risk of subcutaneous infiltration
10. A nurse is caring for a full-term newborn immediately following birth. Which
of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
,C. Place identification bracelets on the newborn
D. Dry the newborn - ANSWER -Dry the newborn
11. A nurse is planning to provide community education about viral hepatitis.
Which of the following should the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood -
ANSWER -Clients who have a history of viral hepatitis are unable to donate blood
12. A nurse in a residential mental health facility is planning care for a new client
who has obsessive compulsive disorder. Which of the following is appropriate for
the nurse to include in the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive thoughts - ANSWER -Work with
the client to create a flexible daily schedule
13. A nurse is assessing an adult male who has a BMI of 20. The nurse should
identify that the client's BMI falls within which of the following categories?
A. Healthy weight
B. Malnutrition
C. Overweight
D. Obesity - ANSWER -Malnutrition
14. A nurse is caring for a client who is nulliparous and in the first stage of labor.
The last internal assessment revealed 100% cervical effacement with 5 cm of
dilation. At the end of the last contraction, the nurse observes a large gush of fluid
coming out of the client's perineal area. Which of the following is a priority action
by the nurse?
A. Perform another internal exam
B. Notify the client's provider
C. Check the FHR
, D. Obtain a pH test of the fluid - ANSWER -Check the FHR
15. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
of the following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose meal times - ANSWER -Monitor the client for 1 hr
after meals
16. A nurse is performing a skin assessment on a client who has risk factors for
development of skin cancer. The nurse should understand that a suspicious lesion
is
A. Asymmetric, with variegated coloring
B. Scaly and red
C. Brown, with a wart-like texture
D. Firm and rubbery - ANSWER -Asymmetric, with variegated coloring
17. A nurse is assessing a client's internal eye structures with an ophthalmoscope.
Which of the following actions should the nurse take?
A. Position the examination light toward the client's face
B. Stand on the right side of the client when examining the left eye
C. Dim the lights in the room prior to the examination
D. Place the ophthalmoscope directly against the client's forehead - ANSWER -
Dim the lights in the room prior to the examination
18. A nurse is observing a newly licensed nurse irrigate a client's wound. Which of
the following actions should the nurse identify as an indication that the newly
licensed nurse understands wound irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
C. Warms the irrigation solution in the microwave oven prior to application
D. Irrigates the wound from the top to the bottom - ANSWER -Administers PO
analgesia 20 minutes prior to irrigation
ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS
178. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign to the
float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement
of a Herrington rod - ANSWER -A 10-year-old client who has pneumonia and is
receiving respiratory treatments
179. A nurse is preparing to administer vancomycin to a client who has an
infected wound. The nurse should plan to monitor for which of the following
adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension - ANSWER -Ototoxicity
180. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit - ANSWER -Thready pulse
1. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer. The client has two school-age children and a limited
support system. Which of the following is the priority nursing action?
A. Inform the client of available community resources
,B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis - ANSWER -Inform
the client of available community resources
2. A nurse in an emergency department is assessing a client who has a nasal
fracture. Which of the following findings should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - ANSWER -Clear fluid drainage from the nares
3. A nurse in an urgent care clinic is collecting admission history from a client
who is at 16 weeks of gestation and has bacterial vaginosis. The nurse should
recognize that which of the following clinical findings are associated with this
infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - ANSWER -Profuse milky white discharge
4. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug - ANSWER -This
technique decreases the risk of subcutaneous infiltration
10. A nurse is caring for a full-term newborn immediately following birth. Which
of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
,C. Place identification bracelets on the newborn
D. Dry the newborn - ANSWER -Dry the newborn
11. A nurse is planning to provide community education about viral hepatitis.
Which of the following should the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood -
ANSWER -Clients who have a history of viral hepatitis are unable to donate blood
12. A nurse in a residential mental health facility is planning care for a new client
who has obsessive compulsive disorder. Which of the following is appropriate for
the nurse to include in the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive thoughts - ANSWER -Work with
the client to create a flexible daily schedule
13. A nurse is assessing an adult male who has a BMI of 20. The nurse should
identify that the client's BMI falls within which of the following categories?
A. Healthy weight
B. Malnutrition
C. Overweight
D. Obesity - ANSWER -Malnutrition
14. A nurse is caring for a client who is nulliparous and in the first stage of labor.
The last internal assessment revealed 100% cervical effacement with 5 cm of
dilation. At the end of the last contraction, the nurse observes a large gush of fluid
coming out of the client's perineal area. Which of the following is a priority action
by the nurse?
A. Perform another internal exam
B. Notify the client's provider
C. Check the FHR
, D. Obtain a pH test of the fluid - ANSWER -Check the FHR
15. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
of the following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose meal times - ANSWER -Monitor the client for 1 hr
after meals
16. A nurse is performing a skin assessment on a client who has risk factors for
development of skin cancer. The nurse should understand that a suspicious lesion
is
A. Asymmetric, with variegated coloring
B. Scaly and red
C. Brown, with a wart-like texture
D. Firm and rubbery - ANSWER -Asymmetric, with variegated coloring
17. A nurse is assessing a client's internal eye structures with an ophthalmoscope.
Which of the following actions should the nurse take?
A. Position the examination light toward the client's face
B. Stand on the right side of the client when examining the left eye
C. Dim the lights in the room prior to the examination
D. Place the ophthalmoscope directly against the client's forehead - ANSWER -
Dim the lights in the room prior to the examination
18. A nurse is observing a newly licensed nurse irrigate a client's wound. Which of
the following actions should the nurse identify as an indication that the newly
licensed nurse understands wound irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
C. Warms the irrigation solution in the microwave oven prior to application
D. Irrigates the wound from the top to the bottom - ANSWER -Administers PO
analgesia 20 minutes prior to irrigation
