RN VATI Fundamentals
Assessment
1. 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.
2. A nurse is assessing a client who wears partial dentures and reports
mouth pain. Which of the following actions should the nurse take?: 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
, RN VATI Fundamentals
Assessment
client's current discomfort.
, RN VATI Fundamentals
Assessment
3. 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.
4. 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
5. 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?: 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
"back- ground" portion is the client's admission history, diagnosis, pertinent
medical history, and code status. The nurse should include physical findings in the
"assessment" por- tion of the SBAR communication tool. The nurse should
include questions regarding client care in the "recommendation" portion of the
SBAR communication tool. The nurse should include the client's present condition
in the "situation" portion of the SBAR communication tool.
6. A nurse is providing discharge teaching to a client who has a new
prescrip- tion for home oxygen therapy utilizing a compressed oxygen
system. Which of the following statements by the client indicates an
understanding of the teaching?: "I will store oxygen tanks in an upright
position"
This statement by the client indicates an understanding of the teaching. The nurse
Assessment
1. 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.
2. A nurse is assessing a client who wears partial dentures and reports
mouth pain. Which of the following actions should the nurse take?: 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
, RN VATI Fundamentals
Assessment
client's current discomfort.
, RN VATI Fundamentals
Assessment
3. 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.
4. 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
5. 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?: 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
"back- ground" portion is the client's admission history, diagnosis, pertinent
medical history, and code status. The nurse should include physical findings in the
"assessment" por- tion of the SBAR communication tool. The nurse should
include questions regarding client care in the "recommendation" portion of the
SBAR communication tool. The nurse should include the client's present condition
in the "situation" portion of the SBAR communication tool.
6. A nurse is providing discharge teaching to a client who has a new
prescrip- tion for home oxygen therapy utilizing a compressed oxygen
system. Which of the following statements by the client indicates an
understanding of the teaching?: "I will store oxygen tanks in an upright
position"
This statement by the client indicates an understanding of the teaching. The nurse
