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RN VATI FUNDAMENTALS 2024 NEWEST ASSESSMENT TEST WITH VERIFIED QUESTIONS AND DETAILED ANSWERS A+
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RN VATI FUNDAMENTALS 2024 NEWEST ASSESSMENT TEST WITH VERIFIED QUESTIONS AND DETAILED ANSWERS A+
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RN VATI FUNDAMENTALS 2024 NEWESTASSESSMENT TEST WITH VERIFIED
QUESTIONS AND DETAILED ANSWERS A+
Original
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.ANSWERS
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?ANSWER
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.
,RN VATI FUNDAMENTALS 2024 NEWEST
ASSESSMENT TEST WITH VERIFIED
QUESTIONS AND DETAILED ANSWERS A+
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)ANSWERS
- 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?ANSWERS
, RN VATI FUNDAMENTALS 2024 NEWEST
ASSESSMENT TEST WITH VERIFIED
QUESTIONS AND DETAILED ANSWERS A+
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 "assessment" portion 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.
A nurse is providing discharge teaching to a client who has a new prescription for home oxygen
therapy utilizing a compressed oxygen system. Which of the following statements by the client
indicates an understanding of the teaching?ANSWERS
"I will regulate the oxygen flow rate as needed."
"I will store oxygen tanks in an upright position."
"I should check the oxygen equipment once per week."
"I should place the oxygen equipment 4 feet from a heat source."
"I will store oxygen tanks in an upright position"
This statement by the client indicates an understanding of the teaching. The nurse should instruct the
client to store oxygen tanks in an upright position in a holder to prevent damage to the tank and injury
to the client and the client's family. The nurse should instruct the client to check the oxygen equipment
at least once daily to determine if it is set to the prescribed oxygen rate. The nurse should instruct the
client to place the oxygen equipment 2.4 m (8 ft) from a heat source to prevent injury from accidental
combustion.
A nurse is caring for a client who has terminal cancer. The client begins to cry and says, "I am afraid of
dying." Which of the following responses should the nurse make?
"It must me a very difficult time for you."
The nurse is using the therapeutic communication technique of verbalizing the implied. This technique
puts into words what the client has said indirectly and creates a more positive nurse-client relationship.
A nurse is assessing a client's coping skills. Which of the following should the nurse identify as an
internal stressor?
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