VATI Comprehensive Predictor Exam – Review Guide Latest Fall 2021/2022

VATI Comprehensive Predictor Exam – Review

Guide 2021/2022

1. A nurse is caring for a client who is taking alprazolam. Which of the following

prescriptions should the nurse clarify with the provider?

A. Digoxin

B. Lorazepim

C. Atomoxetine

D. Ceftriaxone

2. A nurse is assessing a client who is postoperative following abdominal surgery. The client

states "I feel like my incision ripped open" the nurse notes dehiscence of the incision.

Which of the following actions should the nurse take? (Comprehensive Review page 95)

A. Extend the client’s legs above heart level

B. Place the client in low fowlers position.

C. Instruct the client to perform the Valsalva maneuver

D. Apply a dry gauze dressing to the incision.

3. A nurse is caring for a client who is receiving radiation therapy through a sealed

implant. Which of the following actions should the nurse take? (Comprehensive Review

page 159)

A. Wear a lead apron when providing care for the client.

4. A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of

the following actions should the nurse take? (Med Surg page 300)

A. Apply the tourniquet 15cm (6 in) above the insertion site

B. Check for pulsation at sited proximal to the tourniquet

C. Anchor the vein by stretching the skin 2.5 cm (1 in) proximal to the insertion site

D. Wipe the skin dry before inserting the catheter

5. A nurse is administering medications to a client who has dysphagia and a new

prescription for divalproex sodium extended-release tablets. Which of the following actions

should the nurse take?

A. Administer the medication with applesauce.

6. A nurse is completing a dietary assessment for a client who is Jewish and observes

kosher dietary practices. Which of the following behaviors would the nurse expect to find?

(Comprehensive Review page 26)

A. Leavened bread maybe eaten during Passover.

B. Shellfish is commonly consumed in the diet.

C. Meat and dairy products are eaten separately.

D. Fasting from meat occurs during Hanukkah.

7. A nurse is assessing a client who has minor injuries following a motor-vehicle crash and

appears agitated and apprehensive. The nurse identifies that the client is in the alarm stage

of

general adaptation syndrome and should expect which of the following findings.

(Fundamental page 183)

Tachycardia

8. A nurse is caring for a client who has a femur fracture and is on bedrest with Buck’s

extension traction. Which of the following actions should the nurse take? (Med Surg

page 473)

A. Inspect the client’s skin under the device every 8 hours

9. A charge nurse is creating assignments for the next shift for several nurses and one of

them is pregnant. Which of the following clients should the charge nurse assign to a nurse

who is not pregnant?

A. A 60-year-old client who is recovering from shingles

B. A 20-year-old client who is HIV positive

C. A 40-year-old client who is suspected of having tuberculosis

D. An 80-year-old client who has alcoholic pancreatitis and is being treated for impetigo

10. A nurse is caring for a client who has a partial laryngectomy and is receiving

continuous internal feeding at 65 ml/hr through a gastrostomy tube. Which of the

following findings requires immediate intervention by the nurse?

A. The gastric residual volume is 250 mL following two hours of

infusion. B. The client is lying in a supine position.

C. The infusion pump for administering continuous feeding is turned off.

D. Interior feeding bag and tubing are not dated.

11. A nurse is teaching a client about smoking cessation. Which of the following

client statements should the nurse identify as an understanding of the teaching?

A. If I stop abruptly, I cannot use a nicotine replacement.

B. After 6 months, my risk of heart disease is the same as that of a

nonsmoker C. I will set a specific date to stop smoking

D. I will use high carbohydrate snacks as a substitute for cigarette.

12. A nurse has been caring for a female client who has bruises on her arms that are a result

of physical abuse by her partner. The client states, "I don't know how much longer I can

take this, but I'm afraid he'll really hurt me if I leave" Which of the following is an

appropriate nursing intervention?

A. Assist the client to identity personal behaviors that trigger abusive behavior

B. Insist that the client report the abusive behavior to the proper authority

C. Offer to speak to the client’s partner regarding his abusive behavior

D. Help the client to recognize the signs of escalation of abusive behavior

13. A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune

globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's

blood type is B positive. Which of the following statements is appropriate?

A. "You only need to receive Rh immune globulin if you have a positive blood type.

" B. "You should receive Rh immune globulin within 72 hours of delivery."

C. "Both you and your baby should receive Rh immune globulin at your week appointment."

D. "Immune globulin is not necessary since this is your second pregnancy."

14. A client hospitalized for a bone marrow transplant is in protective isolation while

undergoing total body radiation and intense chemotherapy. The client’s sibling comes to

visit but has obvious manifestations of an upper respiratory infection. Which of the

following nursing actions is appropriate at this time?

A. Allow the sibling to wave at the client through the window or door.

B. Allow the sibling to visit after donning a sterile gown, mask and gloves, but prohibit

physical contact.

C.

D.

15. A nurse is planning care for a client who takes haloperidol for the treatment of

schizophrenia. Which of the following should the nurse include in the plan of

care?

A. Monitor the client for hypothermia

B. Screen the client for tardive dyskinesia

C. Check the client’s weekly potassium level

D. Schedule the client for a 24hr urine collection

16. A nurse is performing a vision screening for a client. Which of the following findings

should the nurse identify as an indication that the client has cataracts? (Med Surg page

67)

A. Report of a chronic dull ache in the eyes

B. Bilateral redness of the sclerae

C. Increased opacity of the lens of the eye

D. Report of seeing halos around lights

17. A nurse is caring for a client who reports difficulty falling asleep at night. Which of

the following actions should the nurse take?

A. Encourage the client to ambulate in the hallway 1 hr before bedtime

B. Tell the client to avoid drinking fluids 1 hr before bedtime

C. Schedule routine care tasks during hours when the client is awake

D. Advise the client to leave the television in the room on when trying to fall asleep

18. A nurse is providing discharge teaching to a client who is postpartum and plans to

breastfeed. Which of the following should the nurse recommend the client increases in

their diet during lactation?

A. Vitamin D

B. Iron

C. Vitamin A

D. Calcium

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