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RN VATI FUNDAMENTALS 2023 ASSESSMENT; VIRTUAL ATI TEST_ ANSWERED.
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RN VATI FUNDAMENTALS 2023 ASSESSMENT; VIRTUAL ATI TEST_ ANSWERED.
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RN VATI FUNDAMENTALS 2023 ASSESSMENT;VIRTUAL ATI TEST_ ANSWERED.
1. A nurse is planning care for a client who has a new diagnosis of
myasthenia gravis. Which of the following interventions should the
nurse include in the plan of care?
A. Administer anticholinesterase medications 30 minutes before
meals.
B. Instruct the client to perform high-intensity exercises.
C. Encourage the client to rest frequently throughout the day.
D. Provide a diet that is low in calories and high in protein.
Rationale: Anticholinesterase medications should be administered 30
minutes before meals to improve muscle strength and help with
swallowing and chewing. High-intensity exercises should be avoided as
they can exacerbate symptoms. Frequent rest is essential to avoid
fatigue.
2. A nurse is teaching a client about the use of a continuous passive
motion (CPM) device after knee replacement surgery. Which of the
following instructions should the nurse include?
A. The CPM device will keep your knee in constant motion.
B. Use the CPM device for 24 hours a day.
C. Set the CPM device to the highest setting to increase mobility.
D. Turn off the CPM device during meals.
Rationale: The CPM device is used to keep the knee in motion to
prevent stiffness and improve range of motion. It is not typically used 24
hours a day, and the setting should be as prescribed by the physician.
,3. A nurse is caring for a client who has just received a diagnosis of
diabetes mellitus. Which of the following actions should the nurse
take first?
A. Check the client's blood glucose level.
B. Teach the client about the importance of diet and exercise.
C. Administer insulin as prescribed.
D. Review the signs and symptoms of hypoglycemia.
Rationale: The priority action is to check the client's blood glucose
level to determine the immediate need for intervention.
4. A nurse is assessing a client who has a left-sided stroke. Which of
the following findings should the nurse expect?
A. Aphasia
B. Right-sided neglect
C. Impulsivity
D. Poor judgment
Rationale: Aphasia (difficulty with speech) is a common finding in
clients with a left-sided stroke. Right-sided neglect and impulsivity are
more common with right-sided strokes.
5. A nurse is providing discharge teaching to a client who has a new
prescription for digoxin. Which of the following statements indicates
an understanding of the teaching?
A. "I should take my pulse before taking this medication."
B. "I can take this medication with an antacid if I experience stomach
upset."
C. "I will call my doctor if I notice my heart rate is below 60 beats
,per minute."
D. "I should increase my intake of foods high in potassium."
Rationale: Clients should be instructed to call their doctor if their heart
rate is below 60 beats per minute. Taking digoxin with an antacid can
interfere with its absorption, and digoxin toxicity is more likely with low
potassium levels.
6. A nurse is caring for a client who is postoperative following a
thyroidectomy. Which of the following findings should the nurse
report to the provider immediately?
A. Hoarseness and sore throat
B. Difficulty swallowing
C. Tingling in the hands and feet
D. Dry skin
Rationale: Tingling in the hands and feet can indicate hypocalcemia,
which is a potential complication following a thyroidectomy due to
accidental damage to the parathyroid glands.
7. A nurse is providing care to a client who has a pressure ulcer.
Which of the following interventions should the nurse implement to
promote healing?
A. Reposition the client at least every 2 hours.
B. Apply heat packs to the affected area.
C. Massage the area around the ulcer.
D. Keep the wound dry at all times.
Rationale: Frequent repositioning helps to alleviate pressure on the
ulcer and promote circulation. Heat packs and massage can further
, damage the tissue, and wounds need to be kept moist to promote
healing.
8. A nurse is teaching a group of newly licensed nurses about the use
of restraints. Which of the following statements should the nurse
include in the teaching?
A. "Restraints should be used as a last resort."
B. "Restraints can be used whenever the client is agitated."
C. "Use restraints for clients at risk of falling."
D. "Check the client’s circulation every 4 hours when restraints are in
use."
Rationale: Restraints should always be used as a last resort when less
restrictive interventions have failed. Clients in restraints require frequent
monitoring to prevent injury.
9. A nurse is teaching a client who has a prescription for warfarin.
Which of the following statements should the nurse include in the
teaching?
A. "You should use a soft-bristled toothbrush while taking this
medication."
B. "You should increase your intake of green leafy vegetables."
C. "You can take aspirin for pain relief while on this medication."
D. "You will need to have your potassium levels checked regularly."
Rationale: Warfarin increases the risk of bleeding, so clients should use
a soft-bristled toothbrush to minimize gum trauma. Green leafy
vegetables are high in vitamin K, which can decrease warfarin's
effectiveness. Aspirin should be avoided due to the increased risk of
bleeding.
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