VATI Fundamentals Post-Assessment Exam (Latest Update 2024 / 2025) | Review Questions and Verified Answers | 100% Correct | Grade A
Question:
A nurse is assessing a client for peripheral edema. Which of the following actions should the nurse take?
A. Assess the client's skin turgor.
B. C...
VATI Fundamentals Post-
Assessment Exam (Latest Update
) | Review Questions and
Verified Answers | 100% Correct |
Grade A
Question:
A nurse is assessing a client for peripheral edema. Which of the following
actions should the nurse take?
A. Assess the client's skin turgor.
B. Check the client's feet.
C. Check the client's peripheral pulses.
D. Assess the client's ability to ambulate.
Answer:
B. Check the client's feet.
The nurse should assess the client's feet to determine the presence of edema,
such as swollen, shiny, or taut skin. Pitting edema is assessed by pressing a
finger on the edematous area. Pitting edema in the extremities is a
manifestation of fluid-volume excess.
The nurse should assess the client's skin turgor to evaluate for manifestations
of fluid volume deficit. The nurse should check the client's peripheral pulses
,to evaluate for manifestations of impaired circulation. The nurse should
assess the client's ability to ambulate to evaluate for manifestations of
impaired mobility.
Question:
A nurse is teaching a client who has a new in-the-ear hearing aid about how
to care for the device. Which of the following client statements indicates an
understanding of the teaching?
A. "I'll turn my hearing aid on before I insert it into my ear."
B. "I'll remove the ear mold from my hearing aid before I clean it."
C. "I'll expect to replace the batteries once a week."
D. "I'll clean the ear mold with isopropyl alcohol."
Answer:
C. "I'll expect to replace the batteries once a week."
The client should replace the batteries once a week to maintain efficient
functionality of the hearing aid.
To conserve battery power, the client should turn the hearing aid off or
remove the battery when it is not in use. Before reinserting it, the client
should make sure it is off and the volume is all the way down. This decreases
the risk of loud, disturbing sound when the client reinserts it. After
reinsertion, the client should gradually adjust the volume to one third to one
half its maximum volume. Ear molds are not removable for in-the-ear-
hearing aids. All of the components are inside the ear mold. Isopropyl alcohol
can damage the hearing aid. The client should use a soft, damp cloth for
cleaning the ear mold.
, Question:
A nurse is planning care for a client who has urinary incontinence. Which of
the following interventions should the nurse plan to include?
A. Reduce fluid intake throughout the day.
B. Assist the client to the bathroom once every 8 hr.
C. Apply a moisture barrier as part of perineal care.
D. Use powder after hygiene care to absorb moisture.
Answer:
C. Apply a moisture barrier as part of perineal care.
Skin barrier ointment or cream protects the skin from contact with urine.
This action helps reduce the risk of skin breakdown due to incontinence.
The nurse should not use powder because it can cause skin abrasions and
impair skin integrity. The nurse should assist the client to the bathroom every
2 to 4 hr to reduce the risk of urinary incontinence. The nurse should
encourage fluid intake to maintain the client's skin integrity. Reducing the
client's fluid intake 2 hr before bedtime can reduce the incidence of
incontinence during sleep.
Question:
A nurse is caring for a client who has an abdominal binder following surgery.
Which of the following assessments is the nurse's priority?
A. Inspect the surgical wound for manifestations of infection.
B. Evaluate the client's ability to perform incentive spirometry.
C. Observe for manifestations of circulatory compromise distal to the binder.
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