Vati Comprehensive Predictor

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Sample questions from Vati Comprehensive Predictor

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client with COPD whose oxygen saturation is 90% on the prescribed oxygen
   • B.A client 4 hours after thyroidectomy who is restless and has audible stridor
   • C.A client with diabetes whose blood glucose is 68 mg/dL and who is alert
   • D.A client with heart failure who has bilateral ankle edema and unchanged weight

   Rationale: Stridor after thyroidectomy can indicate airway obstruction from laryngeal edema or bleeding and requires immediate assessment and intervention. The COPD client's saturation may be within the prescribed target, the alert client with mild hypoglycemia can receive prompt oral glucose, and unchanged edema is not the most urgent finding. Prioritize airway threats over stable or less acute problems.

2. 2.A client with a new prescription for warfarin asks which finding should be reported promptly. Which response is best?

   • A.I will report black, tarry stools.
   • B.I will report mild bruising at an old venipuncture site.
   • C.I will report that my appetite has improved.
   • D.I will report that I have a routine dental cleaning next month.

   Rationale: Black, tarry stools may indicate gastrointestinal bleeding, a serious adverse effect of anticoagulation. Mild bruising can occur and should be monitored, improved appetite is not a warning sign, and a routine cleaning is not urgent, although the client should inform the dentist and prescriber. Teach clients taking warfarin to report signs of bleeding.

3. 3.A nurse is preparing to administer digoxin to an adult client with heart failure. The client's apical pulse is 54/min. What should the nurse do?

   • A.Administer the medication and recheck the pulse in 1 hour.
   • B.Hold the medication and notify the health care provider.
   • C.Give half the prescribed dose.
   • D.Administer the medication with food.

   Rationale: A pulse of 54/min is below the usual adult hold parameter for digoxin, so the nurse should withhold the dose and notify the provider. Giving the full or a reduced dose without an order is unsafe, and food does not correct bradycardia. Assess the pulse before administration and follow the prescribed hold parameters.

4. 4.A nurse is caring for a client with suspected active pulmonary tuberculosis. Which action is appropriate?

   • A.Place the client in a negative-pressure room and wear a fit-tested N95 respirator.
   • B.Place the client in a private room and wear a surgical mask.
   • C.Use contact precautions and dedicate a blood pressure cuff.
   • D.Keep the door open and wear gloves when entering the room.

   Answer and rationale are in the full material.

5. 5.A nurse is preparing to administer an enteral feeding through a nasogastric tube. Which action is appropriate to verify initial tube placement?

   • A.Inject air and auscultate over the stomach.
   • B.Obtain radiographic confirmation before using the tube.
   • C.Check for bubbling in a cup of water.
   • D.Ask the client whether the tube feels as if it is in the stomach.

   Answer and rationale are in the full material.