VATI Fundamentals Exam_2022/2023

VATI Fundamentals Exam_2022

A nurse is preparing to administer diazepam 2 mg twice daily via NG tube. Available is diazepam oral solution 5 mg/1 mL. How many mL should the nurse administer with each dose? (Use a leading zero if it applies. Do not use a trailing zero. Round the answer to the nearest tenth.)
0.4
A nurse in a long-term care facility is planning to use therapeutic touch for a group of selected clients who have chronic pain. The nurse should identify that the use of therapeutic touch is contraindicated for which of the following clients?
A client who has chronic back pain and a history of being physically abused
Therapeutic touch consists of using the nurse’s hands to harmonize energy fields and to facilitate relief of pain or anxiety, such as for a client who has chronic back pain. The nurse can touch the client with their palms or move the palms near, but not touching the client’s body. Prior physical maltreatment and some mental health disorders are contraindications for therapeutic touch, because touch or near touch could cause severe anxiety.

A nurse in a rehabilitation unit is assessing a group of clients who have traumatic brain injuries. The nurse should identify that which of the following clients requires a priority referral?
A client who coughs after drinking liquids
The greatest risk to this client is injury from aspiration. Therefore, this is the client the nurse should address first. The priority referral the nurse should make is to a speech-language pathologist because a client who coughs after drinking liquids is at risk for aspiration. Manifestations of dysphagia include changes in voice tone, coughing, delayed swallowing, pocketing of food, and occasional silent aspiration, which can occur if a client is experiencing a decrease in sensation.

A nurse is assisting a client to move up in bed. Which of the following actions should the nurse take?
Raise the height of the bed to the level of the nurse’s elbows.
A nurse is caring for a client who is at risk for pressure ulcer formation due to immobility. The nurse should place the client in which of the following positions to reduce pressure on the client’s bony prominences?
30° lateral