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Comprehensive Predictor Test / VATI Greenlight / VATI
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Comprehensive Predictor Test / VATI Greenlight /VATI
A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap
asks the nurse to enter data for her because the AP has forgotten her password and
needs to leave. Which of the following actions should the nurse take? Correct Ans
- Tell the AP to contact the IT department for charting assistance.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn.
The nurse should instruct the parents to place the car seat in a.... Correct Ans -
Rear-facing position in the back seat.
A nurse is preparing a client for surgery. The client tells the nurse that he is
concerned about the safety of a large sum of money in his wallet. Which of the
following actions is appropriate for the nurse to take? Correct Ans - contact
security personnel to place the money in the facility safe.
A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr
postoperative following a tonsillectomy. Which of the following findings is a sign on
hemorrhage? Correct Ans - Frequent Swallowing
A nurse is reinforcing discharge teaching with an older adult client's family about
safety precautions when administering a tap water enema to the client. Which of
the following should the nurse include? Correct Ans - Instruct the client to bear
down during rectal tube insertion.
A nurse is caring for a client. Which of the following client statements should the
nurse attend first? Correct Ans - "My heartburn pain is going into my jaw now"
A nurse is caring for a client who is 3 days postoperative following abdominal
surgery and has a Penrose drain. Which of the following actions should the nurse
take? Correct Ans - Leave the drain insertion site open to air
A nurse is reinforcing with a client who is about to undergo an upper
gastrointestinal series with fluoroscopy. Which of the following information should
the nurse provide? Correct Ans - "You will have to drink a contrast medium
before the test."
A nurse is reviewing the medical record of a client who has sustained a full-
thickness burn and is in the emergent phase of burn. Which of the following findings
should the nurse expect? Correct Ans - Hypernatremia
A nurse is planing to administer an ophthalmic medication to a client. Which of the
following actions would minimize systemic absorption of the medication? Correct
Ans - Wait 5 mins after instillation before instilling the drops in the other eye
,A nurse is preparing morning medication for a client who has potassium level of 3.2
mEq/L. For which of the following medications should the nurse withhold
administration and notify the provider? Correct Ans - Furosemide
A nurse is collecting data from a client who has preeclampsia and is receiving
magnesium sulfate via a continuous IV infusion. Which of the following findings
should the nurse report to the provider? Correct Ans - Facial flushing
A nurse in a provider'a office is collecting data from a client who was discharged
from the hospital 7 days ago following treatment from deep-vein thrombosis. Which
of the following findings is the nurse's priority? Correct Ans - The client takes
ibuprofen to treat musculosketal pain.
A nurse in an urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates hypokalemia?
Correct Ans - Muscle weakness
A nurse is participating in a performance improvement process to decrease the rate
of health care-associated infections within the facility. The nurse should recognize
that which of the following is an appropriate performance improvement outcome
indicator? Correct Ans - Client data indicates a decreased rate of infection
A nurse is establishing a baseline postoperative assessment for a client who is
recovering from a right femoropopliteal bypass graft. Which of the following findings
in the assessment of the clients's right leg should be of the most concern to the
nurse? Correct Ans - The client's foot feels cooler than the previous assessment
A nurse is preparing a client regimen. Which of the following insulins can be mixed?
Correct Ans - Aspart
Regular
Detemir
Lispro
Glargine cannot be mixed with any insulin
A nurse is caring for a school-age child whose family adheres to a vegan diet in the
home. The nurse should recognize the child is at risk for deficiency of which of the
following? Correct Ans - Vitamin D
A nurse is reinforcing teaching with a postpartum client. Which of the following
should the nurse explain as the most important reason for staff to wear
identification? Correct Ans - Reducing the risk of newborn abduction
A nurse is reinforcing teaching with a group of expectant parents regarding the
proper use of a car seat. Which of the following statements by the parent indicates
an understanding of the teaching? Correct Ans - I can place a rolled towel on
each side of my newborn's head until he can hold his head up.
A nurse on a mental health unit is discussing client rights with a group of coworkers.
Which of the following statements should the nurse include? Correct Ans - A
nurse must withdraw consent for treatment in writing if he is competent to do so.
,A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
following clients is an appropriate assignment for the nurse to accept? Correct
Ans - A client who had a cesarean delivery 24hr ago
A nurse is caring for a client who is in mechanical restraints after becoming violent
with a staff member. Which of the following actions should the nurse take?
Correct Ans - Document in the client's medical record every 15 mins
A nurse is reinforcing teaching with the family of a client who is receiving palliative
care for terminal cancer. Which of the following guidelines should the nurse
emphasize about appropriate pain control measures? Correct Ans - Administer
schedule doses of medication from a patient-controlled analgesia (PCA) pump.
A nurse is assisting with a group therapy session in which a client begins to
monopolize the group's time. Which of the following interventions is appropriate?
Correct Ans - schedule one-on-one discussion time with the client
A nurse is preparing to administer required immunization to a toddler during a well-
child visit. The parent ask the nurse how many baby aspirin he should administer if
the toddler develops a fever. Which of the following responses should the nurse
make? Correct Ans - "You should avoid administering aspirin to your child"
A nurse is assisting with the admission of an older adult client who has impaired
mobility and is at risk for falls. Which of the following actions should the nurse plan
to perform first? Correct Ans - Document the client's risk in the medical record.
A nurse is assisting with the admission of a client who has Hodgkin's disease and is
receiving chemotherapy. Because a private room is not available, the nurse should
recommend that the client share a room with a client who has which of the
following diagnoses? Correct Ans - Sickle-cell anemia
A nurse is caring for a child who has terminal cancer. Which of the following
responses by the child's siblings should the nurse expect? Correct Ans - The
school-age sister views death as being a type of temporary sleep
A nurse is reinforcing teaching with a client about the importance of a low-sodium
diet. Which of the following foods should the nurse recommend as the best choice
to include in a low-sodium diet? Correct Ans - medium baked potato
A nurse is caring for a client who is receiving total parenteral nutrition. Which of the
following laboratory results indicates a possible complication of this therapy?
Correct Ans - Serum calcium 12.5 mg/dL
A nurse is caring for a client who is asking about the technique of effleurage and its
use in labor and delivery. Which of the following responses should the nurse make
regarding this technique? Correct Ans - "It is a light stroking of the skin during a
uterine contraction."
, A nurse in a clinic is reinforcing teaching with a client who has a new prescription
for a combination contraceptive transdermal patch. Which of the following should
the nurse include in the teaching? Correct Ans - "Apply the patch to the lower
abdomen."
A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of
the following findings should the nurse report to the provider? Correct Ans - The
toddler can say four words.
A nurse in an acute mental health facility observes a client having a panic attack.
Which of the following interventions should the nurse implement first? Correct
Ans - Instruct the client to use abdominal breathing.
A nurse is collecting data from a client who has a long-leg cast on his left leg and
reports severe pain. Which of the following findings should the nurse identify as an
indication that the client might have compartment syndrome? (Select all that
apply.) Correct Ans - Pallor in the exposed portion of the left foot
Inability to move the left foot
Paresthesia in the left foot
A nurse in a provider's office is talking on the phone with the parent of a school-age
child who has varicella. The parent asks the nurse when the child can return to
school. The nurse should tell the parent that which of the following is an indication
that the longer contagious? Correct Ans - All lesions are healed.
A nurse is assisting in the care of a client who is experiencing a postpartum
hemorrhage. Which of the following medications should the nurse plan to
administer? Correct Ans - Methylergonovine
A nurse is caring for a client who is postoperative following a hemicolectomy. Which
of the following is the best indication that the client needs PRN pain medication?
Correct Ans - The client reports pain.
A nurse is reinforcing healthy eating habits for an older adult client to ensure
adequate dietary intake. Which of the following is an appropriate recommendation?
Correct Ans - Snack between meals.
A nurse is caring for a client who has a new prescription for a protective safety
restraint. Which of the following actions should the nurse take? Correct Ans -
Secure the restraint with an easy-to-release tie.
A nurse is caring for a client who has a new prescription for a protective safety
restraint. Which of the following actions should the nurse take? Correct Ans -
Secure the restraint with an easy-to-release tie.
A nurse is reinforcing discharge teaching with a client who is postoperative following
laser surgery for open-angle glaucoma. Which of the following statements by the
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