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 PN VATI Comprehensive Predictor 2020  Green Light Exam Study Questions 1. Which of the instructions should a nurse include in the teaching for a pt. who had removal of a cataract in the left eye? a. "Forcefully cough and take deep breaths every two hours to keep your airway clear." b. "...

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 PN VATI Comprehensive Predictor 2020  Green Light Exam Study Questions
1. Which of the instructions should a nurse include in the teaching for a pt. who had removal of a cataract in the left
eye?
a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."
b. "Perform the prescribed eye exercises each day to strengthen your eye muscles."
c. "Rinse your eyes with saline each morning to prevent postoperative infection."
d. "Take the prescribed stool softener to avoid increasing intraocular pressure."

2. A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take which of these
actions?
a. Suction the nasogastric tube.
b. Flush the tube with 30 mL of sterile water.
c. Remove the nasogastric tube.
d. Check the residual volume.

3. Which of these actions best demonstrates cultural sensitivity by a nurse?
a. The nurse talks in a slow-paced speech.
b. The nurse asks clients about their beliefs and practices toward pregnancy.
c. The nurse uses charts and diagrams when teaching pregnant clients.
d. The nurse can speak several different languages.

4. Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is diagnosed with
dehydration?
a. Hyperreflexia.
b. Tachycardia.
c. Bradypnea.
d. Agitation.

5. When assessing a client's risk of developing nosocomial infection, a nurse plans to determine potential entry portals,
which include:
a. the urinary meatus.
b. vomitus.
c. contaminated water.
d. sexual intercourse.

6. A client who is on the inpatient psychiatric unit has a history of violence. Which of these actions should a nurse take if
the client is agitated?
a. Encourage the client to verbalize feelings.
b. Lock the client in a secluded room.
c. Ask the other clients to give feedback regarding the client's behavior.
d. Ignore the client's inappropriate behavior.

7. Which of these measures should a nurse include when planning care for a school-aged child during a sickle cell crisis
episode?
a. Monitoring for signs of bleeding.
b. Providing pain relief.
c. Administering cool sponge baths to reduce fevers.
d. Offering a high calorie diet.

8. Which of these instructions should a nurse include in the plan of care for a 32-week gestation client who had an
amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the test."
b. "Call the clinic if you experience any abdominal cramps."
c. "Don't be concerned if you have some vaginal spotting in the next 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours."

9. An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods. Selection of which of
these lunches by the client indicates a correct understanding of foods high in iron content?
a. Peanut butter and jam sandwich.
b. Chicken nuggets with rice.
c. Tuna salad sandwich.
d. Beefburger with cheese.




10. A client has been admitted with acute pancreatitis. Which of these laboratory test results supports this diagnosis?
a. Elevated serum potassium level.

,b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level.

11. Which of these manifestations, if assessed in a client who is two-hours postoperative after abdominal surgery,
should a nurse report immediately?
a. Vomiting and a pulse rate of 106/minute.
b. Respiratory rate of 12/minute and urine dribbling.
c. Blood pressure of 100/60 mm Hg and wound discomfort.
d. Urine output of 100 mL/hr and flushed skin.

12. Which of these observations of a student nurse's behavior while interacting with a client who is crying indicates a
correct understanding of therapeutic communication?
a. The student maintains continuous eye contact with the client.
b. The student places one arm around the client's shoulder?
c. The student sits quietly next to the client.
d. The student leaves the room to provide privacy for the client.

13. Which of these actions should a nurse take initially if a client who is diagnosed with diabetes mellitus develops
tremors and ataxia?
a. Measure the client's blood sugar level.
b. Administer a concentrated form glucose to the client.
c. Administer a prn dose of insulin.
d. Measure the client's urine for ketones.

14. An elderly client is at increased risk of developing drug toxicity to prescribed medications due to declining hepatic
and renal functioning. Which of these strategies should a nurse plan to decrease this risk?
a. Increasing the time interval between medication doses.
b. Limiting the client's oral fluid intake.
c. Administering the medications with meals.
d. Encouraging the client to void every three to four hours.

15. A client has persistent paranoid delusions that the food on the unit is poisoned. Which of these measures should a
nurse include in the client's care plan?
a. Explaining that staff does not poison clients.
b. Focusing on how the hospital staff helps clients.
c. Allowing the client to eat food from sealed containers.
d. Telling the client that not eating the food that is served will result in privilege restrictions.

16. Thrombophlebitis is a complication that may result due to surgery. Which of these actions should a nurse take in the
operating room to prevent this complication from occurring?
a. Gatch the knee of the bed.
b. Administer anticoagulants preoperatively.
c. Apply sequential compression devices.
d. Maintain the legs in a dependent position.

17. When discussing weigh gain during pregnancy, a nurse should recommend that the total weight gain for a pregnant
client who is at ideal body weight for her height is:
a. at least 15 pounds.
b. 15 to 20 pounds.
c. 25 to 35 pounds.
d. at least 45 pounds.

18. Which of these manifestations, if reported by a client who is 10-weeks-pregnant, supports the diagnosis of ruptured
tubal pregnancy.
a. Sharp unilateral abdominal pain.
b. Uncontrollable vomiting.
c. Marked abdominal distention.
d. Profuse vaginal bleeding.




19. Which of these assignments, if made by a nurse to a nursing assistant, indicates that the nurse needs additional
instructions regarding the principles of delegation?
a. "Please bathe the client in room 12, and then bring the client to the dining room for breakfast by 9 A.M."
b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the back rub eased the
pts. discomfort."
c. "Please measure the intake and output for the client's in rooms 8. 9. and 10, and record each on the I&O sheets by 2

, P.M."
d. "Please toilet the clients in rooms 11, 12, and 13 mid-morning and after lunch."

20. A client has the following order for regular insulin (Humulin R) on a sliding scale:
Blood sugar 150-180 mg: Give 2 units regular insulin
Blood sugar 181-200 mg: Give 4 units regular insulin
Blood sugar 201-220 mg: Give 6 units of regular insulin
Blood sugar above 220 mg: Call MD
At 11 A.M., a nurse obtains a finger stick glucose of 198 mg. The only syringe is a three milliliter one. Regular insulin is
available as 100 units per milliliter. How many milliliters should the nurse administer?
a. 0.04
b. 0.4
c. 4
d. 40

21. Which of these nursing diagnosis is the priority for a client who is one-hour post-op after extensive abdominal
surgery?
a. Risk for impaired physical mobility.
b. Risk for deficient fluid volume.
c. Risk for ineffective airway clearance.
d. Risk for infection.

22. A nurse should recognize that which of these occupations increases a person's risk of developing hepatitis B?
a. Sanitation worker.
b. Nursery school teacher.
c. Hemodialysis nurse.
d. Fish market sales person.

23. Which of these assessments is the priority for a client who sustained second-degree burns of the face and neck?
a. Respiratory status.
b. Renal function.
c. Level of pain.
d. Signs of infection.

24. A nurse should place a child who is two hours post-tonsillectomy and adenoidectomy in which of these positions?
a. Supine, flat.
b. Orthopneic.
c. Trendelenberg.
d. Side-lying.

25. Which of these instructions should a nurse include in the discharge teaching for a client who has diabetes mellitus?
a. "Soak your feet in hot water once a day."
b. "Cut your toenails in an oval shape weekly."
c. "Avoid using any soap on your feet."
d. "Apply lotion to your feet each day."

26. A nurse inadvertently administers an incorrect medication to a client. Which of these actions should the nurse take
first?
a. Assess the client.
b. Notify the physician.
c. Contact the nurse manager.
d. Complete an incident report.

27. An elderly client who is receiving a blood transfusion develops a rapid bounding pulse and an elevated blood
pressure. Which of these actions should a nurse take?
a. Add a 5% dextrose solution to the line.
b. Raise the head of the bed.
c. Stop the transfusion.
d. Measure the client's temperature.




28. When caring for a client who has hepatitis B, a nurse should wear:
a. gloves when administering oral medications to the client.
b. a gown when changing the client's position.

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