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VATI FINAL EXAM /VATI EXIT EXAM TEST BANK 320 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS |ALREADY GRADED A+$16.49
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vati finals
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1. A nurse is reviewing the laboratory results for a client b. Platelet count
who is at 32 gestations. For which of the following 90,000/mm2
results should the nurse notify the provider?
a. Hgb 12 g/dL
b. Platelet count 90,000/mm2
c. Hematocrit 37%
d. Creatinine 0.7 mg/dl
2. After receiving change-of-shift report, which of the b. A client who
following clients should the nurse collect data from has heart failure
first? a. A client who has a history of pancreatitis and and reports se-
reports severe abdominal pain b. A client who has vere dyspnea
heart failure and reports severe dyspnea c. A client
who is scheduled for abdominal surgery in 1 hrs d. A
postoperative client who has diabetes mellitus and a
blood glucose of 280 mg/dK
3. A nurse is preparing a client for surgery. The client b. Contact security
tells the nurse that he is concerned about the safety personnel to place
of a large sum of money in his wallet. Which of the the money in the
following actions is appropriate for the nurse to take? facility safe
a. Place the money in an envelope and lock it in the
client's medication drawer
b. Contact security personnel to place the money in
the facility safe c. Hold the money for the client until
he returns from surgery
d. Label the money and leave it with the unit secretary.
4. A nurse is preparing to instill an optic suspension c. Pull the auricle
into an adult client' ear. Which of the following meth- upward and back-
ods should the nurse plan to use? ward.
a. Pull the auricle upward and outward.
b. Pull the auricle downward and backward.
c. Pull the auricle upward and backward.
d. Pull the auricle downward an outward
5. 5. A nurse is caring for an older adult client who has b. Increased elas-
pneumonia. When reinforcing teaching about the di- ticity of the tho-
agnosis age- related changes with the client's family, racic cage
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which of the following alterations should the nurse
include?
a. Increased inflation of the basilar lungs
b. Increased elasticity of the thoracic cage
c. Hypertrophy of the bronchial mucous gland
d. Hyperactive cough reflex
6. A client is participating in an anger management ses- b. Rationalism
sion explain that his recent behavior is related to his
job loss. Which of the following mechanism is the
client using?
a. Projection
b. Rationalism
c. Repression
d. Sublimation
7. A nurse is reinforcing teaching with the client who c. "I will have
is about to undergo a thoracentesis. Which if the the chest x-ray fol-
following statement by the client indicates an under- lowing the proce-
standing of the information? dure."
a. "I will have general anesthesia during the proce-
dure."
b. "I will lie flat for 6 hours before the procedure."
c. "I will have the chest x-ray following the proce-
dure."
d. "I will breathe deeply through my nose during the
procedure.
8. A nurse is reviewing the medical record of a client a. History of renal
who is requesting an oral contraceptive. Which of calculi
the following findings should the nurse identify as a
contraindication to the use of oral contraceptive? a.
History of renal calculi
b. Migraines with aura
c. BMI of 26
d. History of cholecystectomy
9. . A nurse is reinforcing discharge teaching about a. Avoid sharing
transmission precautions with a client who has He- razors with other
patitis C. Which of the following information should family members.
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the nurse include?
a. Avoid sharing razors with other family members.
b. clean toilet surfaces with bleach after each use
c. Advice family members to receive a hepatitis c
immunization
d. Do not prepare food for other family member s
while infectious
10. A nurse is preparing to administer an IM injection to c. Dispose of
a client. To reduce the risk of a needle stick injury, the the used nee-
nurse should take which of the following actions? dle immediately in
a. Place a cap holds securely on the used needle a be- a puncture proof
fore disposal. b. Recap the needle using a one-hand- sharps container.
ed scoop approach before proper disposal.
c. Dispose of the used needle immediately in a punc-
ture proof sharps container.
d. Detach and dispose of the use needle promptly
following injection
11. A nurse is reinforcing teaching with a client who c. "I need to take
has new prescription for levothyroxine. Which of the this medication for
following statements indicates understanding of the the rest of my life."
instructions?
a. "I should take this medication with meals."
b. This medication will take 2 weeks to reach full
effectiveness."
c. "I need to take this medication for the rest of my
life."
d. "If I forget to take the medication, I can double the
next dose."
12. A nurse is caring for a client who is receiving pra- c. Instruct the
zosin. The client's blood pressure is 100/60 mm Hg. client to stand up
which of the following actions should the nurse take? slowly
a. Administer a reversal agent
b. Initiate cardiac monitoring
c. Instruct the client to stand up slowly
d. Inform the client to report urinary retention
13.
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A nurse is reinforcing teaching about colostomy care d. I will empty
with a client. Which of the following client statements the colostomy bag
indicate an understanding of how to care for the when one half is
colostomy? full
a. I will cleanse the stoma site gently with an antisep-
tic solution.
b. I will contact my doctor right away if my stoma is
red
c. I will cut the water opening 1 inch bigger than my
stoma.
d. I will empty the colostomy bag when one half is full
14. A nurse is reinforcing teaching with a client who has b. "I need to record
a permanent pacemaker in place. Which of the follow- my pulse rate dai-
ing statements by the client indicates an understand- ly."
ing of the teaching?
a. "I should have my doctor replace the battery in the
pacemaker in a year."
b. "I need to record my pulse rate daily."
c. "I should avoid taking tub baths."
d. "I will remove my microwave oven from my house."
15. A nurse is collecting data from a parent of a c. Long-term use
preschooler at a well-child visit. Which of the fol- of immunosup-
lowing findings is a contraindication to a measles, pressants
mumps and rubella (MMR) immunization?
a. Family history of allergies to penicillin
b. Erythema at injection site with previous immuniza-
tion.
c. Long-term use of immunosuppressants
d. Current use of antimicrobial therapy.
16. . A nurse is reinforcing teaching with a client who b. 1 cup raw broc-
has a vitamin C deficiency. Which of the following coli
foods should the nurse include as having the highest
vitamin C content?
a. 1 cup yogurt
b. 1 cup raw broccoli
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