Download Comprehensive predictor test 85 correct answer, VATI Greenlight, VATI and more Exams Nursing in PDF only on Docsity!
Comprehensive predictor test
85 correct answer, 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? - 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.... - 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? - 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? - 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? - 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? - 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? - 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? - 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? - Ans>> Hypernatremia
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? - 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? - 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? - 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? - 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? - 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? - 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 client indicates an understanding of the instructions? - Ans>> "I will ask to work the night shift, so I will not be driving in bright sunlight. A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take? - Ans>> Frequently remind the client of the expectations for her behavior. A client who is prescribed metoprolol for hypertension tells the nurse, "I don't want to take this medication because it makes me tired all the time." Which of the following is the appropriate response? - Ans>> "Let's talk with your doctor about other options." A nurse is reinforcing teaching with a client who has rheumatoid arthritis and is using a straight- legged cane for ambulation. Which of the following
meals. It is too much trouble to eat." Which of the following instructions should the nurse suggest? - Ans>> "Have several small meals during the day." A nurse is caring for a client who has urolithiasis. Which of the following actions should the nurse take? - Ans>> Strain the client's urine. A nurse is preparing to administer purified protein derivative (PPD) to a client. The nurse should use which of the following routes? - Ans>> Intradermal A nurse monitoring a client who is receiving a blood transfusion. Which of the following findings indicates the client is experiencing an allergic reaction? - Ans>> Urticaria A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates the client is experiencing an allergic reaction? - Ans>> Urticaria A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate. Which of the following client statements indicates an understanding of the teaching? - Ans>> "I will notify my provider if I develop a tremor." A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following
findings should the nurse expect? - Ans>> Periorbital edema A nurse is caring for a client who is postoperative following a femoral cardiac catheterization. Which of the following actions should the nurse take during the first 30 min? - Ans>> Compare the bilateral peripheral pulses. A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following? - Ans>> Lists sweating, shaking, and palpitations as symptoms of hyperglycemia A nurse is contributing to the plan of care for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse include in the plan of care? - Ans>> Decrease the level of environmental stimuli A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference? - Ans>> A client who has hemiparesis and lives alone A nurse is applying a condom catheter to a male client who is incontinent. Which of the following is
lives alone. Which of the following settings should the nurse recommend for this client? - Ans>> Home health nurse visits A nurse working on a mental health unit is meeting with a client who has been on the unit for 2 days. The nurse greets the client and asks, "What has been happening with you today?" Which of the following therapeutic techniques is the nurse using? - Ans>> Giving broad openings A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel? - Ans>> collecting a stool speciment ot test for occult blood. A nurse is working on a unit for clients with dementia. Which of the following client situations requires the nurse to write an incident report? - Ans>> A client is found lying on the floor next to a chair. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The client is independent and lives alone. Which of the following should be included in the discharge plan?
- Ans>> refer the client to a diabetic support group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/dL. For which of the following findings should the nurse monitor? - Ans>> Clammy Skin A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse. which of the following client statements indicate an understanding of an appropriate strategy? - Ans>> "I need to recognize the signs that my husband is becoming abusive." "I need to identify what triggers my husband's anger to prevent his abuse." A charge nurse in a long-term care facility is preparing to administer noon insulin to a client. The nurse observes that the assistive personnel (AP) has not documented the client's blood glucose level. Which of the following actions should the charge nurse take first? - Ans>> Determine if the AP has completed the assignment. A client is scheduled for an outpatient colonoscopy. which of the following actions is a nursing responsibility in the informed consent process? - Ans>> Verify that there is a signed and witnesses consent form in the client's chart.
A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the following findings indicates that the newborn is experiencing pain? - Ans>> Awakens every 3 hours Furrowed Brow Oxygen Saturation of 95% Positive babinski reflex. A nurse is reinforcing teaching with a client about organ donation. Which of the following client statements indicated a need for further teaching? - Ans>> "My doctor should decide if my organs will be donated." A nurse is preparing to administer an IM injection to a client. To reduce the risk of neddlestick injury, the nurse should - Ans>> dispose of the used needle immediately in a puncture-proof sharps container. A client who is 24 hour postoperative suddenly develops chest pain, dyspnea, anxiety, diaphoresis, and cough. Which of the following actions should the nurse take first? - Ans>> Elevate the head of the client's bed. A nurse is caring for a 17-year old client who is admitted for an emergency appendectomy. Which of the following is an appropriate action by the
nurse in obtaining informed consent? - Ans>> Obtain verbal consent from the client while waiting for the parents to arrive. Witness the signature of the client's parent when he arrives. Have the client's older sibling give consent if a parent is not available. Delay the procedure if the provider cannot contact the parents. A client who is 24 hour postoperative suddenly develops chest pain, dyspnea, anxiety, diaphoresis, and cough. Which of the following actions should the nurse take first? - Ans>> Elevate the head of the client's bed. A nurse is reinforcing discharge teaching to a client following a gastrectomy. To prevent dumping syndrome, which of the following foods should the nurse instruct the client to avoid? - Ans>> Ice Cream A nurse is caring for a client admitted with shortness of breath who will be undergoing arterial blood gas testing. Which of the following client statements indicated an understanding of the purpose of drawing arterial blood gases? - Ans>>
After making morning round, the charge nurse on a surgical unit delegates the follow tasks to the AP. - Ans>> Set up a room for an expected postoperative admission AP reports to the nurse that another ap has spent the entire morning on the phone and has not completed the morning assignment - Ans>> Redirect the AP to discuss the issue with the other AP Assessing client who systemic lupus erythematous SLE which of the following is an expected findings - Ans>> Dry, raised facial rash At the start of an evening shift on a cardiac unit, a LPN brings the nurse a list of client reports - Ans>> Indigestion Benefit from a three-way indwelling catheter - Ans>> Prone to development of blood clots un the urine Caring for a client who has a new prescription for chlorpromazine by IM injection - Ans>> Check orthostatic BP 1 hr after admin Caring for a client who was involved in a motor- vehicle crash. The client reports shortness of
breath and chest pain and asks the nurse "Am I dying?" - Ans>> Admin pain meds Charge nurse creating assignments for next shift for several nurses and one of the nurses is pregnant - which pt the nurse should NOT be assigned to? - Ans>> 60 yr old who is recovering from shingles Charge nurse on pediatric unit is making assignments for a float nurse from the medical unit. Pt to see first? - Ans>> 10 yr old who has pneumonia & is receiving respiratory txs Child who has pediculosis capitis - Ans>> store non-washable items in plastic bags for 14 days Child who is unresponsive has ICP - Ans>> Pad the side of the bed A client ask the nurse if it is safe for him to take glucosamine supplement? - Ans>> Shellfish allergy Client following an open colectomy - Ans>> Uncontrolled pain 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
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? - 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? - 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? - 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? - 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?
- 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? - 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?
- 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? - 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? - Ans>> Administer schedule doses of medication from a patient-controlled analgesia (PCA) pump.
