RN VATI Comprehensive Predictor 2019 Form B-with 100% verified solutions-2024-2025.docx, Exams of Nursing

Download RN VATI Comprehensive Predictor 2019 Form B-with 100% verified solutions-2024-2025.docx and more Exams Nursing in PDF only on Docsity! RN VATI Comprehensive Predictor 2019 Form B-with 100% verified solutions-2024- 2025 A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? bounding pulse A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? a. Monitor the client for 1 hr after meals A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? a. Close the fire door on the unit A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? a. Hallucinations 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? Hyperemesis 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? A1C 1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client? a. Use a dedicated stethoscope 1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? Tell the client to avoid drinking fluids 1 hr before bedtime 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? a. Place the newborn 45 cm from the light source 1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? social worker 1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication decreased reflexes 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? Indigestion 1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene? offer oral fluids to the client 1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10 1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? Avocados 1. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? a. I am thankful there are no serious complications from this type of surgery 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? a. Uses others for personal gain a. Include the complete name of the medication morphine sulfate 1. A community health nurse is performing a vision screening on a 4 month old infant. When shining a light source into the infant's visual field, which of the following is an expected finding? the infant closes their eyes 1. A nurse is teaching a client and their family about home hospice care. Which of the following information should the nurse include in the teaching? a. Hospice care improves quality of life through palliative care 1. A nurse is preparing to administer eye drops to a client. Which of the following nursing actions is appropriate? a. Use aseptic technique and drop the medication into the conjunctival sac 1. A nurse manager at a public health clinic is concerned about the rising number of sexually transmitted infections in the community. The purpose of which of the following is to generate new ideas to address the public health concern? a. A brainstorming session with nurses 1. A nurse is teaching a group of farmworkers who work with pesticide about minimizing exposure. Which of the following information should the nurse include in the teaching? a. Change clothes after working in the field 1. A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? a. Monitor for abdominal ascites 1. A nurse is caring for a client who is receiving systematic desensitization therapy to treat agoraphobia. Which of the following client statements should indicate to the nurse that the treatment has been effective? a. I was able to sit on a park bench for 30 minutes 1. A nurse is caring for a client who is receiving a blood transfusion at 125mL/hr and develops a hemolytic reaction. Which of the following actions should the nurse perform? a. Infuse 0.9% sodium chloride IV 1. A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65mL/hr through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse? a. The gastric residual volume is 250 mL following 2 hr of infusion 1. A nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective? a. I will go to my cardiologist's office when the battery needs to be changed 1. A nurse in a mental health facility is evaluating the effectiveness of mechanical restraints for a client who threw a chair in the day room. The nurse should identify which of the following findings as an indication to remove the restraints? a. The client apologizes for their aggressive behavior 1. A nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. After confirming compatibility, which of the following actions should the nurse take? a. Occlude the IV tubing above the injection port 1. A nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When reviewing the client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine? hypertensio 1. A nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr. The client is scheduled to have the morning dose at 0700. The nurse should schedule the trough level to be drawn at which of the following times? 1800 1. A nurse is performing a skin assessment for a client who is on bedrest. Which of the following actions should the nurse take to prevent a pressure injury? a. Apply a donut ring pillow under the client's sacral area 1. A nurse from the State Health Development is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention? lyme disease 1. A home health nurse is admitting a client who is prescribed peritoneal dialysis. Which of the following actions should the nurse take first? a. Demonstrate how to perform the procedure 1. A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client informs the nurse that he took his prescribed medications before coming to the clinic. Which of the following medications is the priority to report to the provider? a. Metformin 1. A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications? shellfish allergy 1. A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? fever 1. 2 hr postoperative following an ileal conduit procedure bladder cancer dusky colored stoma 1. Administer an injection to a client when the client states, "I dont want that injection. The last time I got that was sore for a week battery 1. Assessing client who systemic lupus erythematous SLE which of the following is an expected findings dry rasied fasical rash 1. Caring for a client who has a new prescription for chlorpromazine by IM injection a. check ortho bp 1 hr after administration 1. Charge nurse on pediatric unit is making assignments for a float nurse from the medical unit. Pt to see first? a. a 10-year old who has pneumonia and is receiving respiratory treatments. 1. Child who is unresponsive has increased intracrainal pressure pad rails 1. A client hopitialized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. The clients sibling comes to visit but has obvious manifestations of an upper respiratory infection. a. Allow the sibling to visit after donning a sterile gown, mask, gloves but prohibits physical contact 1. Client who has given birth to a stillborn a. Acknowledging the reality of the nb death 1. Client who is receving a controlled epidural analgesia infusion a. Covering the insertion site with a transparent dressing 1. delegates the following tasks to the assistive personnel bathe four clients distribute fresh water obtain morning vital signs a. set a clear time frame for the completion of each task 1. Diagnosis of antisocial personality disorder a. poor impulse control 1. Haloperidol for the treatment of schizophrenia a. screen the client for tardive dyskinesia 1. In patient psychiatric unit is setting short-term goals for an adolescent who was admitted for treatment of anorexi nervosa a. The client will develop personalized meal plan 1. A nurse in a pediatric unit is caring for a group of clients. Which of the following diseases should the nurse implement droplet precautions? a. Pertussis 1. A nurse in the emergency department is caring for a client following a motor vehicle crash. priority? c spine 1. A nurse is admitting a client who has chronic gout what med should the nurse admin? allopurinol 1. nurse is admitting an unidentified female who was brought to the emergency department 3 month old 1. A nurse is caring for a client who has a typical depression and is taking phenelzine. what can you eat? low fat yogurt 1. A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? taking walks 1. a nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity a. tinnitus 1. nurse is caring for a client who will be, receiving a transfusion of platelets a. Decrease in bleeding from puncture sites 1. nurse is caring for a client with fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin time aPTT of 100 seconds turn off heparin drip 1. A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk of deep-vein thrombosis boots 1. nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1 hr ago. pillow 1. a nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. After establishing trust and rapport, which of the following should the nurse say? lets talk about what happened to you 1. a nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parent swallowing sounds are audible stool are yellow and seedy after 7 days maternal breasts become soft following feeds 1. 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