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VATI Greenlight Comprehensive Predictor Test
A nurse is caring caring for a client who has a recently admitted to an inpatient mental health unit. the client tells the nurse he is not coming out of his room anymore because other client on the unit makes fun of him. which of the following response by the nurse is appropriate? - Correct answer B) " you feel upset by the response of other." A nursing admitting a client who has active tuberculosis. which of the following intervention is appropriate? - Correct answer A. Place the client in a room that is ventilated outside. A nurse is reinforcing teaching with the parent of a toddler who has difficulty falling asleep. which of the following instruction should the nurse include? - Correct answer A. establish a bedtime routine. A nurse is collecting data from an 18 month- old toddler at a well-child visit. which of the following finding should the nurse report to the provider? - Correct answer C. Toddler can say four words. A nurse is planning to administer morphine IM to a client using Z track method. Identify the order of steps the nurse should take to administer the medication using this method. place the steps in order. - Correct answer A. Insert the needle at a 90-degree angle. B. Use the ulna side of the nondominant hand to pull the skin. C. Inject the medication approximately 2.5cm (1in) into the skin. D. Clean the skin E.Aspirate for blood return
A nurse discovers a fire in a trash can in a patient's room. which of the following action should the nurse take first? - Correct answer A. Extinguish the fire. B. Shut the door to the client room. C. Pull the fire alarm. D. Walk the client to the waiting room. A nurse is teaching a client who is about to undergo an upper gastrointestinal series with fluoroscopy. which of the following information should the nurse provide? - Correct answer D. " you will have to drink a contrast medium before the test." A nurse is reinforcing teaching with a client who has a new diagnosis of myasthenia gravis (MG) and a prescription for neostigmine. which of the following information should the nurse include in the about action of the medication? - Correct answer A. Improve muscle strength. A nurse is caring for a school-age child whose family adheres to vegan diet in the home. the nurse should recognize the child is at risk for deficiency of which of the following? - Correct answer C. Vitamin D A nurse is assisting with the admission of a client who attempted suicide. when the nurse processes the client's belongings, which of the following items should the nurse remove from the client's suitcase? - Correct answer D. Perfume A nurse is collecting data from a client who is one day postoperative following a total hip arthroplasty and has deep- vein thrombosis. which of the following findings should the nurse expect in the affected extremity? - Correct answer D. Dull, aching pain.
report? - Correct answer C. A nurse collects data from a client who reports severe pain and finds a dose of hydro-morphine in the client's bed. A nurse in a long-term care facility has received change of shift report about four clients. which of the following clients should the nurse attend to first? - Correct answer B. A client who has COPD and dementia and was agitated during the night shift. A nurse is reinforcing teaching with a client who is about to undergo a thoracentesis. which of the following statements by the client indicates an understanding of the information? - Correct answer C. " I will have a chest X-ray following procedure." A nurse is reviewing the medical record of a client who is requesting an oral contraceptive. which of the following findings should the nurse identify as contraindication to the use of oral contraceptive? - Correct answer B. Migraine with aura A nurse is reinforcing teaching about transmission precautions with a client who has hepatitis C. which of the following information should the nurse include? - Correct answer B. Clean toilet surface with bleach after each use. A nurse is preparing to administer an IM injection to a client. to reduce the risk of a needlestick injury, the nurse should take which of the following actions? - Correct answer C. Dispose of the used needle immediately in a puncture-proof sharps container. A nurse is reinforcing teaching about colostomy care with a client. Which of the following client statements indicates an understanding of how to care for the colostomy?
- Correct answer C. " I will cut the wafer 1 inch bigger than my stoma." A nurse is teaching a client who has a permanent pacemaker in place. Which of the following statement by the client indicates an understanding of the teaching? - Correct answer B. " I need to record my pulse rate daily."
A nurse is collecting data from a parent of a preschooler at a well-child visit. Which of the following findings is a contraindication to a measles, mumps, and rubella (MMR) immunization? - Correct answer C. Long-term use of immunosuppresants. A nurse is reinforcing teaching with a client who has vitamin C deficiency. which of the following foods should the nurse include as having vitamin C content? - Correct answer B. 1 cup raw broccoli A nurse is checking the home environment of a client for safety hazards. which of the following items require intervention by the nurse? - Correct answer B. The dining room table has low chairs with no armrest 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? - Correct answer D. obtain verbal consent from the client while waiting for the parents to arrive. A nurse is reinforcing teaching with a parent about appropriate snack for a toddler. which of the following foods should the nurse include? - Correct answer B. Graham crackers. A nurse is preparing to catheterize a client's bladder to check for residual urine. The nurse should schedule this procedure at which of the following times? - Correct answer A. Right after the client voids A nurse is caring for a client who has viral pneumonia. which of the following actions should the nurse take? - Correct answer A. Place the client in a private room
A nurse is collecting data from a client who has a long-leg cast on his left leg and report 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 answer A. pallor in the exposed portion of the left foot. B. inability to move the left foot. E. paresthesia in the left foot. A nurse is collecting data from a client who is receiving a continuous IV infusion of 0.9% sodium chloride. The nurse discovers the IV infusion pump was set incorrectly and the client received 200ml more than prescribed. Data collection reveals that the client is stable. The nurse recognizes that this incident is not considered malpractice for which of the following reasons? - Correct answer A. The client was not harmed as a result of the incident. A nurse in mental health facility is reviewing the laboratory reports for four clients. which of the following results should the nurse report to the provider immediately? - Correct answer C. Sodium level of 130 mEq/L for a client who has bipolar disorder and takes lithium A nurse is collecting data from a client who has hepatitis A. which of the following findings should the nurse expect? - Correct answer B. Abdominal pain A nurse is caring for a toddler who s admitted to the pediatric unit and is 2hours postoperative following a tonsillectomy. which of the following findings is a sign of hemorrhage? - Correct answer C. Frequent swallowing. A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain, swelling, and stiffness. which of the following client statements indicates
understanding of the teaching? - Correct answer B." i will apply a heating pad to make my hands feel better." A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. which of the following findings should the nurse identify as manifestations of opioid intoxication? - Correct answer A. tachycardia A nurse is expressing concern about his assignment with the charge nurse. the nurse states that he has more work to do than anyone else. Which of the following statements by the charge nurse demonstrates the conflict resolution strategy of competing? - Correct answer C." we will take a look at the assignment together and attempt to modify workload you are concern about." A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following indicates understanding of the instructions? - Correct answer C. " i will feed my baby six to eight times a day." A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate? - Correct answer C. Contact A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin. for which of the following findings should the nurse instruct the adolescent to monitor and report to the provider? - Correct answer C. Ringing in the ears A nurse is caring for a client who heart failure and having difficulty limiting sodium in his diet. Which of the following recommendations should the nurse provide? - Correct answer D. replace bottled salad dressing with homemade vinegar and oil dressing. A nurse is reinforcing teaching about home care with a parent of a child who has a seizure disorder. Which of the following instructions should the nurse include? - Correct answer A. Call EMS if a seizure lasts 5 min or more.
A nurse on a medical unit is observing an assistive personnel(AP) delivering food trays. Which of the following actions by the AP requires intervention? - Correct answer A. Providing a ham and cheese sandwich to a client who follows a kosher diet. A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take? - Correct answer A. serve meals with plastic utensils. A nurse is reinforcing teaching with an older adult client who has a new prescription for digoxin for heart failure. Which of the following effects should the nurse include as an expected outcome of the medication? - Correct answer B. Increased cardiac output A nurse is caring for postoperative client and obtains a pulse oximeter reading of 86%. Which of the following interventions should the nurse take first? - Correct answer C. repeat the test on another finger. A nurse is assisting with the admission of the 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 answer A. 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 answer D. The school-age sister is concerned about the impact of her siblings death on herself A nurse is setting up a sterile field prior to performing a dressing change. Which of the following actions should the nurse take? - Correct answer C. Pour liquids from 10 to 15 cm (4-6 in) above the sterile field. A nurse is caring for a client who was diagnosed with hyperemesis gravidarum. Which of the following findings should the nurse anticipate? - Correct answer A. Poor skin turgor.
A nurse is caring for a client who has been placed in restraints. Which of the following is appropriate? - Correct answer C. Monitor the client's skin integrity on a regular schedule. 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 answer A. 1 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 answer A. Serum calcium 12.5 mg/dL. A nurse 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 answer C. "Apply the patch on the lower abdomen." A nurse delegates a task to an assistive personnel (AP) and the AP refuses the assigned task. Which of the following actions should the nurse take first? - Correct answer C. Notify the charge nurse. 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 when the child can return to school. The nurse should tell the parent that which of the following is an indication that the child is no longer contagious? - Correct answer B. All vesicles have crusted over. 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 answer D. Secure the restraint with an easy-to release tie.
following instructions should the nurse give the client? - Correct answer A. waits 5 min between doses. Assistive personnel (AP) are caring for a client who rest a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP? - Correct answer C. check the client's response to the medication in 1hr. A nurse in an urgent care facility is collecting data from an adolescent whom the nurse suspects has meningitis. Select the location the nurse should flex to check for Brudzinski's sign. (you will find a selectable areas "hotspots" by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. click only on the hot spot that corresponds to your answer.) - Correct answer A. the answer is spot A which is on the neck. A nurse is caring for a client who is receiving morphine 2mg subcutaneously every 4hr for pain the medication is available in a vial 10 mg/ml how many mL should the nurse administer. Round the answer to the nearest tenth. - Correct answer 0.2mL A nurse is caring for a child who has COPD. the client tells the nurse " i get short of breath during meals. It is too much trouble to eat," Which of the following instructions should the nurse suggest? - Correct answer A."Have several small meals during the day." A nurse is caring for a client who has urolithiasis.. Which of the following action should the nurse take? - Correct answer D. 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? - Correct answer C. intradermal
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? - Correct answer D. Urticaria (skin rashes) A nurse receives a verbal order for a client to receive a stat dose of meperidine 100mg PO. she administers the medication, charts the administration, and then realizes that she has administered Phenytoin 100mg PO. which of the following actions should the nurse take first? - Correct answer A. Check the client's vital signs. Following discharge from an acute mental health facility. the client states intentions to harm a friend when he leaves the facility. which of the following actions should the nurse take? - Correct answer D. Notify local law enforcement about the client's threat. A nurse is caring for a toddler who is admitted to pediatric unit and is 2hr postoperative following a tonsillectomy. which of the following findings is a sign of hemorrhage? - Correct answer C. Frequent swallowing. A nurse is assisting with the admission of an older client with impaired mobility and is at risk for falls. which of the following actions should the nurse plan to perform first? - Correct answer A.check the client's ability to use the call light. A nurse is reinforcing teaching with the parents of a preschool-age child who has new diagnosis of Celiac disease. which of the following foods should the nurse recommend?
- Correct answer D. corn tortillas with black beans A nurse is assisting in the development of an in-service for staff members about physical abuse of children. which of the following children are at an increases risk for physical abuse? - Correct answer D. children who live in crowded homes.
A nurse is reviewing standard precautions with an assistive personnel (AP) who is new to the newborn nursery. For which of the of the following newborn care procedures should the nurse remind the AP to wear clean gloves? - Correct answer D. changing wet diaper. A nurse is preparing a client insulin regimen. Which of the following insulin's can be mixed? (select all that apply) - Correct answer A. Insulin aspart (humalog) B. Regular Insulin E. Insulin Lispro Statement should the nurse include? - Correct answer B. " A client who is an immediate danger to herself or others cannot refuse antipsychotic medications." A nurse is reinforcing teaching with a postpartum client about bathing her newborn. Which of the following statement should the nurse include? - Correct answer A " wash your newborn's head under a stream of running water." A nurse is establishing 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 client's right leg should be of most concern to the nurse? - Correct answer C. the client's capillary refill time is 5 seconds in the toes. A nurse is working in an urgent care when a client who dose not speak the same language arrives with a laceration that will require suturing. which of the following actions is appropriate for the nurse to take? - Correct answer B. contact a medical interpreter to assist in obtaining informed consent. 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 answer C. client data indicates a decrease rate of infection.
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 answer D. urine output 20mL/hr A nurse is preparing morning medications for a client who has a potassium level of 3.2mEq/L. for which of the following medications should the nurse withhold administration and notify the provider? - Correct answer C. furosemide A nurse is reinforcing teaching with a client who is scheduled for a mammogram. Which of the following instructions should the nurse include in the teaching? - Correct answer A refrain from using deodorant on the morning of the test.
