VATI Greenlight Comprehensive Predictor Test, Exams of Nursing

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Comprehensive Predictor Test / 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? Correct 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.... Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct Ans - Hypernatremia A nurse is planing to administer an ophthalmic medication to a client. Which of the following actions would minimize systemic absorption of the medication? Correct Ans - Wait 5 mins after instillation before instilling the drops in the other eye

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 nurse withhold administration and notify the provider? Correct Ans - Furosemide 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 Ans - Facial flushing A nurse in a provider'a office is collecting data from a client who was discharged from the hospital 7 days ago following treatment from deep- vein thrombosis. Which of the following findings is the nurse's priority? Correct Ans - The client takes ibuprofen to treat musculosketal pain. A nurse in an urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia? Correct Ans - Muscle weakness 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 Ans - Client data indicates a decreased rate of infection 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? Correct 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? Correct Ans - Aspart Regula r Detemi r 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? Correct 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 staf f to wear identification? Correct 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? Correct 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? Correct 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? Correct 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 staf f member. Which of the following actions should the nurse take? Correct 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? Correct Ans - Administer schedule doses of medication from a patient-controlled analgesia (PCA) pump. A nurse is assisting with a group therapy session in which a client begins to monopolize the group's time. Which of the following interventions is appropriate? Correct Ans - schedule one-on-one discussion time with the client A nurse is preparing to administer required immunization to a toddler during a well- child visit. The parent ask the nurse how many baby aspirin he should administer if the toddler develops a fever. Which of the following responses should the nurse make? Correct Ans - "You should avoid administering aspirin to your child" A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following actions should the nurse plan to perform first? Correct Ans - Document the client's risk in the medical record. A nurse is assisting with the admission of a 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 Ans - 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 Ans - The school-age sister views death as being a type of temporary sleep 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 Ans - 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 Ans - Serum calcium 12.5 mg/dL

A nurse is caring for a client who is asking about the technique of effleurage and its use in labor and delivery. Which of the following responses should the nurse make regarding this technique? Correct Ans

• "It is a light stroking of the skin during a uterine contraction."

A nurse in a clinic 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 Ans - "Apply the patch to the lower abdomen." A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? Correct Ans - The toddler can say four words. A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first? Correct Ans - Instruct the client to use abdominal breathing. A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe 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 Ans - Pallor in the exposed portion of the left foot Inability to move the left foot Paresthesia in the left foot 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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 instructions should the nurse include? Correct Ans - "Move the stronger leg forward first." A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care? Correct Ans - Orient the client to time and place twice per day. A nurse is speaking to a client who called the provider's office to report chest pain and requests clarification on how to take his sublingual nitroglycerin tablets. Which of the following instructions should the nurse give the client? Correct Ans - Wait 5 min between doses. A nurse is caring for a client who is undergoing evaluation for a thoracic aortic aneurysm. Which of the following findings should make the nurse suspect an impending rupture of the aneurysm? Correct Ans - Report of sharp pain in the back A nurse is reinforcing discharge teaching with an older adult client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching? Correct Ans - "I will apply cold compresses when my joints are painful. A nurse is caring for a client 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 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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?Correct 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? Correct 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? Correct 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? Correct 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 an appropriate technique to use? Correct Ans - Leave space between the tip of the penis and the end of the condom catheter. A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity? Correct Ans - A nurse keeps a promise made to a client. A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of the following client statements indicates understanding of the teaching? Correct Ans - "I will apply petroleum jelly to the penis with each diaper change." A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following? Correct Ans - A decreased level of consciousness and vomiting

A nurse is planning to reinforce teaching with a preschooler who is about to undergo an incision and drainage for cellulitis on the left arm. Which of the following techniques should the nurse use? Correct Ans - Help the child put a dressing on a doll.

A nurse is contributing to the discharge plan of an older adult client who had a total hip arthroplasty. The client is unable to ambulate independently and lives alone. Which of the following settings should the nurse recommend for this client? Correct 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? Correct Ans - Giving broad openings A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct Ans - Verify that there is a signed and witnesses consent form in the client's chart. A nurse smells alcohol on the breath of an assistive peronnel (AP) during report. Which of the following actions should the nurse take? Correct

Ans - Report the situation to the nurse manager.

A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cyctic fibrosis. Which of the following supports a diagnosis of cystic fibrosis? Correct Ans - Frothy stools. When caring for an assigned group of clients, the nurse should wear gloves when... Correct Ans - performing oral hygiene. A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of administration? Correct Ans - Subcutaneously. A nurse is caring for a client and recognizes the client's rights to confidentiality have been breached in which of the following situations? Correct Ans - A hospital risk manager includes information from a client's medical record in A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg. Which of the following actions should the nurse take? Correct Ans

• Notify the charge nurse of the finding. 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? Correct 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? Correct 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 Correct 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? Correct 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? Correct 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 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? 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? Correct 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? Correct Ans - Ice Cream 2 hrs post-op following an ileal conduit procedure bladder cancer Correct Ans - Dusky-colored stoma Administering an INJ to a client even after the client states, "I don't want that injection. The last time I got that I was sore for a week." Correct Ans - Battery Admitting a client to the medical-surgical unit. Which of the following actions should the nurse first take? Correct Ans - Observe the client's level of mobility Adolescent client who has no previous history of a seizure disorder and is admitted after having a 3-min tonic-clonic seizure 2 wks after sustaining a mild concussion. EEG Correct Ans - Explain that the client may not have coffee prior to the EEG Adolescent who has cystic fibrosis and has a prescription for pancrelipase Correct Ans - Take w/ meals After evaluating the morning lab results on several clients, the provider writes prescriptions for 4 clients assigned to the nurses care? Correct Ans - Infuse 10 meQ/l potassium chloride IV over 1 hr to a client who has potassium of 3. After making morning round, the charge nurse on a surgical unit delegates the follow tasks to the AP.Correct 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 Correct 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 Correct 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 Correct Ans - Indigestion Benefit from a three-way indwelling catheter Correct Ans - Prone to development of blood clots un the urine

Caring for a client who has a new prescription for chlorpromazine by IM injection Correct 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?" Correct 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? Correct 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? Correct Ans - 10 yr old who has pneumonia & is receiving respiratory txs Child who has pediculosis capitis Correct Ans - store non-washable items in plastic bags for 14 days Child who is unresponsive has ICP Correct Ans - Pad the side of the bed A client ask the nurse if it is safe for him to take glucosamine supplement? Correct Ans - Shellfish allergy Client following an open colectomy Correct Ans - Uncontrolled pain A client has just returned to the nursing unit following cardiac catheterization. In the immediate postoperative post procedure period which of the following is the priority nursing actions? Correct Ans - Immobilizing the affect extremity 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. Correct Ans - Allow the sibling to visit after donning a sterile gown, mask, gloves but prohibits physical contact Client recovering from closed head injury assumes a decerbrate posture in response to stimuli Correct Ans - D lying flat ?? (Extentend extremities) The client rigidly extends his arm Client reports chest pain. Which of the following lab findings indicates myocardial damage Correct Ans - Troponin 1. Client who has a left femur fracture and is skeletal traction. The clients reports pain due to muscle spasms in affected leg Correct Ans - Realign the extremity in traction

Client who has given birth to a stillborn Correct Ans - Acknowledging the reality of the newborn's death

Client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea Correct Ans - Admin an antiemetic (Aprepitant for nausea) Client who is 8hr postoperative following a right-modified radical mastectomy - which findings to report to provider? (SATA) Correct Ans

• Coughing Frothy, pink secretions Client who is receiving a controlled epidural analgesia infusion Correct Ans - Covering the insertion site with a transparent dressing Client who reports the use of chondroitin and glucosamine Correct Ans - Improve joint functioning Community health nurse is completing a newborn home visit and observes family members smoking cigarettes in the house Correct Ans - Review the effects of secondhand smoke w/ family members A community health nurse is evaluating eligibility for home assistance for a client who is quadriplegic Correct Ans - Determine the client living situation A community health nurse is planning to make home visits to several clients who all live within a few miles radius of the office - Who to see first? Correct Ans - An infant who has failure-to-thrive and was discharged from a facility yesterday to a foster home on daily weights Creating and activity plan for a home bound older adult client. In the planning, the nurse considers the physiologic changes that may affect pulmonary function r/t the normal aging process Correct Ans - Decreased blood oxygenation Delegates the following tasks to the AP bathe four clients, distribute fresh water, obtain morning vital signs Correct Ans - Set a clear time frame for the completion of each task DI w/ severe head injury Correct Ans - Urine output 250 Diagnosis of antisocial personality disorder Correct Ans - Poor impulse control Diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36wks gestation w/ contractions 5 min in frequency and 1 min in duration Correct Ans - Prepare the client for c-section Dietary intervention for a client who is immobile due to pelvic and femur fractures Correct Ans - Provide a high-protein diet

Difficulty falling asleep at night Correct Ans - Eat a bedtime snack (containing carbohydrates??) Disaster triage following a natural disaster Correct Ans - Amputation

Discharge teaching about disease prevention to a client who has active Tb Correct Ans - Educating the client how to cover nose and mouth with tissues when coughing Discussing a living will with a client Correct Ans - It communicates my wishes for end of life care Discussing care w/ newly licensed nurse for a client who practices orthodox Judaism

• which food not given? Correct Ans - Roast beef and ice cream Education about ECT major depressive disorder Correct Ans - General anesthetic admin prior ECT treatments(This treatment are for pts who aren't responding to their pharmaceutical meds) Education to the mother of a toddler who has pertussis Correct Ans - Pertussis booster An emergency department nurse triages a group of school children injured in a school bus crash Correct Ans - A child who reports diplopia and nausea and was unconscious at the scene but is now awake Experiencing acute mania ... Correct Ans - Provide high-calorie nutritional supplements (provide pt with portable nutritious food because pt may not be able to sit down) Gravida 2, para 1. The client is at 41 wks gestation and is receiving oxytocin for the augmentation of labor Correct Ans - Contractions occur every 90 sec Haloperidol for the tx of schizophrenia Correct Ans - Screen the client for Tardive Dyskinesia (inform pt to lower doses to decrease the chances of TD) health nurse is performing a vision screening on a 4-month-old infant. When shining a light source into the infant's visual field - rx? Correct Ans
• Closes eyes Hearing impairment - incorporate which communication methods? Correct Ans
• Rephrase sentences the client doesn't understand Home health nurse is admitting a client who is prescribed peritoneal dialysis Correct Ans - Clarify the clients actual and perceived health needs A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client who has 2 minor children and a limited support system Correct Ans - Ask the client about her understanding of the diagnosis A home-health nurse is providing teaching about self-administration of insulin to client who is newly diagnosed w/ diabetes mellitus Correct Ans
• I can use the same area

as long as I rotate injection sites

Home health nurse is reviewing treatment goals w/ a client who has diabetes mellitus evaluate lab tests to determine effective long-term management of blood glucose levels Correct Ans - HbA1C Hyperthyroidism - which of the following rooms is appropriate for the nurse to assign this client? Correct Ans - Cool room (reduced room temp) If something happens to me from which I cannot recover, I don't want to go on a ventilator: Correct Ans - You're concerned that something may go wrong? Ileal conduit due to treatment for bladder cancer Correct Ans - Cleanse w/ moisturizing soap Immediate postoperative period following thorac surgery, a nurse medicates a client for pain on a schedule Correct Ans - Reduces the RR Infection control nurse is reviewing care procedures for four clients Correct Ans

• A client who has varicella zoster is placed in a negative pressure room In-home assessment for an older adult client who is at risk for falls. Which of the following assessment findings should the nurse identify as a potential hazard? Correct Ans - A comp. chair wheels In patient psychiatric unit is setting short-term goals for an adolescent who was admitted for tx of anorexia nervosa Correct Ans - The client will develop personalized meal plan Involuntarily admitted to psychiatric unit following a failed suicide attempt - experimental tx Correct Ans - Witness consent before medication administration Lab data on client who has dehydration Correct Ans - Elevated BUN Lab values on a client who has taken an overdose of acetaminophen - organ damage Correct Ans - ALT Mastitis of left breast - does this mean that i must stop nursing my baby? Correct Ans - No, you can continue to nurse from both your breasts medical unit received change-of-shift report ... Correct Ans - 68 yr old Morning lab values to several clients ... Correct Ans - Client who is prescribed digoxin and furosemide Pt w/ Neutropenia (MS pg. 543) Correct Ans -

Remove fresh flowers from a client's room Newborn nursery is performing assessments on four neonates that are all less than 24 hr old - which pt is priority? Correct Ans - Pinna below the outer canthus of the eye (The eye should be even with the upper tip of the pinna of the newborn's ear; MN p. 158)