COMPLETED VATI GREENLIGHT STUDY SET
TEST BANK SOLVED QUESTIONS AND
VERIFIED RESPONSES GRADED A+
⩥ A nurse is performing a preoperative assessment for a client who
reports having an allergy to several goods. Which of the following food
allergies indicates a risk factor for a latex allergy?
a. Peanuts b. Eggs c. Bananas d. Shrimp.
Answer: c. Bananas
⩥ A nurse is planning care for a client who is scheduled to receive a
peripherally inserted central catheter in the arm. Which of the following
interventions is appropriate for the nurse to include in the plan care?
A. Measure the arm circumference above the insertion site daily
B. Schedule an MRI post procedure to verify placement (Xray) X
C. Administer sedation for the procedure X - local anesthetic
D. Use gauze to secure an arm board to involved extremity- used for
midline.
Answer: A. Measure the arm circumference above the insertion site daily
⩥ A nurse is caring for a group of clients. Which of the following
wounds should the nurse expect to heal by primary intention?
,PRIMARY FASTEST TYPE ON ITS OWN, SECONDARY
REQUIRES GRANULATION TISSUES AND CREATES SCAR
TISSUES, AND TETRIARY IS DELAYED WOUND CLOSURE.
A. Approximated surgical incision
B. Infected laceration- TERTIARY
C. Stage II pressure ulcer -SECONDARY
D. Partial-thickness burn- SECONDARY.
Answer: A. Approximated surgical incision
⩥ A nurse is performing a change-of-shift assessment. Which of the
following clients has
the priority finding?
A. A client who has a first-degree heart block and a heart rate of 62/min
B. A client who is 2 hr post cast placement and has a 2+ pitting edema
and pallor
C. A client who has pneumonia with a productive cough and a fever of
38.8 C (101.8 F)
D. A client who has type 2 diabetes mellitus and a blood glucose of 250
mg/dL.
Answer: B. A client who is 2 hr post cast placement and has a 2+ pitting
edema and pallor
,⩥ A nurse on a medical-surgical unit delegating tasks to an assistive
personnel (AP). Which of the following client care tasks is within the
scope of practice for the AP?
a. Interpreting blood glucose values
b. Performing postmortem care
c. Explaining the steps for a 24-hr urine collection d. Assisting with low-
carbohydrate diet selections.
Answer: b. Performing postmortem care
⩥ A nurse in a mental health clinic receives a request from a client who
is undergoing psychotherapy to obtain a copy of the therapist's notes.
Which of the following responses should the nurse make?
A. "We can provide a copy of your records, but the therapist's notes
aren't included"
B. "I don't think you will benefit from reviewing your therapist's notes
right now"
C. "Why are you interested in seeing your therapist's notes?"
D. "Are you not happy with your treatment?".
Answer: A. "We can provide a copy of your records, but the therapist's
notes aren't included"
⩥ A nurse is providing teaching to a client who has thrombocytopenia
following chemotherapy. Which of the following statements indicates an
understanding of the teaching?
A. "I will wipe my nose instead of blowing it"
, B. "I will remove my shoes when I'm inside my house"
C. "I will floss between my teeth every time I brush"
D. "I will use an enema to manage my constipation".
Answer: A. "I will wipe my nose instead of blowing it"
⩥ A home care nurse is making follow-up visit with a client has COPD
and is using a compressed oxygen system in his home. Which of the
following actions should the nurse take?
A. Store the oxygen tank wrench in a locked cabinet
B. Have the client store smaller tanks under his bed
C. Ensure that the client checks the gauge weekly
D. Place the oxygen tank away from curtains or drapes.
Answer: D. Place the oxygen tank away from curtains or drapes
⩥ A nurse is conducting health promotion education regarding
contraindications to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse include in
the teaching?
A. Renal calculi
B. Fibrocystic breast disease?
C. Fibromyalgia
D. Hypertension.
Answer: D. Hypertension