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VATI GREEN LIGHT COMPREHENSIVE
FORM A, B&C | LATEST ACTUAL
QUESTIONS AND ANSWERS 2026
A nurse delegates tasks to a licensed practical nurse and an assistive personnel.
When admitting a client who is experiencing acute liver failure and who has
ascites and an NG tube, which of the following tasks is most appropriate for the
nurse to delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr - correct-answer - A. Insert
an indwelling catheter if the client has not voided in 3 hr
A nurse is assessing a client who has a long arm cast. For which of the following
findings should the nurse monitor when assessing for acute compartment
syndrome
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A. Edema
B. Shortness of breath
C. Petechiae
D. Change in mental status - correct-answer - A. Edema
A nurse is caring for a client who has opioid use disorder and is experiencing
withdrawal. Which of the following findings should the nurse expect?
A. Hyperreflexia
B. Meiosis (mydriasis)
C. Euphoria (intended sign of opioid toxicity)
D. Hypothermia (hyperthermia) - correct-answer - A. Hyperreflexia
A nurse is planning to perform wound irrigation for a client who has an open
secondary wound. When creating a sterile field, which of the following actions
should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
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C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field - correct-
answer - B. Hold the bottle of sterile solution with the palm over the label while
pouring
A nurse is assessing a client who was brought to the emergency department by
his adult child. The client has visible contusions on all four extremities. Which of
the following actions should the nurse take?
A. Report the incident to Adult Protective Services
B. Interview the client with his adult child present
C. Tell the client he must answer every assessment question
D. Advise the client to consult a social worker - correct-answer - A. Report the
incident to Adult Protective Services
44. A nurse is assessing a client who is postoperative following abdominal surgery.
The client states, "I feel like my incision ripped open." The nurse notes dehiscence
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of the incision. Which of the following actions should the nurse take? Med Surg
page 670
A. Extend the client's legs above heart level
B. Place the client in a low-Fowler's position
C. Instruct the client to perform the Valsalva maneuver
D. Apply a dry gauze dressing to the incision - correct-answer - B. Place the client
in a low-Fowler's position
45. A nurse is providing teaching to the parent of a 6-month-old infant who is
teething and having difficulty sleeping. Which of the following instructions should
the nurse include?
A. Rub your child's gums with an aspirin tablet before bedtime
B. Place an amber teething necklace on your child before bedtime
C. Administer acetaminophen drops to your child before bedtime - correct-answer
- C. Administer acetaminophen drops to your child before bedtime
VATI GREEN LIGHT COMPREHENSIVE
FORM A, B&C | LATEST ACTUAL
QUESTIONS AND ANSWERS 2026
A nurse delegates tasks to a licensed practical nurse and an assistive personnel.
When admitting a client who is experiencing acute liver failure and who has
ascites and an NG tube, which of the following tasks is most appropriate for the
nurse to delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr - correct-answer - A. Insert
an indwelling catheter if the client has not voided in 3 hr
A nurse is assessing a client who has a long arm cast. For which of the following
findings should the nurse monitor when assessing for acute compartment
syndrome
,2|Page
A. Edema
B. Shortness of breath
C. Petechiae
D. Change in mental status - correct-answer - A. Edema
A nurse is caring for a client who has opioid use disorder and is experiencing
withdrawal. Which of the following findings should the nurse expect?
A. Hyperreflexia
B. Meiosis (mydriasis)
C. Euphoria (intended sign of opioid toxicity)
D. Hypothermia (hyperthermia) - correct-answer - A. Hyperreflexia
A nurse is planning to perform wound irrigation for a client who has an open
secondary wound. When creating a sterile field, which of the following actions
should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
,3|Page
C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field - correct-
answer - B. Hold the bottle of sterile solution with the palm over the label while
pouring
A nurse is assessing a client who was brought to the emergency department by
his adult child. The client has visible contusions on all four extremities. Which of
the following actions should the nurse take?
A. Report the incident to Adult Protective Services
B. Interview the client with his adult child present
C. Tell the client he must answer every assessment question
D. Advise the client to consult a social worker - correct-answer - A. Report the
incident to Adult Protective Services
44. A nurse is assessing a client who is postoperative following abdominal surgery.
The client states, "I feel like my incision ripped open." The nurse notes dehiscence
, 4|Page
of the incision. Which of the following actions should the nurse take? Med Surg
page 670
A. Extend the client's legs above heart level
B. Place the client in a low-Fowler's position
C. Instruct the client to perform the Valsalva maneuver
D. Apply a dry gauze dressing to the incision - correct-answer - B. Place the client
in a low-Fowler's position
45. A nurse is providing teaching to the parent of a 6-month-old infant who is
teething and having difficulty sleeping. Which of the following instructions should
the nurse include?
A. Rub your child's gums with an aspirin tablet before bedtime
B. Place an amber teething necklace on your child before bedtime
C. Administer acetaminophen drops to your child before bedtime - correct-answer
- C. Administer acetaminophen drops to your child before bedtime
