VATI GREENLIGHT LATEST UPDATE WITH CORRECT ANSWERS
A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin.
For which of the following ndings should the nurse instruct the adolescent to monitor and
report to the provider?
Correct answer: Depression
A nurse is caring for a school-age child who has epistaxis. Which of them following actions
should the nurse take?
Correct answer: Apply pressure at the bridge of the child's nose
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 a parent indicates an understanding of
the teaching?
Correct answer: I can place a rolled towel on each side of my newborns head until he can
hold his head up
A nurse working in an inpatient mental health facility is assisting with the plan of care for a
client who has anorexia nervosa. Which of the following should the nurse recommend to
include in the plan of care?
Correct answer: Maintain continuity of sta members.
A nurse is assisting with an admission interview for a client who has schizophrenia. He tells
the nurse that he is receiving special audible messages from the Central Intelligence
Agency that no one else is able to hear. The nurse should identify that the client is having
which of the following alterations in perception?
Correct answer: hallucination
,A nurse is reinforcing teaching with a postpartum client about bathing her newborn. Which
of the following statements should the nurse include?
Correct answer: "Wash your newborn's head under a stream of running water."
A nurse is caring for a client who has heart failure and reports diiculty limiting sodium in
his diet. Which of the following recommendations should the nurse provide?
Correct answer: Replace bottled salad dressing with homemade vinegar and oil dressing.
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: Refrain from using deodorant on the morning of the test
A nurse is preparing a clients insulin regimen. Which of the following insulin's can be
mixed?
Correct answer: Insulin aspart, regular insulin, insulin lispro
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 answer: I will take a stool softener to prevent constipation
A nurse is collecting data from a child who has acute Glomerulonephritis. Which of the
following ndings should the nurse expect?
Correct answer: Periorbital edema
A nurse is preparing to administer a liquid medication to a 6-month-old infant who is
crying.
Which of the following actions should the nurse take to reduce the risk of aspiration?
, Correct answer: Administer using a needless syringe in the buccal cavity
A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of
the following statements indicates an understanding of the instructions?
Correct answer: I will feed my baby six to eight times a day
A nurse is administering a cleansing enema to a client who reports mild cramping during
instillation of the solution. Which of the following actions should the nurse take?
Correct answer: Slow the rate of instillation
A nurse receives report on four clients. The nurse should rst collect data about the client
who has which of the following?
Correct answer: A decreased level of consciousness and vomiting
A nurse is setting up a sterile eld prior to performing a dressing change. Which of the
following actions should the nurse take?
Correct answer: Open the outermost ap of the wrapper toward the body
A nurse in long-term care facility has received change-of-shift report about four clients.
Which of the following clients should the nurse attend to rst?
Correct answer: A client who has COPD and dementia and was agitated during the night
shift
A nurse is collecting data from a client who has substance use disorder and reports
recently taking opioids. Which of the following ndings should the nurse identify as a
manifestation of opioid intoxication?
Correct answer: pinpoint pupils
A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin.
For which of the following ndings should the nurse instruct the adolescent to monitor and
report to the provider?
Correct answer: Depression
A nurse is caring for a school-age child who has epistaxis. Which of them following actions
should the nurse take?
Correct answer: Apply pressure at the bridge of the child's nose
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 a parent indicates an understanding of
the teaching?
Correct answer: I can place a rolled towel on each side of my newborns head until he can
hold his head up
A nurse working in an inpatient mental health facility is assisting with the plan of care for a
client who has anorexia nervosa. Which of the following should the nurse recommend to
include in the plan of care?
Correct answer: Maintain continuity of sta members.
A nurse is assisting with an admission interview for a client who has schizophrenia. He tells
the nurse that he is receiving special audible messages from the Central Intelligence
Agency that no one else is able to hear. The nurse should identify that the client is having
which of the following alterations in perception?
Correct answer: hallucination
,A nurse is reinforcing teaching with a postpartum client about bathing her newborn. Which
of the following statements should the nurse include?
Correct answer: "Wash your newborn's head under a stream of running water."
A nurse is caring for a client who has heart failure and reports diiculty limiting sodium in
his diet. Which of the following recommendations should the nurse provide?
Correct answer: Replace bottled salad dressing with homemade vinegar and oil dressing.
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: Refrain from using deodorant on the morning of the test
A nurse is preparing a clients insulin regimen. Which of the following insulin's can be
mixed?
Correct answer: Insulin aspart, regular insulin, insulin lispro
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 answer: I will take a stool softener to prevent constipation
A nurse is collecting data from a child who has acute Glomerulonephritis. Which of the
following ndings should the nurse expect?
Correct answer: Periorbital edema
A nurse is preparing to administer a liquid medication to a 6-month-old infant who is
crying.
Which of the following actions should the nurse take to reduce the risk of aspiration?
, Correct answer: Administer using a needless syringe in the buccal cavity
A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of
the following statements indicates an understanding of the instructions?
Correct answer: I will feed my baby six to eight times a day
A nurse is administering a cleansing enema to a client who reports mild cramping during
instillation of the solution. Which of the following actions should the nurse take?
Correct answer: Slow the rate of instillation
A nurse receives report on four clients. The nurse should rst collect data about the client
who has which of the following?
Correct answer: A decreased level of consciousness and vomiting
A nurse is setting up a sterile eld prior to performing a dressing change. Which of the
following actions should the nurse take?
Correct answer: Open the outermost ap of the wrapper toward the body
A nurse in long-term care facility has received change-of-shift report about four clients.
Which of the following clients should the nurse attend to rst?
Correct answer: A client who has COPD and dementia and was agitated during the night
shift
A nurse is collecting data from a client who has substance use disorder and reports
recently taking opioids. Which of the following ndings should the nurse identify as a
manifestation of opioid intoxication?
Correct answer: pinpoint pupils
