VATI GREENLIGHT COMPREHENSIVE
QUESTIONS AND SOLUTIONS
◉ A nurse is caring for a school-age child who has epistaxis.
Which of them following actions should the nurse take?
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?
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?
Answer: Maintain continuity of staff 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?
,Answer: hallucination
◉ A nurse is reinforcing teaching with a postpartum client about
bathing her newborn. Which of the following statements should
the nurse include?
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
difficulty limiting sodium in his diet. Which of the following
recommendations should the nurse provide?
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?
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?
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?
,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 findings should the
nurse expect?
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?
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?
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?
Answer: Slow the rate of instillation
◉ A nurse receives report on four clients. The nurse should first
collect data about the client who has which of the following?
Answer: A decreased level of consciousness and vomiting
, ◉ A nurse is setting up a sterile field prior to performing a
dressing change. Which of the following actions should the nurse
take?
Answer: Open the outermost flap 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 first?
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 findings should the nurse identify as a manifestation of
opioid intoxication?
Answer: pinpoint pupils
◉ A nurse in a 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?
Answer: muscle weakness
◉ A nurse is caring for a client who has bipolar disorder and is
experiencing mania. Which of the following actions should the
nurse take?
QUESTIONS AND SOLUTIONS
◉ A nurse is caring for a school-age child who has epistaxis.
Which of them following actions should the nurse take?
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?
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?
Answer: Maintain continuity of staff 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?
,Answer: hallucination
◉ A nurse is reinforcing teaching with a postpartum client about
bathing her newborn. Which of the following statements should
the nurse include?
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
difficulty limiting sodium in his diet. Which of the following
recommendations should the nurse provide?
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?
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?
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?
,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 findings should the
nurse expect?
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?
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?
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?
Answer: Slow the rate of instillation
◉ A nurse receives report on four clients. The nurse should first
collect data about the client who has which of the following?
Answer: A decreased level of consciousness and vomiting
, ◉ A nurse is setting up a sterile field prior to performing a
dressing change. Which of the following actions should the nurse
take?
Answer: Open the outermost flap 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 first?
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 findings should the nurse identify as a manifestation of
opioid intoxication?
Answer: pinpoint pupils
◉ A nurse in a 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?
Answer: muscle weakness
◉ A nurse is caring for a client who has bipolar disorder and is
experiencing mania. Which of the following actions should the
nurse take?
