RN VATI COMPREHENSIVE PREDICTOR 2019 FORM A,B & C / VATI RN COMPREHENSIVE PREDICTOR 2019 FORM A,B, & C
18. A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? Fever 19. A nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the alarm stage of general adaptation syndrome and should expect which of the following findings? Hypoglycemia 20. A nurse is caring for a client who is taking allopurinol. The nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication? Uric acid level 21. A nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provider? Ceftriaxone 22. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? Speech-language pathologist 23. A nurse is performing a skin assessment for a client who is on bedrest. Which of the following actions should the nurse take to prevent a pressure injury? Moisturize dry skin areas on the client every other day. 24. A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective? The child has increased sputum production. 25. 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? Hypothermia 26. A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? Monitor for abdominal ascites. 27. 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? “Apply a teething product containing benzocaine to your child's gums before bedtime.” 28. A nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. Which of the following information should the nurse include in the teaching? Estrogen therapy decreases the risk for breast cancer. 29. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? Indigestion 30. A nurse is caring for a client who is receiving continuous feedings via NG tube. Which of the following actions should the nurse take? Check the client's gastric residual every 4 hr. 31. A nurse in a pediatric unit is caring for a group of clients. For which of the following diseases should the nurse implement droplet precautions? Pertussis 32. A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? Hallucinations 33. 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? Hold the bottle of sterile solution with the palm over the label while pouring. 34. A charge nurse is instructing a group of newly hired nurses about medications to promote fetal lung maturation. Which of the following medications should the nurse include in the instructions? Betamethasone 35. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? Place the newborn 45 cm (18 in) from the light source. 36. 36. 37. A nurse is using Nägele's rule to calculate the expected delivery date for a newly pregnant primigravida. The first day of the client's last period was October 4. What is the expected delivery date? (Provide the date using four numerals, the first two for the month and the second two for the day. For example, January 2 = 0102. 38. A nurse is assessing the vital signs of a newborn who was born 8 hr ago. Which of the following findings requires intervention by the nurse? Temperature 36.2°C (97.2° F) 39. A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hr and develops a hemolytic reaction. Which of the following actions should the nurse perform? Infuse 0.9% sodium chloride IV. 40. A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? WBC 3,000/mm3 41. A nurse manager is making staffing assignments for the medical-surgical unit. Which of the following clients is appropriate to assign to a float nurse from the postpartum unit? A client who is 2 days postoperative following a colon resection 42. A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? Generalized edema
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