RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS GRADED A

) RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS GRADED A 1. A nurseon amental health unitisadmitting a client who hasposttraumatic stressdisorder. Which of the following findingsshould the nurse expect? A. Talks continuously about the event B. Preoccupied with having a seriousillness C. Has difficulty concentrating on a task D. Experiencesfrequent grandiose thoughts 2. A nurse is administering a scheduled medication to a client. The client reports that the medication appearsdifferent thanwhatthey takehome.Whichofthefollowing responses should the nurse make? A. "Did the doctor discuss with you that there was a change in this medication? " B. "Do you know why this medication is being prescribed for you?" C. "I will call thepharmacist now to check on thismedication " D. "I recommend that you take this medication as prescribed" 3. A nurse is assessing a client who isin skeletaltraction for a fracturedleft tibia. Thenurse should Identify that which the following findings indicates altered tissue perfusion of the affected extremity? A. Purulent drainage atthe site B. Faint pedal pulse of left leg ) C. Pain with movement of the left great toe D. Warm skintemperature distalto pin site 4. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which ofthe following statements by the client indicates an understanding of the teaching? A. "I will decrease my dailyprotein intake to 15 grams per day" B. "I will use ibuprofen as needed to control abdominal pain" C. "I will take sucralfate with mealsthree times per" D. "I will avoid food and beveragesthat containcaffeine" 5. A nurse is caring for a client who isin the advanced stage of amyotrophic lateral sclerosis (ALS). Which of the following referralsisthe nurse's priority? A. Occupationaltherapist B. Social worker C. Speech-languagepathologist D. Psychologist 6. A nurse administers digoxin 0.125 mg POto an adult client. For which ofthe following findingsshould the nurse notify the provider? ) A. Constipation for 2 days B. Potassiumlevel 4.2 mEq/L ) C. Digoxin level 1 ng/mL ** normal levels 0.5- 2.0 D. Apical pulse 58/ min 7. A nurse is updating theplan of care for a client who hasan exacerbation of psoriasis.Which of the following interventions should the nurse include in the plan? A. Discontinue ultraviolet lighttherapy iflesions become itchy B. Coverlesions with an occlusivedressing after applyinga corticosteroid. C. Scrub external lesions with a pumice stone D. Instruct the client to add rubbing alcohol to bath water 8. A nurse is verifying a record ofinformed consentfor a client who scheduled for surgery. Which of the following actions should the nurse take? A. Provide Information on the informed consent form about the benefits of the surgery B. Confirmtheclient'ssignature is authentic C. Inform the client about the condition that requires treatment D. Explainthe procedure to the client before verifying informed consent.??? 9. A nurse is caring for a client who requeststhe creation of a living will. Which ofthe following actions should the nurse take? A. Schedule ameeting between the hospital ethics committee and client B. Determine the client's preferences about postmortem care C. Evaluate theclient'sunderstanding oflifesustaining measures D. Request a conference with the client'sfamily 10. A nurse in an emergency department caring for a toddler who has burnsfollowing a house fire. Which of the following actionsshould the nurse take first? A. Administer antibiotics prophylactically to prevent sepsis. B. Determine the location and depth of the burns. C. Calculate fluid replacement based on vitalsigns and urinary output. D. Check the mouth for soot and smoky breath. ABC’S 11. A nurse is caring for an older adult client whohasprescriptionsfor multiplemedications. Which of the following factors should the nurse identify as an age-related change that increasesthe risk for adverse effectsfrom medications? A. Prolonged medicationhalf-life B. Increasedmedication elimination C. Decreasedmedication sensitivity D. Rapid gastric emptying ) 12. A nurse is caring for a client who isin a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Expresssympathy for the client'ssituation. B. Confront the clientabout this behavior. C. Speak assertively to the client. D. Stand within 30 cm (1 fu of the client when speaking with them. 13. A nurse is reviewing the medical record of a client who is requesting combination oral contraceptives.Which of thefollowing conditionsin theclient's historyisa contraindication to the use of combination oral contraceptives? A. Hypocalcemia B. Diverticulosis C. Hyperthyroidism D. Thrombophlebitis 14. A nurse is creating aplan of care for a female client who hasrecurrent urinary tract infections.Which ofthefollowing interventionsshould thenurse include in theplan? A. Wearloose-fittingunderwear. B. Take a bubble bath afterintercourse C. Drink four 240 mL (8 oz) glassesof water each day D. Void every to 6 hr during the day. NO 15. A nurse is consultingapharmacological reference about medication compatibility priorto administering warfarin to a client. Which of the following medications should the nurse identify as being incompatible with warfarin? A. Magnesiumhydroxide B. Naproxen NSAID’S C. Lisinopril D. Propranolol 16. A nurse in an emergency departmentis caring for a clientfollowing a motor-vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following findings should the nurse expect? A. The withdraws from pain. B. The client isoriented timesthree. C. The dent is unable to obey commands non. D. The client opens eyesto sound. ) 17. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10- year-old child areaccompanying her.Which ofthefollowing actionsshould thenurse take to gather the client’s admission data? A. Request a female interpreter through the facility B. Ask nursing student who speaksthe same language asthe client to translate C. Allow the client’s partner to translate D. Have the client’s childtranslate 18. A nurse is planning care for a client who isrecovering froman acute myocardial infarction that occurred 3 days ago. Which of thefollowing interventionsshould thenurse Include? A. Perform an ECGevery 12hr. B. Place the client in a supine position while resting. C. Draw a troponin level every 4hr. D. Obtain a cardiac rehabilitation consultation. 19. A nurse in the infectious disease division of the local health department is caring for a client.Which ofthefollowing infectionsshould thenurse identifyshould bereportedto the health department? A. Clostridiumdifficile B. Human papilloma virus C. Herpes simplex virus D. Chlamydia trachomatis 20. A nurse is administering an intradermal injection for allergy testing to a client. Into which of the following sitesshould thenurse inject themedication? (You will find hot spotsto select in the artwork below. Select only the hot spot that corresponds to your answer 21. A nurse is caring for a client who has compartmentsyndrome following the application of a cast to the leg. Which of the following actionsshould the nurse take? A. Apply ice to the extremity B. Check the client’s pedalpulses. ) C. Administer a dose of antiemetic medication D. Position the client’s leg above the level of the heart ) 22. A nurse is caring for a client who speaks a language differentfromthenurse. Which ofthe following actions should the nurse take? A. Reviewthe facility policy about theuseof an interpreter. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Requestan interpreter of a different sex from the client. 23. A nurse is providing discharge instructions about newborn safety to a client who is2 days postpartum. Which of the following instructionsshould the nurse include? A. Change smoke detector batteries every other year. B. Use a carseat when traveling by airplane. C. Place a plastic waterproof sheet over the crib bedding. D. Laythe baby on his stomach to nap during the daytime. 24. A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of stepsthenursemanager should plan to take in response to the staffmembers conduct(Move the stepsinto thebox on the right placingthemorder of performance. Use all the steps) Set up ameeting to speak thestaff member about thebehavior Verbally remind the staff member of the expected chances Give the staff member a written warning about the behavior Suspend the staff member from work for several days Dismiss the staff member from employment at the 25. A nurse is assessing a client who has a prescription for hydrocodone PRN. Which of the following adverse effectsshould thenurse identity aspriority forwithholding thismedication and notifying the provider? A. Hypotension B. Nausea C. Constipation **normal side effect D. Urinary retention 26. A nurse isinitiating bladder retraining for a client who has urgeurinary incontinence. Which the following instructionsshould the nurse give the client? A. "Take your diuretic medication with your evening meal" B. "Decrease your intake of cranberry juice" C. "Plan to urinate every 3hourswhile you are awake" D. "Limit your fluid intake to 500 per day" ) 27. A nurse isteaching participantsat a community center about advancedirectives. Which of the following information should the nurse include in the teaching? A. A client must create a do not resuscitate order when completing advance directives. B. A health care surrogatemakes health caredecision when theclient isno longer able. C. Advance directives cannot be changed once implemented. D. Assigning a healthcare surrogate requires legal consultation. 28. A nurse is caring for a client who has bipolar disorder. Which ofthefollowing behaviors should the nurse identify indicating the clientis experiencing mania? A. The clientspeaks using word salad. B. The clientspeaks using echopraxia. C. The client issociallywithdrawn. D. The client is easily distracted by externalstimuli. 29. A nurse is caring for a client who has colon cancer and isterminally ill.The client states, "I can't believe I'm going to die." Which ofthefollowingstatementsshould thenursemake? A. "It might be comforting to pray for spiritual assistance." B. "Your doctor willmake sure you won't be in much pain " C. "Tellme whatis important toyou rightnow." D. "I felt the same way you're feeling when my mother died" 30. A home health nurse is teaching a new parent about caring for his 1-week-old infant. Which ofthe following statements bythe clientindicates an understanding oftheteaching? A. "I will avoid picking up my baby too often to keep from spoiling him will" B. "I will place a ticking clock nearbyto soothemy baby throughouttheday" C. "I will hang a pastel-colored mobile 24 inches above my baby's crib. " D. "I can use a firm pillow to prop up the bottle when feeding my baby. " 31. A nurse is assessing a client who isreceiving daily aspirin therapy.Thenurse should identify that which of the following findings might indicate an allergic reaction to this medication? A. Weight gain B. Blurred vision C. Difficulty swallowing D. High blood pressure 32. A nurse is creating a plan of care for a newly admitted client who has obsessivecompulsivedisorder. Which ofthefollowing interventionsshould thenurse include? A. Discourage the clientfrom exploring irrational fears. B. Provide negative reinforcement for ritualistic behaviors. ) C. Allowthe client enough time to performrituals. D. Give the client autonomy in scheduling activities. ) 33. A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which ofthefollowing actionsshould the nurse include in theplan of care? A. Give cromolyn nebulized solution every 8 hr. B. Offersmall amounts of clearliquids 6 hrfollowing surgery. C. Apply a warm compress to the operative site once daily. D. Administer analgesics on a scheduled basisfor thefirst 24hr. 34. A nurse is caring for a client admitted for alcohol usedisorder who reports using alcoholto deal with stress. Which of the following actions should the nurse take to assist the client in maintaining self-control of the behavior? A. Givepositive feedback to theclientfor using adaptive strategies. B. Discussstrategieswiththe clientto reduce alcohol consumption gradually. C. Provide the clientwith periods of alone time for reflection intheir behavior. D. Have the client’s partner assume responsibility formonitoring the client’s alcohol intake. 35. A nurse is providing dietary teaching to a client who hashyperlipidemia.Thenurse should include in the teaching that which of the following oils contains the lowest amount of saturated fats? A. Canola oil B. Olive oil C. Palmoil D. Coconut 36. A nurse isteaching a childbirth education classand isdiscussing sexual intercourseduring pregnancy. Which of the following statementsshould the nurse make? A. "Frequent intercourse increases the risk for miscarriage inearly pregnancy" B. "You should limit the frequency of intercourse after 34 weeks of pregnancy" C. "Your sexual desiremight increase during the first trimester of pregnancy" D. "The female superior position canbeused during thethird trimester ofpregnancy" 37. A nurse is caring for a client who has acute exacerbation ofmultiple sclerosis.Which of the following prescriptionsshould thenurse expect the provider to prescribe? A. Atorvastatin B. Enoxaparin C. Interferon beta-1a D. Amoxicillin ) 38. A nurse caring for a client who islabor and receiving oxytocin.Which ofthefollowing findingsindicatesthat the nurse should increase the rate of infusion? A. Urine output of 20mL / hr ?? B. Montevideo units consistently 300 mmHg C. Contractions every 5 min thatlast 30seconds D. FHR pattern with absent variability 39. A nurse is providing dietary teaching to a client who had an exacerbation ofCOPD.Which of the following information should the nurse include in the teaching? A. "While eating, you should drink liquidsfrequently. " B. "During meals, you should eatfoodswith ahigh-calorie contentfirst." C. "You should eat hot foods to reduce your sense of fullness during a meal" D. "Lunch should be your largest meal of the day" 40. A nurse is providing teaching abouttheadministration of gastrostomytubefeeding to the parents of a school age child. Which ofthefollowing Instructionsshould thenurse include? A. Administer the feeding over 30min B. Place the child in a supine position afterthe feeding C. Warm the formula in the microwave prior to administration D. Change the feeding bag and tubing every 3 days 41. A nurse in a community clinic iscaring for a client who requests assistance with smoking cessation.The nurse should expect aprescription forwhich ofthe following medications? A. Chlordiazepoxide B. Clonidine C. Bupropion D. Naltrexone 42. A newly licensed nurse is unsure if an assigned task is within their scopeof practice. Which of the following resourcesshould the nurse consult? A. Written prescription the provider B. Verbal direction from the nurse manager C. StateNursePractice D. Institutional policies andprocedures 43. A nurse is providing discharge teaching about car seatsafety to aparent of anewborn. Which offollowingstatements by theparentindicatesan understandingofthe teaching? A. "I will position my baby at a 45- degree angle in the car seat." B. "I will place my baby in a forward-facing carseat in my back seat" C. "I can placemy baby in the front seat with the airbag turned off" ) D. "I can turn baby's carseat around when she weighs 15 pounds" ) 44. A nurse is assessing a client who has heart failure and isprescribed a 2.000mL / 24 hr fluid restriction. Which of the following findingsshould the nurse reportto the provider? A. Watery stools of 400 mL in 8 hr ??? B. Urinary output of 420 mL in 8 hr ****420 x 3= 1260 – 2,000 retaining 740 ml x day C. Oral intake of 300 mL in 8 hr D. Intravenous intake of 240 mL in 8 hr 45. A nurse is caring for a client who is postoperative immediately following a cardiac catheterization with a right femoral approach Whichthe followingactionsshould thenurse take? A. Elevate the head of the client’s bed to 450 B. Instruct the client to flex the right every 30 min C. Assess the client'speripheral pulses every 15 min D. Change the client's dressing 4 hr following the procedure 46. A nurse isreviewing thecardiac rhythm of a client who ison continuous ECG monitoring. Which of the following findings should the nurse identify as an indication of ventricular tachycardia? A. QRS complexeswider than 0.15 seconds B. P-wave present with every QRS complex C. PR interval of 0.24 seconds D. Sawtooth shaped P waves 47. A nurse is providing teaching to a client who hasmultiple sclerosis. Which of thefollowing statementsshould the nurse include in the teaching? A. "Establish a voiding scheduleby urinatingonce every 4hours" B. "Limit your daily intake of high-fiberfoods" C. "Avoid exercisesthatincrease your body temperature" D. "Wear an eye patch over one eye for an entire day before switching" 48. A nurse is providingpreoperative teachingabout patient-controlled analgesia (PCA)to a client. Which of thefollowing statementsshould the nurse include the teaching? A. "You can adjust the amount of pain medication you receive by pushing on the keypad." B. "The PCA will deliver a double dose of medication when you push the button twice." C. "Continuous PCAinfusion is designedto allowfluctuating plasma medication levels." D. "You should push thebutton beforephysical activityto allow maximumpain control." 49. A nurse realizesthatthe wrong medicationhasbeen administered to a client. Which of the following actionsshould the nurse take first? A. Fill out an incident report ) B. Report the incident to the nurse manager C. Measure theclient'svitalsigns ) D. Notify the provider 50. A nurse isreviewing thefacility'ssafety protocols concerning newborn abduction with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching? A. Staff will applyidentification bands to my baby after her firstbath. B. "I will not publish apublic announcement about my baby's birth." C. I can remove my baby's Identification band aslong as she isin my room. D. "I can leave my baby in my room while I walk in the hallway 51. A nurse is assessing a client who immediately postoperative following a subtotal thyroidectomy.Thenurseobservestetany.Which ofthefollowing medicationsshould the nurse expect to administer? A. Potassiumchloride B. Sodium phosphate C. Sodium bicarbonate D. Calciumgluconate 52. A nurse is providing teaching to a client who isto begin externalradiation therapy for cancer. Which of the following Information should the nurse include? A. You might experience altered taste sensations B. Wash your skin thoroughly with a washcloth after each treatment C. Wear a binder over the radiation. D. Use rubbing alcohol to remove the ink markings. 53. A nurse is caring for a client who is 12 hr postoperative following aorta femoral bypass surgery.Which ofthe following findingsshould thenurse expectin theaffected extremity? A. Cool extremities B. Pedal pulse of 2+ C. Throbbing pain D. Capillary of 4 seconds 54. A nurse is preparing to administer an autologousblood productto a client. Which ofthe following actionsshould the nurse take to identify the client? A. Ensure that theclient’sidentification band matchesthenumber on theblood unit. B. Confirm the provider's prescription matches number on the blood component. C. Match the client’s blood type with the type and cross match specimen. D. Ask the client to state his blood type and the date of the blood donation. ) 55. A nurse isteaching a community health fair about electricalfireprevention.Whichofthe following information should the nurse include the teaching? ) A. Cover extension cords with a rug. B. Remove the plug from the socket by pulling the cord. C. Check for a tingling sensation around the cord to ensure the electricity working. D. Use three-pronged grounded plugs. 56. A nurse is caring for a school-agechild who hassickle cell anemia and isin vaso-occlusive crisis. Which of the following actionsshould the nurse take? A. Promote active range of motion exercise. B. Prepare for a transfusion of platelets. C. Increaseoral fluid intake D. Apply cold compresses to the affected areas. 57. A nurse is caring for a client who hasa history of depression andis experiencing a situational crisis. Which of thefollowing actionsshould the nurse take first? A. Teachthe clientrelaxation techniques. B. Notify the client’ssupport person. C. Confirmtheclient’s perception oftheevent. D. Help the clientidentify personal strengths. 58. A nurse is caring for a client who has gestational hypertension and is experiencing toxic effectsdueto magnesiumsulfate therapy.Thenurseshould anticipate administeringwhich of the following medications? A. Calciumgluconate B. Magnesiumcitrate C. Potassiumchloride D. Sodium bicarbonate 59. A nurse is caring for a client who isin labor and requires augmentation oflabor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin? A. Shoulder presentation B. Postterm with oligohydramnios ??? C. Chorioamnionitis D. Diabetes mellitus 60. A nurse is caring for a client who isreceiving brachytherapy fortreatment ofprostate cancer. Which of the following actionsshould the nurse take? A. Limit the client's visitorsto 30min per day B. Discard the client'slinensin a double bag. C. Cleanse equipment before removal from the client'sroom. ) D. Discardthe radioactive source in a biohazard bag. ) 61. A nurse is caring for a client who has aprescription for 1unit of packed RBCs. Fiveminutes after beginning the transfusion, the client becomes febrile with chills. After stopping the transfusion, which of the following actionsshould the nurse take? A. Place the blood bag in a biohazard bag before discarding. B. Document thereaction in themedicalrecord. C. Administer epinephrine subcutaneously. D. Infuse 500 mL lactated Ringer'sIV. **only Normal saline is usewithtransfusions 62. A nurse is providing teaching to a client who is breastfeeding and experiencing engorgement.Whichofthe following recommendationsshould thenurseinclude? A. Apply warmcompresses on thebreastsbefore feedings. B. Allow the infant to nurse on one breast per feeding, C. Take aspirinto reduce pain and swelling. D. Wear a tight-fitting underwire bra. 63. A nurse is providing teaching to theparent ofa child who hasa recently inserted central venous access device. Which of the following statements by the child's family member indicates an understanding of the teaching? A. "Will replace the dressing in 24 hours with an occlusive dressing." B. "If my child developsan elevated temperature. Iwill contact you." C. "I can expect my child to resume playing sports within 48 hours." D. "Ishould encourage a daily shower to keep the insertion site clean." 64. A nurse is caring for a client who tells the nurse that he feels he is being discharged from thefacility too soon.Which ofthe following stateby thenursedemonstrates client advocacy? A. "I know you will be able to recover faster at home." B. "I will contact your insurance company to see ifthey will pay for you to be here longer." C. "Your provider understands your illness andis acting according to your bestinterests." D. "I will tell theprovider about your concerns." 65. A nurse is planning care for a child who has neutropenia dueto leukemia. Which ofthe following interventionsshould the nurse include in the plan of care? A. Monitor the child for indications of active bleeding. B. Prepare the child for a platelet transfusion. W C. Screen the child's visitorsfor active infections. D. Initiate a low-protein diet for the child. 66. A nurse is assessing a client who is 30 min postoperative following an arterial thrombectomy.Whichofthefollowing findingsisthepriority forthenurse to report? A. Chest pain ) B. Cool, moist skin C. Incisional pain ) D. Muscle spasms 67. A nurse is providing teaching toa client who hasheart failure and anew prescription for furosemide. Which of the following statementsshould the nurse make? A. "Rise slowly when getting out ofbed." B. "Taking furosemide can cause you to be overhydrated." C. "Eat foods that are high in sodium." D. "Taking furosemide can cause your potassium levelsto be high." 68. A nurse isteaching a client who had a left below-the-knee amputation 3days ago.The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A. "I will change the wrapping on my left leg once a day at home." B. "I can elevate my left leg on a pillow while lying in bed." C. "Ishould avoid moving the joints in my left leg." D. "I might still experience the feeling ofnumbness and tingling in my left foot." 69. A nurse is helping to prepare a client in theoperating roomprior to a surgical procedure. Which of the following actions should the nurse take? A. Minimize conversation with the clientto reduce anxiety. B. Providepaddingto thepressurepoint areas when positioning theclient. C. Leave the client's arms and legs uncovered until afterthe induction of anesthesia. D. Remove the client's eyeglassesupon arrival to the operating room. 70. A nurse is preparing to measure thetemperatureofan infant.Which ofthefollowing actionsshould the nurse take? A. Place the tip ofthethermometer under thecenter ofthe infant'saxilla. B. Pull the pinna of the infant's earforward before inserting the probe. C. Insert the oral thermometer in front of the infant'stongue D. Insert the probe 3.8 cm (1.5 in) into the infant'srectum. 71. A nurse is assessing the grief response ofa client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder? A. "I am unable to feel any joy sincemy child died." B. "I amangry that my child died." C. "know that I will be reunited with my child someday." D. "I feel guiltybecause my child died." ) 72. A nurse isinterviewing thepartner of a client who wasadmitted in the manic phaseof bipolar disorder. The partner states. "I don't know what to do. Everything has been happening so quickly."Which of thefollowingresponses by thenurse istherapeutic? ) A. "You did the right thing by bringing your partner in for treatment." B. "You should make sure your partner takesthe prescribed medication." C. "Can you talk about what washappening with your partner at home?" D. "Why do you think your partner's symptoms are progressing so quickly" 73. A nurse in a clinic isassessing a 6-month-old Infant.Which ofthefollowing findingsshould the nurse report to the provider? A. Closed anterior fontanel ** posterior -closes around 2months, anterior at 12-18mths B. Pulse 140/min C. Abdominal breathing D. Respiratory rate 26/min 74. A nurse is caring for a client who isrecovering froman amputation ofher right arm below the elbow. Which of the following information should the nurse report to the occupational therapist? A. The client livesina two-story home. B. The client's parent isin a skilled nursing facility. C. The client is allergic to penicillin D. The client hastwo small children at home. 75. A nurse caring for a client who received a large amount of heparin IVin error.Which of the following laboratory values should the nurse obtain? A. Ferritin level B. Albumin level C. INR D. aPTT 76. A nurse is performing an initial assessment of anewborn.Which ofthe following actions should the nurse take to prevent any heatlossthrough conduction? A. Evaluate respirations by observing the newborn's uncovered chestfor 1 min. B. Cover the scale with a warmed blanket beforeweighing thebaby. C. Place the newborn's crib away from of an air vent to perform the assessment. D. Perform the assessment immediately after birth before removing amniotic fluid. 76. A client's partner tells a staff nurse that he overheard laboratory staff discussing the results of the client's biopsy report while on theelevator Which of the following actions should the nurse take? A. Review confidentialitypolicies with laboratory employees. B. Reportthe information to thechargenurse. C. Contact the laboratory manager regarding the situation ) D. Notify the facility'slegal department ) 77. A nurse isteaching a client who has chronic lowback painabouttheuseof alternative therapy to manage pain. Which of the following statements by the client indicates an understanding of the use of distraction? A. "Ishould apply my heating blanket to my back to reduce tension." B. "I will have electrodes inserted in my skinto treat the pain." C. "Ishould jog every morning to improve my circulation." D. "I will watch my favoriteold movieswhen Iwant to reduce stress." 78. A nurse is teaching a client who hassystemic lupus erythematosus(SLE). Which ofthe following statements by the clientindicates an understanding of theteaching? A. "I will not be able to go for my daily walk." B. "I will cleanse my skin using a mild soap." C. "I should apply powder to my skin aftershowering." D. "I should check my skin onceweekly for rashes." **need to bedonedaily 79. A nurse isteaching a group of clients who areplanning tohave bariatric surgery. Which of the following statements by a client indicates an understanding of the teaching? A. "I will consume 48 ounces of carbonated beverages dailyprior to the surgery." B. "Ishould reduce my daily caloric intake by 250 calories to lose 2 pounds each week after surgery." C. "I will need to lose 25 percent of my excess body weight prior to surgery. D. "I should wait 30minutesafter eating solid foodsto drink beveragesfollowing surgery." 80. A nurse isteaching a client who istrying to conceive. Which of thefollowing should the nurseinstruct the client to increase in her dietto prevent a neural tube defect? A. Iron B. Calcium C. Folate D. Zinc 81. A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement. and the nurse offers a bed pan. The client states. "I've always used the bathroom." Which of the following responsesshould the nurse make? A. "I will have the physicaltherapist ambulate you to the bathroom." B. "You have to use the bed pan for your own safety." C. "Make sure to use nearby furniture to support yourself when walking to the bathroom" D. "Tell me what concerns you have about using a bed pan." 82. A nurse isreviewing laboratory data from a client who has chronic kidney disease. Which ) of thefollowing findingsshould the nurse expect? A. Increased calcium ) B. Increased bicarbonate C. Increased creatinine D. Increased hemoglobin 83. A nurse is obtaining a urine specimen from a client who has had an indwelling urinary catheter for threedays.Which of thefollowingactionsshould thenurse take after collecting the specimen? A. Place the specimen in a biohazard bag for transport. B. Wipe theoutsideof thespecimen container with an alcohol swab. C. Obtain the specimen from the drainage collection bag. D. Remove gloves after labeling the specimen 84. A newly licensed nurse isreviewing theroleof anurse in disaster planning. Which ofthe following is an activity anurse should engage in to assist in disaster preparedness? A. Vaccinate susceptible childrenand adults againstsmallpox. B. Assesstypes, levels, and scopes of disasters. C. Make quarantine preparations for those exposed to anthrax, D. Participate in communitydrillsand mock events. 85. A nurse is caring for several clients on amedical-surgical unit. Forwhich ofthe following nursing activitiesisit required that thenurse we use sterile gloves? A. Performingtracheostomy care B. Administering total parenteral nutrition through a central venous access device C. Inserting an NG tube D. Initiating IV access 86. A charge nurse is recommending postpartum clients for discharge following a local disaster.Which ofthe following clientsshould thenurserecommend for discharge first? A. A client who delivered precipitously36hr ago and hasa second-degreeperineal laceration B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago C. A client who received 2 units of packed RBCs 6 hr ago for a postpartum hemorrhage D. A 42-year-old clientwho has preeclampsia and a BP of 166/110 mm Hg 87. A nurse isreviewing thelaboratoryresults of a client who hasrheumatoid arthritis.Which of the following findingsshould the nurse report to the provider? A. Platelets 150,000/mm3 B. Erythrocyte sedimentation rate 75mm/hr C. Aspartate aminotransferase 10 units/L D. WBC count 8,000/mm3 88. A nurse is discussing group treatment and therapywith a client. Thenurse should include ) which of the following as being a characteristic of a therapeutic group? A. The group encourages clientstoform dependent relationships. ) B. The group encourages members to focus on a particular issue. C. The group is organized in an autocratic structure. D. The group must beled by a licensed psychiatrist. 89. A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following knee replacementsurgery.Which ofthe following instructions should the nurse include? A. Place a throw rug over electrical cords. B. Encourage the client to avoid wearing shoes at home, C. Mark the edges of the doorway to the house with tape.??? D. Ensure that area rugshave rubber backs. 90. A nurse is assessing a client who isreceiving packed RBCs. Which of the following findings indicatesfluid overload? A. Dyspnea B. Thready pulse C. Low-back pain D. Hypotension 92. A nurse is admitting an older adult client who is transferring from another facility. The nursenotes pressureulcers on the client's coccyxand abrasions around both wrists. Which of the following actionsshould the nurse take to addresssuspicions of elder abuse? A. Contact the family regarding the client's condition B. Inform the transferring agency of the client's condition. C. Notify risk management. D. Privately interviewthe client about theinjuries. 93. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine.Thenurse should instruct theclientthatitissafe eat which of the following foods while taking this medication? A. Smoked salmon B. Pepperoni pizza C. Whole grain bread D. Avocados 94. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestationsindicatesacute chestsyndrome and shouldbeimmediately reported to the provider? A. Substernalretractions B. Sneezing ) C. Hematuria D. Temperature 37.9°C(100.2°F) ) 95. A nurse istalking with another nurseon theunit and smells alcohol onher breath. Which of the following actionsshould the nurse take? A. Notify thenursing supervisor aboutthesuspected alcohol use. B. Inform another nurse on the unit about the suspected alcohol use. C. Confront the nurse about the suspected alcohol use. D. Ask the nurse to finish administering medications and then go home. 96. A nurse is caring for anewborn who isexperiencing neonatal abstinence syndrome. Which of the following actionsshould the nurse take? A. Provide frequent stimulation forthe newborn. B. Encourage frequent eye contact with the newborn during feedings C. Wrap the newborn loosely in a blanket. D. Decrease thelighting levelsin thenursery. 97. A nurse and an assistive personnel (AP) are assigned a group of clients on theunit. Which of the following clients should the nurse instructthe AP to report to the nurse? A. A client who hasaprescription for compression stockings and did notreceive them B. A client who consumes allthe food from their meal tray C. A client who requests assistance touse the bedside commode D. A client who requests to sit in the bedside chair while watching TV 98. A nurse is providing teaching to a client who isexperiencing pretermcontractions and dehydration. Which of the following statementsshould the nurse make? A. "Dehydration can increase the risk for pretermlabor." B. "Dehydration istreated with calciumsupplements." C. "Dehydration is associatedwithgastroesophagealreflux." D. "Dehydration is causedby a decreasedhemoglobin and hematocrit. *the contrary increase 99. A nurse is preparing a change-of-shift report for an adult female client who is postoperative.Which ofthefollowing clientInformation should thenurse include in the report? A. RBC 4.4 million/mm3 B. Hgb 12.8 g/dL C. Platelets 100,000/mm ** normal 150,000- 400,000 D. Potassium4.2 mEq/L 100. A nurse is performing gastriclavage for a client who hasupper gastrointestinal bleeding. Which of the following actions should the nurse take? A. Instruct the client to lieon his right side.No - Intubate, ET tube stabilizer, Ltlateral, large ) bore, verify placement, aspirate gastric content , use warm NSS, charcol. B. Use a cold irrigation solution. ) C. Insert a largebore NG tube. D. Instill 500 mL of solution through the NG tube. 101. A nurse is caring for a client who is experiencing acute mania. Which ofthe following foodsshould the nurse provide for this clients? A. Oatmeal with butter B. Peanut buttersandwich C. Celery sticks D. Chicken noodle soup 102. A nurse is providing discharge teaching to a female client who has tuberculosis and a newprescription for rifampin.Which ofthefollowinginformation should thenurse include? A. "You should avoid sun exposure while taking this medication." B. "You should avoid getting pregnant for 6 months afterstopping this medication." C. "Your urinewillbe orangewhile taking thismedication." D. "Weight gainis an expected adverse effect of this medication." 103. A nurse is preparing to initiate IVtherapy for anolder adult client. Which ofthe following actionsshould the nurse plan to take? A. Apply a tourniquet firmly above the insertion site. B. Use a 22-gauge catheter forinsertion??? Thisis correct C. Cleanthe site using vigorous friction. D. Select a vein on the back of the hand. 104. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dL. Which of the following manifestationsshouldthenurse expect? Newborn BSL 40-50 A. Abdominal distention B. Hypertonia C. Loose Stools D. Jitteriness 105. A nurse is planning care for a client who is postoperative following a total hip arthroplasty.Which ofthefollowingactionsshould thenurseplan to takewhen positioning the client? A. Flex the client's hip up to 120° when sitting in a chair. B. Maintain the client in a supine position for the first 24 hr after surgery. C. Ensure that the client's hip remainsin an abducted position. D. Place the client's heels directly againstthe bed mattress. 106. A nurse is reviewing legal issuesin health care with a group of newly licensed nurses. Which of the following recommendationsshould the nurse make? ) A. Ensure that each client has a living will on file prior to treatment. ** not always pt has living will RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 nurse is caring for a client wh following medicationsshould t egabalin deine ) B. Overestimate clients' acuity toprevent short staffing. C. Place copies of incidentreports in clients' medicalrecords. D. Obtain personal professional liabilityinsurance coverage 107. A nurse is assessing a client who hasbipolar disorder and isexperiencing a depressive episode. Which of the following findings should the nurse expect? A. Clientexpressesillusions of grandeur B. Inability to carry out a simple task C. Moves quickly from one idea to the next D. Clientreports auditory hallucinations 108. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions aboutthedisease. To research thedisease,thenurse should identify that which of the following electronic databases hasthe most comprehensive collection of nursing journal articles? A. MEDLINE B. CINAHL C. ProQuest D. Health Source 109. A nurse in the emergency department is assessing a newly admitted client who is experiencing drooling and hoarsenessfollowingaburn injury.Which ofthefollowing actions should the nurse take first? A. Obtain a blood specimen for ABG analysis. B. Insert an 18-gauge IV catheter. C. Apply 100% humidified oxygen D. Obtain a baseline ECG. 110. A staff education nurse is evaluating a group of nurses during a new employee orientationon theuseofproper body mechanicswhen lifting. Which ofthe following images indicatesthe appropriate use of ergonomic principles? 111. A o hasfibromyalgia and requestspain medication. Which of the he nurseplan administer? A. Pr RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) B. Co C. Co RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) D. Lorazepam 112. A nurse is caring for a client who hasgeneralized petechiae and ecchymoses.Thenurse should expect aprescription for which of the following laboratory tests? A. Prealbumin B. Creatinine clearance C. Platelet count D. Potassiumlevel 113. A nurse is caring for a client following application of a cast.Which ofthefollowing actionsshould the nurse take first? A. Position the castedextremity on a pillow. B. Teachthe client to keep the cast cleanand dry. C. Palpate thepulsedistalto the cast. D. Place an ice pack over the cast. 114. A nurse is counseling a group of clients from a town that was affected by a hurricane 6 monthsago.For which of the following clientsshould thenurse initiate a referral to assessfor the presence of posttraumatic stress disorder? (Select all that apply.) A. A client who hasfrequent nightmaresabout thehurricane. B. A client who describeshaving persistentfeelingsof anger aboutthehurricane. C. A client who expresses a realization that lifewill not return to the way it was before the hurricane. D. A client who moved to an apartment located on higher ground than her previous home. E. A client who describesfeeling disconnected fromthose around himfollowing the hurricane. 115. A nurse is caring for a client who has a pressure injury on the coccyx. Which of the following findingsshould indicate to thenurse that thewoundis a stage III pressure injury? A. Subcutaneousfatis visible. B. Slough and eschar are present. C. Bone is exposed within the wound. D. The skin isreddened and intact. 116. A nurse in an emergency department is assessing a client who has major depressive disorder.Which ofthefollowing actionsshould thenurse take first?(Click on the exhibittabs for additional Information about the client. There are three tabs that contain separate categories of data.) RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) Exhibit 1 RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) Vital Signs:Temperature 37.30 C (99.10 F), Pulse 90/min, Respiratory rate 18/min, BP 140/90 mm/Hg A. Administer ondansetron to the client for nausea. B. Obtain a blood glucose level. C. Obtain the client's weight. D. Implement seizureprecautionsforthe client. 117. A nurse is giving an Intramuscularinjection to a newborn who was delivered at 38 weeks of gestation. Which of the following pain scales should the nurse use to assess the newborn's pain? A. Neonatal Infant Pain Scale (NIPS) B. visual analog scale (VAS) C. FACES pain rating scale D. Premature Infant Pain Profile (PIPP) 118. A nurse is teaching a client aboutusing a 3-point gait for crutch-walking.Which of the following actions by theclient indicates understanding of the teaching? A. Places weight on the axilla when advancing crutches B. Appliesfull weight on the affected sidewhen advancing crutches C. Uses both crutcheswhen advancing the affectedleg D. Advancesthe affected leg first prior to the nonaffected leg 119. A chargenurseis assigning client care tasksfortheupcoming shift. Which of the following tasksshould the charge nurse assign to an RN? A. Inserting an endotracheal tube B. Obtaining blood culturesfroma central catheter C. Inserting an epidural catheter D. Performing a thoracentesis 120. A nurse is preparing to administer eye drops to a school-age child, Identify the actions thenurse should take. (Movethe stepsinto thebox on theright placing them in theorder of performance. Use all the steps.) Place the child in a sitting position Ask the child to look upward. Pullthelower eyelid downward. Instill thedropsof medication. Apply pressure to the lacrimal punctum RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) 121. A nurse is preparing to performa sterilewound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? A. Putting on sterile gloves afterpreparing the sterile field B. Applying a sterile gown after applying a sterile mask C. Balancing thebottleon thesterilebasin whilepouring the liquid D. Placing the supplies on the sterile field and leaving a 1-inch perimeter 122. A nurse is planning teaching for a client who has a new diagnosis of HIV. Which of the following informationshould thenurse include aboutpreventingthespread of theinfection? A. Wash soiled clothesin cold water B. Buy disposable dishesfor daily use. C. Clean blood-contaminated surfaceswith bleach D. Use condoms with a petroleum-based lubricant. 123. A nurse is caring for a client who is comatose and has advance directives that indicate theclient doesnot wantlife-sustaining measures. Theclient'sfamily wantsthe clientto have life-sustaining measures. Which of the following actionsshould the nurse take? A. Arrange for an ethics committeemeeting to addressthe family's concerns. B. Complete an Incident report C. Support the family's decision andinitiate life-sustaining measures. D. Encourage the family to contact an attorney. 124. A nurse is screening food brought in by a family member for a client who takes phenelzine.The nurse should instructthefamily member that which ofthefollowing foods can cause an interaction with this medication? A. Cottage cheese B. Bologna sandwich C. Orange gelatin D. Iceberg lettuce salad 125. A nurse is providing teaching to a client who hasa new prescription for warfarin.The nurse should include that which of the following medications can increase the effects of warfarin? A. Oral contraceptives B. Nafcillin** antibiotic –may decrease the effect of warfarin C. Aspirin D. Vitamin 126. A nurse is providing teachingto a client who isscheduled for radiation therapy to treat RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) esophageal cancer.Which ofthe following statementsshould thenursemake? A. "Soften foodswith gravy and sauces." RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) B. "Drink mostly clearliquids." C. "Use commercial mouthwashes to rinse your mouth" D. "Warm up foods before eating." 127. A nurse is caring for a 1-month-old Infant who has manifestations ofseveredehydration and a prescription for parenteral fluid therapy. The guardian asks, "What are the indications that my baby needs an IV?" Which of the following responsesshould thenurse make? A. "Your baby needs an IV because she is breathing slowerthan normal." B. "Your baby needs an IV because she is not producing tears." C. "Your baby needs an IV because her fontanels are bulging." D. "Your baby needs an IV because her heart rate is decreased." 128. A nurse is providing discharge teaching to a group of clients.Thenurse should recommend a referral to a dietitian for which of the following clients? A. A client who has osteoporosis and states, "I’ll plan to take my calciumcarbonate with a full glass of water." B. A client who has gout and states. "I can continue to eat anchovieson my pizza." C. A client who has a prescription for spironolactone and states. "I willreduce my intake of foods that contain potassium." D. A client who has a prescription for warfarin and states. "I will need to limit how much spinach Teat." 129. A nurse is assessing a client who hasleft-sided heart failure. Which ofthefollowing findingsshould the nurse identify as a manifestation pulmonary congestion? A. Jugular vein distention B. Bradypnea NO ** breathing rate lower C. Frothy,pink sputum D. weight gain 130. A nurse is admitting a client who doesnot speak thesamelanguage asthenurse and is scheduled for outpatientsurgery. Which ofthe following actionsshould thenurse take? A. Explainthe procedure to the client through an interpreter. B. Provide a consent formthat iswritten in the client's own language. C. Request a family member to interpret the information. D. Help the client look up the information about the procedure on the Internet. 131. A nurse is preparing to admit a client who is 35 weeks of gestation for evaluation of fetal well-being due to potential pretermlabor. Which of the following piecesof equipment should the nurse use to evaluate the fetal heart rate? RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) A. Ultrasound transducer B. Toco transducer RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) C. Intrauterine pressure catheter D. Spiral electrode 132. A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control.Which ofthefollowing entriesshould thenursemake in the medical record? A. "Morphine 3.0 mg sub q every 4 hr PRN for pain." B. "Morphine 3 mg SQ every 4 hr PRN for pain." C. "Morphine 3mg subcutaneous every 4hr PRNfor pain." D. "Morphine 3 mg SC 24 hr PRN for pain." 133. A nurse is preparing to assess a 2-week-old newborn.Which ofthefollowing actions should the nurse plan to take? A. Assessthenewborn’s pain level using the FACES pain scale B. Obtain the newborn's body temperature using a tympanic thermometer, C. Auscultate thenewborn's apical pulse for 60seconds. D. Measure the newborn's head circumference over the eyebrows and below the occipital prominence 134. A community health nurse isreviewing laboratory reportsfor a group of clients. The nurse should identity that which of the following disorders is on the CDC's Nationally Notifiable Conditionslist? A. Pediculosis capitis B. Bacterial vaginosis C. Lymedisease D. Respiratory syncytial virus 135. A nurse is caring for an infant who has diaper dermatitis.Which ofthefollowing actions should the nurse take? A. Wipe stool from the skinusing store-bought baby wipes. B. Apply talcumpowder to the irritated area. C. Wipe urine from the skin using a cool cloth. D. Apply zinc oxideointment to theIrritated area. 136. A nurse isreviewing themedicalrecord of a client who has aprescription for intermittent heat therapy for a foot Injury. Which of the following findings should the nurse identify as a contraindication for heat therapy? A. Peripheral neuropathy B. Phlebitis RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) C. Osteoarthritis D. Abdominal aortic aneurysm RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) 137. A nurse is providing discharge instructions to a client who has a new prescription for spironolactone.Which of thefollowinginstructionsshould thenurseinclude intheteaching? A. Take themedication in themorning. B. Administer a potassiumsupplement daily. C. Monitor weight once a week. D. Use a saltsubstitute with meals 138. A nurse isteaching a client who plansto begin following vegan dietary guidelines.Which of the following Information should the nurse include? A. Choose high-fat cheese as ameat substitute. B. Choose foods high in vitamin B12. C. Limit Intake of foods high in vitamin C. D. Limit Intake of nuts and legumes. 139. A nurse is reviewing the laboratory results of a client and notes increased values for hemoglobin,hematocrit, and urineosmolarity.Thenurse should identifythat these results are manifestations of which of the following client conditions? A. Anemia B. Acute renal failure C. Hepatic failure D. Dehydration ** fluid deficit 140. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemisphere stroke. Which of the following Interventions should the nurse include in the plan? A. Provide total care in performing the client's ADLs. B. Place food on the leftside of the client's mouth when he isready to eat. C. Place the client'sleft arm on a pillow while heissitting. D. Maintain the client on bed rest. 141. A nurse in a mentalhealth facility receives change-of-shift reportfor four clients. Which of the following clients should the nurse plan to assess first? A. A client placed in restraints dueto aggressivebehavior. B. A newly admitted client who has a history of 4.5 kg (10 lb) weight loss inthe past 2 months. C. A client who will be receiving her first ECT treatment today. D. A client who received a PRN dose of haloperidol 2 hr agofor increased anxiety. 142. A nurse is planning care for a group of clients and is working with one licensed practical nurse(LPN) and oneassistivepersonnel (AP).Which o following actionsshould thenursetake first to manage her time effectively? RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) A. Delegate taskstothe AP. B. Determine goals of theday. RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) C. Schedule daily activities. D. Develop an hourly time frame for tasks. 143. A nurse is evaluating the response to the plan of care for a client who is grieving the death of apartner.Which ofthefollowing findingsshould thenurseidentify asindicating that the client is experiencing maladaptive grieving? A. The client hasjoined a support group. B. The client openly expresses anger when discussing thepartner'sdeath. C. The clientreports feelings of guiltabout the partner's death. D. The clientreports having good and bad days. 144. A nursemanager isplanning to promote client advocacy among staff on amedical unit. Which of the following actions should the nurse plan to take? A. Instruct unit staffto share personal experiences to help clients make decisions. B. Develop a system forstaff membersto reportsafety concernsin theclient care environment C. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. D. Tellstaffto explainprocedures to clients before obtaining informed consent. 145. A nurse is caring for a client who has cancer of the throat and is receiving radiation therapy.Thenurseshould monitorforwhich ofthefollowingfindingsasan adverse effect of the radiation? A. Insomnia B. Elevatedplatelet count C. Altered taste sensation D. Excessive salivation 146. A nurse is teaching a group of newly licensed nurses about measuresto take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching? A. Place the client in a room with negative air pressure. B. Wear amask when changing the linensin the client's room. C. Remove the protective gown afterleaving the client'sroom. D. Wear gloveswhen providing care to the client. 147. A nurse is caring forfour clients on amedical-surgical unit.Forwhich ofthe following clientsshould the nurse complete a medication reconciliation? A. A client who received twice theprescribed doseof amedication B. A client who has a prescription for a gallbladdersonogram RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) C. A client who returns to the unit from the PACU following surgery D. A client who transfers from a private room into a semi-private room RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) 148. A nurse is obtaining a client'smanualblood pressure and ishaving difficulty auscultating sounds. Which of the following actionsshould the nurse take? A. Place the arm above the level of the client's heart. B. Deflate the cuff quickly. C. Apply the largest cuff available. D. Use thepalpatory method todetermineblood pressure. 149. A nurse is performing a safety assessment for a client who has Parkinson's disease. Which ofthe following statements bythe clientindicatestheneed for a referral to physical therapy? A. "have been experiencing more tremors in my left arm than before." B. "I noticed that I amhaving a harder time holding on to my toothbrush." C. "Sometimes, I feel like I am making a chewing motion when I'm not eating." D. "Lately, I feel likemy feet are freezing up, asif they arestuck to theground." 150. A nurse is preparing toadministerlevothyroxine 50microgramsto a client. Available is levothyroxine 0.025 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 2 tablet(s) 151. A community health nurse is developing a plan to Improve the community's environmental health.Which ofthefollowing actionsshouldthenurse take first? A. Encourage community involvement in environmental improvement. B. Requestfunding from community organizations. C. Establisha timeframe for environmental improvements. D. Collectinformationaboutthe community'senvironment status. 152. A nurse is admitting a client who has dementia to a long-termcare facility. Theclient tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings? A. Perseveration B. Confabulation C. Projection D. Agnosia 153. A nurse is caring for a client who isreceiving continuous enteralfeedings. Whichofthe following actionsshould thenurse take? (Select all that apply). A. Change the feeding container and tubing every 24 hr. B. Ensure the formula is cold before administration. RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) C. Maintain thehead of theclient'sbed at a 30° angle or higher. D. Check gastric residuals every 4 hr. RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) E. Check placement of the feeding tube by X-ray once daily. 154. A nurse is reviewing the laboratory report of a client who has been receiving lithium carbonate for the past 12 months.Thenurse notes a lithiumlevel of 0.8mEq/L. Which ofthe following ordersfrom the provider should the nurse expect? A. Withhold the next dose B. Increase the dosage C. Administerthemedication. D. Discontinue the medication. 155. A nurse is caring for a client who has hypertension and a new prescription for chlorthalidone.Thenurse should monitorforwhich ofthe following adverse effects? A. Hypoglycemia B. Increasedintraocular pressure C. Hypokalemia D. Euphoria 156. A nurse is caring for a client who has chronic pancreatitis.Which ofthe following dietary recommendationsshould the nurse make? A. Warm toast with margarine B. Broiled,skinless chicken breast with brown rice C. Lettuce with slicedavocados D. Coffeewith creamer 157. A chargenurseis planning a staff education andcompetence session about operating newly acquired cardiac monitoring equipment. Which of the following actions should the nurse plan to take? (Select all that apply.) A. Caution staffthat the equipment is complicated to use. B. Identify the currentlevelofstaff knowledge aboutthe equipment. C. Provide reinforcement of teaching until the skill islearned. D. Require a return demonstration using theequipment. E. Wait to offer feedback on staff use of the equipment until the end of the session. 158. A nurse is reviewing the formulary about NPH Insulin before administering the medication to a client.Which of thefollowing Information should thenurse expect? A. Discardthe NPH Insulin vial ifthe medication is cloudy. B. UseNPH Insulinto treat ketoacidosis. C. AdministerNPHinsulin 30 min beforebreakfast. D. Give NPH Insulin by IV bolus. 159. A nurse is planning care for four clients who areatrisk for fluid imbalances. Thenurse RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) should identify that which ofthe following clientsis at risk for fluid volume excess? A. A client who has ulcerative colitis RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 ) B. A client who has diabetes insipidus C. A client who has advanced stage liver cirrhosis D. A client who has an exacerbation of peptic ulcer disease 160. A nurse is preparing to administer ablood transfusion toa client.Which ofthefollowing actionsshould the nurse take? A. Use an IV catheter that is atleast24-gauge. B. Attach a single-line administrationset. C. Use tubing that does not have a filterin the drip chamber. D. Prime the tubing with 0.9% sodium chloride. 161. A nursemanager isreviewing documentation with anewly licensed nurse.Which ofthe following notationsby thenewly licensed nurse indicates an understanding of theteaching? A. "Administered 8 u regular insulin sq." B. "Dressing changed qd." C. "Given 2 mg MSO, IM for report of pain." D. "OOB with assistance for breakfast." 164. A nurse is caring for a client who has depression and reportstaking St. John's wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances? A. Pseudoparkinsonism B. Acute dystonia C. Tardive dyskinesia D. Serotonin syndrome 165. A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapyto obtain a copy ofthetherapist'snotes.Which ofthefollowingresponses should the nurse make? A. "Wecan provide a copy of your records,butthetherapist'snotes arenotincluded." 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 166. A nurse is completing an incident report after a client fall. Which ofthe following competenciesofQuality and SafetyEducation forNursesisthenursedemonstrating? A. Quality improvement B. Informatics C. Patient-centered care D. Evidence-basedpractice RN VATI COMPREHENSIVE PREDICTOR 2023 REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 )