PN COMPREHENSIVE PREDICTOR VATI
FORM A EXAM WITH ACCURATE
SOLUTIONS
A nurse is caring for four clients. Which of the following client statements should the
nurse attend to first? - correct answers -"My heartburn pain is going into my jaw now."
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal
tube. Which of the following actions should the nurse take? - correct answers -Perform
oral care every 2 hr.
A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the
following laboratory values should the nurse check prior to administering the
medication? - correct answers -- PT
- INR
, A nurse is collecting data from a client who is at 9 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse expect? -
correct answers -Weight loss
A nurse is reinforcing teaching with a client about the importance of a low sodium diet.
Which of the following foods should the nurse recommend as the best choice to include
in a low sodium diet? - correct answers -2 tbsp of peanut butter
A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the
following findings should the nurse report to the provider? - correct answers -The
toddler can say four words.
A nurse is collecting data from a client who has diabetes mellitus. Which of the following
findings indicates that the client might be experiencing diabetic ketoacidosis? - correct
answers -Kussmaul respirations
A nurse is reinforcing teaching with a client who has a permanent pacemaker in place.
Which of the following statements by the client indicates an understanding of the
teaching? - correct answers -"I need to record my pulse rate daily."
A nurse is caring for a client who is in mechanical restraints after becoming violent with
a staff member. Which of the following actions should the nurse take? - correct answers
-Document in the clients medical record every 15 min.
A nurse is reinforcing teaching about self-administration of nasal drops with a client.
Which of the following positions should the nurse recommend for instillation of the
drops? - correct answers -Supine
A nurse is preparing to administer furosemide to a client who has heart failure. Which of
the following laboratory results should the nurse review prior to administering the
medication? - correct answers -Potassium
A nurse is caring for a client who has methicillin-resistant staphylococcus aureus
(MRSA) infection. Which of the following actions should the nurse plan to take? - correct
answers -Don a gown and gloves when providing perineal care
A nurse is assisting with the plan of care for a client who has dementia and often
wanders in the halls at night. Which of the following interventions should the nurse
recommend including in the plan of care? - correct answers -Labeling the clients
bathroom door
A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about
scope of practice. Which of the following responsibilities should the nurse include in the
teaching? - correct answers -Providing direct client care
FORM A EXAM WITH ACCURATE
SOLUTIONS
A nurse is caring for four clients. Which of the following client statements should the
nurse attend to first? - correct answers -"My heartburn pain is going into my jaw now."
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal
tube. Which of the following actions should the nurse take? - correct answers -Perform
oral care every 2 hr.
A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the
following laboratory values should the nurse check prior to administering the
medication? - correct answers -- PT
- INR
, A nurse is collecting data from a client who is at 9 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse expect? -
correct answers -Weight loss
A nurse is reinforcing teaching with a client about the importance of a low sodium diet.
Which of the following foods should the nurse recommend as the best choice to include
in a low sodium diet? - correct answers -2 tbsp of peanut butter
A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the
following findings should the nurse report to the provider? - correct answers -The
toddler can say four words.
A nurse is collecting data from a client who has diabetes mellitus. Which of the following
findings indicates that the client might be experiencing diabetic ketoacidosis? - correct
answers -Kussmaul respirations
A nurse is reinforcing teaching with a client who has a permanent pacemaker in place.
Which of the following statements by the client indicates an understanding of the
teaching? - correct answers -"I need to record my pulse rate daily."
A nurse is caring for a client who is in mechanical restraints after becoming violent with
a staff member. Which of the following actions should the nurse take? - correct answers
-Document in the clients medical record every 15 min.
A nurse is reinforcing teaching about self-administration of nasal drops with a client.
Which of the following positions should the nurse recommend for instillation of the
drops? - correct answers -Supine
A nurse is preparing to administer furosemide to a client who has heart failure. Which of
the following laboratory results should the nurse review prior to administering the
medication? - correct answers -Potassium
A nurse is caring for a client who has methicillin-resistant staphylococcus aureus
(MRSA) infection. Which of the following actions should the nurse plan to take? - correct
answers -Don a gown and gloves when providing perineal care
A nurse is assisting with the plan of care for a client who has dementia and often
wanders in the halls at night. Which of the following interventions should the nurse
recommend including in the plan of care? - correct answers -Labeling the clients
bathroom door
A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about
scope of practice. Which of the following responsibilities should the nurse include in the
teaching? - correct answers -Providing direct client care
