Light Exam
COMPLETED VATI Greenlight STUDY SET
2024-20245 Already Graded A+ NEW
,Multiple choice
1. A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of the
following screening tests at 16 weeks of gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
C. Nonstress test -28 weeks
D. Maternal serum alpha-fetoprotein- 16 to 18 weeks - ANSWER-D. Maternal
serum alpha-fetoprotein- 16 to 18 weeks
2. A nurse is caring for a client who is on bed rest. The nurse should recognize
that which of the following findings is a complication of immobility?
A. Decreased serum calcium levels- increased serum calcium
B. Increased blood pressure- hypotension
C. Swollen area on calf
D. Urinary frequency- - ANSWER-C. Swollen area on calf
3. A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications? A. Vomiting
B. Hypertension
,C. Epigastric pain
D. Contractions - ANSWER-D. Contractions
4. A nurse is providing teaching to an older adult client about methods to
promote nighttime sleep. Which of the following instructions should the nurse
include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime - ANSWER-D. Eat a light snack before bedtime
5. A nurse on a telemetry unit is caring for a client who becomes unconscious
and whose monitor displays ventricular tachycardia. Which of the following
actions should the nurse take first after determining the client does not have a
palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine - ANSWER-B. Defibrillate
6. A nurse is admitting a client who 1 week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client.
The client's partner and 10-year-old child are accompanying her. Which of the
following actions should the nurse take to gather the client's admission data?
, A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate -
ANSWER-C. Request a female interpreter through the facility
7. A nurse is caring for a client who is febrile. To reduce the client's fever, the
nurse applies a cooling blanket. Which of the following findings indicates the
client is having an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering - ANSWER-d. Shivering
8. A nurse is caring for a client who has deep-vein-thrombosis of the left lower
extremity. Which of the following actions should the nurse take? (Exhibit) A.
Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr - ANSWER-B. Withhold heparin IV
infusion PTT- 30-40 seconds; x2 if on heparin