VATI GREEN LIGHT COMPREHENSIVE FORM A,B,C 2025/26 NEWEST
ACTUAL EXAM 3 VERSIONS COMPLETE 640+ QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
1. A client who has a diagnosis of complete placenta previa is admitted to the
labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1 min in
duration. Which of the
following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
,C. Prepare the client for a cesarean section
D. Perform a vaginal exam ANS Prepare the client for a cesarean section
2. A nurse enters a client's room and finds the client lying on the floor in a
puddle of water. Which of
the following statements should the nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed
down
B. Client's roommate thinks the client is confused and fell when getting out of
bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table ANS Client found
lying on the floor near the bedside table
3. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit.
Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treat-
ments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following place-
ment of a Herrington rod ANS A 10-year-old client who has pneumonia and is
,receiving respiratory treatments
4. A nurse is preparing to administer vancomycin to a client who has an
infected wound. The nurse
should plan to monitor for which of the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
, C. Hypercalcemia
D. Hypertension ANS Ototoxicity
5. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the
nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit ANS Generalized edema
6. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer.
The client has two school-age children and a limited support system. Which
of the following is the
priority nursing action?
A. Inform the client of available community resources
B. Assist the client in finding childcare options
C. Agree upon short-term goals for the client
4 B/ B49
ACTUAL EXAM 3 VERSIONS COMPLETE 640+ QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
1. A client who has a diagnosis of complete placenta previa is admitted to the
labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1 min in
duration. Which of the
following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
,C. Prepare the client for a cesarean section
D. Perform a vaginal exam ANS Prepare the client for a cesarean section
2. A nurse enters a client's room and finds the client lying on the floor in a
puddle of water. Which of
the following statements should the nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed
down
B. Client's roommate thinks the client is confused and fell when getting out of
bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table ANS Client found
lying on the floor near the bedside table
3. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit.
Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treat-
ments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following place-
ment of a Herrington rod ANS A 10-year-old client who has pneumonia and is
,receiving respiratory treatments
4. A nurse is preparing to administer vancomycin to a client who has an
infected wound. The nurse
should plan to monitor for which of the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
, C. Hypercalcemia
D. Hypertension ANS Ototoxicity
5. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the
nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit ANS Generalized edema
6. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer.
The client has two school-age children and a limited support system. Which
of the following is the
priority nursing action?
A. Inform the client of available community resources
B. Assist the client in finding childcare options
C. Agree upon short-term goals for the client
4 B/ B49
