Vati Green Ligth Comprehensive form A,B,C
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1. A nurse is admitting a client who has antisocial personality disorder. Which
of the following client behaviors should the nurse identify as consistent with this
disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations: C. Uses others for personal gain
2. A nurse is interpreting the cardiac rhythm strip of a client who was admitted with
syncope. Which of the following images indicates that the client has atrial
fibrillation?:
3. 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: C. Prepare the client for a cesarean section
4. 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 Harrington rod: A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
5. A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the following is the
priority action?
A. Notify the facility operator.
B. Close the fire doors on the unit.
C. Turn off oxygen sources.
D. Put out the fire with the appropriate extinguisher.: A. Notify the facility opera-
tor.
6. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
, Vati Green Ligth Comprehensive form A,B,C
Study online at https://quizlet.com/_buurbl
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit: A. Generalized edema
7. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed nurse
understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug: This technique
decreases the risk of subcutaneous infiltration
8. A nurse is creating a plan of care for a client who has anorexia nervosa.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes: C. Monitor the client for 1 hr after meals
9. A nurse is planning care for a child who has increased intracranial pressure with
a decrease in level of consciousness. Which of the following interven- tions should
the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs: B. Maintain the head at a midline
position
10. 10. A nurse is assessing a client who has delirium due to a febrile illness.
Which of the following findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia: A. Hallucinations
11. A nurse is assessing a client who is receiving enteral feedings via a gas-
trostomy tube. The nurse should identify that which of the following findings
indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses: D. Bounding pulses
, Vati Green Ligth Comprehensive form A,B,C
Study online at https://quizlet.com/_buurbl
12. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain: B. Hyperemesis
13. A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus.The nurse should evaluate which of the following laboratory
tests to determine effective long-term management of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones: B. HbA1c
14. A nurse is caring for a client who has neutropenia due to HIV. Which of the
following precautions should the nurse take while caring for this client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope: D. Use a dedicated stethoscope
15. A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take?
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the client is awake
D. Advise the client to leave the television in the room on when trying to fall
asleep: C. Schedule routine care tasks during hours when the client is awake
16. 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?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
D. Place the newborn 45 cm from the light source: D. Place the newborn 45 cm
from the light source
17. 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?
A. Art therapist
B. Speech-language pathologist
, Vati Green Ligth Comprehensive form A,B,C
Study online at https://quizlet.com/_buurbl
C. Social worker
D. Recreational therapist: A. Art therapist
18. A nurse is caring for a client who has heart failure and has started taking a loop
diuretic. Which of the following findings indicates the client is experi- encing an
adverse effect of the medication?
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention: A. Decreased reflexes
19. 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?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency: B. Indigestion
20. . A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following actions by the assistive personnel requires
the nurse to intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry: C. Offers oral fluids to the client
21. . A nurse in a mental health facility is interviewing a newly admitted client.
Which of the following actions should the nurse take when conducting the
interview?
A. Insist the client use direct eye contact during the interview
B. Seat the client at least 3.7m from the nurse
C. Position the client's chair between the nurse's chair and the door
D. Lean in slightly when speaking to the client: D. Lean in slightly when speaking to
the client
22. A nurse on a medical unit has just received change-of-shift report. Which of
the following clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports
chest pain 4 on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a tem-
perature of 38.3 C (101F)
C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a nasal
cannula, and has an oxygen saturation of 89%
Study online at https://quizlet.com/_buurbl
1. A nurse is admitting a client who has antisocial personality disorder. Which
of the following client behaviors should the nurse identify as consistent with this
disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations: C. Uses others for personal gain
2. A nurse is interpreting the cardiac rhythm strip of a client who was admitted with
syncope. Which of the following images indicates that the client has atrial
fibrillation?:
3. 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: C. Prepare the client for a cesarean section
4. 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 Harrington rod: A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
5. A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the following is the
priority action?
A. Notify the facility operator.
B. Close the fire doors on the unit.
C. Turn off oxygen sources.
D. Put out the fire with the appropriate extinguisher.: A. Notify the facility opera-
tor.
6. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
, Vati Green Ligth Comprehensive form A,B,C
Study online at https://quizlet.com/_buurbl
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit: A. Generalized edema
7. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed nurse
understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug: This technique
decreases the risk of subcutaneous infiltration
8. A nurse is creating a plan of care for a client who has anorexia nervosa.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes: C. Monitor the client for 1 hr after meals
9. A nurse is planning care for a child who has increased intracranial pressure with
a decrease in level of consciousness. Which of the following interven- tions should
the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs: B. Maintain the head at a midline
position
10. 10. A nurse is assessing a client who has delirium due to a febrile illness.
Which of the following findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia: A. Hallucinations
11. A nurse is assessing a client who is receiving enteral feedings via a gas-
trostomy tube. The nurse should identify that which of the following findings
indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses: D. Bounding pulses
, Vati Green Ligth Comprehensive form A,B,C
Study online at https://quizlet.com/_buurbl
12. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain: B. Hyperemesis
13. A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus.The nurse should evaluate which of the following laboratory
tests to determine effective long-term management of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones: B. HbA1c
14. A nurse is caring for a client who has neutropenia due to HIV. Which of the
following precautions should the nurse take while caring for this client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope: D. Use a dedicated stethoscope
15. A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take?
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the client is awake
D. Advise the client to leave the television in the room on when trying to fall
asleep: C. Schedule routine care tasks during hours when the client is awake
16. 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?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
D. Place the newborn 45 cm from the light source: D. Place the newborn 45 cm
from the light source
17. 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?
A. Art therapist
B. Speech-language pathologist
, Vati Green Ligth Comprehensive form A,B,C
Study online at https://quizlet.com/_buurbl
C. Social worker
D. Recreational therapist: A. Art therapist
18. A nurse is caring for a client who has heart failure and has started taking a loop
diuretic. Which of the following findings indicates the client is experi- encing an
adverse effect of the medication?
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention: A. Decreased reflexes
19. 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?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency: B. Indigestion
20. . A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following actions by the assistive personnel requires
the nurse to intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry: C. Offers oral fluids to the client
21. . A nurse in a mental health facility is interviewing a newly admitted client.
Which of the following actions should the nurse take when conducting the
interview?
A. Insist the client use direct eye contact during the interview
B. Seat the client at least 3.7m from the nurse
C. Position the client's chair between the nurse's chair and the door
D. Lean in slightly when speaking to the client: D. Lean in slightly when speaking to
the client
22. A nurse on a medical unit has just received change-of-shift report. Which of
the following clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports
chest pain 4 on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a tem-
perature of 38.3 C (101F)
C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a nasal
cannula, and has an oxygen saturation of 89%
