VATI Green Light Comprehensive forms A,B,C
Exam – Questions, Answers, and Detailed
Explanations
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 - correct answers ✔✔C. Uses others for
personal gain
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? -
correct answers ✔✔
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 treatments
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
Catherine kariuki
,D. A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod - correct answers ✔✔A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
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 - correct answers ✔✔A. Generalized edema
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 - correct answers ✔✔This
technique decreases the risk of subcutaneous infiltration
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 - correct answers ✔✔C. Monitor the client for 1
hr after meals
Catherine kariuki
,A nurse is planning care for a child who has increased intracranial pressure with a
decrease in level of consciousness. Which of the following interventions 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 - correct answers ✔✔B. Maintain the head
at a midline position
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 - correct answers ✔✔A. Hallucinations
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy 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 - correct answers ✔✔D. Bounding pulses
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?
Catherine kariuki
, A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain - correct answers ✔✔B. Hyperemesis
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 - correct answers ✔✔B. HbA1c
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 - correct answers ✔✔D. Use a dedicated stethoscope
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
Catherine kariuki
Exam – Questions, Answers, and Detailed
Explanations
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 - correct answers ✔✔C. Uses others for
personal gain
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? -
correct answers ✔✔
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 treatments
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
Catherine kariuki
,D. A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod - correct answers ✔✔A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
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 - correct answers ✔✔A. Generalized edema
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 - correct answers ✔✔This
technique decreases the risk of subcutaneous infiltration
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 - correct answers ✔✔C. Monitor the client for 1
hr after meals
Catherine kariuki
,A nurse is planning care for a child who has increased intracranial pressure with a
decrease in level of consciousness. Which of the following interventions 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 - correct answers ✔✔B. Maintain the head
at a midline position
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 - correct answers ✔✔A. Hallucinations
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy 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 - correct answers ✔✔D. Bounding pulses
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?
Catherine kariuki
, A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain - correct answers ✔✔B. Hyperemesis
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 - correct answers ✔✔B. HbA1c
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 - correct answers ✔✔D. Use a dedicated stethoscope
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
Catherine kariuki
