VATI GREEN LIGTH COMPREHENSIVE
FORM A,B,C EXAM QUESTIONS
WITH DETAILED ANSWERS
A nurse is admitting a client who has antisocial personality disorder. Which of the foll
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
owing client behaviors should the nurse identify as consistent with this disorder?
rx rx rx rx rx rx rx rx rx rx rx
A. Compulsive attention to details
rx rx rx rx
B. Avoids interacting with others
rx rx rx rx
C. Uses others for personal gain
rx rx rx rx rx
D. Socially awkward in group situations - ANSWERS-
rx rx rx rx rx rx rx
C. Uses others for personal gain
rx rx rx rx rx
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with syn
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
cope. Which of the following images indicates that the client has atrial fibrillation? -
rx rx rx rx rx rx rx rx rx rx rx rx rx
ANSWERS-
rx
A client who has a diagnosis of complete placenta previa is admitted to the labor and
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx r
delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min i
x rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
n duration. Which of the following actions should the nurse take?
rx rx rx rx rx rx rx rx rx rx
A. Rupture the amniotic sac
rx rx rx rx
B. Medicate the client for pain
rx rx rx rx rx
C. Prepare the client for a cesarean section
rx rx rx rx rx rx rx
D. Perform a vaginal exam - ANSWERS-C. Prepare the client for a cesarean section
rx rx rx rx rx rx rx rx rx rx rx rx rx
A charge nurse on a pediatric unit is making assignments for a float nurse from the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
medical unit. Which of the following clients is appropriate to assign to the float nurse
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
rx rx rx rx rx rx rx rx rx rx rx
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
rx rx rx rx rx rx rx rx rx rx rx rx
C. An 8-month-
rx rx
old client who is scheduled for a surgical repair of a ventricular septal defect tomorro
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
w
D. A 14-year-
rx rx
old client who is scheduled for discharge today following placement of a Harrington r
rx rx rx rx rx rx rx rx rx rx rx rx rx
od - ANSWERS-A. A 10-year-
rx rx rx rx
old client who has pneumonia and is receiving respiratory treatments
rx rx rx rx rx rx rx rx rx
A nurse notices smoke coming from a client's room and discovers a fire in the waste
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
basket. After moving the client to safety, which of the following is the priority action?
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
A. Notify the facility operator.
rx rx rx rx
B. Close the fire doors on the unit.
rx rx rx rx rx rx rx
C. Turn off oxygen sources.
rx rx rx rx
D. Put out the fire with the appropriate extinguisher. - ANSWERS-
rx rx rx rx rx rx rx rx rx rx
A. Notify the facility operator.
rx rx rx rx
,A nurse is assessing an infant who has water intoxication. Which of the following find
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ings should the nurse expect?
rx rx rx rx
A. Generalized edema
rx rx
B. Elevated urine specific gravity
rx rx rx rx
C. Thready pulse
rx rx
D. Increased hematocrit - ANSWERS-A. Generalized edema
rx rx rx rx rx rx
A nurse is discussing the z-
rx rx rx rx rx
track administration of hydroxyzine with a newly licensed nurse. Which of the followin
rx rx rx rx rx rx rx rx rx rx rx rx
g statements indicates the newly licensed nurse understands the purpose of the tech
rx rx rx rx rx rx rx rx rx rx rx rx
nique?
A. This technique prevents injury to the sciatic nerve
rx rx rx rx rx rx rx rx
B. This technique decreases the risk of subcutaneous infiltration
rx rx rx rx rx rx rx rx
C. This technique allows a larger amount of medication to be injected
rx rx rx rx rx rx rx rx rx rx rx
D. This technique increases the absorption rate of the drug - ANSWERS-
rx rx rx rx rx rx rx rx rx rx rx
This technique decreases the risk of subcutaneous infiltration
rx rx rx rx rx rx rx
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
following interventions should the nurse include in the plan?
rx rx rx rx rx rx rx rx rx
A. Encourage the client to gain 2.3 kg per week
rx rx rx rx rx rx rx rx rx
B. Weigh the client once per week throughout hospitalization
rx rx rx rx rx rx rx rx
C. Monitor the client for 1 hr after meals
rx rx rx rx rx rx rx rx
D. Allow the client to choose mealtimes - ANSWERS-
rx rx rx rx rx rx rx rx
C. Monitor the client for 1 hr after meals
rx rx rx rx rx rx rx rx
A nurse is planning care for a child who has increased intracranial pressure with a de
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
crease in level of consciousness. Which of the following interventions should the nur
rx rx rx rx rx rx rx rx rx rx rx rx
se include in the plan of care?
rx rx rx rx rx rx
A. Perform active range-of-motion exercises
rx rx rx rx
B. Maintain the head at a midline position
rx rx rx rx rx rx rx
C. Suction the airway frequently
rx rx rx rx
D. Perform neurological checks every 4 hrs - ANSWERS-
rx rx rx rx rx rx rx rx
B. Maintain the head at a midline position
rx rx rx rx rx rx rx
10. A nurse is assessing a client who has delirium due to a febrile illness. Which of t
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
he following findings should the nurse expect?
rx rx rx rx rx rx
A. Hallucinations
rx
B. Agnosiarx
C. Bradycardia
rx
D. Aphasia - ANSWERS-A. Hallucinations
rx rx rx rx
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tub
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
e. The nurse should identify that which of the following findings indicates fluid overlo
rx rx rx rx rx rx rx rx rx rx rx rx rx
ad?
A. Diminished bowel sounds
rx rx rx
B. Bradycardia
rx
C. Hypotension
rx
D. Bounding pulses - ANSWERS-D. Bounding pulses
rx rx rx rx rx rx
,A nurse is caring for a client following an open colectomy. Which of the following findi
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ngs places the client at risk for delayed wound healing?
rx rx rx rx rx rx rx rx rx
A. INR 1.1rx rx
B. Hyperemesis
rx
C. HbA1c 5.6%
rx rx
D. Uncontrolled pain - ANSWERS-B. Hyperemesis
rx rx rx rx rx
A home health nurse is reviewing treatment goals with a client who has diabetes mell
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
itus. The nurse should evaluate which of the following laboratory tests to determine e
rx rx rx rx rx rx rx rx rx rx rx rx rx
ffective long-term management of blood glucose levels?
rx rx rx rx rx rx
A. 3-hr oral glucose tolerance test
rx rx rx rx rx
B. HbA1c rx
C. Fasting blood glucose test
rx rx rx rx
D. Urinalysis for ketones - ANSWERS-B. HbA1c
rx rx rx rx rx rx
A nurse is caring for a client who has neutropenia due to HIV. Which of the following
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
precautions should the nurse take while caring for this client? rx rx rx rx rx rx rx rx rx
A. Wear an N95 respirator
rx rx rx rx
B. Insert an indwelling urinary catheter to monitor urinary output
rx rx rx rx rx rx rx rx rx
C. Monitor the client's vital signs every 8 hr
rx rx rx rx rx rx rx rx
D. Use a dedicated stethoscope - ANSWERS-D. Use a dedicated stethoscope
rx rx rx rx rx rx rx rx rx rx
A nurse is caring for a client who reports difficulty falling asleep at night. Which of the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
following actions should the nurse take?
rx rx rx rx rx rx
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
rx rx rx rx rx rx rx rx rx rx rx rx
B. Tell the client to avoid drinking fluids 1 hr before bedtime
rx rx rx rx rx rx rx rx rx rx rx
C. Schedule routine care tasks during hours when the client is awake
rx rx rx rx rx rx rx rx rx rx rx
D. Advise the client to leave the television in the room on when trying to fall asleep -
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ANSWERS-C. Schedule routine care tasks during hours when the client is awake
rx rx rx rx rx rx rx rx rx rx rx rx
A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
phototherapy. Which of the following interventions should the nurse include? rx rx rx rx rx rx rx rx rx
A. Clothe the newborn in light cotton
rx rx rx rx rx rx
B. Check the newborn's temperature every 8 hrs. (every 4)
rx rx rx rx rx rx rx rx rx
C. Administer 120 mL of water between feedings
rx rx rx rx rx rx rx
D. Place the newborn 45 cm from the light source - ANSWERS-
rx rx rx rx rx rx rx rx rx rx rx
D. Place the newborn 45 cm from the light source
rx rx rx rx rx rx rx rx rx
A nurse is planning care for a client who has schizophrenia and is having difficulty ex
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
pressing their feelings. Which of the following referrals should the nurse make?
rx rx rx rx rx rx rx rx rx rx rx
A. Art therapist
rx rx
B. Speech-language pathologist
rx rx
C. Social worker
rx rx
D. Recreational therapist - ANSWERS-A. Art therapist
rx rx rx rx rx rx
A nurse is caring for a client who has heart failure and has started taking a loop diure
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
tic. Which of the following findings indicates the client is experiencing an adverse eff
rx rx rx rx rx rx rx rx rx rx rx rx rx
ect of the medication?
rx rx rx
A. Decreased reflexes
rx rx
B. Weight gain of 1.4 kg
rx rx rx rx rx
, C. Increased urinary output
rx rx rx
D. Jugular vein distention - ANSWERS-A. Decreased reflexes
rx rx rx rx rx rx rx
At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx r
nurse a list of client reports. Which of the following client reports should the nurse as
x rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
sess first? rx
A. Constipationrx
B. Indigestion rx
C. Swollen ankles
rx rx
D. Urinary frequency - ANSWERS-B. Indigestion
rx rx rx rx rx
. A nurse is caring for a client who has just returned to the unit following a bronchosc
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
opy. Which of the following actions by the assistive personnel requires the nurse to i
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ntervene?
A. Encourages the client to use the incentive spirometer
rx rx rx rx rx rx rx rx
B. Elevates the head of the client's bed
rx rx rx rx rx rx rx
C. Offers oral fluids to the client
rx rx rx rx rx rx
D. Checks the client's pulse oximetry - ANSWERS-C. Offers oral fluids to the client
rx rx rx rx rx rx rx rx rx rx rx rx rx
. A nurse in a mental health facility is interviewing a newly admitted client. Which of t
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
he following actions should the nurse take when conducting the interview?
rx rx rx rx rx rx rx rx rx rx
A. Insist the client use direct eye contact during the interview
rx rx rx rx rx rx rx rx rx rx
B. Seat the client at least 3.7m from the nurse
rx rx rx rx rx rx rx rx rx
C. Position the client's chair between the nurse's chair and the door
rx rx rx rx rx rx rx rx rx rx rx
D. Lean in slightly when speaking to the client - ANSWERS-
rx rx rx rx rx rx rx rx rx rx
D. Lean in slightly when speaking to the client
rx rx rx rx rx rx rx rx
A nurse on a medical unit has just received change-of-
rx rx rx rx rx rx rx rx rx
shift report. Which of the following clients should the nurse assess first?
rx rx rx rx rx rx rx rx rx rx rx
A. A 68-year- rx rx
old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a s
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
cale of 0 to 10 rx rx rx rx
B. A 48-year- rx rx
old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3 C (10
rx rx rx rx rx rx rx rx rx rx rx rx rx
1F)
C. A 60-year-old client who has COPD, is receiving 2 L/
rx rx rx rx rx rx rx rx rx rx
min O2 via a nasal cannula, and has an oxygen saturation of 89%
rx rx rx rx rx rx rx rx rx rx rx rx
D. A 26-year- rx rx
old female client who has pelvic inflammatory disease and is unable to void -
rx rx rx rx rx rx rx rx rx rx rx rx rx
ANSWERS-A 68-year-
rx rx
old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a s
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
cale of 0 to 10 rx rx rx rx
A nurse is assessing a client prior to performing a blood draw. The nurse should iden
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
tify that an allergy to which of the following food can indicate that the client has an all
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ergy to latex? rx rx
A. Peanuts rx
B. Shellfish rx
C. Avocados rx
D. Eggs - ANSWERS-C. Avocados
rx rx rx rx
FORM A,B,C EXAM QUESTIONS
WITH DETAILED ANSWERS
A nurse is admitting a client who has antisocial personality disorder. Which of the foll
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
owing client behaviors should the nurse identify as consistent with this disorder?
rx rx rx rx rx rx rx rx rx rx rx
A. Compulsive attention to details
rx rx rx rx
B. Avoids interacting with others
rx rx rx rx
C. Uses others for personal gain
rx rx rx rx rx
D. Socially awkward in group situations - ANSWERS-
rx rx rx rx rx rx rx
C. Uses others for personal gain
rx rx rx rx rx
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with syn
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
cope. Which of the following images indicates that the client has atrial fibrillation? -
rx rx rx rx rx rx rx rx rx rx rx rx rx
ANSWERS-
rx
A client who has a diagnosis of complete placenta previa is admitted to the labor and
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx r
delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min i
x rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
n duration. Which of the following actions should the nurse take?
rx rx rx rx rx rx rx rx rx rx
A. Rupture the amniotic sac
rx rx rx rx
B. Medicate the client for pain
rx rx rx rx rx
C. Prepare the client for a cesarean section
rx rx rx rx rx rx rx
D. Perform a vaginal exam - ANSWERS-C. Prepare the client for a cesarean section
rx rx rx rx rx rx rx rx rx rx rx rx rx
A charge nurse on a pediatric unit is making assignments for a float nurse from the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
medical unit. Which of the following clients is appropriate to assign to the float nurse
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
rx rx rx rx rx rx rx rx rx rx rx
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
rx rx rx rx rx rx rx rx rx rx rx rx
C. An 8-month-
rx rx
old client who is scheduled for a surgical repair of a ventricular septal defect tomorro
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
w
D. A 14-year-
rx rx
old client who is scheduled for discharge today following placement of a Harrington r
rx rx rx rx rx rx rx rx rx rx rx rx rx
od - ANSWERS-A. A 10-year-
rx rx rx rx
old client who has pneumonia and is receiving respiratory treatments
rx rx rx rx rx rx rx rx rx
A nurse notices smoke coming from a client's room and discovers a fire in the waste
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
basket. After moving the client to safety, which of the following is the priority action?
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
A. Notify the facility operator.
rx rx rx rx
B. Close the fire doors on the unit.
rx rx rx rx rx rx rx
C. Turn off oxygen sources.
rx rx rx rx
D. Put out the fire with the appropriate extinguisher. - ANSWERS-
rx rx rx rx rx rx rx rx rx rx
A. Notify the facility operator.
rx rx rx rx
,A nurse is assessing an infant who has water intoxication. Which of the following find
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ings should the nurse expect?
rx rx rx rx
A. Generalized edema
rx rx
B. Elevated urine specific gravity
rx rx rx rx
C. Thready pulse
rx rx
D. Increased hematocrit - ANSWERS-A. Generalized edema
rx rx rx rx rx rx
A nurse is discussing the z-
rx rx rx rx rx
track administration of hydroxyzine with a newly licensed nurse. Which of the followin
rx rx rx rx rx rx rx rx rx rx rx rx
g statements indicates the newly licensed nurse understands the purpose of the tech
rx rx rx rx rx rx rx rx rx rx rx rx
nique?
A. This technique prevents injury to the sciatic nerve
rx rx rx rx rx rx rx rx
B. This technique decreases the risk of subcutaneous infiltration
rx rx rx rx rx rx rx rx
C. This technique allows a larger amount of medication to be injected
rx rx rx rx rx rx rx rx rx rx rx
D. This technique increases the absorption rate of the drug - ANSWERS-
rx rx rx rx rx rx rx rx rx rx rx
This technique decreases the risk of subcutaneous infiltration
rx rx rx rx rx rx rx
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
following interventions should the nurse include in the plan?
rx rx rx rx rx rx rx rx rx
A. Encourage the client to gain 2.3 kg per week
rx rx rx rx rx rx rx rx rx
B. Weigh the client once per week throughout hospitalization
rx rx rx rx rx rx rx rx
C. Monitor the client for 1 hr after meals
rx rx rx rx rx rx rx rx
D. Allow the client to choose mealtimes - ANSWERS-
rx rx rx rx rx rx rx rx
C. Monitor the client for 1 hr after meals
rx rx rx rx rx rx rx rx
A nurse is planning care for a child who has increased intracranial pressure with a de
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
crease in level of consciousness. Which of the following interventions should the nur
rx rx rx rx rx rx rx rx rx rx rx rx
se include in the plan of care?
rx rx rx rx rx rx
A. Perform active range-of-motion exercises
rx rx rx rx
B. Maintain the head at a midline position
rx rx rx rx rx rx rx
C. Suction the airway frequently
rx rx rx rx
D. Perform neurological checks every 4 hrs - ANSWERS-
rx rx rx rx rx rx rx rx
B. Maintain the head at a midline position
rx rx rx rx rx rx rx
10. A nurse is assessing a client who has delirium due to a febrile illness. Which of t
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
he following findings should the nurse expect?
rx rx rx rx rx rx
A. Hallucinations
rx
B. Agnosiarx
C. Bradycardia
rx
D. Aphasia - ANSWERS-A. Hallucinations
rx rx rx rx
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tub
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
e. The nurse should identify that which of the following findings indicates fluid overlo
rx rx rx rx rx rx rx rx rx rx rx rx rx
ad?
A. Diminished bowel sounds
rx rx rx
B. Bradycardia
rx
C. Hypotension
rx
D. Bounding pulses - ANSWERS-D. Bounding pulses
rx rx rx rx rx rx
,A nurse is caring for a client following an open colectomy. Which of the following findi
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ngs places the client at risk for delayed wound healing?
rx rx rx rx rx rx rx rx rx
A. INR 1.1rx rx
B. Hyperemesis
rx
C. HbA1c 5.6%
rx rx
D. Uncontrolled pain - ANSWERS-B. Hyperemesis
rx rx rx rx rx
A home health nurse is reviewing treatment goals with a client who has diabetes mell
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
itus. The nurse should evaluate which of the following laboratory tests to determine e
rx rx rx rx rx rx rx rx rx rx rx rx rx
ffective long-term management of blood glucose levels?
rx rx rx rx rx rx
A. 3-hr oral glucose tolerance test
rx rx rx rx rx
B. HbA1c rx
C. Fasting blood glucose test
rx rx rx rx
D. Urinalysis for ketones - ANSWERS-B. HbA1c
rx rx rx rx rx rx
A nurse is caring for a client who has neutropenia due to HIV. Which of the following
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
precautions should the nurse take while caring for this client? rx rx rx rx rx rx rx rx rx
A. Wear an N95 respirator
rx rx rx rx
B. Insert an indwelling urinary catheter to monitor urinary output
rx rx rx rx rx rx rx rx rx
C. Monitor the client's vital signs every 8 hr
rx rx rx rx rx rx rx rx
D. Use a dedicated stethoscope - ANSWERS-D. Use a dedicated stethoscope
rx rx rx rx rx rx rx rx rx rx
A nurse is caring for a client who reports difficulty falling asleep at night. Which of the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
following actions should the nurse take?
rx rx rx rx rx rx
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
rx rx rx rx rx rx rx rx rx rx rx rx
B. Tell the client to avoid drinking fluids 1 hr before bedtime
rx rx rx rx rx rx rx rx rx rx rx
C. Schedule routine care tasks during hours when the client is awake
rx rx rx rx rx rx rx rx rx rx rx
D. Advise the client to leave the television in the room on when trying to fall asleep -
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ANSWERS-C. Schedule routine care tasks during hours when the client is awake
rx rx rx rx rx rx rx rx rx rx rx rx
A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
phototherapy. Which of the following interventions should the nurse include? rx rx rx rx rx rx rx rx rx
A. Clothe the newborn in light cotton
rx rx rx rx rx rx
B. Check the newborn's temperature every 8 hrs. (every 4)
rx rx rx rx rx rx rx rx rx
C. Administer 120 mL of water between feedings
rx rx rx rx rx rx rx
D. Place the newborn 45 cm from the light source - ANSWERS-
rx rx rx rx rx rx rx rx rx rx rx
D. Place the newborn 45 cm from the light source
rx rx rx rx rx rx rx rx rx
A nurse is planning care for a client who has schizophrenia and is having difficulty ex
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
pressing their feelings. Which of the following referrals should the nurse make?
rx rx rx rx rx rx rx rx rx rx rx
A. Art therapist
rx rx
B. Speech-language pathologist
rx rx
C. Social worker
rx rx
D. Recreational therapist - ANSWERS-A. Art therapist
rx rx rx rx rx rx
A nurse is caring for a client who has heart failure and has started taking a loop diure
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
tic. Which of the following findings indicates the client is experiencing an adverse eff
rx rx rx rx rx rx rx rx rx rx rx rx rx
ect of the medication?
rx rx rx
A. Decreased reflexes
rx rx
B. Weight gain of 1.4 kg
rx rx rx rx rx
, C. Increased urinary output
rx rx rx
D. Jugular vein distention - ANSWERS-A. Decreased reflexes
rx rx rx rx rx rx rx
At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx r
nurse a list of client reports. Which of the following client reports should the nurse as
x rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
sess first? rx
A. Constipationrx
B. Indigestion rx
C. Swollen ankles
rx rx
D. Urinary frequency - ANSWERS-B. Indigestion
rx rx rx rx rx
. A nurse is caring for a client who has just returned to the unit following a bronchosc
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
opy. Which of the following actions by the assistive personnel requires the nurse to i
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ntervene?
A. Encourages the client to use the incentive spirometer
rx rx rx rx rx rx rx rx
B. Elevates the head of the client's bed
rx rx rx rx rx rx rx
C. Offers oral fluids to the client
rx rx rx rx rx rx
D. Checks the client's pulse oximetry - ANSWERS-C. Offers oral fluids to the client
rx rx rx rx rx rx rx rx rx rx rx rx rx
. A nurse in a mental health facility is interviewing a newly admitted client. Which of t
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
he following actions should the nurse take when conducting the interview?
rx rx rx rx rx rx rx rx rx rx
A. Insist the client use direct eye contact during the interview
rx rx rx rx rx rx rx rx rx rx
B. Seat the client at least 3.7m from the nurse
rx rx rx rx rx rx rx rx rx
C. Position the client's chair between the nurse's chair and the door
rx rx rx rx rx rx rx rx rx rx rx
D. Lean in slightly when speaking to the client - ANSWERS-
rx rx rx rx rx rx rx rx rx rx
D. Lean in slightly when speaking to the client
rx rx rx rx rx rx rx rx
A nurse on a medical unit has just received change-of-
rx rx rx rx rx rx rx rx rx
shift report. Which of the following clients should the nurse assess first?
rx rx rx rx rx rx rx rx rx rx rx
A. A 68-year- rx rx
old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a s
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
cale of 0 to 10 rx rx rx rx
B. A 48-year- rx rx
old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3 C (10
rx rx rx rx rx rx rx rx rx rx rx rx rx
1F)
C. A 60-year-old client who has COPD, is receiving 2 L/
rx rx rx rx rx rx rx rx rx rx
min O2 via a nasal cannula, and has an oxygen saturation of 89%
rx rx rx rx rx rx rx rx rx rx rx rx
D. A 26-year- rx rx
old female client who has pelvic inflammatory disease and is unable to void -
rx rx rx rx rx rx rx rx rx rx rx rx rx
ANSWERS-A 68-year-
rx rx
old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a s
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
cale of 0 to 10 rx rx rx rx
A nurse is assessing a client prior to performing a blood draw. The nurse should iden
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
tify that an allergy to which of the following food can indicate that the client has an all
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ergy to latex? rx rx
A. Peanuts rx
B. Shellfish rx
C. Avocados rx
D. Eggs - ANSWERS-C. Avocados
rx rx rx rx
