COMPLETED VATI Greenlight STUDY
SET: NCLEX Practice Questions
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, COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_9plco4
A nurse is caring for a client who had a partial laryngectomy and is
receiving continuous enteral feedings at 65 mL/hr through a gas- The infusion pump for administering contimuous feeding is turned
trostomy tube. Which of the following findings requires immediate off.
intervention by the nurse?
A nurse is assessing a client who has a magnesium level of 4.4
Hypotension
mEq/L. Which of the following findings should the nurse expect?
A nurse is providing dietary teaching to a client who has an
increased cholesterol level. Which of the following foods should Egg whites
the nurse recommend?
A nurse is caring for a toddler who has respiratory syncytial virus.
Use a designated stethoscope when caring for the toddler.
Which of the following actions should the nurse plan to take?
A nurse is assessing a client who has a chest tube following a
thoracotomy. Which of the following findings requires intervention 1 cm of water present in the water seal
by the nurse?
A nurse is reviewing the medical history of a client who is taking
garlic supplement. The nurse should identify that which of the The client takes aspirin daily.
following findings is a contraindication for taking this supplement?
A nurse is planning to provide community education about viral
series of four hepatitis vaccines is recommended to prevent viral
hepatitis. Which of the following should the nurse plan to include
hepatitis.
in the teaching?
A nurse is reviewing the history and physical of a client who has
right ventricular heart failure. Which of the following is an expected Elevated pulmonary artery pressure
finding?
A home health nurse is conducting an initial home visit for a client
who has terminal breast cancer. The client has two school-age
Inform the client of available community resources.
children and a limited support system. Which of the following is
the priority nursing action?
A nurse is providing postoperative teaching to a client who has a
newly-inserted pacemaker. Which of the following statements by "I will use my cell phone on the ear opposite of my pacemaker."
the client indicates that the teaching has been effective?
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 Decreased reflexes
client is experiencing an adverse effect of the medication?
A nurse is caring for a client who has neutropenia due to HIV.
Which of the following precautions should the nurse take while Wear an N95 respirator.
caring for this client?
A nurse manager is presenting information to the nursing staff The nurse should pad the bony prominences. The nurse should
regarding the appropriate use of client restraints. Which of the remove the restraints every 2 hr. The provider's prescription
following should the nurse include? (Select all that apply.) should include the
A nurse is providing discharge teaching about disease prevention
Educating the client how to cover nose and mouth with tissues
to a client who has active tuberculosis. Which of the following
when coughing
should the nurse include?
A nurse is caring for a client who reports difficulty falling asleep Schedule routine care tasks during hours when the client is
at night. Which of the following actions should the nurse take? awake.
A nurse is preparing a client for surgery and has just administered
the preoperative injection. Which of the following actions should Review deep breathing and coughing exercises.
the nurse take?
A nurse suspects another nurse is chemically impaired during
their shift. Which of the following is an appropriate action for the Report to the nurse manager.
nurse to take?
A nurse in the recovery room is assessing a client who has a new
chest tube. The nurse finds that the water seal is no longer tidaling.
The tubing may be kinked.
The nurse should identify the finding as resulting from which of
the following?
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, COMPLETED VATI Greenlight STUDY SET
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A nurse delegates tasks to a licensed practical nurse (LPN)
and an assistive personnel (AP). When admitting a client who is
experiencing acute liver failure and who has ascites and an NG Measure the amount of gastric drainage every 2 hr.
tube, which of the following tasks is most appropriate for the nurse
to delegate to the LPN?
A nurse is assessing an adult male client who has a BMI of 20.
The nurse should identify that the client's BMI falls within which Healthy weight
of the following categories?
A nurse is assessing a client who has a long arm cast. For which
of the following findings should the nurse monitor when assessing Change in mental status
for acute compartment syndrome?
A nurse is planning care for a newly admitted client. Which of the
following interventions should the nurse plan to take first? (Click
Administer pain medication to the client.
on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
A community health nurse is performing a vision screening on a
4-month-old infant. When shining a light source into the infant's The infant closes their eyes.
visual field, which of the following is an expected finding?
A nurse is planning discharge teaching for a client who is sched-
uled to receive intravenous infusions at home. Which of the fol- Place the infusion pump cord against the baseboards.
lowing instructions should the nurse plan to include?
A nurse is caring for a client who has just returned to the unit
following a bronchoscopy. Which of the following actions by the Offers oral fluids to the client
assistive personnel requires the nurse to intervene?
A nurse is assessing an infant who has water intoxication. Which
Generalized edema
of the following findings should the nurse expect?
A nurse is caring for a client who is in labor and receiving elec-
tronic fetal monitoring. The nurse is reviewing the monitor tracing
Head compression
and notes early decelerations. Which of the following should the
nurse expect?
nurse in a pediatric unit is caring for a group of clients. For which
of the following diseases should the nurse implement droplet Pertussis
precautions?
A client asks the nurse if it is safe to take a glucosamine supple-
ment. The nurse should assess for which of the following potential Shellfish allergy
contraindications?
A nurse at the family planning clinic triages several clients over A client who has started taking oral contraceptives and is experi-
the phone. Which of the following clients should the nurse instruct encing bright red vaginal breakthrough bleeding
to come to the clinic?
A nurse is caring for a client who has a hearing impairment. When
speaking to the client, the nurse should incorporate which of the Rephrase sentences the client does not understand.
following communication methods?
A nurse in a mental health facility is interviewing a newly admitted
client. Which of the following actions should the nurse take when Lean in slightly when speaking to the client.
conducting the interview?
A nurse is caring for a group of clients. Which of the following
A client who had a stroke 2 days ago and needs help toileting
clients should the nurse assign to an assistive personnel?
A nurse manager at a public health clinic is concerned about the
rising number of sexually transmitted infections in the community.
A brainstorming session with nurses
The purpose of which of the following is to generate new ideas to
address the public health concern?
A nurse is providing teaching about preventing mastitis to a client
who is postpartum and breastfeeding her newborn. Which of the "Try to have your baby empty your breasts with each feeding."
following instructions should the nurse include?
Downloaded by michael ndiema ()
SET: NCLEX Practice Questions
Downloaded by michael ndiema ()
, COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_9plco4
A nurse is caring for a client who had a partial laryngectomy and is
receiving continuous enteral feedings at 65 mL/hr through a gas- The infusion pump for administering contimuous feeding is turned
trostomy tube. Which of the following findings requires immediate off.
intervention by the nurse?
A nurse is assessing a client who has a magnesium level of 4.4
Hypotension
mEq/L. Which of the following findings should the nurse expect?
A nurse is providing dietary teaching to a client who has an
increased cholesterol level. Which of the following foods should Egg whites
the nurse recommend?
A nurse is caring for a toddler who has respiratory syncytial virus.
Use a designated stethoscope when caring for the toddler.
Which of the following actions should the nurse plan to take?
A nurse is assessing a client who has a chest tube following a
thoracotomy. Which of the following findings requires intervention 1 cm of water present in the water seal
by the nurse?
A nurse is reviewing the medical history of a client who is taking
garlic supplement. The nurse should identify that which of the The client takes aspirin daily.
following findings is a contraindication for taking this supplement?
A nurse is planning to provide community education about viral
series of four hepatitis vaccines is recommended to prevent viral
hepatitis. Which of the following should the nurse plan to include
hepatitis.
in the teaching?
A nurse is reviewing the history and physical of a client who has
right ventricular heart failure. Which of the following is an expected Elevated pulmonary artery pressure
finding?
A home health nurse is conducting an initial home visit for a client
who has terminal breast cancer. The client has two school-age
Inform the client of available community resources.
children and a limited support system. Which of the following is
the priority nursing action?
A nurse is providing postoperative teaching to a client who has a
newly-inserted pacemaker. Which of the following statements by "I will use my cell phone on the ear opposite of my pacemaker."
the client indicates that the teaching has been effective?
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 Decreased reflexes
client is experiencing an adverse effect of the medication?
A nurse is caring for a client who has neutropenia due to HIV.
Which of the following precautions should the nurse take while Wear an N95 respirator.
caring for this client?
A nurse manager is presenting information to the nursing staff The nurse should pad the bony prominences. The nurse should
regarding the appropriate use of client restraints. Which of the remove the restraints every 2 hr. The provider's prescription
following should the nurse include? (Select all that apply.) should include the
A nurse is providing discharge teaching about disease prevention
Educating the client how to cover nose and mouth with tissues
to a client who has active tuberculosis. Which of the following
when coughing
should the nurse include?
A nurse is caring for a client who reports difficulty falling asleep Schedule routine care tasks during hours when the client is
at night. Which of the following actions should the nurse take? awake.
A nurse is preparing a client for surgery and has just administered
the preoperative injection. Which of the following actions should Review deep breathing and coughing exercises.
the nurse take?
A nurse suspects another nurse is chemically impaired during
their shift. Which of the following is an appropriate action for the Report to the nurse manager.
nurse to take?
A nurse in the recovery room is assessing a client who has a new
chest tube. The nurse finds that the water seal is no longer tidaling.
The tubing may be kinked.
The nurse should identify the finding as resulting from which of
the following?
Downloaded by michael ndiema ()
, COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_9plco4
A nurse delegates tasks to a licensed practical nurse (LPN)
and an assistive personnel (AP). When admitting a client who is
experiencing acute liver failure and who has ascites and an NG Measure the amount of gastric drainage every 2 hr.
tube, which of the following tasks is most appropriate for the nurse
to delegate to the LPN?
A nurse is assessing an adult male client who has a BMI of 20.
The nurse should identify that the client's BMI falls within which Healthy weight
of the following categories?
A nurse is assessing a client who has a long arm cast. For which
of the following findings should the nurse monitor when assessing Change in mental status
for acute compartment syndrome?
A nurse is planning care for a newly admitted client. Which of the
following interventions should the nurse plan to take first? (Click
Administer pain medication to the client.
on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
A community health nurse is performing a vision screening on a
4-month-old infant. When shining a light source into the infant's The infant closes their eyes.
visual field, which of the following is an expected finding?
A nurse is planning discharge teaching for a client who is sched-
uled to receive intravenous infusions at home. Which of the fol- Place the infusion pump cord against the baseboards.
lowing instructions should the nurse plan to include?
A nurse is caring for a client who has just returned to the unit
following a bronchoscopy. Which of the following actions by the Offers oral fluids to the client
assistive personnel requires the nurse to intervene?
A nurse is assessing an infant who has water intoxication. Which
Generalized edema
of the following findings should the nurse expect?
A nurse is caring for a client who is in labor and receiving elec-
tronic fetal monitoring. The nurse is reviewing the monitor tracing
Head compression
and notes early decelerations. Which of the following should the
nurse expect?
nurse in a pediatric unit is caring for a group of clients. For which
of the following diseases should the nurse implement droplet Pertussis
precautions?
A client asks the nurse if it is safe to take a glucosamine supple-
ment. The nurse should assess for which of the following potential Shellfish allergy
contraindications?
A nurse at the family planning clinic triages several clients over A client who has started taking oral contraceptives and is experi-
the phone. Which of the following clients should the nurse instruct encing bright red vaginal breakthrough bleeding
to come to the clinic?
A nurse is caring for a client who has a hearing impairment. When
speaking to the client, the nurse should incorporate which of the Rephrase sentences the client does not understand.
following communication methods?
A nurse in a mental health facility is interviewing a newly admitted
client. Which of the following actions should the nurse take when Lean in slightly when speaking to the client.
conducting the interview?
A nurse is caring for a group of clients. Which of the following
A client who had a stroke 2 days ago and needs help toileting
clients should the nurse assign to an assistive personnel?
A nurse manager at a public health clinic is concerned about the
rising number of sexually transmitted infections in the community.
A brainstorming session with nurses
The purpose of which of the following is to generate new ideas to
address the public health concern?
A nurse is providing teaching about preventing mastitis to a client
who is postpartum and breastfeeding her newborn. Which of the "Try to have your baby empty your breasts with each feeding."
following instructions should the nurse include?
Downloaded by michael ndiema ()
