VATI RN Comprehensive Online
Practice 2023 B AND ALL CORRECT
ANSWERS 100% SOLVED AND
GUARANTEED SUCCESS!!
NGN
A nurse is caring for a 5-year-old child.
Child accompanied to emergency department by caregiver.
Caregiver states child has a sore throat and reports the child has "pain on swallowing' and
denies cough. Child is agitated and leaning forward with drooling noted.
Day 4, 0600:
Temperature 38.40 C (1 01.20 F)
Heart rate 54/min
Respiratory rate 26/min
Blood pressure 142/90 mm Hg
Oxygen saturation 91 % on room air - CORRECT ANSWERS-The nurse should anticipate initiating
droplet precautions and requesting a prescription for IV antibiotics.
The child is most likely experiencing epiglottitis
because of the clinical manifestations of a high fever, inflammation and redness of the throat,
pale skin, stridor with inspiration, painful swallowing, no cough, is sitting in tripod position, and
drooling.
The nurse should monitor the child's temperature and breath sounds.
,A nurse is caring for a client who is on the spinal cord injury (SCD unit.
Day 4, 0600:
Client reports increased coughing and shortness of breath.
Crackles auscultated in lower lobes bilaterally. Face and neck flushed. Skin warm and moist.
Client reports blurred vision and a headache as an 8 on a 0 to 10 pain scale.
Abdomen soft and mildly distended. Hypoactive bowel sounds present.
Urinary output 300 mL over last 8 hr.
Temperature 38.4° C (101.2° F) Heart rate 54/min Respiratory rate 26/min Blood pressure
142/90 mm Hg Oxygen saturation 91% on room air - CORRECT ANSWERS-The client is most
likely experiencing manifestations of autonomic dysreflexia and pneumonia .
Adventitious breath sounds in the lower lobes bilaterally and a decrease in oxygen saturation to
less than 92% can indicate pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury, headache, and blurred vision are
manifestations of autonomic dysreflexia, which can be a life-threatening condition.
NGN
A nurse is caring for a client who has abdominal pain.
For each condition, click to specify if the characteristic is consistent with an
acute infection of hepatitis A, hepatitis B, or hepatitis C. Each characteristic
may support more than one disease process.
A, hepatitis B, and hepatitis C include jaundice, yellow sclerae, right upper quadrant pain upon
palpation, dark yellow urine, and elevated AST and
,ALT levels. - CORRECT ANSWERS-When analyzing cues, the nurse should recognize that
manifestations of hepatitis
When analyzing cues, the nurse should also recognize the client's risk for contracting hepatitis A
through the fecal-oral route during recent travel to an underdeveloped country and the client's
occupational risk as a perioperative
nurse for contracting hepatitis B and hepatitis C through bloodborne transmission.
ThefnursefshouldfrecognizefthatfthefcurrentfstandardfoffpracticefforftreatingfhepatitisfBfandfhepatit
isfCfinfectionsfisfwithfantiviralfmedication.
NGN
Afnursefisfcaringfforfafclientfonfafmedical-surgicalfunit.
Clickftofhighlightftheffindingsfthatfrequireffollowfup.f
Clientfalertfandforientedfperson,fplace,fandftime.fClientfhadfepisodefof
diarrhea,fperinealfcarefprovided.fNotedf2fcmfxf2fcmf(0.8finfxf0.8fin)fpainful
edematousfareafonfsacrum.fClientfrepositionedfeveryf4fhr.f-ffCORRECTfANSWERS-
Whenfrecognizingfcues,fthefnursefshouldfdeterminefthatfthefclient'sfpainfulfedematousfareafonfthe
irfsacrumfandfthatfthefclientfhasfonlyfbeenfrepositionedfeveryf4fhrfrequiresffollowfup.fThefclientfhasf
manifestationsfoffafpressurefinjuryfthatfneedftofbefaddressed.fThefclientfshouldfbefrepositionedfatfl
eastfeveryf2fhrftofpreventfworseningfoffthefpressurefinjuryfandftofrelievefpressureffromfthefsacralfar
eaf.
Afnursefinfanfoutpatientfmentalfhealthfclinicfisfcaringfforfafclient.
3fmonthsfago:fClientfrecentlyfadmittedfwithfnewfdiagnosisfoffschizophrenia.fReceivedfinpatientftre
atmentfforf10fdaysfandfwasfdischargedf1fweekfago.f
, Today:fClientfpresentsfforffollow-
upfvisit.fPressuredfspeechfnoted.fAppearsftofbeflisteningftofunseenfothers.fClientfisfrestless.fFreque
ntlyfgettingfoutfoffchair.fAppearsftiredfandfdisheveled.
Selectfthef3ffindingsfthatfrequirefimmediateffollowfup.
Weight
Speech
Auditoryfhallucinations
Neurofstatus
Restlessnessf-ffCORRECTfANSWERS-
Whenfrecognizingfcues,fthefnursefshouldfidentifyfthatftheffindingsfoff
restlessness,f
auditoryfhallucinations,f
andfpressuredfspeechfrequirefimmediateffollowfup.fTheseffindingsfarefindicationsfoffpsychosis.fThe
fnursefshouldfnotifyfthefproviderfforfadditionalfevaluationfandftreatment.
Afnursefisfcaringfforfafclientfwhofisfpostoperativeffollowingfcoronary
arteryfbypassfsurgeryf(CABG).
1500:fClientfalertfandforientedftofperson,fplace,fandftime.fReportsfpainfasf2fonfafscalefoff0ftof10.fInci
sionalfdressingfintact.fNofrednessforfexcessivefdrainagefnoted.fUrinaryfcatheterfpatent,fdrainingfcle
arfyellowfurine.fChestftubefpatent.fNofrednessforfedemafnotedfatfchestftubefsite.fClientfcontinuesft
ofreportflegfmusclefcramps.
Potassiumf3.2fmEq/Lf(3.5ftof5fmEq/L)fMagnesiumf1.5fmEq/Lf(1.3ftof2.1fmEq/L)f
Thefclientfisfatfgreatestfriskfforfdevelopingfdysrhythmiasfasfevidencedfbyfelectrolytefimbalancef.f-
ffCORRECTfANSWERS-
Practice 2023 B AND ALL CORRECT
ANSWERS 100% SOLVED AND
GUARANTEED SUCCESS!!
NGN
A nurse is caring for a 5-year-old child.
Child accompanied to emergency department by caregiver.
Caregiver states child has a sore throat and reports the child has "pain on swallowing' and
denies cough. Child is agitated and leaning forward with drooling noted.
Day 4, 0600:
Temperature 38.40 C (1 01.20 F)
Heart rate 54/min
Respiratory rate 26/min
Blood pressure 142/90 mm Hg
Oxygen saturation 91 % on room air - CORRECT ANSWERS-The nurse should anticipate initiating
droplet precautions and requesting a prescription for IV antibiotics.
The child is most likely experiencing epiglottitis
because of the clinical manifestations of a high fever, inflammation and redness of the throat,
pale skin, stridor with inspiration, painful swallowing, no cough, is sitting in tripod position, and
drooling.
The nurse should monitor the child's temperature and breath sounds.
,A nurse is caring for a client who is on the spinal cord injury (SCD unit.
Day 4, 0600:
Client reports increased coughing and shortness of breath.
Crackles auscultated in lower lobes bilaterally. Face and neck flushed. Skin warm and moist.
Client reports blurred vision and a headache as an 8 on a 0 to 10 pain scale.
Abdomen soft and mildly distended. Hypoactive bowel sounds present.
Urinary output 300 mL over last 8 hr.
Temperature 38.4° C (101.2° F) Heart rate 54/min Respiratory rate 26/min Blood pressure
142/90 mm Hg Oxygen saturation 91% on room air - CORRECT ANSWERS-The client is most
likely experiencing manifestations of autonomic dysreflexia and pneumonia .
Adventitious breath sounds in the lower lobes bilaterally and a decrease in oxygen saturation to
less than 92% can indicate pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury, headache, and blurred vision are
manifestations of autonomic dysreflexia, which can be a life-threatening condition.
NGN
A nurse is caring for a client who has abdominal pain.
For each condition, click to specify if the characteristic is consistent with an
acute infection of hepatitis A, hepatitis B, or hepatitis C. Each characteristic
may support more than one disease process.
A, hepatitis B, and hepatitis C include jaundice, yellow sclerae, right upper quadrant pain upon
palpation, dark yellow urine, and elevated AST and
,ALT levels. - CORRECT ANSWERS-When analyzing cues, the nurse should recognize that
manifestations of hepatitis
When analyzing cues, the nurse should also recognize the client's risk for contracting hepatitis A
through the fecal-oral route during recent travel to an underdeveloped country and the client's
occupational risk as a perioperative
nurse for contracting hepatitis B and hepatitis C through bloodborne transmission.
ThefnursefshouldfrecognizefthatfthefcurrentfstandardfoffpracticefforftreatingfhepatitisfBfandfhepatit
isfCfinfectionsfisfwithfantiviralfmedication.
NGN
Afnursefisfcaringfforfafclientfonfafmedical-surgicalfunit.
Clickftofhighlightftheffindingsfthatfrequireffollowfup.f
Clientfalertfandforientedfperson,fplace,fandftime.fClientfhadfepisodefof
diarrhea,fperinealfcarefprovided.fNotedf2fcmfxf2fcmf(0.8finfxf0.8fin)fpainful
edematousfareafonfsacrum.fClientfrepositionedfeveryf4fhr.f-ffCORRECTfANSWERS-
Whenfrecognizingfcues,fthefnursefshouldfdeterminefthatfthefclient'sfpainfulfedematousfareafonfthe
irfsacrumfandfthatfthefclientfhasfonlyfbeenfrepositionedfeveryf4fhrfrequiresffollowfup.fThefclientfhasf
manifestationsfoffafpressurefinjuryfthatfneedftofbefaddressed.fThefclientfshouldfbefrepositionedfatfl
eastfeveryf2fhrftofpreventfworseningfoffthefpressurefinjuryfandftofrelievefpressureffromfthefsacralfar
eaf.
Afnursefinfanfoutpatientfmentalfhealthfclinicfisfcaringfforfafclient.
3fmonthsfago:fClientfrecentlyfadmittedfwithfnewfdiagnosisfoffschizophrenia.fReceivedfinpatientftre
atmentfforf10fdaysfandfwasfdischargedf1fweekfago.f
, Today:fClientfpresentsfforffollow-
upfvisit.fPressuredfspeechfnoted.fAppearsftofbeflisteningftofunseenfothers.fClientfisfrestless.fFreque
ntlyfgettingfoutfoffchair.fAppearsftiredfandfdisheveled.
Selectfthef3ffindingsfthatfrequirefimmediateffollowfup.
Weight
Speech
Auditoryfhallucinations
Neurofstatus
Restlessnessf-ffCORRECTfANSWERS-
Whenfrecognizingfcues,fthefnursefshouldfidentifyfthatftheffindingsfoff
restlessness,f
auditoryfhallucinations,f
andfpressuredfspeechfrequirefimmediateffollowfup.fTheseffindingsfarefindicationsfoffpsychosis.fThe
fnursefshouldfnotifyfthefproviderfforfadditionalfevaluationfandftreatment.
Afnursefisfcaringfforfafclientfwhofisfpostoperativeffollowingfcoronary
arteryfbypassfsurgeryf(CABG).
1500:fClientfalertfandforientedftofperson,fplace,fandftime.fReportsfpainfasf2fonfafscalefoff0ftof10.fInci
sionalfdressingfintact.fNofrednessforfexcessivefdrainagefnoted.fUrinaryfcatheterfpatent,fdrainingfcle
arfyellowfurine.fChestftubefpatent.fNofrednessforfedemafnotedfatfchestftubefsite.fClientfcontinuesft
ofreportflegfmusclefcramps.
Potassiumf3.2fmEq/Lf(3.5ftof5fmEq/L)fMagnesiumf1.5fmEq/Lf(1.3ftof2.1fmEq/L)f
Thefclientfisfatfgreatestfriskfforfdevelopingfdysrhythmiasfasfevidencedfbyfelectrolytefimbalancef.f-
ffCORRECTfANSWERS-
