LIGHT) EXAM/ COMPLETED VATI
GREENLIGHT EXAM /A+GRADE 2023
A nurse is caring for a client who is at 33 weeks of
gestation following an amniocentesis. The nurse
should monitor the client for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions - CORRECT ANSWER-D.
Contractions
A nurse is providing teaching to an older adult
client about methods to promote nighttime
sleep. Which of the following instructions should
the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime - CORRECT
ANSWER-D. Eat a light snack before bedtime
A nurse on a telemetry unit is caring for a client
who becomes unconscious and whose monitor
,displays ventricular tachycardia. Which of the
following actions should the nurse take first after
determining the client does not have a palpable
pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine - CORRECT
ANSWER-B. Defibrillate
A nurse is admitting a client who 1 week
postpartum and reports excessive vaginal
bleeding. The nurse does not speak the same
language as the client. The client's partner and
10-year-old child are accompanying her. Which of
the following actions should the
nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the
facility
D. Ask a nursing student who speaks the same
language as the client to translate - CORRECT
ANSWER-C. Request a female interpreter
through the facility
,A nurse is caring for a client who is febrile. To
reduce the client's fever, the nurse applies a
cooling blanket. Which of the following findings
indicates the client is having an adverse reaction
to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering - CORRECT ANSWER-d. Shivering
A nurse is caring for a client who has deep-vein-
thrombosis of the left lower extremity. Which of
the following actions should the nurse take?
(Exhibit)
A. Position the client with the affected extremity
lower than the heart
B. Withhold heparin IV infusion PTT- 30-40
seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr -
CORRECT ANSWER-B. Withhold heparin IV
infusion PTT- 30-40 seconds; x2 if on heparin
A nurse is reviewing assessment data from
several clients. For which of the following clients
, should the nurse recommend referral to a
dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL
(normal 3.4-5.4) - CORRECT ANSWER-B. A
client who has a nonhealing leg ulcer
8. A nurse is providing discharge teaching to a
client who has a chronic kidney disease and is
receiving hemodialysis. Which of the following
instructions should the nurse include in the
teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict -
CORRECT ANSWER-a. Eat 1 g/kg of protein per
day
A nurse is caring for a client who is receiving
intermittent enteral tube feedings. Which of
the following places the client at risk for
aspiration?