VATI GREEN LIGHT COMPREHENSIVE FORM A
FULL TEST PAPER WITH VERIFIED ANSWERS
◉ 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
Answer: This technique decreases the risk of subcutaneous
infiltration
◉ 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
Answer: 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
Answer: 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?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
Answer: B. Hyperemesis
◉ 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
Answer: 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
D. Advise the client to leave the television in the room on when
trying to fall asleep
Answer: C. Schedule routine care tasks during hours when the client
is awake
◉ 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
client is experiencing an adverse effect of the medication?
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention
Answer: A. Decreased reflexes
, Loop diuretics cause excessive urination leading to hypotension and
finally resulting in decreased reflexes.
◉ At the start of an evening shift on a cardiac unit, a licensed
practical nurse brings the nurse a list of client reports. Which of the
following client reports should the nurse assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency
Answer: B. Indigestion
◉ A nurse on a medical unit has just received change-of-shift report.
Which of the following clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago
and reports chest pain 4 on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and
a temperature of 38.3 C (101F)
C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a
nasal cannula, and has an oxygen saturation of 89%
D. A 26-year-old female client who has pelvic inflammatory disease
and is unable to void
FULL TEST PAPER WITH VERIFIED ANSWERS
◉ 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
Answer: This technique decreases the risk of subcutaneous
infiltration
◉ 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
Answer: 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
Answer: 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?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
Answer: B. Hyperemesis
◉ 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
Answer: 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
D. Advise the client to leave the television in the room on when
trying to fall asleep
Answer: C. Schedule routine care tasks during hours when the client
is awake
◉ 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
client is experiencing an adverse effect of the medication?
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention
Answer: A. Decreased reflexes
, Loop diuretics cause excessive urination leading to hypotension and
finally resulting in decreased reflexes.
◉ At the start of an evening shift on a cardiac unit, a licensed
practical nurse brings the nurse a list of client reports. Which of the
following client reports should the nurse assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency
Answer: B. Indigestion
◉ A nurse on a medical unit has just received change-of-shift report.
Which of the following clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago
and reports chest pain 4 on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and
a temperature of 38.3 C (101F)
C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a
nasal cannula, and has an oxygen saturation of 89%
D. A 26-year-old female client who has pelvic inflammatory disease
and is unable to void
