VATI GREEN LIGHT COMPREHENSIVE FORM B
COMPLETE EXAM SCRIPT WITH SOLUTIONS
◉ A nurse is caring for a client who reports chest pain. Which of the
following findings indicates myocardial damage?
A. aPTT 80 seconds
B. Troponin I 1.8 ng/mL
C. Erythrocyte sedimentation rate 17 mm/hr
D. Human B-type natriuretic peptide 88 pg/mL
Answer: B. Troponin I 1.8 ng/mL
◉ A nurse is providing teaching about car seat safety to the parent of
a term newborn. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "I should place a rolled blanket along each side of my baby's head
in the car seat."
B. "I should place my baby's car seat rear-facing until 6 months of
age."
C. "I should put the car seat retainer clip at the level of my baby's
belly button."
D. "I should position my baby's car seat at a 90-degree angle in the
car."
,Answer: A. "I should place a rolled blanket along each side of my
baby's head in the car seat."
◉ A nurse is performing high-frequency chest compressions using a
mechanical chest compression device for a child who has cystic
fibrosis. Which of the following findings indicates the treatment has
been effective?
A. The child develops a dry, hacking cough
B. The child has increased nasal secretions
C. The child has increased sputum production
D. The child develops diminished breath sounds
Answer: C. The child has increased sputum production
◉ A nurse is caring for a client following a possible exposure to
anthrax. Which of the following actions should the nurse take?
A. Administer an antitoxin
B. Quarantine the client
C. Monitor the client for a productive cough
D. Begin prophylactic treatment with ciprofloxacin
Answer: D. Begin prophylactic treatment with ciprofloxacin
◉ A nurse is caring for a client who has a newly implanted sealed
internal radiation device to treat cervical cancer. Which of the
following is an appropriate action for the nurse to take?
,A. Prohibit visitors for the first 24 hrs
B. Keep a 3-foot distance from the radiation implant
C. Maintain the client on bed rest for 72 hr
D. Require the client wear a dosimeter badge
Answer: C. Maintain the client on bed rest for 72 hr
◉ A nurse is admitting a client to the medical-surgical unit. Which of
the following actions should the nurse take first?
A. Place the client's valuables in the facility's safe
B. Observe the client's level of mobility
C. Administer prescribed medications
D. Electronically enter the prescriptions from the provider
Answer: B. Observe the client's level of mobility
◉ A nurse at a public health clinic is caring for a group of clients.
Which of the following should the nurse identify as a reportable
diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
D. Pediculosis capitis
Answer: B. Hepatitis A
, ◉ A charge nurse is evaluating the time management skills of a
newly licensed nurse. Which of the following actions should the
charge nurse identify as an effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed
practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
D. Skips break times to catch up on charting
Answer: B. Completes activities for one client before moving to the
next client
◉ A nurse delegates tasks to a licensed practical nurse and an
assistive personnel. When admitting a client who is experiencing
acute liver failure and who has ascites and an NG tube, which of the
following tasks is most appropriate for the nurse to delegate to the
LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr
Answer: A. Insert an indwelling catheter if the client has not voided
in 3 hr
COMPLETE EXAM SCRIPT WITH SOLUTIONS
◉ A nurse is caring for a client who reports chest pain. Which of the
following findings indicates myocardial damage?
A. aPTT 80 seconds
B. Troponin I 1.8 ng/mL
C. Erythrocyte sedimentation rate 17 mm/hr
D. Human B-type natriuretic peptide 88 pg/mL
Answer: B. Troponin I 1.8 ng/mL
◉ A nurse is providing teaching about car seat safety to the parent of
a term newborn. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "I should place a rolled blanket along each side of my baby's head
in the car seat."
B. "I should place my baby's car seat rear-facing until 6 months of
age."
C. "I should put the car seat retainer clip at the level of my baby's
belly button."
D. "I should position my baby's car seat at a 90-degree angle in the
car."
,Answer: A. "I should place a rolled blanket along each side of my
baby's head in the car seat."
◉ A nurse is performing high-frequency chest compressions using a
mechanical chest compression device for a child who has cystic
fibrosis. Which of the following findings indicates the treatment has
been effective?
A. The child develops a dry, hacking cough
B. The child has increased nasal secretions
C. The child has increased sputum production
D. The child develops diminished breath sounds
Answer: C. The child has increased sputum production
◉ A nurse is caring for a client following a possible exposure to
anthrax. Which of the following actions should the nurse take?
A. Administer an antitoxin
B. Quarantine the client
C. Monitor the client for a productive cough
D. Begin prophylactic treatment with ciprofloxacin
Answer: D. Begin prophylactic treatment with ciprofloxacin
◉ A nurse is caring for a client who has a newly implanted sealed
internal radiation device to treat cervical cancer. Which of the
following is an appropriate action for the nurse to take?
,A. Prohibit visitors for the first 24 hrs
B. Keep a 3-foot distance from the radiation implant
C. Maintain the client on bed rest for 72 hr
D. Require the client wear a dosimeter badge
Answer: C. Maintain the client on bed rest for 72 hr
◉ A nurse is admitting a client to the medical-surgical unit. Which of
the following actions should the nurse take first?
A. Place the client's valuables in the facility's safe
B. Observe the client's level of mobility
C. Administer prescribed medications
D. Electronically enter the prescriptions from the provider
Answer: B. Observe the client's level of mobility
◉ A nurse at a public health clinic is caring for a group of clients.
Which of the following should the nurse identify as a reportable
diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
D. Pediculosis capitis
Answer: B. Hepatitis A
, ◉ A charge nurse is evaluating the time management skills of a
newly licensed nurse. Which of the following actions should the
charge nurse identify as an effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed
practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
D. Skips break times to catch up on charting
Answer: B. Completes activities for one client before moving to the
next client
◉ A nurse delegates tasks to a licensed practical nurse and an
assistive personnel. When admitting a client who is experiencing
acute liver failure and who has ascites and an NG tube, which of the
following tasks is most appropriate for the nurse to delegate to the
LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr
Answer: A. Insert an indwelling catheter if the client has not voided
in 3 hr
