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Exam (elaborations)

VATI PN Comprehensive Predictor Exam (Form B) – Green Light Questions and Correct Answers.

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VATI PN Comprehensive Predictor Exam (Form B) – Green Light Questions and Correct Answers.

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VATI PN Comprehensive Predictor Exam
(Form B) – Green Light Questions and
Correct Answers
Question 1
A nurse is reviewing the procedure for endotracheal suctioning with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?

A. I should apply sterile saline to lubricate the suction catheter.
B. I should wait 30 seconds between each suction pass.
C. I will repeat the suction procedure for up to 4 suction passes.
D. I will apply suction for 10 seconds as I insert the catheter.
Correct Answer
I should apply sterile saline to lubricate the suction catheter.

Nurse should wait at least 1 min between suction passes to allow for ventilation and
oxygenation.
Nurse can repeat suction passes up to 3 times to clear secretions.
The nurse should not apply suctions while inserting the suction catheter into the
client's airway.




Page 1 of 74

,Question 2
A nurse is maintaining droplet precautions for a client who has meningitis. Which of
the following actions should the nurse take?
A. Place an N95 filter mask on the client during transportation.
B. Scan the clients facility identification band.
C. Remove fresh fruit from the client's room.
D. Put on a gown when entering the client's room.
Correct Answer
Scan the clients facility identification band.

A nurse should wear a surgical mask within 3 feet of the client to prevent exposure
to meningitis.
The nurse should have the client wear a surgical mask during transportation.
Protective precautions require that the client has no fresh fruit in the room.
Gown used for contact precautions.



Question 3
A nurse is contributing to the plan of care for a client who is newly diagnosed with
iron deficiency anemia. Which of the following foods should the nurse include in the
plan as having the highest amount of iron?
A. Cooked cabbage
B. Plain yogurt
C. Cooked white rise
D. Boiled spinach
Correct Answer
Boiled spinach.

Contains 6.43 mg of iron per cup.




Page 2 of 74

,Question 4
A nurse is reinforcing teaching with a client who is scheduled for a barium enema.
Which of the following statements should the nurse make?

A. This procedure uses diagnostic imaging to locate an obstructions.
B. You won't be allowed to drink anything for 4 hours following this procedure.
C. You can't have this procedure if you have a history of colon cancer.
D. You will be asked to drink a contrast medium prior to this procedure.

Correct Answer
This procedure uses diagnostic imaging to locate an obstructions.

The nurse should reinforce with the client that a barium enema uses fluoroscopy,
which is a type of diagnostic imaging, to locate and identify tumors or other causes
of a bowel obstruction.

The clients drink a contrast barium-contrast liquid prior to a barium swallow
procedure, not a barium enema. For a barium enema a radioopaque solution is
instilled directly into the colon.



Question 5
A nurse is collecting data from a client who has hypokalemia. Which of the following
findings should the nurse expect?
A. Hypertension
B. Increased appetite
C. Diarrhea
D. Muscle weakness
Correct Answer
Muscle weakness.

The nurse should expect a client who has hypokalemia to have bilateral muscle
weakness. Other manifestation of hypokalemia include hyporeflexia, muscle
stiffness, cramping, and paralysis.
- Decreased bowel sounds, not diarrhea.
- Expect decreased appetite and hypotension.




Page 3 of 74

, Question 6
A nurse is preparing to administer digoxin to a client who has heart failure. Which of
the following findings should indicate to the nurse that the medication has beed
effective?
A. Blood volume increase
B. Heart rate increases
C. Cardiac workload decreases
D. Urinary output decreases

Correct Answer
Cardiac workload decreases.

Digoxin reduces the effects of heart failure and improves cardiac output by
improving the conduction of the heart. This action allows the heart to work less to
provide adequate perfusion, reducing the overall oxygen demand on the heart.
Digoxin reduces retention of sodium and water, which causes blood volume to
decrease.
Digoxin increases contractility and cardiac output, which causes the heart rate to
decrease.



Question 7
A nurse is collecting data from a school-age child who has sustained a skull fracture.
Which of the following is a manifestation of increased intracranial pressure?
A. Glasgow Coma Scale score of 15
B. Headache when lying down
C. Confusion about knowing their own name.
D. Tympanic temperature of 37 degrees celsius.
Correct Answer
Confusion about knowing their own name.

Confusion is a sign of a decreased level of consciousness and is an indication of
increased intracranial pressure.
Headache when lying down is not an indication of increased intracranial pressure. I
can be if pt reports a headache upon awakening or standing.




Page 4 of 74

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