Vati Pn Comprehensive Predictor —
100-Question Practice Bank
Questions & Answers | 100%
Verified Solutions
1. A nurse is caring for a client who has heart failure. Which finding should
the nurse report to the provider immediately?
A. Weight gain of 0.5 kg (1.1 lb) over 1 week
B. Blood pressure of 128/76 mm Hg
C. Dyspnea at rest
D. Heart rate of 82/min
Correct Answer: C. Dyspnea at rest
Rationale: Dyspnea at rest can indicate worsening pulmonary congestion
and decreased cardiac function and requires prompt evaluation.
2. A nurse is assessing a client who has hypoglycemia. Which finding
should the nurse expect?
A. Warm, dry skin
B. Bradycardia
C. Tremors and diaphoresis
D. Fruity breath odor
Correct Answer: C. Tremors and diaphoresis
Rationale: Hypoglycemia activates the sympathetic nervous system,
causing manifestations such as tremors, sweating, tachycardia, and
anxiety.
,3. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen. Which oxygen saturation should the nurse generally target unless
otherwise prescribed?
A. 70% to 75%
B. 80% to 84%
C. 88% to 92%
D. 98% to 100%
Correct Answer: C. 88% to 92%
Rationale: Many clients with COPD are maintained at a target saturation
of approximately 88% to 92% to provide adequate oxygenation while
avoiding excessive oxygen administration.
4. A nurse is caring for a client who has a potassium level of 2.8 mEq/L.
Which finding should the nurse expect?
A. Muscle weakness
B. Hyperactive reflexes
C. Peaked T waves
D. Severe hypertension
Correct Answer: A. Muscle weakness
Rationale: Hypokalemia can cause muscle weakness, fatigue, cardiac
dysrhythmias, and characteristic ECG changes such as flattened T waves.
5. A nurse is reinforcing teaching with a client who takes warfarin. Which
food should the client consume consistently rather than abruptly
increasing or decreasing?
A. Apples
B. Spinach
C. Rice
D. Bananas
Correct Answer: B. Spinach
Rationale: Spinach is high in vitamin K, which can reduce warfarin's
anticoagulant effect. Consistency in vitamin K intake is important.
,6. A client is experiencing an acute asthma exacerbation. Which
medication should the nurse expect to administer for rapid
bronchodilation?
A. Montelukast
B. Fluticasone
C. Albuterol
D. Salmeterol
Correct Answer: C. Albuterol
Rationale: Albuterol is a short-acting beta2-adrenergic agonist used for
rapid relief of acute bronchospasm.
7. A nurse is caring for a client who has a suspected stroke. Which action is
the priority?
A. Offer oral fluids
B. Determine the time symptoms began
C. Encourage ambulation
D. Administer a sedative
Correct Answer: B. Determine the time symptoms began
Rationale: The time of symptom onset is critical because eligibility for time-
sensitive stroke therapies depends on when symptoms began.
8. Which finding is most consistent with dehydration in an older adult?
A. Bounding pulse
B. Moist mucous membranes
C. Orthostatic hypotension
D. Increased urine output
Correct Answer: C. Orthostatic hypotension
Rationale: Fluid volume deficit can decrease circulating volume and cause
orthostatic hypotension, tachycardia, dry mucous membranes, and
concentrated urine.
, 9. A nurse is caring for a client who has pneumonia. Which finding
indicates improvement?
A. Increasing respiratory rate
B. Decreasing oxygen saturation
C. Reduced fever and improved breath sounds
D. Increasing confusion
Correct Answer: C. Reduced fever and improved breath sounds
Rationale: Resolution of fever and improved respiratory findings indicate
that the client's pneumonia is responding to treatment.
10. A client is receiving furosemide. Which laboratory value is most
important for the nurse to monitor?
A. Potassium
B. Hemoglobin
C. Platelets
D. Calcium only
Correct Answer: A. Potassium
Rationale: Furosemide is a loop diuretic that can cause potassium loss and
hypokalemia.
11. A nurse is caring for a client who has diabetes mellitus. Which finding
requires immediate intervention?
A. Blood glucose of 110 mg/dL
B. Client reports increased thirst
C. Client is unconscious with a glucose level of 38 mg/dL
D. Client reports mild hunger before lunch
Correct Answer: C. Client is unconscious with a glucose level of 38 mg/dL
Rationale: Severe hypoglycemia with altered consciousness is an
emergency requiring immediate treatment according to the client's
condition and facility protocol.
100-Question Practice Bank
Questions & Answers | 100%
Verified Solutions
1. A nurse is caring for a client who has heart failure. Which finding should
the nurse report to the provider immediately?
A. Weight gain of 0.5 kg (1.1 lb) over 1 week
B. Blood pressure of 128/76 mm Hg
C. Dyspnea at rest
D. Heart rate of 82/min
Correct Answer: C. Dyspnea at rest
Rationale: Dyspnea at rest can indicate worsening pulmonary congestion
and decreased cardiac function and requires prompt evaluation.
2. A nurse is assessing a client who has hypoglycemia. Which finding
should the nurse expect?
A. Warm, dry skin
B. Bradycardia
C. Tremors and diaphoresis
D. Fruity breath odor
Correct Answer: C. Tremors and diaphoresis
Rationale: Hypoglycemia activates the sympathetic nervous system,
causing manifestations such as tremors, sweating, tachycardia, and
anxiety.
,3. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen. Which oxygen saturation should the nurse generally target unless
otherwise prescribed?
A. 70% to 75%
B. 80% to 84%
C. 88% to 92%
D. 98% to 100%
Correct Answer: C. 88% to 92%
Rationale: Many clients with COPD are maintained at a target saturation
of approximately 88% to 92% to provide adequate oxygenation while
avoiding excessive oxygen administration.
4. A nurse is caring for a client who has a potassium level of 2.8 mEq/L.
Which finding should the nurse expect?
A. Muscle weakness
B. Hyperactive reflexes
C. Peaked T waves
D. Severe hypertension
Correct Answer: A. Muscle weakness
Rationale: Hypokalemia can cause muscle weakness, fatigue, cardiac
dysrhythmias, and characteristic ECG changes such as flattened T waves.
5. A nurse is reinforcing teaching with a client who takes warfarin. Which
food should the client consume consistently rather than abruptly
increasing or decreasing?
A. Apples
B. Spinach
C. Rice
D. Bananas
Correct Answer: B. Spinach
Rationale: Spinach is high in vitamin K, which can reduce warfarin's
anticoagulant effect. Consistency in vitamin K intake is important.
,6. A client is experiencing an acute asthma exacerbation. Which
medication should the nurse expect to administer for rapid
bronchodilation?
A. Montelukast
B. Fluticasone
C. Albuterol
D. Salmeterol
Correct Answer: C. Albuterol
Rationale: Albuterol is a short-acting beta2-adrenergic agonist used for
rapid relief of acute bronchospasm.
7. A nurse is caring for a client who has a suspected stroke. Which action is
the priority?
A. Offer oral fluids
B. Determine the time symptoms began
C. Encourage ambulation
D. Administer a sedative
Correct Answer: B. Determine the time symptoms began
Rationale: The time of symptom onset is critical because eligibility for time-
sensitive stroke therapies depends on when symptoms began.
8. Which finding is most consistent with dehydration in an older adult?
A. Bounding pulse
B. Moist mucous membranes
C. Orthostatic hypotension
D. Increased urine output
Correct Answer: C. Orthostatic hypotension
Rationale: Fluid volume deficit can decrease circulating volume and cause
orthostatic hypotension, tachycardia, dry mucous membranes, and
concentrated urine.
, 9. A nurse is caring for a client who has pneumonia. Which finding
indicates improvement?
A. Increasing respiratory rate
B. Decreasing oxygen saturation
C. Reduced fever and improved breath sounds
D. Increasing confusion
Correct Answer: C. Reduced fever and improved breath sounds
Rationale: Resolution of fever and improved respiratory findings indicate
that the client's pneumonia is responding to treatment.
10. A client is receiving furosemide. Which laboratory value is most
important for the nurse to monitor?
A. Potassium
B. Hemoglobin
C. Platelets
D. Calcium only
Correct Answer: A. Potassium
Rationale: Furosemide is a loop diuretic that can cause potassium loss and
hypokalemia.
11. A nurse is caring for a client who has diabetes mellitus. Which finding
requires immediate intervention?
A. Blood glucose of 110 mg/dL
B. Client reports increased thirst
C. Client is unconscious with a glucose level of 38 mg/dL
D. Client reports mild hunger before lunch
Correct Answer: C. Client is unconscious with a glucose level of 38 mg/dL
Rationale: Severe hypoglycemia with altered consciousness is an
emergency requiring immediate treatment according to the client's
condition and facility protocol.
