PN VATI 2020-REVISION GUIDE

PN VATI 2020-REVISION GUIDE A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions? A nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the instructions? A nurse is preparing to administer a liquid medication to a 6-month-old infant who is crying. Which of the following actions should the nurse take to reduce the risk of aspiration? A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? A nurse in a urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia? A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the following statements should the nurse expect? A nurse is assisting with an admission interview for a client who has schizophrenia. He tells the nurse that he is receiving special audible messages from the Central Intelligence Agency that no one else is able to hear. The nurse should identify that the client is having which of the following alterations in perception? A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates to the nurse a need for further teaching? A nurse is assisting with triaging clients in a mass casualty situation. The nurse should recommend that which of the following clients receive care first? A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's siblings should the nurse expect? A home health nurse is reinforcing teaching with a client about kitchen safety. Which of the following instructions should the nurse reinforce about using a fire extinguisher? A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate. Which of the following client statements indicates an understanding of the teaching? A nurse is caring for a client who is 5 days postoperative following abdominal surgery. The client tells the nurse that he was coughing and "felt a pop" at the incision site. The nurse examines the incision and finds wound dehiscence and evisceration. Which of the following actions should the nurse take? A nurse is caring for a postoperative client and obtains a pulse oximeter reading of 89%. Which of the following interventions should the nurse take first? A nurse is observing the mother of a 12-hr-old newborn. Which of the following actions by the mother requires intervention by the nurse? After receiving change-of-shift report, which of the following clients should the nurse collect data from first? A nurse is assisting with the admission of a client who has Hodgkin's disease and is receiving chemotherapy. Because a private room is not available, the nurse should recommend that the client share a room with a client who has which of the following diagnoses? A nurse is evaluating a client who just attended a breastfeeding class. Which of the following statements by the client demonstrates that she has understood the teaching? A nurse is reinforcing teaching about self-administration of nasal drops with a client. Which of the following positions should the nurse recommend for instillation of the drops? A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse see first A nurse in the newborn nursery is collecting data about a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this reflex? A nurse is caring for a school-age child who is scheduled for a bone marrow aspiration biopsy. The child asks the nurse, "Will this be painful?" Which of the following is an appropriate response by the nurse? A nurse is assisting with the admission of a client who attempted suicide. When the nurse processes the client's belongings, which of the following items should the nurse remove from the client's suitcase? A nurse is caring for a client who is experiencing chest pain. The client states, "I am really afraid because my brother died a year ago of a heart attack." Which of the following responses is appropriate? A nurse is collecting data from a client who is 1 day postoperative following a total hip arthroplasty and has deep-vein thrombosis. Which of the following findings should the nurse expect in the affected extremity? A nurse is contributing to the plan of care for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse include in the plan of care? A nurse is caring for a client who is receiving morphine 2 mg subcutaneously every 4 hr for pain. The medication is available in a vial containing 10 mg/mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is preparing to administer cefaclor to a preschooler who weighs 20 kg. The child is to receive cefaclor 30 mg/kg/day to divide equally every 8 hr. Available is cefaclor suspension 125 mg/5 mL. How many ml should the nurse administer for one dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is caring for a school-age child whose family adheres to a vegan diet in the home. The nurse should recognize the child is at risk for deficiency of which of the following? A nurse is preparing to catheterize a client's bladder to check for residual urine. The nurse should schedule this procedure at which of the following times?