VATI RN GREENLIGHT EXAM Questions and answers

A nurse is planning care for a client who has a new diagnosis of HIV. I can’t seem to gain any weight Disaster triage following a natural disaster A client who has agonal respirations Client reports chest pain. Which of the following laboratory findings indicates myocardial damage Troponin I 1.8 ng/mL Child who has pediculosis capitis Store nonwashable items in plastic bags for 14 days Child who is unresponsive and has increased intracranial pressure Pad the side rails of the bed Client who is 8 hr postoperative following a right-modified radical mastectomy Coughing, frothy, pink secretions Newborn nursery is performing assessments on four neonates that are all less than 24 hr old pinna below the outer canthus of the eye Several client measurements were obtained with morning vital signs A 4-year old who has closed head injury and heart rate of 60 Tetralogy of fallot Pulse oximeter Medical unit received change-of-shift report 68 year old Recovering from an acute myocardial infarction. left sided heart failure Bilateral lung crackles Nutritional assessment on a client who has a calcium deficiency Osteogenesis Involuntarily admitted to the psychiatric unit following a failed suicide attempt experimental treatment Witness consent before medication administration Education to the mother of a toddler who has pertussis ...Answer missing……check it? Offer small amounts of fluid, frequently; monitor for airway obstruction School nurse scabies Red itchy papules on child’s groin area Diabetes insipidus DI severe head injury Urine output 250 ml 2 hr postoperative following an ileal conduit procedure bladder cancer Dusky colored stoma Mastitis of left breast does this mean that I must stop nursing my baby No, you can continue to nurse from both your breasts Orthopedic floor is completing the morning assessments on several clients 24-year old male who has a casted femur fracture Morning laboratory values to several clients Client who is prescribed digoxin and furosemide Education about electroconvulsive therapy ECT major depressive disorder General anesthetic administered prior to ECT treatments Charge nurse creating assignments for next shift for several nurses and one of the nurses is pregnant 60 year old who is recovering from shingles Nurse is teaching a client who has left-leg weakness how to use a standard walker Moves the left leg and walker ahead together Diagnosis of antisocial personality disorder Poor impulse control Home health nurse is reviewing treatment goals with a client who has diabetes mellitus evaluate laboratory tests to determine effective long-term management of blood glucose levels HbA1c Haloperidol for the treatment of schizophrenia Screen the client for tardive dyskinesia Urinalysis done for a preschool age child Pyelonephritis Delegates the following tasks to the assistive personnel bathe four clients distribute fresh water obtain morning vital signs Set a clear time frame for the completion of each task Hearing impairment incorporate which communication methods Rephrase sentences the client does not understand A nurse is discussing the z-track hydroxyzine hydrochloride with a newly licensed nurse This technique decrease risk of subcutaneous infiltration A nurse is reviewing medical records for four clients. Which of the following represents appropriate documentation Lovenox 30mg SC every 12 hr Performing postmortem care on an older adult client Place absorbent pads under the buttocks area Discussing a living will with a client It communicates my wishes for end of life care Benefit from a three-way indwelling catheter Prone to development of blood clots in the urine Dietary intervention for a client who is immobile due to pelvic and femur fractures Provide a high-protein diet If something happens to me from which I cannot recover, I don't want to go on a ventilator You're concerned that something may go wrong? Rising number of sexually transmitted infections in the community Brainstorming session with nurses Neutropenia Remove fresh flowers from the clients room Hyperthyroidism which of the following rooms is appropriate for the nurse to assign this client A room near the nurses station Experiencing acute mania Provide high-calorie nutritional supplements Ileal conduit due to treatment for bladder cancer Rinse the reusable pouch with hot water Adolescent who has cystic fibrosis and has a prescription for pancrealipase Take w meals A nurse is planning to provide community education about viral hepatitis Clients who have a history of viral hepatitis are unable to donate blood Ap reports to the nurse that another Ap has spent the entire morning on the phone and has not completed the morning assignment Redirect the AP to discuss the issue with the other AP A nurse is caring for a client who is receiving enteral nutrition A poor skin turgor Adolescent client who is in her third trimester of pregnancy Postpartum depression Client recovering from a closed head injury assumes a decerebate posture in reponse to stimuli D lying flat, not curved backwards little bastard Referral for a speech language pathologist Client who has difficulty swallowing Prescribed furosemide Rales in lower lobes of lungs OR increasing oliguria A nurse is admitting an infant who has bacterial meningitis Minimize environmental stimuli Laboratory data on a client who has dehydration Elevated blood urea nitrogen A nurse is caring for a client who has cirrhosis of the liver Monitor for abdominal ascites Difficulty falling asleep at night Eat a bedtime snack containing carbohydrates Perform wound irrigation for a client who has an open secondary wound when creating a sterile field Place the lid of a bottle of sterile solution within the sterile field Laboratory values on a client who has taken an overdose of acetaminophen organ damage Alanine aminotransferase ALT Nulliparous and in the first stage of labor the last internal assessment revealed 100% cervical effacement with 5 cm of dilatation. at the end of the last contraction, the nurse observes a large gush of fluid coming out of the client's perineal area. Check the FHR Health nurse is performing a vision screening on a 4-month-old infant. When shining a light source into the infant's visual field. IDK – Pupillary constriction – Fixate and follow a bright light or toy Providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in her diet during lactation Iron Nurse volunteers to assist after witnessing a mass casualty incident involving a train derailment. Which of the following clients should the nurse immediately and completely immobilize A client who reports substernal chest pain A nurse is writing a plan of care for a client who is homebound and has stage 2 alzheimer's disease. Which of the following should the nurse include in the plan of care? Assist with money management Nurse is caring for a client with fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin time aPTT of 100 seconds Turn off the heparin drip A nurse is teaching a client who has a new prescription for digoxin. Which of the following should the nurse include in the teaching? Notify your provider if you experience muscle weakness A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy Place the newborn 45cm or 18 in from the light source A nurse is providing teaching for a client who has a new prescription for lithium carbonate You should take this medication on an empty stomach A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? Reading quietly in the room A nurse is teaching a client who has low-literacy level about home management of diabetes mellitus Show the client an educational video A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. The clients sibling comes to visit but has obvious manifestations of an upper respiratory infection Allow the sibling to visit after donning a sterile gown, mask, and gloves, but prohibit physical contact.