RN VATI REAL COMPREHENSIVE PREDICTOR REAL EXAM 180

RN VATI REAL COMPREHENSIVE PREDICTOR REAL EXAM 180 QUESTIONS AND CORRECT ANSWERS/ VATI RN COMPREHENSIVE PREDICTOR 2023 GRADEDA 1. A nurse on a mental health unit isadmitting aclient who has posttraumaticstress disorder.Which of the following findings should the nurse expect? A. Talkscontinuouslyabout theevent B. Preoccupied withhavingaserious illness C. Has difficultyconcentrating on atask D. Experiencesfrequentgrandiosethoughts 2. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what theytake home. Which of the following responsesshould the nurse make? A. "Didthedoctor discuss withyouthat there wasachangeinthis medication? " B. "Doyouknow whythis medicationisbeingprescribedforyou?" C. "I willcall the pharmacist now to check on this medication " D. "Irecommendthat youtakethis medicationasprescribed" 3. A nurse isassessing aclient who is in skeletal traction fora fractured left tibia. The nurseshould Identify that which the following findings indicates altered tissue perfusion of the affected extremity? A. Purulentdrainageat thesite B. Faint pedal pulse of left leg C. Pain with movementof theleftgreat toe D. Warm skintemperaturedistal topinsite 4. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of thefollowing statements bythe client indicatesan understanding of the teaching? A. "I willdecrease mydailyproteinintake to15 gramsperday" B. "I willuseibuprofenasneededtocontrolabdominalpain" C. "I will takesucralfate with mealsthreetimesper" D. "I willavoid food and beveragesthatcontain caffeine" 5. A nurse iscaring foraclient who isin the advanced stage ofamyotrophiclateralsclerosis(ALS). Which of the following referrals is the nurse's priority? A. Occupational therapist B. Social worker C. Speech-language pathologist D. Psychologist 6. A nurse administers digoxin 0.125 mg PO to an adultclient. For which of the followingfindings should the nurse notifythe provider? ) A. Constipationfor2days B. Potassium level4.2 mEq/L ) C. Digoxinlevel 1ng/mL**normal levels 0.5-2.0 D. Apical pulse 58/ min 7. A nurse is updating the plan ofcare foraclient who hasan exacerbation of psoriasis. Whichof the following interventions should the nurse include in the plan? A. Discontinueultraviolet light therapyif lesionsbecomeitchy B. Cover lesions with an occlusive dressing afterapplying acorticosteroid. C. Scrubexternal lesions withapumicestone D. Instruct theclient toaddrubbingalcohol tobath water 8. A nurse is verifying arecord of informed consent foraclient who scheduled forsurgery.Which of the following actions should the nurse take? A. ProvideInformationontheinformedconsent form about thebenefitsof thesurgery B. Confirm the client'ssignature isauthentic C. Inform theclientabout theconditionthatrequirestreatment D. Explaintheproceduretotheclientbeforeverifyinginformedconsent.??? 9. A nurse is caring foraclient who requests the creation ofa living will. Which of thefollowing actions should the nurse take? A. Schedulea meetingbetweenthehospitalethicscommitteeandclient B. Determinetheclient'spreferencesaboutpostmortem care C. Evaluate the client's understanding of life sustainingmeasures D. Requestaconference withtheclient'sfamily 10. A nurse in an emergency departmentcaring foratoddler who has burns following a housefire. Which of the following actions should the nurse take first? A. Administerantibioticsprophylacticallytopreventsepsis. B. Determinethelocationanddepthof theburns. C. Calculatefluidreplacementbasedonvitalsignsandurinaryoutput. D. Check the mouth forsootand smoky breath. ABC’S 11. A nurse iscaring foran olderadultclient who has prescriptions for multiple medications.Which of the following factors should the nurse identify as an age-related change that increases the risk for adverse effects from medications? A. Prolongedmedication half-life B. Increasedmedicationelimination C. Decreasedmedicationsensitivity D. Rapidgastricemptying ) 12. A nurse is caring foraclient who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should thenurse take? A. Expresssympathyfortheclient'ssituation. B. Confront theclientabout thisbehavior. C. Speakassertivelyto the client. D. Stand within 30 cm (1 fuof theclient whenspeaking withthem. 13. A nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client's historyisacontraindicationto the use ofcombination oral contraceptives? A. Hypocalcemia B. Diverticulosis C. Hyperthyroidism D. Thrombophlebitis 14. A nurse iscreating a plan ofcare forafemale client who has recurrent urinarytractinfections. Which of the following interventions should the nurse include in the plan? A. Wearloose-fitting underwear. B. Takeabubblebathafterintercourse C. Drinkfour240 mL (8 oz)glassesof watereachday D. Voidevery to 6 hrduringtheday. NO 15. A nurse isconsulting a pharmacologicalreference about medication compatibility priortoadministering warfarin to a client. Which of the following medications should the nurse identify as being incompatible with warfarin? A. Magnesium hydroxide B. Naproxen NSAID’S C. Lisinopril D. Propranolol 16. A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following findings should the nurseexpect? A. The withdrawsfrom pain. B. The client is oriented times three. C. The dent isunabletoobeycommandsnon. D. The client opens eyestosound. ) 17. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10- year-old child are accompanying her. Which of the following actionsshould the nurse take togather the client’s admission data? A. Requestafemale interpreterthrough the facility B. Asknursingstudent whospeaks thesamelanguageastheclient totranslate C. Allow theclient’spartnertotranslate D. Havetheclient’schildtranslate 18. A nurse is planning care foraclient who isrecovering from an acute myocardial infarctionthat occurred 3 days ago. Which of the following interventions should the nurse Include? A. Perform anECG every12hr. B. Placetheclient inasupine position whileresting. C. Draw atroponinlevelevery4hr. D. Obtain acardiacrehabilitation consultation. 19. A nurse in the infectious disease division of the local health department is caring for a client. Which of the following infections should the nurse identifyshould be reported to thehealth department? A. Clostridium difficile B. Humanpapillomavirus C. Herpessimplex virus D. Chlamydiatrachomatis 20. A nurse is administering an intradermal injection for allergy testing to a client. Into which of the following sitesshould the nurse inject the medication? (You will find hotspots to selectin the artwork below. Select onlythe hotspot thatcorresponds to your answer 21. A nurse is caring for a client who has compartment syndrome following the application ofa cast to the leg. Which of the following actions should the nurse take? A. Apply icetotheextremity B. Checkthe client’s pedal pulses. ) C. Administeradoseofantiemetic medication D. Positiontheclient’s legabovethelevelof theheart ) 22. A nurse iscaring foraclient who speaksalanguage different from the nurse. Which of thefollowing actions should the nurse take? A. Review the facility policyabout the use ofan interpreter. B. Requestafamily memberorfriendtointerpret informationfortheclient. C. Directattentiontowardtheinterpreter whenspeakingtotheclient. D. Requestaninterpreterofadifferentsexfrom theclient. 23. A nurse is providing discharge instructionsabout newborn safetyto aclient who is 2 dayspostpartum. Which of the following instructions should the nurse include? A. Changesmokedetectorbatterieseveryotheryear. B. Use acarseat when traveling byairplane. C. Placeaplastic waterproofsheetover thecribbedding. D. Laythebabyonhisstomachtonapduringthedaytime. 24. A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of stepsthe nurse managershould plan to take in response to the staff membersconduct (Movethe steps into the box on the right placing them order of performance. Use all the steps) Set up a meeting to speakthe staff memberabout the behaviorVerbally remind the staff member of the expected chances Give the staff member a written warning about the behavior Suspend the staff member from work for several days Dismiss the staff member from employment at the 25. A nurse is assessing a client who has a prescription for hydrocodone PRN. Which of the following adverse effectsshould the nurse identityas priorityfor withholding this medicationand notifying the provider? A. Hypotension B. Nausea C. Constipation **normalsideeffect D. Urinaryretention 26. A nurse isinitiating bladder retraining foraclient who has urge urinaryincontinence.Which the following instructions should the nurse give the client? A. "Takeyourdiuretic medication withyourevening meal" B. "Decreaseyour intakeofcranberryjuice" C. "Plan to urinate every 3 hours while you are awake" D. "Limit yourfluidintaketo 500 perday" ) 27. A nurse isteaching participantsatacommunitycenteraboutadvance directives. Which ofthe following information should the nurse include in the teaching? A. A client mustcreateadonot resuscitateorder whencompletingadvancedirectives. B. A health care surrogate makes health care decision when the client is no longerable. C. Advancedirectivescannotbechangedonceimplemented. D. Assigningahealthcaresurrogaterequireslegalconsultation. 28. A nurse iscaring foraclient who has bipolar disorder. Which of the following behaviorsshould the nurse identify indicating the client is experiencing mania? A. Theclientspeaksusing wordsalad. B. Theclientspeaksusingechopraxia. C. Theclient issocially withdrawn. D. The client is easily distracted by externalstimuli. 29. A nurse iscaring foraclient who hascolon cancerand isterminallyill. The clientstates, "Ican't believe I'm going to die." Which of the following statements should the nurse make? A. "It mightbecomfortingtoprayforspiritualassistance." B. "Yourdoctor will makesureyou won'tbein muchpain" C. "Tell me what isimportant to you right now." D. "I felt thesame wayyou'refeeling when my motherdied" 30. A home health nurse is teaching a new parent about caring for his 1-week-old infant. Which of the following statements bythe client indicatesan understanding of the teaching? A. "I willavoidpickingup mybabytoooftentokeepfrom spoilinghim will" B. "I will place aticking clock nearbyto soothe my babythroughout the day" C. "I willhangapastel-colored mobile24inchesabove mybaby'scrib. " D. "Icanuseafirm pillow topropupthebottle whenfeeding mybaby. " 31. A nurse isassessing aclient who is receiving dailyaspirin therapy. The nurse shouldidentify that which of the following findings might indicate an allergic reaction to this medication? A. Weightgain B. Blurredvision C. Difficultyswallowing D. Highbloodpressure 32. A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventionsshould the nurse include? A. Discouragetheclient from exploringirrational fears. B. Providenegativereinforcement forritualisticbehaviors. ) C. Allow the client enough time to perform rituals. D. Givetheclientautonomyinschedulingactivities