VATI PN Comprehensive Practice Exam B 2024

A nurse is collecting data from a client who is in severe pain. Which of the following questions should the nurse ask first? A. How have you managed pain in the past? B. Does anything make your pain worse? C. Where is your pain located D. Is the pain preventing you from performing any activities? - Where is your pain located? When using the urgent vs. non-urgent approach to collect data from a client who is having acute and severe pain, the nurse should first ask the client about location, severity, and quality to identify appropriate nursing interventions for pain relief. The nurse should collect more detailed data about the client's pain experiences after administering pain med, when the clients pain level is tolerable. A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn. Which of the following statements indicates an understanding of the teaching? A. I will secure the care seat in the car by using the seatbelt. B. While traveling, I should use a blanket underneath my baby for padding. C. When my baby is able to hold their head upright, I can turn the seat forwardfacing. D. I can place the car seat in the front passenger seat as long as there is a working airbag. - I will secure the car seat by using the seatbelt. The nurse should instruct the guardian to secure the car seat by using the seatbelt. A nurse is reinforcing teaching with a client who is bottle feeding their full-term newborn with formula. Which of the following instructions should the nurse include in the teaching? A. Feeding the newborn at least every 3 to 4 hours. B. Refrigerate formula that remains in the bottle. C. Wake the newborn if she falls asleep during a feeding. D. Prop the bottle with a folded towel for middle of the night feedings. - Feed the newborn at least every 3 to 4 hours. Although it is unnecessary to be rigid about feeding times. 6 to 8 feedings every 24 hours should support a full-term newborn's needs adequately. Fewer feedings in the initial weeks could delay the establishment of an adequate weight gain pattern. A nurse is collecting data from a male who is scheduled for a left inguinal herniorrhaphy. Which of the following findings is the priority for the nurse to report to the provider? A. An inguinal bulge when coughing. B. Decreased bowel sounds C. Swelling of the left groin area D. Tenderness in the scrotum - Decreased bowel sounds. The greatest risk to this bowel necrosis or perforation due to bowel obstruction or strangulation. This is a surgical emergency. Therefore, decreased bowel sounds are the priority finding to report to the provider. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? A. If I need to floss my teeth, I can use wax-coated floss twice a day. B. I'll take ibuprofen if I get a headache. C. I'll use a safety razor to shave each day. D. If I forget to take a dose, I can take it later on the same day. - If I forget to take a dose, I can take it later on the same day. A nurse in a long-term care facility is reviewing information about health care associated infections with a newly licensed nurse. Which of the following information should the nurse include? A. Older adults are resistant to pathogens that cause infection. B. Use alcohol-based antiseptic hand cleansers after caring for a client with Clostridium difficile. C. Prolonged use of corticosteroid is a risk factor for infection. D. Blood pressure cuffs can be a source of endogenous infections. - Prolonged use of corticosteroids is a risk factor for infection. Prolonged use of corticosteroids places the client at risk for a health care associated infection. A nurse is collecting data from a client who has type 2 diabetes mellitus and is concerned about weight gain during pregnancy. Which of the following responses should the nurse make? A. Your weight gain should be the same as for someone without diabetes. B. Weight gain should be 2 pounds during the first trimester and 2 pounds per week thereafter. C. Weight reduction during pregnancy is often necessary for clients who have diabetes. D. Your weight gain should average between 10 and 15 pounds. - Your weight gain should be the same as for someone without diabetes.