85 correct answer, VATI
Greenlight, VATI
A nurse has delegated care to an assistive
personnel. At the end of the shift, the Ap asks the
nurse to enter data for her because the AP has
forgotten her password and needs to leave. Which
of the following actions should the nurse take? -
Ans>> Tell the AP to contact the IT department for
charting assistance.
A nurse is reinforcing teaching about car seat
safety to the parents of a newborn. The nurse
should instruct the parents to place the car seat in
a.... - Ans>> Rear-facing position in the back seat.
A nurse is preparing a client for surgery. The client
tells the nurse that he is concerned about the
safety of a large sum of money in his wallet. Which
of the following actions is appropriate for the nurse
to take? - Ans>> contact security personnel to
place the money in the facility safe.
A nurse is caring for a toddler who is admitted to
the pediatric unit and is 2 hr postoperative
following a tonsillectomy. Which of the following
findings is a sign on hemorrhage? - Ans>>
Frequent Swallowing
,A nurse is reinforcing discharge teaching with an
older adult client's family about safety precautions
when administering a tap water enema to the
client. Which of the following should the nurse
include? - Ans>> Instruct the client to bear down
during rectal tube insertion.
A nurse is caring for a client. Which of the following
client statements should the nurse attend first? -
Ans>> "My heartburn pain is going into my jaw
now"
A nurse is caring for a client who is 3 days
postoperative following abdominal surgery and has
a Penrose drain. Which of the following actions
should the nurse take? - Ans>> Leave the drain
insertion site open to air
A nurse is reinforcing with a client who is about to
undergo an upper gastrointestinal series with
fluoroscopy. Which of the following information
should the nurse provide? - Ans>> "You will have
to drink a contrast medium before the test."
A nurse is reviewing the medical record of a client
who has sustained a full-thickness burn and is in
the emergent phase of burn. Which of the following
findings should the nurse expect? - Ans>>
Hypernatremia
,A nurse is planing to administer an ophthalmic
medication to a client. Which of the following
actions would minimize systemic absorption of the
medication? - Ans>> Wait 5 mins after instillation
before instilling the drops in the other eye
A nurse is collecting data from an 18-month-old
toddler at a well-child visit. Which of the following
findings should the nurse report to the provider? -
Ans>> The toddler can say four words.
A nurse in an acute mental health facility observes
a client having a panic attack. Which of the
following interventions should the nurse implement
first? - Ans>> Instruct the client to use abdominal
breathing.
A nurse is collecting data from a client who has a
long-leg cast on his left leg and reports severe
pain. Which of the following findings should the
nurse identify as an indication that the client might
have compartment syndrome? (Select all that
apply.) - Ans>> Pallor in the exposed portion of
the left foot
Inability to move the left foot
Paresthesia in the left foot
, A nurse in a provider's office is talking on the
phone with the parent of a school-age child who
has varicella. The parent asks the nurse when the
child can return to school. The nurse should tell the
parent that which of the following is an indication
that the longer contagious? - Ans>> All lesions are
healed.
A nurse is assisting in the care of a client who is
experiencing a postpartum hemorrhage. Which of
the following medications should the nurse plan to
administer? - Ans>> Methylergonovine
A nurse is caring for a client who is postoperative
following a hemicolectomy. Which of the following
is the best indication that the client needs PRN
pain medication? - Ans>> The client reports pain.
A nurse is reinforcing healthy eating habits for an
older adult client to ensure adequate dietary
intake. Which of the following is an appropriate
recommendation? - Ans>> Snack between meals.
A nurse is caring for a client who has a new
prescription for a protective safety restraint. Which
of the following actions should the nurse take? -
Ans>> Secure the restraint with an easy-to-
release tie.