Vati Green Ligth Comprehensive form
A,B,C
. A charge nurse is growing assignments for the subsequent shift for numerous nurses and one
of the nurses is pregnant. Which of the subsequent clients must the fee nurse assign to a nurse
who isn't always pregnant?
A. A 60-12 months-vintage consumer who is improving from shingles
B. A 20-12 months-antique consumer who is HIV fine
C. A 40-yr-antique patron who's suspected of having tuberculosis
D. An eighty-yr-antique patron who has alcoholic pancreatitis and is being treated for impetigo -
ANS-A. A 60-year-vintage consumer who is recovering from shingles
. A price nurse is teaching a group of unit nurses about the policy for clients who have a records
of methicillin-resistant Staphylococcus aureus. Which of the following records need to the nurse
consist of?
A. A purchaser who has a history of MRSA will want antibiotics
B. A consumer who has a history of MRSA can expand immunity to the contamination
C. A consumer who has a history of MRSA calls for a shielding surroundings
D. A purchaser who has a history of MRSA can still transmit the infection - ANS-D. A customer
who has a history of MRSA can still transmit the contamination
. A client who is 8 hr postpartum asks the nurse if she will be able to want to receive Rh immune
globulin. The patron is gravida 2, para 2, and her blood kind is AB terrible. The newborns blood
kind is B high quality. Which of the subsequent statements is suitable? GL
a. You most effective need to get hold of Rh immune globulin if you have a tremendous blood
type."
b. You must obtain Rh immune globulin within 72 hours of delivery."
c. "Both you and your child should get hold of Rh immune globulin at your -week appointment."
d. "immune globulin is not necessary since this is your second being pregnant." - ANS-You have
to acquire Rh immune globulin within seventy two hours of shipping.
. A community health nurse is being concerned for a purchaser who requests a referral for circle
of relatives therapy. The nurse must initate a referral to which of the following participants of the
interdisciplinary team?
A. Occupational therapist
b. Social worker
c. Leisure therapist
d. Paramedical technologist - ANS-b. Social worker
. A community health nurse is performing a imaginative and prescient screening on a
four-month-antique toddler. When shining a mild source into the toddler's visual field, which of
the subsequent is an anticipated finding?
A. The little one's eyes flip in the direction of the light
,B. The little one's head turns far from the light
C. The little one's eyes remain centered toward the floor
D. The little one closes their eyes - ANS-D. The toddler closes their eyes
. A nurse in a intellectual hospital is interviewing a newly admitted customer. Which of the
following moves should the nurse take whilst undertaking the interview?
A. Insist the purchaser use direct eye touch throughout the interview
B. Seat the customer as a minimum three.7m from the nurse
C. Position the client's chair among the nurse's chair and the door
D. Lean in slightly while speakme to the consumer - ANS-D. Lean in slightly when speaking to
the patron
. A nurse in an inpatient mental sanatorium is worrying for a purchaser who has predominant
depressive disorder and refuses to take her medicine. Which of the following movements need
to the nurse take first?
A. Explain to the customer the effects of refusal
B. Identify the purpose for the patron's refusal
C. Document the customer's refusal inside the scientific record
D. Inform the issuer of the purchaser's refusal - ANS-B. Identify the purpose for the patron's
refusal
. A nurse is assessing a client in the PACU. Which of the subsequent findings suggests
decreased cardiac output?
A. Oliguria
B. Constricted scholars
C. Shivering
D. Bradypnea - ANS-A. Oliguria
. A nurse is assessing a full-time period newborn who's 24 hr old. Which of the subsequent
findings have to the nurse document to the issuer?
A. The newborns neck is brief and surrounded by means of skin folds
b. The newborns glucose degree is 50 mg/dl
c. The newborns sclera have a yellowish tiny
d. The new child has skilled a weight loss of three% seeing that beginning - ANS-c. The
newborns sclera have a yellowish tiny
. A nurse is assessing a teenager who has anorexia nervosa. Which of the following findings
need to the nurse anticipate?
A. High blood pressure
b. Menorrhagia
c. Hypokalemia
d. Diarrhea - ANS-c. Hypokalemia
. A nurse is assessing an adult male who has a BMI of 20. The nurse should identify that the
patron's BMI falls inside which of the following classes? Normal BMI: 18.Five-24.9, underweight
less than 18.5, obese 25-29.Nine, obese 30 or greater. How to calculate: weight (kg) divided top
(m2)
A. Healthy weight
B. Malnutrition
C. Overweight
,D. Obesity - ANS-A. Healthy weight
. A nurse is worrying for a 7-year-antique baby who has excessive dehydration. Which of the
following findings should the nurse count on?
A. Blood pressure 94/68 mmHg
B. Urinary output 30 mL/hr
C. Respiratory price 24/min
D. Heart fee 152/min - ANS-D. Heart fee 152/min
. A nurse is being concerned for a kid who has infectious mononucleosis. Which of the
subsequent findings are
associated with this analysis?
A. Koplik spots
b. Splenomegaly
c. Malaise
d. Sore throat
e. Vertigo - ANS-b. Splenomegaly
c. Malaise
d. Sore throat
. A nurse is being concerned for a consumer who had a partial laryngectomy and is receiving
continuous enteral feedings at 65mL/hr through a gastrostomy tube. Which of the following
findings calls for immediate intervention by means of the nurse?
A. The gastric residual extent is 250 mL following 2 hr of infusion
B. The client is mendacity in a supine role
C. The infusion pump for administering non-stop feeding is became off
D. The enteral feeding bag and tubing are not dated - ANS-The patron is lying in a supine role
. A nurse is worrying for a patron who has fractured ribs, has advanced thrombophlebitis, and is
being handled with a heparin drip. The customer develops hematuria and has an activated ptt of
100 seconds. Which of the following moves should the nurse take first? - ANS-Turn of the
heparin drip
. A nurse is being concerned for a purchaser who has simply lower back to the unit following a
bronchoscopy. Which of the following moves with the aid of the assistive personnel requires the
nurse to intrude?
A. Encourages the client to use the incentive spirometer
B. Elevates the top of the purchaser's bed
C. Offers oral fluids to the patron
D. Checks the customer's pulse oximetry - ANS-C. Offers oral fluids to the client
. A nurse is caring for a customer who has opioid use disorder and is experiencing withdrawal.
Which of the following findings should the nurse count on?
A. Hyperreflexia
B. Meiosis (mydriasis)
C. Euphoria (supposed signal of opioid toxicity)
D. Hypothermia (hyperthermia) - ANS-A. Hyperreflexia
. A nurse is caring for a purchaser who's postpartum and has a brand new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When
, reviewing the consumer's medical records, the nurse should apprehend which of the
subsequent diagnoses as a contraindication to the management of methylergonovine?
A. Diabetes mellitus
B. Hypertension
C. Migraine complications
D. Hepatitis B - ANS-B. Hypertension
. A nurse is being concerned for a consumer who is soliciting for remedy for a playing disorder.
Which of the following medicinal drugs should the nurse anticipate the company to prescribe?
A. Varenicline
B. Disulfiram
C. Sertraline
D. Clonidine - ANS-C. Sertraline
. A nurse is worrying for a preschool-age infant who has a short-leg plaster forged applied 1 hr
ago. Which of the following is the perfect intervention - ANS-guide the affected leg on a pillow
. A nurse is appearing trade of shift exams for 4 clients. Which of the following findings need to
the nurse record to the provider first?
A. A client who has gastroenteritis and is lethargic and burdened
B. A customer who has cystic fibrosis, has a thick, efficient cough, and reviews thirst
C. A consumer who has sickle mobile anemia and reviews pain 15 minutes after receiving oral
analgesic
D. A customer who has diabetes mellitus and has a morning fasting capillary glucose of 185
mg/dL - ANS-A. A purchaser who has gastroenteritis and is torpid and pressured
. A nurse is making plans take care of a purchaser following gastric pass surgery. The nurse
must consist of which of the subsequent dietary commands while preparing the customer for
discharge?
A. Limit your food to 3 instances according to day
B. Consume at least 25 grams of fiber daily
C. Start each meal with a protein supply
D. Check your blood glucose degrees earlier than every meal - ANS-C. Start every meal with a
protein supply
. A nurse is planning care for a client who has new analysis of dysphagia. Which of the
subsequent ingredients ought to the nurse suggest?
A. Apple juice
b. Oatmeal
c. Pork broth
d. Toast - ANS-b. Oatmeal
. A nurse is presenting discharge teaching to a client who has schizophrenia and is starting
remedy with clozapine. Which of the following is the best priority for the customer to file to the
issuer?
A. Blurred vision
B. Dry mouth
C. Fever
D. Constipation - ANS-C. Fever
A,B,C
. A charge nurse is growing assignments for the subsequent shift for numerous nurses and one
of the nurses is pregnant. Which of the subsequent clients must the fee nurse assign to a nurse
who isn't always pregnant?
A. A 60-12 months-vintage consumer who is improving from shingles
B. A 20-12 months-antique consumer who is HIV fine
C. A 40-yr-antique patron who's suspected of having tuberculosis
D. An eighty-yr-antique patron who has alcoholic pancreatitis and is being treated for impetigo -
ANS-A. A 60-year-vintage consumer who is recovering from shingles
. A price nurse is teaching a group of unit nurses about the policy for clients who have a records
of methicillin-resistant Staphylococcus aureus. Which of the following records need to the nurse
consist of?
A. A purchaser who has a history of MRSA will want antibiotics
B. A consumer who has a history of MRSA can expand immunity to the contamination
C. A consumer who has a history of MRSA calls for a shielding surroundings
D. A purchaser who has a history of MRSA can still transmit the infection - ANS-D. A customer
who has a history of MRSA can still transmit the contamination
. A client who is 8 hr postpartum asks the nurse if she will be able to want to receive Rh immune
globulin. The patron is gravida 2, para 2, and her blood kind is AB terrible. The newborns blood
kind is B high quality. Which of the subsequent statements is suitable? GL
a. You most effective need to get hold of Rh immune globulin if you have a tremendous blood
type."
b. You must obtain Rh immune globulin within 72 hours of delivery."
c. "Both you and your child should get hold of Rh immune globulin at your -week appointment."
d. "immune globulin is not necessary since this is your second being pregnant." - ANS-You have
to acquire Rh immune globulin within seventy two hours of shipping.
. A community health nurse is being concerned for a purchaser who requests a referral for circle
of relatives therapy. The nurse must initate a referral to which of the following participants of the
interdisciplinary team?
A. Occupational therapist
b. Social worker
c. Leisure therapist
d. Paramedical technologist - ANS-b. Social worker
. A community health nurse is performing a imaginative and prescient screening on a
four-month-antique toddler. When shining a mild source into the toddler's visual field, which of
the subsequent is an anticipated finding?
A. The little one's eyes flip in the direction of the light
,B. The little one's head turns far from the light
C. The little one's eyes remain centered toward the floor
D. The little one closes their eyes - ANS-D. The toddler closes their eyes
. A nurse in a intellectual hospital is interviewing a newly admitted customer. Which of the
following moves should the nurse take whilst undertaking the interview?
A. Insist the purchaser use direct eye touch throughout the interview
B. Seat the customer as a minimum three.7m from the nurse
C. Position the client's chair among the nurse's chair and the door
D. Lean in slightly while speakme to the consumer - ANS-D. Lean in slightly when speaking to
the patron
. A nurse in an inpatient mental sanatorium is worrying for a purchaser who has predominant
depressive disorder and refuses to take her medicine. Which of the following movements need
to the nurse take first?
A. Explain to the customer the effects of refusal
B. Identify the purpose for the patron's refusal
C. Document the customer's refusal inside the scientific record
D. Inform the issuer of the purchaser's refusal - ANS-B. Identify the purpose for the patron's
refusal
. A nurse is assessing a client in the PACU. Which of the subsequent findings suggests
decreased cardiac output?
A. Oliguria
B. Constricted scholars
C. Shivering
D. Bradypnea - ANS-A. Oliguria
. A nurse is assessing a full-time period newborn who's 24 hr old. Which of the subsequent
findings have to the nurse document to the issuer?
A. The newborns neck is brief and surrounded by means of skin folds
b. The newborns glucose degree is 50 mg/dl
c. The newborns sclera have a yellowish tiny
d. The new child has skilled a weight loss of three% seeing that beginning - ANS-c. The
newborns sclera have a yellowish tiny
. A nurse is assessing a teenager who has anorexia nervosa. Which of the following findings
need to the nurse anticipate?
A. High blood pressure
b. Menorrhagia
c. Hypokalemia
d. Diarrhea - ANS-c. Hypokalemia
. A nurse is assessing an adult male who has a BMI of 20. The nurse should identify that the
patron's BMI falls inside which of the following classes? Normal BMI: 18.Five-24.9, underweight
less than 18.5, obese 25-29.Nine, obese 30 or greater. How to calculate: weight (kg) divided top
(m2)
A. Healthy weight
B. Malnutrition
C. Overweight
,D. Obesity - ANS-A. Healthy weight
. A nurse is worrying for a 7-year-antique baby who has excessive dehydration. Which of the
following findings should the nurse count on?
A. Blood pressure 94/68 mmHg
B. Urinary output 30 mL/hr
C. Respiratory price 24/min
D. Heart fee 152/min - ANS-D. Heart fee 152/min
. A nurse is being concerned for a kid who has infectious mononucleosis. Which of the
subsequent findings are
associated with this analysis?
A. Koplik spots
b. Splenomegaly
c. Malaise
d. Sore throat
e. Vertigo - ANS-b. Splenomegaly
c. Malaise
d. Sore throat
. A nurse is being concerned for a consumer who had a partial laryngectomy and is receiving
continuous enteral feedings at 65mL/hr through a gastrostomy tube. Which of the following
findings calls for immediate intervention by means of the nurse?
A. The gastric residual extent is 250 mL following 2 hr of infusion
B. The client is mendacity in a supine role
C. The infusion pump for administering non-stop feeding is became off
D. The enteral feeding bag and tubing are not dated - ANS-The patron is lying in a supine role
. A nurse is worrying for a patron who has fractured ribs, has advanced thrombophlebitis, and is
being handled with a heparin drip. The customer develops hematuria and has an activated ptt of
100 seconds. Which of the following moves should the nurse take first? - ANS-Turn of the
heparin drip
. A nurse is being concerned for a purchaser who has simply lower back to the unit following a
bronchoscopy. Which of the following moves with the aid of the assistive personnel requires the
nurse to intrude?
A. Encourages the client to use the incentive spirometer
B. Elevates the top of the purchaser's bed
C. Offers oral fluids to the patron
D. Checks the customer's pulse oximetry - ANS-C. Offers oral fluids to the client
. A nurse is caring for a customer who has opioid use disorder and is experiencing withdrawal.
Which of the following findings should the nurse count on?
A. Hyperreflexia
B. Meiosis (mydriasis)
C. Euphoria (supposed signal of opioid toxicity)
D. Hypothermia (hyperthermia) - ANS-A. Hyperreflexia
. A nurse is caring for a purchaser who's postpartum and has a brand new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When
, reviewing the consumer's medical records, the nurse should apprehend which of the
subsequent diagnoses as a contraindication to the management of methylergonovine?
A. Diabetes mellitus
B. Hypertension
C. Migraine complications
D. Hepatitis B - ANS-B. Hypertension
. A nurse is being concerned for a consumer who is soliciting for remedy for a playing disorder.
Which of the following medicinal drugs should the nurse anticipate the company to prescribe?
A. Varenicline
B. Disulfiram
C. Sertraline
D. Clonidine - ANS-C. Sertraline
. A nurse is worrying for a preschool-age infant who has a short-leg plaster forged applied 1 hr
ago. Which of the following is the perfect intervention - ANS-guide the affected leg on a pillow
. A nurse is appearing trade of shift exams for 4 clients. Which of the following findings need to
the nurse record to the provider first?
A. A client who has gastroenteritis and is lethargic and burdened
B. A customer who has cystic fibrosis, has a thick, efficient cough, and reviews thirst
C. A consumer who has sickle mobile anemia and reviews pain 15 minutes after receiving oral
analgesic
D. A customer who has diabetes mellitus and has a morning fasting capillary glucose of 185
mg/dL - ANS-A. A purchaser who has gastroenteritis and is torpid and pressured
. A nurse is making plans take care of a purchaser following gastric pass surgery. The nurse
must consist of which of the subsequent dietary commands while preparing the customer for
discharge?
A. Limit your food to 3 instances according to day
B. Consume at least 25 grams of fiber daily
C. Start each meal with a protein supply
D. Check your blood glucose degrees earlier than every meal - ANS-C. Start every meal with a
protein supply
. A nurse is planning care for a client who has new analysis of dysphagia. Which of the
subsequent ingredients ought to the nurse suggest?
A. Apple juice
b. Oatmeal
c. Pork broth
d. Toast - ANS-b. Oatmeal
. A nurse is presenting discharge teaching to a client who has schizophrenia and is starting
remedy with clozapine. Which of the following is the best priority for the customer to file to the
issuer?
A. Blurred vision
B. Dry mouth
C. Fever
D. Constipation - ANS-C. Fever
