VATI GREEN LIGHT PREDICTOR || WITH COMPLETE
SOLUTIONS.
1 A nurse is providing preoperative teaching for an adolescent who is scheduled for a cardiac
catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure" correct answers d) "You can return
to school 1 week after your procedure"
A nurse is caring for a client who is postoperative following a hemicolectomy. Which of the
following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing.
D. The client reports pain. correct answers D. The client reports pain.
A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment correct answers c) Contact
A nurse is caring for a client who has a cast on their left lower leg. Which of the following
actions should the nurse take?
A. Massage areas around the edge of the client's cast with lotion
B. Avoid elevating the extremity when the client is resting in bed
C. Give the client a dull object to scratch the skin under the cast
D. Tell the client to expect numbness in their toes. correct answers A. Massage areas around
the edge of the client's cast with lotion
A nurse is reinforcing teaching about home care with the parents of a child who has a seizure
disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure correct answers a) Call EMS if a seizure
lasts 5 mins or more.
A nurse is caring for a client who was recently admitted to an inpatient mental health unit.
The nurse tells the nurse that he is not coming out of his room anymore because other clients
on the unit make fun of him. Which of the following responses by the nurse is appropriate?
A. "I think you should just ignore the others."
B. "You feel upset by the responses of others."
C. "Let's keep the focus of our discussion on your needs."
D. "Everything will get better once you get to know everyone." correct answers B. "You feel
upset by the responses of others."
,A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which of the
following actions should the nurse plan the take?
A. Provide a tour of the perioperative area prior to surgery.
B. Explain that anesthesia is a special type of sleep.
C. Wait until after surgery to explain the importance of coughing and deep breathing.
D. Keep medical equipment out of the client's sight. correct answers A. Provide a tour of the
perioperative area prior to surgery.
A nurse is collecting data from a child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
a) Decrease blood pressure
b) Pale yellow urine
c) Periorbital edema
d) Increase urination correct answers c) Periorbital edema
A newly licensed nurse is having difficulty finishing client care tasks during their shift.
Which of the following techniques should the nurse plan to use to assist with time
management?
a) Delegate complicated tasks to an RN
b) Document all client care at the end of the shift
c) Perform quick tasks before time-consuming tasks
d) Try to complete a task before moving on to the next correct answers d) Try to complete a
task before moving on to the next
A nurse is preparing a client's insulin regimen. Which of the following insulins can be
mixed? (Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
D. Insulin detemir
E. Insulin lispro correct answers A. Insulin aspart
B. Regular insulin
E. Insulin lispro
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?
a) The toddler can remove her own socks
b) The toddler has a security blanket
c) The toddler can say four words
d) The toddler throws a ball without falling correct answers c) The toddler can say four words
A nurse is caring for several clients who are receiving well-child check-ups. The nurse should
identify that the initial diphtheria, tetanus, and pertussis (DTaP) vaccine is indicated for
which of the following clients?
a) A 2-month-old infant
b) A 4-month-old infant
c) A 6-month-old infant
d) A 15-month-old toddler correct answers a) A 2-month-old infant
,A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which
of the following responses should the nurse identify as the speech alteration of echolalia?
a) "I am lovistrated"
b) "Super, Trooper, and duper"
c) "How are you?"
d) "Pink spots in Africa" correct answers c) "How are you?"
A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following
prescriptions should the nurse clarify with the provider?
a) Doxycycline
b) Vibramycin
c) Cefazolin
d) Gentamicin correct answers c) Cefazolin
. A nurse is reinforcing discharge teaching with a client who is postoperative following laser
surgery for open-angel glaucoma. Which of the following statements by the client indicates
an understanding of the instructions?
A. "I will take a stool softener to prevent constipation."
B. "I will ask to work the night shift, so I will not be driving in bright sunlight."
C. "I will need to use my eye drops for 1 year."
D. "I will need to follow a low-protein diet." correct answers A. "I will take a stool softener
to prevent constipation."
A nurse is caring for a client who is recovering from electroconvulsive therapy. Which of the
following findings should the nurse identify as an adverse effect of the treatment?
a) Cough
b) Confusion
c) Hoarseness
d) Tingling of the scalp correct answers b) Confusion
A nurse is reinforcing teaching about confidentiality with a client. Which of the following
statements should the nurse include in the teaching?
A. "Your nurse will provide information about the risks and benefits of surgical procedures."
B. "Only health care staff providing care will see your medical record."
C. "The provider must grant you access to your personal health information."
D. "You have to authorize our providers to prescribe treatments for your condition." correct
answers B. "Only health care staff providing care will see your medical record."
A nurse is reinforcing teaching with a newly licensed nurse about HIPAA Privacy Rule.
Which of the following statements by the newly licensed nurse indicates an understanding of
the teaching?
a) "The actual medical record belongs to the client"
b) "A client's medical record information remains confidential, even during an emergency"
c) "If the client dies, their family receives their medical record"
d) "A client has the right to view their medical record" correct answers b) "A client's medical
record information remains confidential, even during an emergency"
, A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The nurse is preparing to change the client's surgical dressing. Which of the
following actions should the nurse take to demonstrate sensitivity to age-related changes?
A. Ask the client to help with the dressing change.
B. Wait for the client to approach the nurse for assistance.
C. Use paper tape for securing the new dressing.
D. Apply the dressing loosely over the incision. correct answers C. Use paper tape for
securing the new dressing.
A nurse is collecting data from a newly admitted client. Which of the following questions
should the nurse ask to assess the client's abstract thinking ability?
A. "Who is the current President of the United States?"
B. "What dose the phrase 'butterflies in my stomach' mean?"
C. "Can you count backward from 20 to 1?"
D. "Can you draw a clock that shows the hands at 4:30?" correct answers B. "What dose the
phrase 'butterflies in my stomach' mean?"
A nurse is caring for a client who has new colostomy. The client tells the nurse, "I don't want
anyone to see me with this bag." Which of the following responses should the nurse make?
A. "Many people have colostomies and they live full lives."
B. "Would it help to speak with someone else who has colostomy?"
C. "Why don't you want people to see the colostomy bag?"
D. "You shouldn't worry, the colostomy is probably only temporary." correct answers B or
C?
A nurse is reinforcing teaching with the guardian of a preschooler who has a new diagnosis of
enterobiasis. Which of the following information should the nurse include in the teaching?
a) "One dose of medication is all that will be necessary"
b) "Everyone who lives in the home will need medication"
c) "Allow the child to take tub baths instead of showers"
d) "Wash all clothes and bed linens in cold water" correct answers b) "Everyone who lives in
the home will need medication"
A nurse is collecting data from a client who is postoperative and received hydromorphone 4
mg PO 15 min ago. The client tells the nurse, "My pain level is still 8 on a 0 to 10 scale."
Which of the following actions should the nurse take first?
a) Contact the provider to prescribe more pain medication for the client
b) Teach the client relaxation techniques for treatment of acute pain
c) Document the client's reaction to the administration of medication
d) Reevaluate the client's response to the medication in 30 min correct answers b) Teach the
client relaxation techniques for treatment of acute pain
A nurse is collecting data from a client who is taking heparin to prevent deep-vein thrombosis
and has bloody stools. Which of the following laboratory values should the nurse report to the
provider?
a) Platelets 200,000/mm3
b) RBC count 5.4 million/mm3
c) Hgb 14g/dl
d) INR 5.2 correct answers d) INR 5.2
SOLUTIONS.
1 A nurse is providing preoperative teaching for an adolescent who is scheduled for a cardiac
catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure" correct answers d) "You can return
to school 1 week after your procedure"
A nurse is caring for a client who is postoperative following a hemicolectomy. Which of the
following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing.
D. The client reports pain. correct answers D. The client reports pain.
A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment correct answers c) Contact
A nurse is caring for a client who has a cast on their left lower leg. Which of the following
actions should the nurse take?
A. Massage areas around the edge of the client's cast with lotion
B. Avoid elevating the extremity when the client is resting in bed
C. Give the client a dull object to scratch the skin under the cast
D. Tell the client to expect numbness in their toes. correct answers A. Massage areas around
the edge of the client's cast with lotion
A nurse is reinforcing teaching about home care with the parents of a child who has a seizure
disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure correct answers a) Call EMS if a seizure
lasts 5 mins or more.
A nurse is caring for a client who was recently admitted to an inpatient mental health unit.
The nurse tells the nurse that he is not coming out of his room anymore because other clients
on the unit make fun of him. Which of the following responses by the nurse is appropriate?
A. "I think you should just ignore the others."
B. "You feel upset by the responses of others."
C. "Let's keep the focus of our discussion on your needs."
D. "Everything will get better once you get to know everyone." correct answers B. "You feel
upset by the responses of others."
,A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which of the
following actions should the nurse plan the take?
A. Provide a tour of the perioperative area prior to surgery.
B. Explain that anesthesia is a special type of sleep.
C. Wait until after surgery to explain the importance of coughing and deep breathing.
D. Keep medical equipment out of the client's sight. correct answers A. Provide a tour of the
perioperative area prior to surgery.
A nurse is collecting data from a child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
a) Decrease blood pressure
b) Pale yellow urine
c) Periorbital edema
d) Increase urination correct answers c) Periorbital edema
A newly licensed nurse is having difficulty finishing client care tasks during their shift.
Which of the following techniques should the nurse plan to use to assist with time
management?
a) Delegate complicated tasks to an RN
b) Document all client care at the end of the shift
c) Perform quick tasks before time-consuming tasks
d) Try to complete a task before moving on to the next correct answers d) Try to complete a
task before moving on to the next
A nurse is preparing a client's insulin regimen. Which of the following insulins can be
mixed? (Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
D. Insulin detemir
E. Insulin lispro correct answers A. Insulin aspart
B. Regular insulin
E. Insulin lispro
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?
a) The toddler can remove her own socks
b) The toddler has a security blanket
c) The toddler can say four words
d) The toddler throws a ball without falling correct answers c) The toddler can say four words
A nurse is caring for several clients who are receiving well-child check-ups. The nurse should
identify that the initial diphtheria, tetanus, and pertussis (DTaP) vaccine is indicated for
which of the following clients?
a) A 2-month-old infant
b) A 4-month-old infant
c) A 6-month-old infant
d) A 15-month-old toddler correct answers a) A 2-month-old infant
,A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which
of the following responses should the nurse identify as the speech alteration of echolalia?
a) "I am lovistrated"
b) "Super, Trooper, and duper"
c) "How are you?"
d) "Pink spots in Africa" correct answers c) "How are you?"
A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following
prescriptions should the nurse clarify with the provider?
a) Doxycycline
b) Vibramycin
c) Cefazolin
d) Gentamicin correct answers c) Cefazolin
. A nurse is reinforcing discharge teaching with a client who is postoperative following laser
surgery for open-angel glaucoma. Which of the following statements by the client indicates
an understanding of the instructions?
A. "I will take a stool softener to prevent constipation."
B. "I will ask to work the night shift, so I will not be driving in bright sunlight."
C. "I will need to use my eye drops for 1 year."
D. "I will need to follow a low-protein diet." correct answers A. "I will take a stool softener
to prevent constipation."
A nurse is caring for a client who is recovering from electroconvulsive therapy. Which of the
following findings should the nurse identify as an adverse effect of the treatment?
a) Cough
b) Confusion
c) Hoarseness
d) Tingling of the scalp correct answers b) Confusion
A nurse is reinforcing teaching about confidentiality with a client. Which of the following
statements should the nurse include in the teaching?
A. "Your nurse will provide information about the risks and benefits of surgical procedures."
B. "Only health care staff providing care will see your medical record."
C. "The provider must grant you access to your personal health information."
D. "You have to authorize our providers to prescribe treatments for your condition." correct
answers B. "Only health care staff providing care will see your medical record."
A nurse is reinforcing teaching with a newly licensed nurse about HIPAA Privacy Rule.
Which of the following statements by the newly licensed nurse indicates an understanding of
the teaching?
a) "The actual medical record belongs to the client"
b) "A client's medical record information remains confidential, even during an emergency"
c) "If the client dies, their family receives their medical record"
d) "A client has the right to view their medical record" correct answers b) "A client's medical
record information remains confidential, even during an emergency"
, A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The nurse is preparing to change the client's surgical dressing. Which of the
following actions should the nurse take to demonstrate sensitivity to age-related changes?
A. Ask the client to help with the dressing change.
B. Wait for the client to approach the nurse for assistance.
C. Use paper tape for securing the new dressing.
D. Apply the dressing loosely over the incision. correct answers C. Use paper tape for
securing the new dressing.
A nurse is collecting data from a newly admitted client. Which of the following questions
should the nurse ask to assess the client's abstract thinking ability?
A. "Who is the current President of the United States?"
B. "What dose the phrase 'butterflies in my stomach' mean?"
C. "Can you count backward from 20 to 1?"
D. "Can you draw a clock that shows the hands at 4:30?" correct answers B. "What dose the
phrase 'butterflies in my stomach' mean?"
A nurse is caring for a client who has new colostomy. The client tells the nurse, "I don't want
anyone to see me with this bag." Which of the following responses should the nurse make?
A. "Many people have colostomies and they live full lives."
B. "Would it help to speak with someone else who has colostomy?"
C. "Why don't you want people to see the colostomy bag?"
D. "You shouldn't worry, the colostomy is probably only temporary." correct answers B or
C?
A nurse is reinforcing teaching with the guardian of a preschooler who has a new diagnosis of
enterobiasis. Which of the following information should the nurse include in the teaching?
a) "One dose of medication is all that will be necessary"
b) "Everyone who lives in the home will need medication"
c) "Allow the child to take tub baths instead of showers"
d) "Wash all clothes and bed linens in cold water" correct answers b) "Everyone who lives in
the home will need medication"
A nurse is collecting data from a client who is postoperative and received hydromorphone 4
mg PO 15 min ago. The client tells the nurse, "My pain level is still 8 on a 0 to 10 scale."
Which of the following actions should the nurse take first?
a) Contact the provider to prescribe more pain medication for the client
b) Teach the client relaxation techniques for treatment of acute pain
c) Document the client's reaction to the administration of medication
d) Reevaluate the client's response to the medication in 30 min correct answers b) Teach the
client relaxation techniques for treatment of acute pain
A nurse is collecting data from a client who is taking heparin to prevent deep-vein thrombosis
and has bloody stools. Which of the following laboratory values should the nurse report to the
provider?
a) Platelets 200,000/mm3
b) RBC count 5.4 million/mm3
c) Hgb 14g/dl
d) INR 5.2 correct answers d) INR 5.2
