VATI GREENLIGHT PREDICTOR VERSION B NEWEST VERSION 2025 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS|A+ GRADED||BRAND NEW!!
174. A nurse is caring for a client who is receiving total parental nutrition. For which of the following
findings should the nurse monitor as a potential complication of TPN?
A. Constipation
B. Respiratory depression
C. Hypotension
D. Electrolyte imbalance - ANSWER-Electrolyte imbalance
173. A nurse is analyzing the laboratory data on a client who has dehydration. Which finding should the
nurse anticipate in a client who has fluid volume deficit?
A. Decreased serum osmolarity
B. Decreased hematocrit
C. Elevated blood urea nitrogen
D. Lower urine specific gravity - ANSWER-Elevated blood urea nitrogen
175. A nurse is performing high-frequency chest compressions using a mechanical chest compression
device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has
been effective?
A. The child develops a dry, hacking cough
B. The child has increased nasal secretions
C. The child has increased sputum production
D. The child develops diminished breath sounds - ANSWER-The child has increased sputum production
165. A nurse in an inpatient mental health facility is caring for a client who has major depressive
disorder and refuses to take her medication. Which of the following actions should the nurse take first?
A. Explain to the client the consequences of refusal
B. Identify the reason for the client's refusal
C. Document the client's refusal in the medical record
,D. Inform the provider of the client's refusal - ANSWER-Identify the reason for the client's refusal
170. A nurse is providing discharge teaching about disease prevention to a client who has active
tuberculosis. Which of the following should the nurse include?
A. Educating the client how to cover nose and mouth with tissues when coughing
B. Recommending the client may return to work after two negative sputum cultures
C. Instructing the client that he is no longer contagious after 1 week of medication therapy
D. Teaching the client's family to wear protective masks while with the client - ANSWER-Educating the
client how to cover the nose and mouth with tissues when coughing
164. A nurse is caring for a client following a possible exposure to anthrax. Which of the following
actions should the nurse take?
A. Administer an antitoxin
B. Quarantine the client
C. Monitor the client for a productive cough
D. Begin prophylactic treatment with ciprofloxacin - ANSWER-Administer an antitoxin
163. A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat
cervical cancer. Which of the following is an appropriate action for the nurse to take?
A. Prohibit visitors for the first 24 hrs
B. Keep a 3 foot distance from the radiation implant
C. Maintain the client on bed rest for 72 hr
D. Require the client wear a dosimeter badge - ANSWER-Keep a 3 foot distance from the radiation
implant
156. A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the
nurse take first?
A. Place the client's valuables in the facility's safe
B. Observe the client's level of mobility
C. Administer prescribed medications
,D. Electronically enter the prescriptions from the provider - ANSWER-Observe the client's level of
mobility
158. A nurse is assessing a client in the PACU. Which of the following findings indicates decreased
cardiac output?
A. Oliguria
B. Constricted pupils
C. Shivering
D. Bradypnea - ANSWER-Oliguria
157. A nurse in a newborn nursery is performing assessments on four neonates that are all less than 24
hr old. The nurse should plan to notify the provider of which of the following findings?
A. Head circumference 1 cm greater than chest
B. Positive Babinski reflex on bilateral feet
C. Passage of meconium stool
D. Pinna below the outer canthus of the eye - ANSWER-Pinna below the outer canthus of the eye
166. A nurse is providing teaching to the guardian of a school-age child who has a new prescription for
ferrous sulfate capsules PO. Which of the following instructions should the nurse include in the
teaching?
A. Add the contents of the capsules to food
B. Dissolve the capsules in a glass of chocolate milk
C. Administer the medication with a glass of orange juice
D. Administer the medication at bedtime - ANSWER-Administer the medication with a glass of orange
juice
51. A nurse at a public health clinic is caring for a group of clients. Which of the following should the
nurse identify as a reportable diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
, D. Pediculosis capitis - ANSWER-Hepatitis A
52. A nurse is giving change of shift report about a client who is 36 hr postoperative to another nurse.
Which of the following should the nurse include?
A. Daily bath given at 1000
B. Vomited a large amount of emesis immediately after surgery
C. Flushed IV with 0.9% sodium chloride
D. Pain relieved by position change - ANSWER-Pain relieved by position change
54. A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the
following actions should the charge nurse identify as an effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
D. Skips break times to catch up on charting - ANSWER-Completes activities for one client before moving
to the next client
55. A nurse is caring for a client who has a prescription for atorvastatin. Which of the following client
conditions is a contraindication to this medication?
A. Hepatitis C
B. Crohn's disease
C. Peptic ulcer disease
D. Bronchitis - ANSWER-Hepatitis C
56. A nurse delegates tasks to a licensed practical nurse and an assistive personnel. When admitting a
client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following
tasks is most appropriate for the nurse to delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
QUESTIONS AND CORRECT DETAILED ANSWERS|A+ GRADED||BRAND NEW!!
174. A nurse is caring for a client who is receiving total parental nutrition. For which of the following
findings should the nurse monitor as a potential complication of TPN?
A. Constipation
B. Respiratory depression
C. Hypotension
D. Electrolyte imbalance - ANSWER-Electrolyte imbalance
173. A nurse is analyzing the laboratory data on a client who has dehydration. Which finding should the
nurse anticipate in a client who has fluid volume deficit?
A. Decreased serum osmolarity
B. Decreased hematocrit
C. Elevated blood urea nitrogen
D. Lower urine specific gravity - ANSWER-Elevated blood urea nitrogen
175. A nurse is performing high-frequency chest compressions using a mechanical chest compression
device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has
been effective?
A. The child develops a dry, hacking cough
B. The child has increased nasal secretions
C. The child has increased sputum production
D. The child develops diminished breath sounds - ANSWER-The child has increased sputum production
165. A nurse in an inpatient mental health facility is caring for a client who has major depressive
disorder and refuses to take her medication. Which of the following actions should the nurse take first?
A. Explain to the client the consequences of refusal
B. Identify the reason for the client's refusal
C. Document the client's refusal in the medical record
,D. Inform the provider of the client's refusal - ANSWER-Identify the reason for the client's refusal
170. A nurse is providing discharge teaching about disease prevention to a client who has active
tuberculosis. Which of the following should the nurse include?
A. Educating the client how to cover nose and mouth with tissues when coughing
B. Recommending the client may return to work after two negative sputum cultures
C. Instructing the client that he is no longer contagious after 1 week of medication therapy
D. Teaching the client's family to wear protective masks while with the client - ANSWER-Educating the
client how to cover the nose and mouth with tissues when coughing
164. A nurse is caring for a client following a possible exposure to anthrax. Which of the following
actions should the nurse take?
A. Administer an antitoxin
B. Quarantine the client
C. Monitor the client for a productive cough
D. Begin prophylactic treatment with ciprofloxacin - ANSWER-Administer an antitoxin
163. A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat
cervical cancer. Which of the following is an appropriate action for the nurse to take?
A. Prohibit visitors for the first 24 hrs
B. Keep a 3 foot distance from the radiation implant
C. Maintain the client on bed rest for 72 hr
D. Require the client wear a dosimeter badge - ANSWER-Keep a 3 foot distance from the radiation
implant
156. A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the
nurse take first?
A. Place the client's valuables in the facility's safe
B. Observe the client's level of mobility
C. Administer prescribed medications
,D. Electronically enter the prescriptions from the provider - ANSWER-Observe the client's level of
mobility
158. A nurse is assessing a client in the PACU. Which of the following findings indicates decreased
cardiac output?
A. Oliguria
B. Constricted pupils
C. Shivering
D. Bradypnea - ANSWER-Oliguria
157. A nurse in a newborn nursery is performing assessments on four neonates that are all less than 24
hr old. The nurse should plan to notify the provider of which of the following findings?
A. Head circumference 1 cm greater than chest
B. Positive Babinski reflex on bilateral feet
C. Passage of meconium stool
D. Pinna below the outer canthus of the eye - ANSWER-Pinna below the outer canthus of the eye
166. A nurse is providing teaching to the guardian of a school-age child who has a new prescription for
ferrous sulfate capsules PO. Which of the following instructions should the nurse include in the
teaching?
A. Add the contents of the capsules to food
B. Dissolve the capsules in a glass of chocolate milk
C. Administer the medication with a glass of orange juice
D. Administer the medication at bedtime - ANSWER-Administer the medication with a glass of orange
juice
51. A nurse at a public health clinic is caring for a group of clients. Which of the following should the
nurse identify as a reportable diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
, D. Pediculosis capitis - ANSWER-Hepatitis A
52. A nurse is giving change of shift report about a client who is 36 hr postoperative to another nurse.
Which of the following should the nurse include?
A. Daily bath given at 1000
B. Vomited a large amount of emesis immediately after surgery
C. Flushed IV with 0.9% sodium chloride
D. Pain relieved by position change - ANSWER-Pain relieved by position change
54. A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the
following actions should the charge nurse identify as an effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
D. Skips break times to catch up on charting - ANSWER-Completes activities for one client before moving
to the next client
55. A nurse is caring for a client who has a prescription for atorvastatin. Which of the following client
conditions is a contraindication to this medication?
A. Hepatitis C
B. Crohn's disease
C. Peptic ulcer disease
D. Bronchitis - ANSWER-Hepatitis C
56. A nurse delegates tasks to a licensed practical nurse and an assistive personnel. When admitting a
client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following
tasks is most appropriate for the nurse to delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour