VATI Comprehensive Predictor REVIEW
a nurse is caring for a client who is taking alprazolam. Which of the following
prescriptions should the nurse clarify with the provider? Ans:- ceftriaxone
a nurse is assessing a client who is postoperative following abdominal
surgery. The client states "I feel like my incision ripped open" the nurse
notes dehiscence of the incision. which of the following actions should the
nurse take? Ans:- place the client in a low-fowlers position
a nurse is caring for a client who is receiving radiation therapy through a
sealed implant. Which of the following actions should the nurse take? Ans:-
wear a lead apron when providing care for the client.
a nurse is inserting an IV catheter for a client who requires fluid replacement.
Which of the following actions should the nurse take? Ans:- apply the
tourniquet 15 cm above the insertion site
a nurse is administering medications to a client who has dysphagia and a
new prescription for divalproex sodium extended release tablets. which of
the following actions should the nurse take? Ans:- administer the medication
with applesauce
a nurse is completing a dietary assessment for a client who is jewish and
observes kosher dietary practices. which of the following behaviors would
the nurse expect to fine? Ans:- meat and dairy products are eaten
separately
a nurse is assessing a client who has minor injuries following a motor-vehicle
crash and appears agitated and apprehensive. The nurse identifies that the
client is in the arm stage of general adaptation syndrome and should expect
which of the following findings. Ans:- tachycardia
a nurse is caring for a client who has a femur fracture and is on bedrest with
bucks extension traction. which of the following actions should the nurse
take? Ans:- inspect the clients skin under the device every 8 hours
a charge nurse is creating assignments for the next shift for several nurses
and one of them is pregnant. which of the following clients should the charge
nurse assign to a nurse who is not pregnant? Ans:- 60 year old client who is
recovering from shingles
a nurse is caring for a client who has a partial laryngectomy and is receiving
continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of
,the following findings requires immediate intervention by the nurse? Ans:-
the client is lying in a supine position
a nurse is teaching a client about smoking cessation. Which of the following
client statements should the nurse identify as an understanding of the
teaching? Ans:- I will set a specific date to stop smoking
a nurse has been caring for a female client who has bruises on her arms that
are a result of physical abuse by her partner. The client states "I don't know
how much longer I can take this, but I'm afraid he'll really hurt me if I leave"
Which of the following is an appropriate nursing intervention? Ans:- help the
client to recognize the signs of escalation of abusive behavior
a client who is 8 hr postpartum asks the nurse if she will need to receive Rh
immune globulin. The client is gravid 2, para 2, and her blood type is AB
negative. The newborn's blood type is B Positive. which of the following
statements is appropriate? Ans:- you should receive Rh immune globulin
within 72 hours of delivery
a client hospitalized for a bone marrow transplant is in protective isolation
while undergoing total body radiation and intense chemotherapy. the clients
sibling comes to visit but has obvious manifestations of an upper respiratory
infection. which of the following nursing actions is appropriate at this time?
Ans:- allow the sibling to visit after donning a sterile gown, mask, gloves, but
prohibit physical contact
a nurse is planning care for a client who takes haloperidol for the treatment
of schizophrenia. which of the following should the nurse include in the plan
of care? Ans:- screen the client for tardive dyskinesia
a nurse is performing a vision screening for a client. which of the following
findings should the nurse identify as an indication that the client has
cataracts? Ans:- increased opacity of the lens of the eye
a nurse is caring for a client who reports difficulty falling asleep at night.
which of the following actions should the nurse take? Ans:- schedule routine
care tasks during the hours when the client is awake
a nurse is providing discharge teaching to a client who is postpartum and
plans to breastfeed. which of the following should the nurse recommend the
client increases in their diet during lactation? Ans:- calcium
a nurse is providing nutritional counseling to the parents of a toddler. which
of the following instructions should the nurse include in the teaching? Ans:-
offer snacks throughout the day
, a nurse is assessing a clients cardiovascular system. identify where the
nurse should place the diaphragm of the stethoscope to best hear the closing
of the aortic valve. Ans:- option A
A nurse is planning to perform wound irrigation for a client who has an open
secondary wound. when creating a sterile field. which of the following actions
should the nurse take? Ans:- place the lid of a bottle sterile solution with the
sterile field
a nurse is planning an education session for a client who has type 1 diabetes
mellitus. which of the following should the nurse plan to include when
teaching the client to monitor for hypoglycemia? Ans:- diaphoresis
a nurse is instructing a group of newly hired nurses about medication to
promote fetal lung maturation. which of the following medications should the
nurse include in the instructions? Ans:- betamethasone
a nurse is caring for a client who has atypical depression and is taking
phenelzine. which of the following is appropriate for the nurses to offer as an
evening snack? Ans:- low fat yogurt
a nurse is planning care for a newborn who is receiving phototherapy. which
of the following actions should the nurse include the plan of care? Ans:-
assess the infants eyes for corneal irritation every 4 hrs
a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr
and develops a hemolytic reaction. which of the following actions should the
nurse perform? Ans:- infuse 0.9% sodium chloride IV
a nurse is planning care for a client who has schizophrenia and is having
difficulty expressing their feelings. which of the following referrals should the
nurse make? Ans:- social worker
a nurse from the state health department is instructing a group of nurses
regarding infections. which of the following infections should the nurse report
to the centers for disease control and prevention? Ans:- Lyme disease
a nurse is preparing to provide education about electroconvulsive for a client
who has major depressive disorder. which of the following should the nurse
include in the teaching? Ans:- a general anesthetic is administered prior to
ECT treatment
a nurse is teaching a client and their family about home hospice care. which
of the following information should the nurse include in the teaching? Ans:-
hospice care improves quality of life through palliative care
a nurse is caring for a client who is taking alprazolam. Which of the following
prescriptions should the nurse clarify with the provider? Ans:- ceftriaxone
a nurse is assessing a client who is postoperative following abdominal
surgery. The client states "I feel like my incision ripped open" the nurse
notes dehiscence of the incision. which of the following actions should the
nurse take? Ans:- place the client in a low-fowlers position
a nurse is caring for a client who is receiving radiation therapy through a
sealed implant. Which of the following actions should the nurse take? Ans:-
wear a lead apron when providing care for the client.
a nurse is inserting an IV catheter for a client who requires fluid replacement.
Which of the following actions should the nurse take? Ans:- apply the
tourniquet 15 cm above the insertion site
a nurse is administering medications to a client who has dysphagia and a
new prescription for divalproex sodium extended release tablets. which of
the following actions should the nurse take? Ans:- administer the medication
with applesauce
a nurse is completing a dietary assessment for a client who is jewish and
observes kosher dietary practices. which of the following behaviors would
the nurse expect to fine? Ans:- meat and dairy products are eaten
separately
a nurse is assessing a client who has minor injuries following a motor-vehicle
crash and appears agitated and apprehensive. The nurse identifies that the
client is in the arm stage of general adaptation syndrome and should expect
which of the following findings. Ans:- tachycardia
a nurse is caring for a client who has a femur fracture and is on bedrest with
bucks extension traction. which of the following actions should the nurse
take? Ans:- inspect the clients skin under the device every 8 hours
a charge nurse is creating assignments for the next shift for several nurses
and one of them is pregnant. which of the following clients should the charge
nurse assign to a nurse who is not pregnant? Ans:- 60 year old client who is
recovering from shingles
a nurse is caring for a client who has a partial laryngectomy and is receiving
continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of
,the following findings requires immediate intervention by the nurse? Ans:-
the client is lying in a supine position
a nurse is teaching a client about smoking cessation. Which of the following
client statements should the nurse identify as an understanding of the
teaching? Ans:- I will set a specific date to stop smoking
a nurse has been caring for a female client who has bruises on her arms that
are a result of physical abuse by her partner. The client states "I don't know
how much longer I can take this, but I'm afraid he'll really hurt me if I leave"
Which of the following is an appropriate nursing intervention? Ans:- help the
client to recognize the signs of escalation of abusive behavior
a client who is 8 hr postpartum asks the nurse if she will need to receive Rh
immune globulin. The client is gravid 2, para 2, and her blood type is AB
negative. The newborn's blood type is B Positive. which of the following
statements is appropriate? Ans:- you should receive Rh immune globulin
within 72 hours of delivery
a client hospitalized for a bone marrow transplant is in protective isolation
while undergoing total body radiation and intense chemotherapy. the clients
sibling comes to visit but has obvious manifestations of an upper respiratory
infection. which of the following nursing actions is appropriate at this time?
Ans:- allow the sibling to visit after donning a sterile gown, mask, gloves, but
prohibit physical contact
a nurse is planning care for a client who takes haloperidol for the treatment
of schizophrenia. which of the following should the nurse include in the plan
of care? Ans:- screen the client for tardive dyskinesia
a nurse is performing a vision screening for a client. which of the following
findings should the nurse identify as an indication that the client has
cataracts? Ans:- increased opacity of the lens of the eye
a nurse is caring for a client who reports difficulty falling asleep at night.
which of the following actions should the nurse take? Ans:- schedule routine
care tasks during the hours when the client is awake
a nurse is providing discharge teaching to a client who is postpartum and
plans to breastfeed. which of the following should the nurse recommend the
client increases in their diet during lactation? Ans:- calcium
a nurse is providing nutritional counseling to the parents of a toddler. which
of the following instructions should the nurse include in the teaching? Ans:-
offer snacks throughout the day
, a nurse is assessing a clients cardiovascular system. identify where the
nurse should place the diaphragm of the stethoscope to best hear the closing
of the aortic valve. Ans:- option A
A nurse is planning to perform wound irrigation for a client who has an open
secondary wound. when creating a sterile field. which of the following actions
should the nurse take? Ans:- place the lid of a bottle sterile solution with the
sterile field
a nurse is planning an education session for a client who has type 1 diabetes
mellitus. which of the following should the nurse plan to include when
teaching the client to monitor for hypoglycemia? Ans:- diaphoresis
a nurse is instructing a group of newly hired nurses about medication to
promote fetal lung maturation. which of the following medications should the
nurse include in the instructions? Ans:- betamethasone
a nurse is caring for a client who has atypical depression and is taking
phenelzine. which of the following is appropriate for the nurses to offer as an
evening snack? Ans:- low fat yogurt
a nurse is planning care for a newborn who is receiving phototherapy. which
of the following actions should the nurse include the plan of care? Ans:-
assess the infants eyes for corneal irritation every 4 hrs
a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr
and develops a hemolytic reaction. which of the following actions should the
nurse perform? Ans:- infuse 0.9% sodium chloride IV
a nurse is planning care for a client who has schizophrenia and is having
difficulty expressing their feelings. which of the following referrals should the
nurse make? Ans:- social worker
a nurse from the state health department is instructing a group of nurses
regarding infections. which of the following infections should the nurse report
to the centers for disease control and prevention? Ans:- Lyme disease
a nurse is preparing to provide education about electroconvulsive for a client
who has major depressive disorder. which of the following should the nurse
include in the teaching? Ans:- a general anesthetic is administered prior to
ECT treatment
a nurse is teaching a client and their family about home hospice care. which
of the following information should the nurse include in the teaching? Ans:-
hospice care improves quality of life through palliative care
